Miller R D, Doren D M, Van Rybroek G, Maier G J
Forensic Center, Mendota Mental Health Institute, Madison, WI 53704.
Bull Am Acad Psychiatry Law. 1988;16(4):309-20.
Mental health professionals have been concerned recently about their liability for the actions of patients in their outpatient practices. The history of suits against clinicians for negligent release of inpatients extends back several decades since before the Tarasoff decision. The authors suggest that the same consumerism/victims' rights trends that resulted in Tarasoff and its progeny are likely to rebound again on forensic clinicians and that such pressures are likely to add to other political and social pressures that already complicate the treatment of forensic inpatients. They present three cases to illustrate the dilemmas involved in the release of forensic patients and argue that clinicians must bear significant responsibility for their current plight because of overstated claims of capacities to predict and treat aggressive behavior.
心理健康专业人员最近一直担心他们在门诊业务中对患者行为所承担的责任。自塔萨夫案裁决之前的几十年起，就有针对临床医生疏忽释放住院患者的诉讼历史。作者认为，导致塔萨夫案及其衍生案件的相同消费主义/受害者权利趋势，很可能会再次反弹到法医临床医生身上，而且这种压力可能会加剧其他已经使法医住院患者治疗变得复杂的政治和社会压力。他们列举了三个案例来说明法医患者出院所涉及的困境，并认为临床医生必须为他们目前的困境承担重大责任，因为对预测和治疗攻击性行为能力的说法夸大其词。
