Leong G B, Eth S, Silva J A
Department of Psychiatry and the Biobehavioral Sciences, School of Medicine, University of California, Los Angeles.
Am J Psychiatry. 1992 Aug;149(8):1011-5. doi: 10.1176/ajp.149.8.1011.
The "duty to protect" doctrine heralded by the Tarasoff decision seeks to prevent physical harm to third parties by psychiatric patients. Recent court cases have mandated the testimony of a criminal defendant's psychotherapist both about the Tarasoff warning itself and about confidential treatment information that was associated with the warning. One court further ruled that some clinical sessions were not psychotherapy and therefore were not afforded the protection of psychotherapist-patient privilege. The continuing erosion of confidentiality has resulted in psychiatrists and other mental health professionals becoming prosecution witnesses at the criminal trials of their own patients.
塔萨夫案判决所倡导的“保护义务”原则旨在防止精神病患者对第三方造成身体伤害。近期的法庭案件要求刑事被告的心理治疗师就塔萨夫警告本身以及与该警告相关的保密治疗信息出庭作证。一家法院进一步裁定,某些临床诊疗并非心理治疗,因此不受心理治疗师-患者特权的保护。保密性的持续削弱导致精神科医生和其他心理健康专业人员在其患者的刑事审判中成为控方证人。