RT Journal Article SR Electronic T1 Commentary: Facts and Values in Competency Assessment JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 352 OP 353 VO 36 IS 3 A1 Buchanan, Alec YR 2008 UL http://jaapl.org/content/36/3/352.abstract AB Dr. Mossman's article cogently describes an approach to measuring the accuracy of competency-to-stand-trial assessments in the presence of a gold standard. I argue that a gold standard may not exist. A conclusion as to whether a defendant is fit to proceed requires a trade-off between a range of desired ends. This trade-off is inevitably influenced by the values of the examiner.