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1. Discuss why the inclusion of the adaptive functioning deficits is important in the diagnosis of Mental retardation?
2. Describe the ranges of mental retardation and what the impacted behavior/abilities is for each range.
3. You may be aware of a man going on trial in New York this week; he was a chronically schizophrenic man who had been hospitalized on many occasions, on at least one occasion by the intended victim in this case. The patient was very angry at a psychiatrist who had hospitalized him; he planned to kill the psychiatrist, take his money, and use the money to "free ‘ his mother from a nursing home so the two of them could tour the world together. When the patient went to the psychiatrist’s office, armed with a knife, he was confronted by the psychiatrist’s office partner, a woman who I believe was a social worker; she tried to stop him and he stabbed her to death; the psychiatrist, who had been seeing another patient, heard the commotion and came out and was also stabbed, but not killed. The defense is obviously not guilty by reason of insanity, a man motivated by delusional beliefs. The prosecution, on the other hand, maintains that the crime was well planned, that the patient, as psychotic as he was, knew exactly what he was doing, and should be held legally responsible.
A. In the case involving the police officer, several people have commented on the breach of confidentiality; this is really a secondary point; the failure to obtain informed consent to the exam is crucial.
B. There is certainly a range of opinions here; everyone sees the man as delusional, and some believe his delusions led to the crime, while some felt the delusions were not central to the crime. This raises a very important point: how closely involved with the crime does the delusional thinking have to be? Is it enough for it to "lay the groundwork” or does the delusion have to be specifically related to the crime?
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