ISSUES IN FORENSIC
PSYCHOLOGY
Treating Therapist vs. Expert Witness
- In any legal proceeding, an expert witness is obligated -
above all else - to testify in an objective and candid manner. In their relationships with
their patients, however, treating therapists value a "therapeutic alliance" more
than objectivity and candor.
- Therapeutic alliances develop over the course of treatment
allowing patients to feel that their therapist is genuinely committed to their welfare.
- In response to a therapeutic alliance with their therapist,
patients feel that the therapist understands them - and their life circumstances - as the
patients themselves comprehend those issues. Therapeutic alliances also involve patients
regarding their therapist as a warm, nonjudgmental figure.
- The relevant research clearly demonstrates that a
therapeutic alliance is a necessary condition for effective treatment. Without a
therapeutic alliance prevailing between therapist and patient, treatment will fail.
- Dr. Campbell's commentary previously published in 1992
pointed out the inevitable conflicts between the roles of treating therapist and expert
witness (or evaluator).
"Ultimately, therapists find it difficult to competently evaluate their clients - a
therapeutic alliance between client and therapist inevitably reduces the therapist's
objectivity. Conversely, evaluators find it difficult to respond therapeutically to the
subjects of their evaluations - neutrality and objectivity mitigate against therapeutic
alliances. As a result, it is the rare therapist who can respond simultaneously and
effectively to both therapeutic and evaluative responsibilities. Psychologists who ignore
these limitations can find themselves trapped in the ethical pitfalls of dual
relationships."
- Relatedly, there is nothing inappropriate about treating
therapists testifying as fact witnesses regarding their patients. Testifying as a fact
witness, however, necessitates that treating therapists clearly recognize the limits of
their testimony as a result of their therapeutic role. When asked to express an opinion
directly related to the legal matter at hand, treating therapists are obligated to
acknowledge their limitations.
- Surprising as it may seem, most therapists have not
carefully considered the inevitable conflicts between expert witness and treating
therapist. Therefore, legions of treating therapists are more than ready to take a witness
stand and testify as expert witnesses. Simultaneously, they overlook how their therapeutic
alliance with their patient compromises their objectivity and neutrality.
If you would like more information regarding the conflicts
between treating therapist and expert witness, you may want to order following publication
authored by Dr. Campbell.
"Cross-Examining Psychologists and Psychiatrists
as Expert Witnesses." This is a 79-page, single-spaced outline, containing 214
footnoted references. This outline is bound. (Order article #15, cost $59.00).
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© 2005 Dr. Terence W. Campbell,
Ph.D.