Forensic Assessment of Posttraumatic Stress Disorder, Complex PTSD, and Other Trauma-Related Disorders in Juvenile Justice Contexts
摘要
The high prevalence of trauma exposure and posttraumatic stress symptoms among young offenders has inspired calls for juvenile justice systems to engage in trauma-informed practices, key among which is the assessment of trauma exposure and post-traumatic reactions. Accordingly, skills in trauma assessment have become essential professional competencies for those conducting psychological evaluations in juvenile justice contexts. However, there are a number of challenges to effective practice, including the existence of two distinctly different sets of diagnostic criteria for posttraumatic stress disorder (PTSD) in the most commonly utilized diagnostic systems; controversies over the existence of separate diagnostic entities involving complex PTSD and developmental trauma disorder; difficulties with differential diagnosis and evaluating of response credibility; limited attention to diversity in traumatic stress exposure and post-traumatic reactions related to race, ethnicity, culture, gender, language, acculturation, developmental status, (dis)ability, and neurodiversity; and the need for the forensic assessment process itself to become trauma-informed, including protecting assessors from the adverse effects of secondary exposure. The present chapter reviews these challenges and offers recommendations for future research and clinical practice.