Abnormal Psychology

xx Contents

Legal Restrictions on Confi dentiality 719

Privileged Communication 720

Informed Consent to Participate in Research

on Mental Illness: Can Patients Truly Be Informed? 720

Criminal Actions and Insanity 721

While Committing the Crime: Sane or Insane? 722

The M’Naghten Test 722

The Irresistible Impulse Test 722

The Durham Test 722

The American Legal Institute Test 723

Insanity Defense Reform Acts 723

The Insanity Defense: Current Issues 724

Assessing Insanity for the Insanity Defense 726

States’ Rights: Doing Away With the Insanity Defense 727

With the Insanity Defense, Do People Really

“Get Away With Murder”? 727

After Committing the Crime: Competent to

Stand Trial? 727

Dangerousness: Legal Consequences 729

Evaluating Dangerousness 730

Actual Dangerousness 731

Confi dentiality and the Dangerous Patient:

Duty to Warn and Duty to Protect 732

Maintaining Safety: Confi ning the Dangerously

Mentally Ill Patient 732

Criminal Commitment 732

Civil Commitment 733

Sexual Predator Laws 737

Legal Issues Related to Treatment 738

Right to Treatment 738

Right to Refuse Treatment 739

Competence to Refuse Treatment 739

Mental Health and Drug Courts 740

The Wheels of Justice: Follow-up on

Andrew Goldstein 741

Glossary G-1

References R-1

Permissions and Attributions P-1

Name Index NI-1

Subject Index SI-1

Delirium 689

What Is Delirium? 689

Understanding Delirium: A Side Effect? 692

Delirium That Arises From Substance Use 692

Delirium Due to a General Medical Condition 692

Treating Delirium: Rectify the Cause 693

Amnestic Disorder 694

What Is Amnestic Disorder? 694

Understanding Amnestic Disorder 697

Substance-Induced Persisting Amnestic Disorder 697

Amnestic Disorder Due to a General Medical Condition 697

Treating Amnestic Disorder 698

Targeting Psychological Factors: Developing and

Implementing New Strategies 698

Targeting Social Factors: Organizing the Environment 700

Dementia 700

What Is Dementia? 701

Distinguishing Between Dementia and

Other Psychological Disorders 703

Understanding Dementia 704

Dementia of the Alzheimer’s Type 704

Vascular Dementia 707

Dementia Due to Other General Medical Conditions 708

Treating Dementia 711

Targeting Neurological Factors 711

Targeting Psychological Factors 711

Targeting Social Factors 712

Diagnosing Mrs. B.’s Problems 712

CHAPTER 16

Ethical and Legal Issues ........................ 716

Ethical Issues 718

An Ethical Principle: The Role of Confi dentiality 718

Ambiguities Regarding Confi dentiality 718

Limits of Confi dentiality: HIPAA in Action 719