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Published Online:https://doi.org/10.1176/ajp.128.9.1092

The authors' four-year examination of the competency for trial issue in Massachusetts suggests that neither the psychiatric nor the legal profession in the state is currently able to deal satisfactorily with the issue. lt is likely that overburdened judges will continue to delegate decision making on the competency isssue to psychiatrists; therefore the authors suggest the necessity for special forensic training and experience so that they may responsibly produce expert opinions on the subject.

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