Journal of the Korean Academy of Child and Adolescent Psychiatry : eISSN 2233-9183 / pISSN 1225-729X

Table. 1.

Table. 1.

Differences between clinical and forensic evaluations

Clinical evaluation Forensic evaluation
Purpose Relieve suffering Answer a legal question
Relationship Doctor–patient Evaluator–evaluated
Client The patient The court, attorney, or other retaining agency
Objective Help heal the patient By report or testimony, inform and teach the retaining agency and fact finder, i.e., judge or jury
Privacy Confidentiality usually applies Privilege may apply
Process Establish diagnosis and treatment plan Conduct objective evaluation; diagnosis may be nonessential
Treatment Treatment rendered No treatment rendered, although it may be recommended
Sources Self-report; occasionally outside information; some collateral records Extensive collection of data including serial interviews, information from additional historians, review of records and documents;
Bias Therapeutic bias occurs; desire for patient toget better; willingness to advocate for patient Purposeful lack of bias; attempt to be neutral and objective; no investment in outcome
End product Establish therapeutic relationship; improve well-being of patient Answer the referral question in the form of a verbal or written report; deposition; and/or testimony

Adapted from Kraus et al. J Am Acad Child Adolesc Psychiatry 2011;50:1299-1312 [5].

J Korean Acad Child Adolesc Psychiatry 2020;31:53-7
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