The ASAP's longstanding advocacy of troubled adolescents gains expression in Volume 28 of Adolescent Psychiatry, which focuses on the juvenile justice system and other dimensions of adolescents and the law. A special section on the forensic and legal aspects of adolescent psychiatry traverses the competence of adolescents to consent to treatment; the "voluntary" hospitalization of adolescents; the utility of residential treatment programs in the management of juvenile delinquency; and Richard Ratner's Schonfeld Lecture, "Juvenile Justice?" The special demands on psychiatric providers are addressed in Richard Rosner's proposal for the legal regulation of the practice of adolescent psychiatry and Alan Tuckman's and Dominic Ferro's consideration of professional liability and malpractice in adolescent psychiatry.
The treatment challenges addressed in Part II are complementary to the focus on the legal aspects of clinical work with adolescents. Contributors address the impact of adolescent hostility on the therapeutic process; the evaluation of teenagers who make threats in school settings; the evaluation and treatment of boys who have been sexually abused by clergy; the psychotherapy of learning-disabled adolescents; and the assessment and treatment of juveniles who commit sex crimes.
Volume 28 concludes with two chapters that underscore the ASAP's commitment to timely consideration of the relations among culture, development, and psychopathology. Eugenio Rothe offers a comprehensive overview of Hispanic adolescents and their families and then develops practical guidelines on therapeutic approaches to Hispanic adolescents. And Max Sugar, building on previous examinations of the effects of military experience on late-adolescent males, develops a new conceptualization, "warrior identity problem," to explain the postmilitary adjustment problems of certain young male soldiers and the psychopathology observed in some veterans.
Table of Contents
Part I: Special Section on Forensic and Legal Aspects of Adolescent Psychiatry. Forehand, Jr., Ciccone, The Competence of Adolescents to Consent to Treatment. Huffine, Competency and Consequences: Discussion of Forehand and Ciccone's Chapter. Rosner, A Four-Step Model for Legal Regulation of the Practice of Adolescent Psychiatry and Adolescents' Right to Refuse Treatment. Reeves, "Voluntary" Hospitalization of Adolescents. Tuckman, Ferro, Professional Liability and Malpractice in Adolescent Psychiatry. Ratner, Schonfeld Lecture: Juvenile Justice? Billick, Mack, The Utility of Residential Treatment Programs in the Prevention and Management of Juvenile Delinquincy. Part II: Challenges in Treatment. Kalogerakis, Hostility in Adolescence I: Genesis, Evolution, and Therapeutic Challenge. Kalogerakis, Hostility in Adolescence II: The Hostile Adolescent in Psychotherapy. Rappaport, Survival 101: Assessing Children's and Adolescents' Dangerousness in School Settings. Saleh, Vincent, Juveniles Who Commit Sex Crimes. Ponton, Goldstein, Sexual Abuse of Boys by Clergy. Meeks, Adler, Kunert, & Floyd, Individual Psychotherapy of the Learning-Disabled. Part III: Culture, Development, and Psychopathology. Rothe, Hispanic Adolescents and Their Families: Sociocultural Factors and Treatment Considerations. Sugar, Warrior Identity Problem.
Lois T Flaherty, M.D., is a child and adolescent psychiatrist on the teaching faculty of Harvard University and the University of Maryland School of Medicine. A past president of the American Society for Adolescent Psychiatry and a consultant to the Center for School Mental Health Assistance in Baltimore, Dr. Flaherty remains active in school-based mental health programs and community psychiatry.
"This current volume of Adolescent Psychiatry is devoted to the interface of adolescent psychiatry and the law. Clinical workers with adolescent problems will find the whole issue informative and useful."
—Bulletin of the Menninger Clinic