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Related Experiment Videos

The duty to warn/protect: issues in clinical practice.

R J Carlson1, L C Friedman, S C Riggert

  • 1Department of Psychiatry, Baylor College of Medicine, Houston, TX 77030.

The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1987
PubMed
Summary

Therapists must balance patient confidentiality with the duty to warn or protect potential victims from threats. Positive therapeutic outcomes are possible when confidentiality is breached, especially if the patient is involved in the protective process.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Forensic Psychology

Background:

  • The Tarasoff decision established therapists' legal duty to warn or protect third parties from patient threats.
  • Therapeutic relationships involve complex clinical, ethical, and legal considerations regarding confidentiality and violence prediction.

Observation:

  • Breaching confidentiality to warn a potential victim can yield positive therapeutic results.
  • Patient participation in the protective process enhances positive therapeutic outcomes.

Findings:

  • When confidentiality is breached, positive therapeutic results may occur, particularly with patient involvement.
  • Alternative protective measures include commitment, medication, police intervention, and weapon confiscation.

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Implications:

  • Each case necessitates individualized assessment for appropriate protective actions.
  • Balancing victim safety with ongoing therapy requires careful threat assessment, ethical adherence, and legal knowledge.