Criminal Justice

Forensic psychiatrists are trained to evaluate defendants for evidence or absence of psychiatric disorders that impair competence or diminish capacity. Following the Daubert decision, guidelines for reliability and relevance of expert evidence have evolved. Thus, experts today need additional preparation (e.g. literature review) prior to offering courtroom testimony. The following articles provide a deeper analysis of forensic psychiatry.

Aspects of criminal justice that a forensic psychiatrist works with include:
Violence Prevention in the Courtroom

Violence is sometimes a problem in legal proceedings. Attorneys and judges in litigation related proceedings have been cautioned about violence prevention. Dr. Bursztajn's work in judicial education and courtroom violence has been widely recognized.

On Guard: Law as a High-Risk Profession Maryland Daily Record, November 10, 2005.

Diminished Capacity

To read about Dr. Bursztajn's testimony regarding diminished capacity, see the cases below.

These cases and articles also include use of diminished capacity:

Some psychiatric conditions affecting diminished capacity:

Sentencing Guidelines

Forensic psychiatric testimony can affect sentencing. Since a defendant found to be suffering from a psychiatric symptom often receives a less severe sentence, accurately determining a defendant's psychiatric health is important in judging the severity of the offense and the potential for rehabilitation and future offense prevention.

Memory and Repressed Memory
Judicial Decision Making
Confessions

False Confessions can be based on helplessness, hopelessness, and interrogation dynamics. A forensic psychiatric examination can help evaluate reliability of confession and potential confounding factors. Dr. Bursztajn's evaluated and testified as a forensic neuropsychiatric expert on altered mental states leading to false confessions for Luc Angier. Mr. Angier was a city official wrongly accused of a white collar crime who while depressed confessed to a crime he did not commit (State of Maine v. Angier). Dr. Bursztajn's expert consultation and testimony was seriously considered by the jury in its acquittal of the defendant. Post acquittal, further investigation proved the defendant's innocence.

Jury Instruction

"Court Reverses Murder Conviction: Jury Not Instructed About Antidepressant Intoxication Defense"

Brain Syndromes

Physical damage or abnormality in the brain can affect behavioral and thought processes. Dr. Bursztajn was among the first experts to be allowed to use brain imaging in the courtroom to support a forensic neuropsychiatric evaluation and testimony.

Neurobehavioral Genetics

Addictions

Drugs
Oxycontin

Oxycontin is the best-selling narcotic pain medication in the United States. It earns about $1 billion every year for its manufacturer, Purdue Pharma. Just two pills a day can stave off the worst pain for patients who suffer from cancer or serious injury but now the painkillers's benefits are overshadowed by reports of addiction and death.

Prescription Drug Misuse

Profiling

Prisons and Mental Health

Workplace & Public Safety

Safety First: After a wave of job-site violence, including the murder of a housing inspector on the job and shootings in hospitals, the American Federation of State, County and Municipal Employees published a handbook for union reps, "Preventing Workplace Violence." [Wall Street Journal: February 17, 1998]

Some city officials and mental health specialists questioned how St. Elizabeths let Hilliard get away again.

"Wow. It's hard to believe that after [the] escapes, he was given an unaccompanied grounds privilege," said Harold J. Bursztajn, a professor of psychiatry at Harvard Medical School. "If you leave someone unaccompanied when there's a potential of escape, you're not providing the most adequate care."

"This," said D.C. Council member Adrian M. Fenty (D-Ward 4), "is egregious incompetence."

The first killing tied to Hilliard took place more than 30 years ago.

For more on protecting public safety and patient care in the managed care era please see: Protecting Patient Care

Dr. Bursztajn's consulting services include prevention, crisis response, and post-crisis post-vention for traumatized co-workers.

Violence Prevention

Violence is sometimes a problem in legal proceedings.

Bioterrorism Prevention

In the wake of the World Trade Center and Pentagon disasters, Americans as well as others, are facing new fears, questions, psychological traumas and denial. This has been a enormously difficult time for our country. With talk of a new war on terror that "will be much broader than the battlefields and beachheads of the past" every day there are poignant, painful reminders that the events of September 11, will be felt for years to come. We hope that the following articles and information will be of help.

Domestic Violence

Nuremberg Code

Recommended Reading:

Legal Resources: The Committee for Public Counsel Services (CPCS) is a fifteen-member body established by Chapter 211D of the Massachusetts General Laws to oversee the provision of legal representation to indigent persons in the Commonwealth. For more information, see the CPCS Mental Health Litigation Home Page.

Dr. Bursztajn has an active patient care practice and consults to physicians, institutions, judges, and plaintiff and defense counsel nationally.