Goldman D L, Jacob T
C.F. Menninger Memorial Hospital, Menninger Clinic, Topeka, Kansas.
Can J Psychiatry. 1991 Feb;36(1):35-8. doi: 10.1177/070674379103600107.
Few medicolegal doctrines have spread so widely and wildly as the Tarasoff duty of professionals to protect potential victims of violence perpetrated by psychiatric patients. Post-Tarasoff decisions have not been limited to identifiable third parties in danger, but in some circumstances have been extended to the community at large. Lipari v. Sears, Roebuck and U.S. is the first of such court rulings to invoke the concept of strict liability for the violent acts of a patient who, in the case presented, randomly fired at club patrons, killing one and wounding many others. A detailed examination of this pivotal and troubling case will facilitate recognition of the inherent complexity associated with subjecting human problems to the legal process.
很少有法医学原则像专业人员保护精神病患者实施暴力行为的潜在受害者的塔萨夫义务那样广泛而肆意地传播。塔萨夫案后的判决并不局限于处于危险中的可识别第三方，在某些情况下还扩大到了整个社区。利帕里诉西尔斯·罗巴克公司及美国案是此类法院裁决中的首例，它援引了对患者暴力行为的严格责任概念，在该案件中，患者向俱乐部顾客随机开枪，造成一人死亡、多人受伤。对这一关键且棘手的案件进行详细审查，将有助于认识到将人类问题诉诸法律程序所固有的复杂性。
