Developments in forensic psychiatry demonstrate evolving thinking about a profession negotiating legal and medical realms. Various approaches have attempted to balance the traditional ethics of medical practice with those of a legal system rooted in vigorous advocacy for one side or the other. Forensic psychiatry provides numerous models for navigating the complex social narratives that intersect Law and Psychiatry. Obligations to vulnerable persons and values underscore the proper ethical balance between forensic practitioners and institutions that are demonstrably unjust. It is the unifying ideas of culture, professionalism, dignity, and social goods that justify participation in a uniquely imperfect human enterprise.