Abstract
This study compared the legal abilities of defendants (N = 212) with current primary psychotic disorders (n = 44), affective disorders (n = 42), substance abuse disorders (n = 54), and no diagnosed major mental illness (n = 72). Defendants with primary psychotic disorders demonstrated more impairment than did other defendants in their understanding of interrogation rights, the nature and object of the proceedings, the possible consequences of proceedings, and their ability to communicate with counsel. Psychosis was of limited value as a predictor however, and high rates of legal impairment were found even in defendants with no diagnosed major mental illness. Sources of within-group variance were examined to further explain this finding. Policy and clinical implications of these results are discussed.
Similar content being viewed by others
REFERENCES
Abramovitch, R., Higgins-Biss, K. L., & Biss, S. R. (1993). Young persons' comprehension of waivers in criminal proceedings. Canadian Journal of Criminology, 35, 309-322.
Abramovitch, R., Peterson-Badali, M., & Rohan, M. (1995). Young people's understanding and assertion of their rights to silence and legal counsel. Canadian Journal of Criminology, 37, 1-18.
Abramson, M. L. (1972). The criminalization of mentally disordered behavior: Possible side effects of a new mental health law. Hospital and Community Psychiatry, 23, 101-105.
Appelbaum, P. S. (1999). Ought we to require emotional capacity as part of decisional competence? Kennedy Institute Ethics Journal, 8, 377-387.
Appelbaum, B. C., Appelbaum, P. S., & Grisso, T. (1998). Competence to consent to voluntary psychiatric hospitalization: A test of a standard proposed by APA. Psychiatric Services, 49, 1193-1196.
Appelbaum, P. S., Grisso, T., Frank, E., O'Donnell, S., & Kupfer, D. J. (1999). Competence of depressed patients for consent to research. American Journal of Psychiatry, 156, 1380-1384.
Boddy, J., Roesch, R., Zapf, P., & Eaves, D. (2000, March). Characteristics of defendants remanded for fitness assessments. Poster presented at the American Psychology and Law Society Conference, New Orleans.
Bonnie, R. J. (1992). The competence of criminal defendants: A theoretical reformulation. Behavioral Sciences and the Law, 10, 291-316.
Bonnie, R. J. (1993). The competence of criminal defendants: Beyond Dusky and Drope. University of Miami Law Review, 47, 539-601.
Bonnie, R. J., & Grisso, T. (2000). Adjudicative competence and youthful offenders. In T. Grisso and R. G. Schwartz (Eds.), Youth on trial:Adevelopmental perspective on juvenile justice (pp. 73-103). Chicago: University of Chicago Press.
Bonovitz, J. C., & Bonovitz, J. S. (1981). Diversion of the mentally ill into the criminal justice system: The police intervention perspective. International Journal of Psychiatry, 138, 973-976.
Bursztajn, H. J., Harding, H. P., Gutheil, T. G., & Brodsky, A. (1991). Beyond cognition: The role of disordered affective states in impairing competence to consent to treatment. Bulletin of the American Academy of Psychiatry and the Law, 19, 383-388.
Buss, E. (2000). The role of lawyers in promoting juveniles' competence as defendants. In T. Grisso & R. G. Schwartz (Eds.), Youth on trial: A developmental perspective on juvenile justice (pp. 243-265). Chicago: University of Chicago Press.
Canadian Charter of Rights and Freedoms, being Part I of the Constitution Act 1982 being Schedule B to the Canadian Act 1982, U.K., 1982, c. 11, as amended.
Clare, I., & Gudjonsson, G. H. (1991). Recall and understanding of the caution and rights in police detention among persons of average intellectual ability and persons with a mild mental handicap. Issues in Criminological and Legal Psychology, 1, 34-42.
Clarkson v. The Queen, 1 S.C.R. § 383 (1986).
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press. Colorado v. Connelly, 107 S. Ct. 515 (1986).
Cooke, D. J., & Philip, L. (1998). Comprehending the Scottish caution: Do offenders understand their right to remain silent? Legal and Criminological Psychology, 3, 13-27.
Criminal Code, R.S.C. 1985, c. C-46, as amended.
Dusky v. U.S., 362 U.S. 402 (1960).
