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Thank you for broaching an important and potentially awkward topic!
I'm surprised by the lack of responses to your observations.
As a trainee Forensic Psychiatrist with a weekly prison session, I
work in an environment in which a healthy dose of scepticism is arguably
essential - albeit when added in a balanced way to an overall clinical
assessment. Without this, I believe I'd be doing a disservice to some of
my patients. One of the advantages of a forensic environment is that it
both necessitates and facilitates a frank and open dialogue with patients
about such matters - making such dialogue perhaps easier to initiate than
would be the case in a GP setting.