Dr. Eduardo Romaro, a clinically trained forensic ps ychologist, was retained by the prosecution to evaluate the intellectual competence of John Stone, a 50-ye ar-old man convicted of first-degree murder of a guard during a bank robbery. John had cla imed he was innocent throughout the trial. In t he state in which the trial was conducted, individuals convicted of such an offense face the death penalty. John’s attorney challenged the death penalty option for his clie nt, claiming that the defendant is intellectually disabled. The U.S. Supreme Court ruled in Atkins v. Virginia (2002) that the execution of those with intellectua l disability (formerly known as mental retardation) is unconstitutional. Dr. Romaro had worked with the prosecution before on intellectual disability cases, but thi s is the first time he had been retained for a capital punishment case. He is pers onally ambivalent about whether states should implement the death penalty.
The psychologist meets John in a private room in the prison and administers a battery of intellectual and adaptive behavior tests wi th proven psychometric validity for determining forensically relevant intellectual ability. Just as he ends the formal test administration, John becomes distraught and appears to be experiencing an anxiety attack. In his distress the psychologis t hears the prisoner repeatedly asking God for forgiveness for killing the guard and for murdering another pers on, who he keeps calling “the boy waiting for the bus.” The psychologist shifts into an emergency crisis intervention mode to help calm the defendant and rings for assistance.
Dr. Romaro was shocked to hear John “confe ss” not only to the bank murder but also to the murder of a “boy waiting for a bus.”
The Diagnostic and Statistical Manual of Mental Disorders, fourth edition
(DSM-IV-TR) diagnosis of intellectual disability (curre ntly termed “mental retardation developmental disability”) requires that individ uals demonstrate significantly sub-average intellectual functioning, impai rments in adaptive functioning, and onset before 18 years of age. Similarly, the state stand ard for intellectual disability includes a developmental history of intellectual impairmen t. Prior to testing, Dr. Romaro had asked the prosecutor for all avail able childhood mental health or school records to determine if John meets these criteria. No formal educational or psychological evaluations were included in the materials he received. The records indicated that John had a poor academi c record, was retained in fifth grade, was suspended several times for comin g to school drunk, and had left school when he was 15. State criteria also inclu de an IQ score less than 70 and poor adaptive skills.
That evening Dr. Romaro scores the test battery. John’s IQ score is 71, his performance on other cognitive tests fell close to the intel lectual disability cutoff score (some above, some below). His adaptive functionin g score is a standard deviation below average. However, given the prisoner’s age, without a more detailed set of childhood records, it is difficult to clearly conclude that he meets the DSM-IV-TR or state legal criteria for intellectual disability. D r. Romaro had not been asked to administer assessments for mood, schizophrenia, or other psychotic disorders that might impair intellectual and adaptive performance.
Dr. Romaro is not sure what forensic opinion to give regarding whether or not
John meets the legal criteria for intellectual disability. Without evidenc e of intellectual disability in his youth, a diagnosis of intellectual disability may not be possible and, thus, could not be used to support John’s d eath penalty appeal. He is also unsure whether he has an ethical responsibility to include in his report J ohn’s “confession” or John’s statement about the “boy waiting for a bus.”
Respond to the following questions in 1,250 to 1,500 words.
Why is this an ethical dilemma? Which APA Ethical Principles help frame the nature of the dilemma? How might Dr. Romaro’s ambivalence toward the death penalty influence his decision to offer a forensic diagnosis of intellectual disability? How might John’s “confession” or his comment about the “boy waiting for the bus” influence the decision? To what extent should these factors play a role in Dr. Romaro’s report? How are APA Ethical Standards 2.0f, 3.06, 4.04, 4.05, 5.01, 9.01a and 9.06 relevant to this case? Which other standards might apply? What steps should Dr. Romaro take to ethically implement his decision and monitor its effect?
Fisher, C. B. (2013). Decoding the ethics code: A practical guide for psychologists. Thousand Oaks, CA: Sage.
“Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code “Newclient”
The post PSYCH 660 Case Study One Worksheet appeared first on Psychology Homework.