Everington, C., & Fulero, S. M. (1999). Competence to confess: Measuring understanding and suggestibility of defendants with mental retardation. Mental Retardation, 37, 212-220.
Feld, B. C. (2000). Juveniles' waiver of legal rights: Confessions, Miranda, and the right to counsel. In T. Grisso & R. G. Schwartz (Eds.), Youth on trial: A developmental perspective on juvenile justice (pp. 105-138). Chicago: University of Chicago Press.
Ferguson, A. B., & Douglas, A. C. (1970). A study of juvenile waiver. San Diego Law Review, 7, 39-54.
Fulero, S. M., & Everington, C. (1995). Assessing competency to waive Miranda rights in defendants with mental retardation. Law and Human Behavior, 19, 533-543.
Gold, J. M., & Harvey, P. D. (1993). Cognitive deficits in schizophrenia. Psychiatric Clinics of North America, 16, 295-312.
Goldstein, A. M., & Burd, M. (1990). Role of delusions in trial competency evaluations: Case law and implications for forensic practice. Forensic Reports, 3, 361-386.
Grisso, T. (1980). Juveniles' capacities to waive Miranda rights: An empirical analysis. California Law Review, 68, 1134-1166.
Grisso, T. (1981). Juveniles' waiver of rights: Legal and psychological competence. New York: Plenum Press.
Grisso, T. (1992). Five-year research update (1986-1990): Evaluations for competence to stand trial. Behavioral Sciences and the Law, 10, 353-369.
Grisso, T. (1998). Instruments for assessing understanding and appreciation of Miranda rights. Sarasota, FL: Professional Resource Press/Professional Resource Exchange.
Grisso, T. (in press). Evaluating competencies: Forensic assessments and instruments (2nd ed.). New York: Kluwer Academic/Plenum Press.
Grisso, T., & Appelbaum, P. S. (1995). The MacArthur Treatment Competence Study. III: Abilities of patients to consent to psychiatric and medical treatments. Law and Human Behavior, 19, 149-174.
Grisso, T., & Seigel, S. K. (1986). Assessment of competency to stand criminal trial. In W. J. Curran, A. L. McGarry, & S. A. Shah (Eds.), Forensic psychiatry and psychology: Perspectives and standards for interdisciplinary practice (pp. 145-165). Philadelphia: F. A. Davis.
Grove, W. M., Andreasen, N. C., McDonald-Scott, P., Keller, M. B., & Shapiro, R. W. (1981). Reliability studies of psychiatric diagnosis. Archives of General Psychiatry, 38, 408-413.
Gudjonsson, G. (1992). The psychology of interrogations, confessions and testimony. Chichester: Wiley.
Gudjonsson, G. (1993). Confession evidence, psychological vulnerability and expert testimony. Journal of Community and Applied Social Psychology, 3, 117-129.
Gudjonsson, G. (1995). 'Fitness for interview' during police detention:Aconceptual framework for forensic assessment. Journal of Forensic Psychiatry, 6, 185-197.
Gudjonsson, G. H., & Clare, I. C. H. (1994). The proposed new police caution (England andWales): How easy is it to understand? Expert Evidence, 3, 109-112.
Gudjonsson, G. H., Clare, I., Rutter, S., & Pearse, J. (1993). Persons at risk during interviews in police custody: The identification of vulnerabilities. London: HMSO, Royal Commission on Criminal Justice.
Halleck, S. L., Hoge, S. K., Miller, R. D., Sadoff, R. L., & Halleck, N. H. (1992). The use of psychiatric diagnoses in the legal process: Task force report of the American Psychiatric Association. Bulletin of the American Academy of Psychiatry and the Law, 20, 481-500.
Hart, S. D., & Hare, R. D. (1992). Predicting fitness to stand trial: The relative power of demographic, criminal, and clinical variables. Forensic Reports, 5, 53-65.
Heinrichs, R. W., & Zakzanis, K. K. (1998). Neurocognitive deficit in schizophrenia: Aquantitative review of the evidence. Neuropsychology, 12, 426-445.
Hoge, S. K., Bonnie, R. J., Poythress, N., & Monahan, J. (1992). Attorney-client decision-making in criminal cases: Client competence and participation as perceived by their attorneys. Behavioral Sciences and the Law, 10, 385-394.
