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Psychiatric Malpractice in the 1980s: A Look at Some Areas of Concern

Published online by Cambridge University Press:  27 April 2021

Sheila Taub
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Extract

Lawsuits alleging malpractice in psychiatric diagnosis or treatment, once rather rare, appear to be growing in number. The low incidence of such claims in the past has been attributed to the difficulty of proving the applicable standard of care and a causal relationship between the breach of the standard of care and the alleged injury, the patient's reluctance to publicize his psychiatric history, the patient's inability either to formulate cleat expectations for the results of treatment or to assess the results, and the belief that the success of psychotherapy depends to a great extent on the cooperation of the patient.

Nonetheless, the number of claims against psychiatrists is rising, in part because of a more open attitude about psychiatric treatment coupled with increased expectations of its efficacy. Other factors which may be contributing to this trend are the emphasis on mental patients rights in recent court decisions and the popular literature, the emergence of legal doctrines finding new legal duties arising out of the therapist-patient relationship, and the publication of several sizable verdicts in suits based on psychiatric malpractice.

Type
Article
Information
Law, Medicine and Healthcare , Volume 11 , Issue 3 , June 1983 , pp. 97 - 135
Copyright
Copyright © American Society of Law, Medicine and Ethics 1983

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References

See Nieland, R., Malpractice Liability of Psychiatric Professionals, American Journal of Forensic Psychiatry 1(2):22 (1979); Wilkinson, A., Psychiatric Malpractice, American Journal of Forensic Psychiatry 2(3):3 (1981–1982); Twardy, S., The Issue of Malpractice in Psychiatry, Medical Trial Technique Quarterly 25(2):161 (Fall 1978); Appleson, G., More Patients Are Suing Their Psychiatrists, American Bar Association Journal 68:1353 (1982); Berreby, D., Forcing the Therapists to Pay, National Law Journal 5(19):1 (January 17, 1983).Google Scholar
Nieland, supra note 1.Google Scholar
Id.Google Scholar
Shapiro, G.J. Zimmerly, J.G., Current Medicolegal Issues in Psychiatry, in Legal Medicine Annual 1977, (Wecht, C., ed.) (Appleton-Century-Crofts, New York) (1979) at 327.Google Scholar
Id.Google Scholar
See Appleson, , supra note 1.Google Scholar
Schaeffer, P., Psychiatrists Still At Low Risk For Malpractice Suit, Clinical Psychiatry News, September 1981, p.1.Google Scholar
See Nieland, supra note 1.Google Scholar
See Wilkinson, , supra note 1.Google Scholar
Schaeffer, , supra note 7.Google Scholar
Slawson, Paul, F., in a letter to Barbara A. Weiner dated July 2, 1982. Prof. Slawson is the Chairman of the American Psychiatric Association's Malpractice Committee.Google Scholar
Shaeffer, , supra note 7. See Berreby, supra note 1.Google Scholar
Deacon, Joseph, Director, Office of Benefits, American Psychiatric Association, in a telephone conversation with the author, December 2, 1982.Google Scholar
131 Cal. Rptr. 14 (Cal. 1976).Google Scholar
Id. at 22.Google Scholar
Id. at 25.Google Scholar
234 F.2d 288 (5th Cir. 1956).Google Scholar
Stone, A., The Tarasoff Decisions: Suing Psychotherapists To Safeguard Society, Harvard Law Review 90:358 (1976). In a subsequent article, Stone cited the Tarasoff decision as one of several legal reforms that have created an untenable situation in psychiatry. Stone, A., Psychiatric Abuse and Legal Reform –- Two Ways to Make a Bad Situation Worse, International Journal of Law and Psychiatry 5(1):9, 24 (1982).Google ScholarPubMed
