Felthous A R, Kachigian C
Department of Psychiatry, Southern Illinois, University School of Medicine and Chester Mental Health Center, 62233-0031, USA.
J Forensic Sci. 2001 Sep;46(5):1103-12.
At the turn of the millennium, the authors summarize the evolution of a clinician's duty to protect third persons from a patient's violent acts over the past half century, with special emphasis on jurisprudential developments in the last decade. Four evolutionary periods are identified: Pre-Tarasoff, Inception, Diversification, and Retreat. The period of Retreat from Tarasoff in the nineties is characterized by the following approaches to Tarasoff: adoption, statutory containment, rejection of a duty to warn, rejection of a duty to control voluntary patients, and proactive circumscription of any protective duties. A more rational jurisprudential approach would permit some measure of flexibility for the proper exercise of clinical discretion.
在千年之交，作者总结了过去半个世纪临床医生保护第三方免受患者暴力行为侵害的职责的演变，特别强调了过去十年的法学发展。确定了四个演变阶段：塔拉索夫案之前、开端、多样化和退缩。九十年代从塔拉索夫案退缩阶段的特点是对塔拉索夫案采取以下做法：采纳、法定限制、拒绝警告义务、拒绝控制自愿住院患者的义务以及主动限制任何保护义务。一种更合理的法学方法将允许在适当行使临床酌处权方面有一定程度的灵活性。
