Appelbaum P S, Zonana H, Bonnie R, Roth L H
Department of Psychiatry, University of Massachusetts Medical School, Worcester 01655.
Am J Psychiatry. 1989 Jul;146(7):821-8. doi: 10.1176/ajp.146.7.821.
A consensus has developed among mental health professionals that the legal duty to protect potential victims of their patients' violent acts, as fashioned by the courts, requires modification. To date, 12 states have responded with legislation designed to clarify and limit clinicians' responsibilities. In addition, APA has distributed a model statute as a resource document to aid those psychiatrists interested in stimulating legislative action. This paper examines existing statutes and the APA resource document, considers the variety of ways in which the goals of reform can be achieved, and recommends approaches that balance desires for public safety with the legitimate needs and concerns of the mental health professions.
心理健康专业人士已达成共识,即法院制定的保护患者暴力行为潜在受害者的法律义务需要修改。迄今为止,已有12个州通过立法来明确和限制临床医生的责任。此外,美国心理学会已分发一份示范法规作为资源文件,以帮助那些有兴趣推动立法行动的精神病医生。本文审视了现有法规和美国心理学会的资源文件,考虑了实现改革目标的各种方式,并推荐了能在公共安全需求与心理健康专业的合理需求及关切之间取得平衡的方法。