Schimel, J., Accountability in Psychiatry, Journal of Psychiatry and Law 8:191 (1980).Google Scholar
Rogers, Mills v., 102 S.Ct.2442 (1982).Google Scholar
See Roth, M.D. Levin, L.J., Dilemma of Tarasoff: Must Physicians Protect the Public or Their Patients? Law, Medicine & Health Care 10(3): (June 1983).Google Scholar
Shaw v. Glickman, 415 A.2d 625 (Md. App. 1980).Google Scholar
Lipari v. Scars, 497 F. Supp. 185 (D. Neb. 1980).Google Scholar
Thompson v. County of Alameda, 167 Cal. Rptr. 70 (Cal. 1980).Google Scholar
Cairl v. Minnesota, 323 N.W.2d 20 (Minn. 1982); Heltsley v. Votteler, 327 N.W.2d 759 (Iowa 1982).Google Scholar
Bradley Center, Inc. v. Wessner, 296 S.E.2d 693 (Ga. 1982).Google Scholar
See Homere v. New York, 370 N.Y.S.2d 246 (N.Y. App. Div. 1975); Underwood v. United States, 356 F.2d 92 (5th Cir. 1966); Greenberg v. Barbour, 322 F. supp. 745 (E.D. Pa. 1971); Austin V. Jones Co. v. Maine, 119 A. 577 (Me. 1923); Semler v. Psychiatric Institute of Washington, D.C., 538 F.2d 121 (4th Cir.), cert. denied, 429 U.S. 827 (1976).Google Scholar
See Payne v. Milwaukee Sanitarium Foundation, Inc., 260 N.W.2d 386 (1977); Farrow v. Health Services Corp., 604 P.2d 474 (Utah 1979); Bell v. New York City Health and Hospitals Corp., 456 N.Y.S.2d 787 (N.Y. App. Div. 1982).Google Scholar
See Furr v. Spring Grove State Hosp., 454 A.2d 414 (Md. Ct. of Spec. App. 1983); Indiana Department of Mental Health v. Allen, 427 N.E.2d 2 (Ind. App. 1981); Teasley v. United States, 662 F.2d 787 (D.C. Cir. 1980); Doyle v. United States, 530 F. supp. 1278 (C.D.Cal. 1982); Topel v. Long Island Jewish Medical Center, 446 N.Y.S.2d 932, 431 N.E.2d 293 (N.Y. 1981).Google Scholar
541 F. supp. 999 (D.Md. 1982).Google Scholar
Id.Google Scholar
Id. at 1009.Google Scholar
Id. at 1011.Google Scholar
Id. at 1011, n.21.Google Scholar
Id. at 1018.Google Scholar
Id. at 1012, n.24.Google Scholar
The Tarasoff Decisions, supra note 18.Google Scholar
Hinckley Victims Bring Suit Against Colorado Psychiatrist, Psychiatric News, April 2, 1983, p. 3; Berreby, supra note 1.Google Scholar
Id.Google Scholar
Psychiatric News, supra note 37. Accord Schimel, supra note 19; Twardy, supra note 1 at 162; Sherman, C., Psychiatrics Open to Unique Malpractice Liability Risks, Clinical Psychiatry News, September 1982, p. 22.Google Scholar
301 N.W.2d 766 (Iowa 1981).Google Scholar
Id. at 768, quoting 1 C.J.S. Actions, §13, pp. 996–97.Google Scholar
Id. at 768.Google Scholar
U.P.I. Release, Deliberations Starting in Mental Suit, New Haven Register, December 2, 1982, p. 27.Google Scholar
Id.Google Scholar
Psychiatric Abuse, supra note 18, at 11.Google Scholar
The Tarasoff Decisions, supra note 18.Google Scholar
Not All Patient Threats Should Be Reported Despite Tarasoff Ruling, Clinical Psychiatry News, May 1982, p. 30.Google Scholar
Simmons, J., Issues Raised by Tarasoff Case Confusing To Psychiatrists, Courts, Clinical Psychiatry News, October 1981, p. 1.Google Scholar
Id.Google Scholar
Oliver v. Stephens, as cited in 5(19): 1 (January 17, 1983).Google Scholar
Nelson, B., Efforts Widen to Curb Sexual Abuse in Therapy, New York Times, November 2, 1982, p. C1, col.5; Solloway v. Dept. of Professional Regulation, 421 So.2d 573 (Fla. Dist. Ct. App. 1982).Google Scholar
Marmor, J., The Seductive Psychotherapist, Psychiatry Digest 31: 10 (1970).Google Scholar
