Selling forensic psychiatry: Recruiting
for the future, establishing services
KRIS GOETHALS
1,2,3
, JOHN GUNN
4
AND
ALFREDO CALCEDO-BARBA
5
,
1
University Forensic Centre, Antwerp
University Hospital, Edegem, Belgium;
2
Collaborative Antwerp Psychiatric
Research Institute, University of Antwerp, Antwerp, Belgium;
3
Mental
Health Care Westelijk Noord-Brabant, Halsteren, The Netherlands;
4
Institute
of Psychiatry, King’s College London, London, UK;
5
Universitad
Complutense de Madrid Medical School, Hospital General Universitario
Gregorio Marañón, Madrid, Spain
ABSTRACT
Background and Aim The Ghent Group – a group of European forensic psychiatrists
– has discussed ways of informing fellow professionals and the wider public about their
difficult and frequently misunderstood discipline, agreeing that the specialty may have to
be ‘sold’ to those who pay for it and use it. Our aim was to consider the areas where this
commonly occurs and the strengths and pitfalls of such promotion.
Discussion Forensic psychiatrists need to be effective, accurate communicators. For
court work, they need special training. High standards of work are the best selling
technique. Outside court, the greatest challenge for forensic psychiatry is to reduce its
stigma – it can easily be construed, wrongly, as excusing serious anti-social behaviour.
Special attention should be given to writing for a wider audience, not just the inner circle
of practitioners. Electronic social media should also be deployed for this task. Those who
provide funds for academic work should be specifically but differently targeted. They
need to be persuaded of the scientific merit of the subject.
Ethics Temptation to claim more for the discipline than can be justified have to
be resisted. An English case that led to a miscarriage of justice illustrates this. The
limitations of science here have to be understood. Philosophical questions relating to
responsibility and culpability cannot be resolved by physical science alone. Misuse
neuroimaging in court, for example, can lead to miscarriages of justice.
Conclusion Selling forensic psychiatry to public and professionals is difficult but essential
to counter anti-forensic psychiatry movements that have emerged. The discipline needs to
persuade others of its unique skills and embrace good science, compassion, public duty and
ethical practice. It needs to treat with politicians and funders as well as the medical,
psychological and legal professions. Copyright © 2012 John Wiley & Sons, Ltd.
Copyright © 2012 John Wiley & Sons, Ltd. 22: 261–270 (2012)
DOI: 10.1002/cbm
Criminal Behaviour and Mental Health
22: 261–270 (2012)
Published online in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/cbm.1841