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OUTLINE 1. When a social worker diagnoses a client with schizophrenia, for instance, the worker is highlighting problematic factors such as hallucinations, delusions, and paranoia. Please contact the publisher for permission to reproduce or reprint any materials on this site. Attention deficit-hyperactivity disorder (ADHD) remains a controversial disorder, despite it now being a well validated clinical diagnosis. Yes, in many contexts of practice, DSM diagnosis is a fact of life. Diagnosing the legal implications of a negative diagnosis. Diagnosing Diagnosis Errors 259 Table 2. At times, another ethical issue arises when the defendant refuses to accept a plea bargain and the prosecutor acts in a retaliatory manner during the trial. Diagnosing mental illnesses, however, is essentially an exercise in judging clients and focusing on their pathologies or weaknesses. Diagnoses may also serve clients by providing them with medical labels rather than moral labels. Empowerment demonstrates respect for the dignity and worth of clients by treating clients as autonomous individuals with the right to make choices and decisions throughout the helping process  (NASW Code of Ethics, Standard 1.02). Answer preview to examine the subjective nature of forensic psychology concerning the evaluation of … “The client scored 38 on Beck’s Depression Inventory, indicating a severe form of depression. If the client needs a formal diagnosis, then the worker should refer the client to a properly qualified mental health professional. 1. After diagnosis, the patient will inevitably be labeled with the diagnosed illness. Some of these will be manageable through simple measures, such as the provision of educational materials for clinicians and consumers to assist in guiding which treatment strategies are appropriate for each stage of the disease. The ethical dilemmas posed by the exigencies of the clinic must be managed in terms of capacity to consent, the use of mandated treatment or hospitalization, discussion of comorbidities, and communication with the patient of the benefits and risks of treatments when the … Ethical issues in such situations therefore include tensions among ethical principles such as truth telling (honest and complete disclosure of relevant information), autonomy (the individual’s right and capacity to decide what happens in their care), and non-maleficence (the professional’s duty to avoid harm). Legal and Ethical Considerations for Diagnosis and Assessment.pdf - 1 Legal and Ethical Considerations for Diagnosis and Assessment Kyle Horst PhD 2, Legal and Ethical Considerations for Diagnosis and, People with mental illness who are alleged to have broken the law, A procedure that confines a person to a mental hospital either, Not a psychiatric or psychological concept, Based on mental state of the accused at the time the crime was, Defendant not responsible for an illegal act if it is attributable to, mental illness or not knowing right from wrong, Requires judgments by lawyers, judges, jurors, and clinicians, Table 16.1: Landmark Cases and Laws Regarding the Insanity, Accused not responsible for the crime because of mental illness, Indefinite commitment to a forensic hospital, Only released when no longer mentally ill, Found guilty and responsible for the crime, Mental illness plays a role in sentencing, Can be committed for treatment until no longer mentally ill, Then sent to prison to serve remainder of sentence. 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