Butler, S. Zelen, S., Sexual Intimacies Between Therapists and Patients, Psychotherapy: Theory, Research and Practice 14(2): 139 (Summer 1977).Google Scholar
Cohen, R.J. Mariano, W.E., Legal Guidebook in Mental Health (Free Press, New York) (1982) at 252.Google Scholar
Marmor, , supra note 53.Google Scholar
Zipkin v. Freeman, 436 S.W.2d 753 (Mo. 1968); St. Paul Fire and Marine Ins. Co. v. Mitchell, 296 S.E.2d 126 (Ga. App. 1982). See also Solloway v. Dept. of Professional Regulation, 421 So.2d 573 (Fla. Dist. Ct. App. 1982).Google Scholar
Morra v. Kansas Board of Examiners of Psychologists, 510 P.2d 614 (Kans. 1973); Clark v. Michigan Board of Registration in Medicine, 116 N.W.2d 797 (Mich. 1962); Jacobi v. Texas Board of Medical Examiners, 308 S.W.2d 261 (Tex. Civ. App. 1958); Solloway v. Dept. of Professional Regulation, 421 So.2d 573 (Fla. Dist. Ct. App. 1982); Bernstein v. Board of Medical Examiners, 22 Cal. Rptr. 419 (Cal. App. 1962).Google Scholar
Mich. Stat. Ann. §28.285 (1981); Ohio Rev. Code Ann. §2907.03 (1982). See Solloway v. Dept. of Professional Regulation, 421 So.2d 573 (Fla. Dist. Ct. App. 1982) (relied on Florida statute declaring that exercising influence within a patient-physician relationship for the purpose of engaging a patient in sexual activity was unprofessional conduct; statute provided authority for revoking defendant-psychiatrist's license).Google Scholar
Nelson, , supra note 52.Google Scholar
Id.Google Scholar
See Wilkinson, A., Psychiatric Malpractice: Identifying Areas of Liability, Trial 18(10): 72, 77 (October 1982); Deacon, supra note 13.Google Scholar
Lopez v. Avent, No. 81-829 (Okaloosa County Circuit Court, Florida February 25, 1982), cited in ATLA Law Reporter 25: 475 (December 1982).Google Scholar
Combs v. Silverman, No. LE596 (Richmond Virginia Circuit Court February 5, 1982), cited in ATLA Law Reporter 25: 98 (April 1982).Google Scholar
See Brietbard v. Leonard, cited in New York Law Journal 189(9): 1, 28 (January 13, 1983).Google Scholar
Kardener, S.H. et al. , A Survey of Physicians' Attitudes and Practices Regarding Erotic and Nonerotic Contact with Patients, American Journal of Psychiatry 130: 10 (1973).Google ScholarPubMed
Voth, H.M., Love Affair Between Doctor and Patient, American Journal of Psychotherapy 26: 394 (1972).Google ScholarPubMed
Taylor, B.J. Wagner, N.N., Sex Between Therapist and Clients: A Review and Analysis, Professional Psychology 2(4): 593 (November 1976).Google Scholar
Burgess, A.W., Physician Sexual Misconduct and Patients' Responses, American Journal of Psychiatry 138(10): 1335 (October 1981).Google ScholarPubMed
Bouhoutsos, J. et al. , Sexual Intimacy Between Psychotherapists and Patients. Professional Psychology: Research and Practice 14(2): 185 (April 1983).Google ScholarPubMed
Id. at 194.Google Scholar
Riskin, L., Sexual Relations Between Psychotherapists and Their Patients: Toward Research or Restraint, California Law Review 67: 1000 (1979); Furrow, B., Malpractice in Psychotherapy (Lexington Books, Lexington, Mass.) (1980) at 34.Google Scholar
Butler, , supra note 54.Google Scholar
Sobel, D., Psychiatric Drugs Widely Misused, Critics Charge, New York Times, June 2, 1980, p. C1, col. 5.Google Scholar
322 N.W.2d 917 (Iowa App. 1982).Google Scholar
Id. at 919.Google Scholar
Id. at 921–23.Google Scholar
Id. at 918.Google Scholar
Id. at 920.Google Scholar
Id. at 922.Google Scholar
Id.Google Scholar
Guidelines on Psychotropic Drugs Issues in Texas, American Medical News, March 2, 1983, p. 27.Google Scholar