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PTSD and Trauma as Mitigating Factors in Sentencing in Capital Cases
Lee Hiromoto1, Case Keltner1, William Frizzell2
1Dr. Hiromoto is Resident Physician, Dr. Chien is Assistant Professor of Psychiatry, and Dr. Sparr is Forensic Psychiatry Fellowship Program Director, Department of Psychiatry, OR Health & Science University, Portland, OR. Mr. Keltner is Medical Student, School of Medicine, OR Health & Science University, Portland, OR. Dr. Frizzell is Staff Psychiatrist, Boise VA Medical Center, Boise, ID.
Abstract:
Posttraumatic stress disorder (PTSD) is commonly used as a mitigating sentencing factor, although how successfully it is used varies. In cases involving the death penalty, use of a PTSD diagnosis as a sentencing mitigating factor has been considered in the postconviction appeals process. This article analyzes a decade of American federal appellate case law regarding postconviction claims of ineffective assistance of counsel by capital defendants in regard to investigating and litigating trauma and PTSD. We found a high tolerance by the courts for deficient investigating, ruling against the petitioner in 20 of 23 (87%) of identified cases. The article discusses how these situations might be avoided and explores the critical role of forensic psychiatrists and mitigation specialists in investigating and presenting trauma to the court.
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