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The treating psychiatrist as expert witness

Published online by Cambridge University Press:  02 April 2024

Trevor Broughton*
Affiliation:
Consultant forensic psychiatrists with Norfolk and Suffolk Secure & Forensic Services, Norfolkand Suffolk NHS Foundation Trust, based at Northside House, Norwich, UK.
Toral Thomas
Affiliation:
Consultant forensic psychiatrists with Norfolk and Suffolk Secure & Forensic Services, Norfolkand Suffolk NHS Foundation Trust, based at Northside House, Norwich, UK.
*
Correspondence Dr Trevor Broughton. Email: [email protected]

Summary

Many authors have considered the ethical dilemmas of a doctor being both the treating physician and expert witness in litigation. The debate has often focused on the potential for bias and the adverse impact being an expert witness can have on the therapeutic alliance. Much of this debate seems rooted in the ethic of non-maleficence. In this article we attempt to examine the other end of this ethical quandary. Using a pragmatic approach, we explore these conflicts and consider biases from other sources. Ultimately, taking on the mantle of both roles is becoming increasingly unavoidable. Hence we argue that, although there are challenges, embracing this dual role can be an important part of holistic treatment, risk management and the pursuit of the ethical principle of justice.

Type
Clinical Reflection
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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References

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