Morality and Pretextuality, Psychiatry and Law: Of “Ordinary Common Sense,” Heuristic Reasoning, and Cognitive Dissonance

  • Journal of the American Academy of Psychiatry and the Law Online
  • June 1991,
  • 19
  • (2)
  • 131-150;

Abstract

The thesis of this paper is that we will not make significant progress in understanding the tensions between the legal and mental health systems until we look carefully at a series of dissonances that affect both systems. We must consider the way that the law frequently condones pretextuality as a way of dealing with troubling or cognitively dissonant information, and the way that mental health professionals encourage a self-referential concept of morality as a way of subverting legal doctrines with which they disagree. These dissonances must be considered contextually in connection with the ways that courts generally read social science data and the ways that jurors and legislators employ such cognitive devices as “ordinary common sense” and heuristic reasoning in their judgments of cases involving mental disability questions. To ameliorate the current dilemma, we must redefine institutional and professional roles, reconsider the way we privilege expertise, recalibrate our allocation of “moral jurisdiction” over these matters, and consciously confront the way our simplifying thinking mechanisms distort the underlying social and political issues.

Footnotes

  • This paper is adapted from a luncheon presentation at the annual meeting of the American Academy of Psychiatry and Law, San Diego, California, October 1990. Earlier versions of portions were presented at the Clarke Institute of Psychiatry and METFORS, June 1990, Toronto. ON, Canada, and at a University of San Diego Law School Faculty workshop, October 1990. The author wishes to express his appreciation to Debbie Dorfman for her research assistance, to Drs. Robert L. Sadoff and Richard Rogers, Prof. Richard Sherwin, and the participants at both the University of San Diego Law School workshop and the Clarke Institute presentation for their many helpful suggestions, and to Linda Perlin, M.S.W., for helping me understand so many of the underlying therapeutic issues.

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