Abstract
Death penalty cases challenge the forensic expert professionally, emotionally, and ethically. The threat of the ultimate punishment our society can inflict calls for the ultimate in professional care from the examiner. Evaluations of “competence to be executed” further heighten these challenges given the proximity of the evaluation, and the evaluee, to the execution of sentence. In this article, the author, a board-certified forensic psychiatrist (American Board of Psychiatry and Neurology, Inc.) employed by the State of Missouri, provides reflections upon his work on one recent case that garnered world-wide media attention due to the nature of the medical issues involved. [ Psychiatry Ann . 2015;45(12):626–629.]
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