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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

Boundary violation.

Geoff Neimark¹

¹Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA. gneimark@hotmail.com

The Journal of the American Academy of Psychiatry and the Law

|March 20, 2009

Summary

State medical boards face challenges regulating the interstate practice of medicine. Current laws may criminalize common clinical situations, necessitating legislative solutions for good faith interstate medical practice.

Area of Science:

Medical Law
Public Health Policy
Professional Regulation

Background:

State medical boards regulate physician practice, with laws against unlicensed practice posing challenges.
Physicians may inadvertently violate these laws through common interstate clinical activities.
Existing legislation can lead to severe penalties for physicians engaging in cross-state medical practice.

Purpose of the Study:

To examine the complexities of regulating the interstate practice of medicine.
To analyze how current laws impact physicians in common clinical scenarios.
To propose legislative improvements for interstate medical practice.

Main Methods:

Review of a recent case involving prosecution for illegal interstate medical practice.

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Last Updated: Jun 24, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

Discussion of contemporary clinical situations involving cross-state practice.

Exploration of state medical legislation concerning interstate practice.

Main Results:

Physicians face potential criminal prosecution for activities like prescribing or reviewing cases across state lines.
Common medical practices can be construed as illegal interstate practice under current laws.
There is a need to re-evaluate the scope and application of these regulations.

Conclusions:

Current laws on interstate medical practice are often overly broad and can ensnare physicians in common practice.
Legislative reform is needed at the state and potentially federal levels.
New solutions should permit good faith, intermittent interstate medical practice while protecting the public.