Hoge, S. K., Bonnie, R. J., Poythress, N., Monahan, J., Eisenberg, M., & Feucht-Haviar, T. (1997). The MacArthur adjudicative competence study: Development and validation of a research instrument. Law and Human Behavior, 21, 141-179.
Hoge, S. K., Poythress, N., Bonnie, R. J., Monahan, J., Eisenberg, M., & Feucht-Haviar, T. (1997). The MacArthur adjudicative competence study: Diagnosis, psychopathology, and competence-related abilities. Behavioral Sciences and the Law, 15, 329-345.
Horn, J. L., & Hofer, S. M. (1992). Major abilities and development in the adult period. In R. J. Sternberg & C. A. Berg (Eds.), Intellectual development (pp. 44-99). NewYork: Cambridge University Press.
James, D. V., Duffield, G., Blizard, R., & Hamilton, L. W. (2001). Fitness to plead: Aprospective study of the inter-relationships between expert opinion, legal criteria and specific symptomatology. Psychological Medicine, 31, 139-150.
Kranzler, H. R., Kadden, R. M., Babor, T. F., & Tennen, H. (1996). Validity of the SCID in substance abuse patients. Addiction, 91, 859-868.
Lawrence, R. A. (1983). The role of legal counsel in juveniles' understanding of their rights. Juvenile and Family Court Journal, 34, 49-58.
Lezak, M. D. (1983). Neuropsychological assessment (2 ed.). New York: Oxford University Press.
Matarazzo, J. D. (1983). The reliability of psychiatric and psychological diagnosis. Clinical Psychology Review, 3, 103-145.
McGarry, A. L. (1965). Competency for trial and due process via the state hospital. American Journal of Psychiatry, 122, 623-631.
Melton, G. B., Petrila, J., Poythress, N. G., & Slobogin, C. (1997). Psychological evaluations for the courts: A handbook for mental health professional and lawyers (2nd ed.). New York: Guilford.
Miranda v. Arizona, 384 U.S. 436 (1966).
Nicholson, R. A., & Johnson, W. G. (1991). Prediction of competency to stand trial: Contribution of demographics, type of offense, clinical characteristics, and psycholegal ability. International Journal of Law and Psychiatry, 14, 287-297.
Nicholson, R. A., & Kugler, K. I. (1991). Competent and incompetent criminal defendants:Aquantitative review of comparative research. Psychological Bulletin, 109, 355-370.
Nicholson, R. A., Robertson, H. C., Johnson, W. G., & Jensen, G. (1988). A comparison of instruments for assessing competency to stand trial. Law and Human Behavior, 12, 313-321.
Nunnally, J. C. (1978). Psychometric theory (2nd ed.). New York: McGraw-Hill.
Oberlander, L. B., & Goldstein, N. E. (2001). A review and update on the practice of evaluating Miranda comprehension. Behavioral Sciences and the Law, 19, 453-471.
Ogloff, J. R. P., & Olley, M. C. (1992). The Test of Charter Comprehension. Unpublished manuscript, Simon Fraser University, Burnaby, British Columbia, Canada.
Ogloff, J. R., Tien, G., Roesch, R., & Eaves, D. (1991). A model for the provision of jail mental health services: An integrative, community-based approach. Journal of Mental Health Administration, 18, 209-222.
Ogloff, J. R. P., Wallace, D. H., & Otto, R. K. (1991). Competencies in the criminal process. In D. K. Kagehiro & W. S. Laufer (Eds.), Handbook of psychology and law (pp. 343-360). New York: Springer.
Olley, M. C. (1993). Competency to understand Charter cautions:Apreliminary investigation. Unpublished master's thesis, Simon Fraser, Burnaby, British Columbia, Canada.
Olley, M. C. (1998). The utility of the test of Charter comprehension for ensuring the protection of accuseds' rights at the time of arrest. Unpublished doctoral dissertation, Simon Fraser, Burnaby, British Columbia, Canada.
Olley, M. C., Ogloff, J. R. P., & Jager, L. (1993). Do people understand their rights when arrested? The Test of Charter Comprehension. Rehabilitation Review, 4, 1-2.
