<- Home <- Arhive <- Vol. 28, Issue 3, September 2020



Rom J Leg Med28(3)257-262(2020)
DOI:10.4323/rjlm.2020.257
© Romanian Society of Legal Medicine


THE EVIDENCE-BASED PRACTICE PARADIGM APPLIED TO JUDICIAL PSYCHOLOGICAL ASSESSMENT IN THE CONTEXT OF FORENSIC MEDICINE

C. Delcea, D. O. Rusu, H. V. Matei, L. M. Vica, C. Siserman


Abstract: Purpose, methods and results. Our study aims to present psychological assessment in a forensic medical context, from the point of view of the paradigm of evidence-based practice (EBP), which involves general fields such as forensic pathology, clinical psychology, psychiatry, psychology and mental health. This paradigm’s work process involves patient evaluation, questioning in order to build the case, documentation and obtaining theoretical and practical evidence from specialized clinical literature, evidence assessment, applying and discussing the evidence, assessing the results and performance of the evaluation, conclusions and recommendations. Descriptive analysis indicates: 1. an average age of 56 years, 2. A decreasing hierarchy of frequency depending on the evaluated individuals’ level of education - high school 14.7%, no education 13.2%, 4 grades 10.3%, higher education 9.3% - according to professional status: secondary education students 1.4% and pensioners 49.2% of N=1027 psychiatric forensic medical evaluations. Finalizing the EBP stages allows experts to identify solutions and discuss the most adequate case resolution process with the other experts. In order to support this approach, we will present a statistic of forensic medical psychological interventions carried out in the Forensic Medicine Institute of Cluj-Napoca between 2015 and 2017. The statistic will include the mean and standard deviation of psychopathologies and co- morbidities presented by the evaluated patients, while also performing an inter-factor analysis of mental disorders. Following the evaluation of 1027 subjects, the following were calculated: Mean= 0.64, Std.dev.=0.48 in cognitive deterioration (neuro- cognitive disorder), i.e. 656 participants representing 63.9%, then a mean of M= 0.65, Std.dev=0.478, i.e. 666 participants representing 64.8% individuals with a diagnosis of impaired judgment (deteriorated mental capacity) out of the total of 1027. The statistical analysis used the SPSS software and the IBM Watson/Engage the power of cognitive computing platform, in order to perform an accurate qualitative differential discrimination/diagnosis of mental disorders, according to international scientifically validated forensic medical protocols.
Clinical implications and conclusions. The statistic analysis had the following goals: a. to underline the large number of patients with co-morbidities, in order to grant adjudication of incapacity and b. to identify associated mental and personality disorders in patients suspected of having committed offenses.
Keywords: Cluj-Napoca Forensic Medicine Institute, psychiatry, forensic psychological evaluation, clinical psychology, psychology in the context of forensic medicine



Full Text in PDF
© 2008-2021 Romanian Society of Legal Medicine. All rights reserved
created by cooz.ro