Appelbaum P S
Am J Psychiatry. 1985 Apr;142(4):425-9. doi: 10.1176/ajp.142.4.425.
The obligation to protect potential victims of one's patients, as first described in the California Tarasoff case, is being endorsed by an increasing number of jurisdictions. Although problematic in many respects, it has become a factor that must be dealt with in routine clinical interactions. The author presents a three-part model of the Tarasoff obligation--identifying the requirements of assessment, selection of a course of action, and implementation--and illustrates with case examples the mistakes that clinicians commonly make at each of these stages. Guidelines are suggested for a reasonable approach to dealing with the Tarasoff doctrine.
正如加利福尼亚州塔拉索夫案首次描述的那样，保护患者潜在受害者的义务正得到越来越多司法管辖区的认可。尽管在许多方面存在问题，但它已成为日常临床互动中必须应对的一个因素。作者提出了塔拉索夫义务的三部分模型——确定评估要求、选择行动方案和实施——并用案例说明了临床医生在这些阶段通常会犯的错误。针对处理塔拉索夫原则提出了合理方法的指导方针。