Otto, R. K., Poythress, N. G., Nicholson, R. A., Edens, J. F., Monahan, J., Bonnie, R. J., et al. (1998). Psychometric properties of the MacArthur Competence Assessment Tool-Criminal Adjudication. Psychological Assessment, 10, 435-443.
Pearse, J. (1995). Police interviewing: The identification of vulnerabilities. Journal of Community and Applied Social Psychology, 5, 147-159.
Pearse, J., & Gudjonsson, G. (1996). How appropriate are appropriate adults? Journal of Forensic Psychiatry, 7, 570-580.
Perlin, M. L. (1992). Fatal assumption: A critical evaluation of the role of counsel in mental disability cases. Law and Human Behavior, 16, 39-59.
Peterson-Badali, M., Abramovitch, R., Koegel, C. J., & Ruck, M. D. (1999). Young people's experience of the Canadian youth justice system: Interacting with police and legal counsel. Behavioral Sciences and the Law, 17, 455-465.
Pogrebin, M. R., & Poole, E. D. (1987). Deinstitutionalization and increased arrest rates among the mentally disordered. Journal of Psychiatry and Law, 15, 117-127.
Poythress, N. G., Bonnie, R. J., Hoge, S. K., Monahan, J., & Oberlander, L. B. (1994). Client abilities to assist counsel and make decisions in criminal cases: Findings from three studies. Law and Human Behavior, 18, 437-452.
Rabkin, J. G. (1979). Criminal behavior of discharged mental patients:Acritical appraisal of the research. Psychological Bulletin, 86, 1-27.
Reeb, R. N. (2000). Classification and diagnosis of psychopathology: Conceptual foundations. Journal of Psychological Practice, 6, 3-18.
Redding, R. E. (1997). Depression in jailed women defendants and its relationship to their adjudicative competence. Journal of the American Academy of Psychiatry and the Law, 25, 105-119.
Reich, J., & Wells, J. (1985). Psychiatric diagnosis and competency to stand trial. Comprehensive Psychiatry, 26, 421-432.
Robertson, G., Pearson, R., & Gibb, R. (1996). Police interviewing and the use of appropriate adults. Journal of Forensic Psychiatry, 7, 297-309.
Roesch, R. (1995). Mental health interventions in pretrial jails. In G. M. Davies, S. Lloyd-Bostock, M. Murran, & C. Wilson (Eds.), Psychology, law and criminal justice: International developments in research and practice (pp. 520-531). Berlin: De Greuter.
Roesch, R., & Golding, S. L. (1980). Competency to stand trial. Urbana: University of Illinois Press.
Roesch, R., Hart, S. D., & Zapf, P. A. (1996). Conceptualizing and assessing competency to stand trial: Implications and applications of the MacArthur Treatment Competence Model. Psychology, Public Policy, and Law, 2, 96-113.
Roesch, R., Zapf, P. A., Eaves, D., & Webster, C. D. (1998). Fitness Interview Test (Rev. ed.). Burnaby, BC: Simon Fraser University, Mental Health, Law and Policy Institute.
Rogers, R., Gillis, J. R., McMain, S., & Dickens, S. E. (1988). Fitness evaluations: A retrospective study of clinical, criminal, and sociodemographic characteristics. Canadian Journal of Behavioural Science, 20, 192-200.
Rosenfeld, B., & Wall, A. (1998). Psychopathology and competence to stand trial. Criminal Justice and Behavior, 25, 443-462.
R. v. Evans, 31 S.C.R. 869 (1991).
R. v. Whittle, 2 S.C.R. 914 (1994).
Ryan, J. J., Utley, A. P., & Worthen, V. E. (1988). Comparison of two IQ conversion tables for the Vocabulary-Block Design short form. Journal of Clinical Psychology, 44, 950-952.
Schellenberg, E. G., Wasylenki, D., Webster, C. D., & Goering, P. (1992). A review of arrests among psychiatric patients. International Journal of Law and Psychiatry, 15, 251-264.
Segal, D. L., Hersen, M., & Van Hasselt, V. B. (1994). Reliability of the Structured Clinical Interview for DSM-III-R: An evaluative review. Comprehensive Psychiatry, 35, 316-327.
Shepherd, E. W., Mortimer, A. K. O., & Mobasheri, R. (1995). The police caution: Comprehension and perceptions in the general population. Expert Evidence, 4, 60-67.
