Psychiatry

  • Read more: From bioethics to medical anthropology to humanities and back: A year in review

    From bioethics to medical anthropology to humanities and back: A year in review

    I thought I would take this opportunity to reflect on the past year, where I will be in the future, and how the student fellowship has impacted me. I still hope to contribute to the Bill of Health blog going forward, but as my last official post as a Petrie-Flom Student Fellow, I would be…

  • Read more: Culture, Medicine, and Psychiatry

    Culture, Medicine, and Psychiatry

    By Yusuf Lenfest Professor Robert Sapolsky, a professor of biology and neurology at Stanford University, rightly identifies depression as a particularly crippling disease insofar as it affects one’s very response mechanisms and modes of coping, namely, experiences of gratitude, joy, pleasure—at bottom, some of the key emotions of resistance and healing. In discussing depression, he…

  • Read more: Psychiatrists’ Liability for Patient’s Violence Against Other People: Washington Supreme Court Abolishes the Inpatient-Outpatient Distinction

    Psychiatrists’ Liability for Patient’s Violence Against Other People: Washington Supreme Court Abolishes the Inpatient-Outpatient Distinction

    By Alex Stein In a recent decision, Volk v. DeMeerleer, 386 P.3d 254 (Wash. 2016), the Washington Supreme Court relaxed the “control” prerequisite for psychiatrists’ duty to protect third parties against violent patients. The Court made this decision in a case involving a psychiatric patient who murdered his girlfriend and her nine-year old son and then committed suicide (after…

  • Read more: American Psychiatric Association Releases Formal Position Statement on Euthanasia

    American Psychiatric Association Releases Formal Position Statement on Euthanasia

    By Wendy S. Salkin Last month, the American Psychiatric Association (APA) released a position statement on medical euthanasia. The statement, approved by the APA Assembly in November and approved by the Board of Trustees in December, states: The American Psychiatric Association, in concert with the American Medical Association’s position on medical euthanasia, holds that a psychiatrist should…

  • Read more: Outpatient Psychiatric Treatment: The Duty to Prevent Patient Suicide

    Outpatient Psychiatric Treatment: The Duty to Prevent Patient Suicide

    By Alex Stein In Chirillo v. Granicz, — So.3d —- (Fla. 2016), 2016 WL 4493536, the Florida Supreme Court formulated an important rule for psychiatric malpractice cases. Back in 2001, the First District Court of Appeal decided that psychiatrists assume no liability for an outpatient’s suicide because it is generally unforeseeable. Tort liability, it held, can…

  • Read more: “Medical Malpractice or Ordinary Negligence?” in the Context of Psychiatric Treatment

    “Medical Malpractice or Ordinary Negligence?” in the Context of Psychiatric Treatment

    By Alex Stein “Medical Malpractice or Ordinary Negligence?” is an issue that will stay on the courts’ agenda for long. See here, here, here, here, here, here, and here. As I explained in these posts and in a foundational article on medical malpractice, categorizing a plaintiff’s action as “medical malpractice” rather than “ordinary negligence” determines whether it must satisfy rigid…

  • Read more: Mental Therapist’s Duty to Prevent Patient’s Crime

    Mental Therapist’s Duty to Prevent Patient’s Crime

    By Alex Stein A clinical social worker hears from his patient about the patient’s interest in child pornography, but does nothing to solve the problem. Later on, the police raids the patient’s house to find evidence that he illegally downloaded, viewed and possessed child pornography. The patient now faces criminal charges. Can he sue the social…

  • Read more: Daubert as a Problem for Psychiatrists

    Daubert as a Problem for Psychiatrists

    By Alex Stein Most psychiatrists don’t know about it, but the switch from Frye to Daubert in the admission of expert testimony matters for them a lot. Psychiatrists treat patients with second-generation antipsychotics: Zyprexa, Risperdal, Clozaril, Seroquel, and similar drugs. A reputable, but still controversial, body of research links those drugs to tardive dyskinesia: a serious…

  • Read more: Proximate Cause in Georgia

    Proximate Cause in Georgia

    By Alex Stein Two days ago, Georgia’s Court of Appeals decided Georgia Clinic v. Stout, — S.E.2d —-, 2013 WL 3497703 (Ga. App. 2013). This tragic case features an elderly patient with an arthritic knee. Her doctors injected that knee with medication drawn from a multi-dose vial. They did so at their clinic under non-sterile conditions that…