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J Am Acad Psychiatry Law 36:3:352-353 (2008)
Copyright © 2008 by the American Academy of Psychiatry and the Law.
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Commentary: Facts and Values in Competency Assessment

Alec Buchanan, PhD, MD

Dr. Buchanan is Associate Professor, Division of Law and Psychiatry, Department of Psychiatry, Yale University, New Haven, CT. Address correspondence to: Alec Buchanan, MD, PhD, 34 Park Street, Room 157, New Haven, CT 06519. E-mail: alec.buchanan{at}yale.edu

Dr. Mossman's article cogently describes an approach to measuring the accuracy of competency-to-stand-trial assessments in the presence of a gold standard. I argue that a gold standard may not exist. A conclusion as to whether a defendant is fit to proceed requires a trade-off between a range of desired ends. This trade-off is inevitably influenced by the values of the examiner.






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Copyright © 2008 by the American Academy of Psychiatry and the Law.