Silverstein, A. B. (1982). Two-and four-subtest short forms of the Wechsler Adult Intelligence Scale-Revised. Journal of Consulting and Clinical Psychology, 50, 415-418.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). Structured clinical interview for DSM-III-R-Patient edition (SCID-P, Version 1.0). Washington, DC: American Psychiatric Press.
Teplin, L. A. (1983). The criminalization of the mentally ill: Speculation in search of data. Psychological Bulletin, 94, 54-67.
Thompson, A., & Plumridge, S. (1999). Two-and four-subtest short forms of theWAIS-R: A comparative validity study with a normal sample. Psychological Reports, 84, 371-380.
Vermeulen, S. C. A. (1997). Legal knowledge and decision-making in adolescents: Plea decisions and competency to waive Charter cautions. Unpublished doctoral dissertation, Simon Fraser University, Burnaby, British Columbia, Canada.
Viljoen, J. L., Roesch, R., & Zapf, P. A. (in press). The interrater reliability of the Fitness Interview Test across professional groups. Canadian Journal of Psychiatry.
Warren, J. I., Fitch, W. L., Dietz, P. E., & Rosenfeld, B. D. (1991). Criminal offense, psychiatric diagnosis, and psycholegal opinion: An analysis of 894 pretrial referrals. Bulletin of the American Academy of Psychiatry and the Law, 19, 63-69.
Wechsler, D. (1981). Manual for Wechsler Adult Intelligence Scale-Revised. New York: Psychological Corporation.
Whittemore, K. E., & Ogloff, J. R. P. (1994). Fitness and competency issues in Canadian criminal courts: Elucidating the standards for mental health professionals. Canadian Journal of Psychiatry, 39, 198-210.
Whittemore, K. E., Ogloff, J. R. P., & Roesch, R. (1997). An investigation of competency to participate in legal proceedings in Canada. Canadian Journal of Psychiatry, 42, 869-875.
Williams, J. B., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., et al. (1992). The Structured Clinical Interview for DSM-III-R (SCID): II. Multisite test-retest reliability. Archives of General Psychiatry, 49, 630-636.
Winick, B. J. (1985). Restructuring competency to stand trial. UCLA Law Review, 32, 921-985.
Winick, B. J. (1996). The MacArthur Treatment Competence Study: Legal and therapeutic implications. Psychology, Public Policy, and Law, 2, 137-166.
Zapf, P. A. (1998). Elucidating the standards for mental disorder as a prerequisite for legal interventions: A review of case law. Unpublished manuscript, Simon Fraser University, Burnaby, British Columbia, Canada.
Zapf, P. A. (1999). An investigation of the construct of competence in a criminal and civil context: A comparison of the FIT, the MacCAT-CA, and the MacCAT-T. Unpublished doctoral dissertation, Simon Fraser, Burnaby, British Columbia, Canada.
Zapf, P. A., Viljoen, J. L., Whittemore, K. E., Poythress, N. G., & Roesch, R. (2002). Competency: Past, present, and future. In J. R. P. Ogloff (Ed.), Taking psychology and law into the twenty-first century (pp. 171-198). New York: Plenum.
Zapf, P. A., & Roesch, R. (1997). Assessing fitness to stand trial: A comparison of institution-based evaluations and a brief screening interview. Canadian Journal of Community Mental Health, 16, 53-66.
Zapf, P. A., & Roesch, R. (2001). Acomparison of theMacCAT-CAand the FIT for making determinations of competency to stand trial. International Journal of Law and Psychiatry, 24, 81-92.
Zapf, P. A., Roesch, R., & Viljoen, J. (2001). The utility of the Fitness Interview Test for assessing fitness to stand trial. Canadian Journal of Psychiatry, 46, 426-432.
Author information
Authors and Affiliations
About this article
Cite this article
Viljoen, J.L., Roesch, R. & Zapf, P.A. An Examination of the Relationship Between Competency to Stand Trial, Competency to Waive Interrogation Rights, and Psychopathology. Law Hum Behav 26, 481–506 (2002). https://doi.org/10.1023/A:1020299804821
Issue Date:
DOI: https://doi.org/10.1023/A:1020299804821