TAILIEUCHUNG - Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2
Part 2 book “Forensic psychiatry - Clinical, legal and ethical issues” has contents: Deception, dissociation and malingering, addictions and dependencies - their association with offending, juvenile offenders and adolescent psychiatry, principles of treatment for the mentally disordered offender, and other contents. | 17 Deception, dissociation and malingering Edited, written and revised by John Gunn Written by John Gunn David Mawson Paul Mullen Peter Noble 1st edition edited by Paul Mullen I have done that – says my memory. I could not have done that – says my pride; [the] end remains inexorable. Eventually memory gives in. (Nietzche, 1886) Deceptive mental mechanisms Deception occupies a central and privileged place in forensic psychiatry. The founding fathers of the speciality, such as Haslam (1817a,b), Ray (1838) and East (1927), were all much concerned with the need to recognize fraudulent claims in the accused, the claimant and the conscripted serviceman, to potentially mitigating, compensable or exempting disorders. The touchstone of the expert’s skill used to be in distinguishing between the genuine and the simulated. Although this particular question has lost much of its urgency, what remains central are issues surrounding those, all too human, tendencies to deny, to lie to others, and to lose oneself in self-deception. The tendency to modify our experiences of current reality by how we think rather than by what we do, and to interpret and edit memories of the past in pursuit of present needs is universal. We try to escape the contingencies of reality by a variety of mechanisms, many wholly unconscious. Substituting Available alternatives are sometimes substituted for those objects of our desire which appear beyond reach. Pets may be substituted for people, especially children. The displacement of desire, or aggression, on to a more available, or vulnerable object, is common. In some claimants and litigants this mechanism can be at work. The bereaved, deprived of their loved one, may displace their energy from the pursuit of the lost love on to the pursuit of compensation. At first glance, their actions may appear venal and self-serving, but behind this appearance can lie a tragic attempt to restore an unbearable loss through pursuit of the substituted .
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