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Related Experiment Videos

Process analysis of judges' commitment decisions: a preliminary empirical study.

H Bursztajn, T G Gutheil, M Mills

    The American Journal of Psychiatry
    |February 1, 1986
    PubMed
    Summary

    Judicial decision-making in civil commitment cases needs study. Judges considered clinical issues, suggesting psychiatrists may over-apply involuntary hospitalization criteria.

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    Area of Science:

    • Forensic Psychiatry
    • Mental Health Law
    • Judicial Decision-Making

    Background:

    • The legal rationales for involuntary hospitalization (police powers vs. parens patriae) are debated.
    • Empirical study of judicial decision-making in civil commitment is needed.

    Purpose of the Study:

    • To empirically investigate judicial decision-making in civil commitment hearings.
    • To analyze how judges evaluate patients in these proceedings.

    Main Methods:

    • Five Massachusetts district court judges rated 26 descriptive variables for 35 patients.
    • Data collected from civil commitment hearings.

    Main Results:

    • Nearly all civil commitment hearings resulted in hospitalization.

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  • Judges demonstrated sensitivity to clinical factors influencing commitment decisions.

    • Conclusions:

    • Psychiatrists might be petitioning for involuntary hospitalization at too high a threshold.
    • Judicial decision-making in civil commitment appears influenced by clinical presentations.