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One hundred charts were reviewed: 50 Cases (opined as Not Fit) were compared against 50 Controls (opined as Fit) with respect to ratings on the Brief Psychiatric Rating Scale (BPRS). A significance level of 0.001 was selected <jats:italic>a priori<\/jats:italic>. Statistically significant differences were found in seven of the eighteen BPRS symptom constructs (with the highest differences in Conceptual Disorganization and Unusual Thought Content) and two of the four BPRS higher\u2010order syndrome factors (Thinking Disorder and Hostile\u2010Suspiciousness). Consistent with previous reports, psychotic symptoms are found in this study to be inversely associated with Fitness. Validity, reliability, and limitations of this study, as well as directions for future research, are discussed herein.<\/jats:p>","DOI":"10.1111\/1556-4029.12429","type":"journal-article","created":{"date-parts":[[2014,5,13]],"date-time":"2014-05-13T05:44:54Z","timestamp":1399959894000},"page":"1008-1015","source":"Crossref","is-referenced-by-count":6,"title":["Mental Illness and Legal Fitness (Competence) to Stand Trial in New York State: Expert Opinion and Criminal Defendants' Psychiatric Symptoms<sup>,<\/sup>"],"prefix":"10.1111","volume":"59","author":[{"given":"Eugene","family":"Lee","sequence":"first","affiliation":[{"name":"University of Arkansas School of Law &amp; University of Arkansas for Medical Sciences 118 West Spring Street Fayetteville AR 72701"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Rosner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York University School of Medicine Suite 6\u2010A 140 East 83 Street New York NY 10028"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronnie","family":"Harmon","sequence":"additional","affiliation":[{"name":"Forensic Consultant 12811 Saddle Club Circle Tampa FL 33635"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxn011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn298"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61238-0"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.51.8.1152"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.so.16.080190.001505"},{"key":"e_1_2_7_8_1","volume-title":"Trends in inpatient workload 1869\u20131994","author":"New York State Office of Mental Health Bureau of Planning Assistance","year":"1994"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mppsy.2007.05.008"},{"issue":"9","key":"e_1_2_7_10_1","first-page":"899","article-title":"Deinstitutionalization and the homeless mentally ill","volume":"35","author":"Lamb HR","year":"1984","journal-title":"Hosp Community Psychiatry"},{"issue":"3","key":"e_1_2_7_11_1","first-page":"641","article-title":"The transinstitutionalization of the mentally ill","volume":"29","author":"Slovenko R","year":"2003","journal-title":"Ohio North Univ Law Rev"},{"key":"e_1_2_7_12_1","first-page":"529","article-title":"The shift of psychiatric inpatient care from hospitals to jails and prisons","volume":"33","author":"Lamb HR","year":"2005","journal-title":"J Am Acad Psychiatry Law"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-011-9420-y"},{"key":"e_1_2_7_14_1","unstructured":"NealT.Long wait for state hospital bed. 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