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Related Experiment Video

Updated: Jul 17, 2026

Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses
06:42

Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses

Published on: September 28, 2018

Civil commitment--the American experience.

Stuart A Anfang1, Paul S Appelbaum

  • 1University of Massachusetts Medical School, Worcester, MA, USA. saanfang@aol.com

The Israel Journal of Psychiatry and Related Sciences
|February 14, 2007
PubMed
Summary

U.S. civil commitment law evolved from "need for treatment" to "dangerousness," now combining rationales. Economic factors and social perceptions of mental illness increasingly influence commitment practices more than legal standards.

Area of Science:

  • Forensic Psychiatry
  • Legal Studies
  • Social Policy

Background:

  • U.S. civil commitment law reflects evolving psychiatric and medical understanding.
  • Legal standards have shifted between restrictive and permissive approaches over time.
  • Historical context includes social attitudes, civil rights, and resource availability.

Observation:

  • Civil commitment rationales have transitioned from "need for treatment" to "dangerousness."
  • Current trends suggest a combination of these justifications, especially for involuntary outpatient commitment.
  • Procedural and substantive standards have oscillated, influenced by societal views.

Findings:

  • American civil commitment is shaped by civil rights, public perception of psychiatry, resources, and economic pressures.

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Published on: September 28, 2018

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  • Current practices are significantly influenced by economic factors and societal perceptions of mental illness.
  • Legal standard changes appear to have less impact than economic and social factors on commitment practices.

    • Implications:

    • Future civil commitment reforms must consider economic and social determinants.
    • Understanding the interplay between law, economics, and social perception is crucial for effective mental health policy.
    • The evolution of civil commitment law highlights the need for a multi-faceted approach to mental health care and legal frameworks.