Forensic evaluation of trauma syndromes in children

Roy Lubit, Nancy Hartwell, Wilfred G. Van Gor, Spencer Eth

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

There are significant differences between a clinical evaluation and a forensic evaluation [289-291]. These differences must be kept solidly in mind in performing the evaluation. The forensic evaluator needs to assess the validity of complaints, including the possibility of malingering and the child's ability to describe symptoms accurately, the connection between the symptoms and a given incident, and the potential long-term sequelae of a trauma. The goal of the interview is not to treat, but to obtain information. Assessing the validity of complaints is perhaps the greatest challenge. This requires obtaining and reconciling data from numerous sources, including interviews with the child and parents, and information from other sources, as well as rating scales and validity testing. One must be very cautious in asking leading questions and using standardized PTSD protocols, lest they teach the parents and child about the symptoms of PTSD and thereby distort the information they provide as a result. The forensic interviewer should consider what will be needed when called to testify in court. What data will convince the jury? How might the opposing attorney challenge the assessment? What scientific studies support the findings and conclusions concerning the diagnosis, functional impairment, and validity. The precise DSM-IV-TR diagnosis is not always key in a forensic evaluation. What is essential is establishing the connection between the trauma and ensuing emotional problems. All of the symptoms the individual has as a result of the trauma become important, whether or not they contribute to fulfillment of DSM-IV-TR criteria. This contrasts with a clinical evaluation in which one needs to demonstrate the existence of a DSM-IV-TR diagnosis for reimbursement purposes. Finally, the forensic evaluator should be familiar with current practice guidelines for examination of children with PTSD. Any deviation may need to be explained in court [264,292].

Original languageEnglish
Pages (from-to)823-857
Number of pages35
JournalChild and Adolescent Psychiatric Clinics of North America
Volume11
Issue number4
DOIs
StatePublished - Oct 1 2002
Externally publishedYes

Fingerprint

Post-Traumatic Stress Disorders
Diagnostic and Statistical Manual of Mental Disorders
Wounds and Injuries
Interviews
Parents
Malingering
Lawyers
Aptitude
Information Storage and Retrieval
Practice Guidelines

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health

Cite this

Forensic evaluation of trauma syndromes in children. / Lubit, Roy; Hartwell, Nancy; Van Gor, Wilfred G.; Eth, Spencer.

In: Child and Adolescent Psychiatric Clinics of North America, Vol. 11, No. 4, 01.10.2002, p. 823-857.

Research output: Contribution to journalArticle

Lubit, Roy ; Hartwell, Nancy ; Van Gor, Wilfred G. ; Eth, Spencer. / Forensic evaluation of trauma syndromes in children. In: Child and Adolescent Psychiatric Clinics of North America. 2002 ; Vol. 11, No. 4. pp. 823-857.
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