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R L Sadoff

Publications and source records attributed to R L Sadoff.

At least 19 recordsLinked to original sources

The practice of forensic psychiatry: perils, problems, and pitfalls.

The practice of forensic psychiatry can be exciting, rewarding, and fulfilling; however, there are also a number of pitfalls that the practitioner may encounter. Scheduling conflicts may pose significant problems for the busy practitioner, especially one who has an active treatment practice. Differences of opinion between and among forensic psychiatrists can be difficult for some psychiatrists. Collecting fees poses a problem for some, especially in criminal cases or in prolonged civil matters. Selecting the proper cases and rejecting others is often an arduous task fraught with some peril. Preparation of reports may prove problematic when excessive demands are made upon the forensic psychiatrist. There are a number of cases that must be observed with caution and may prove to be a "no win" situation for the private forensic psychiatrist. Peer review and mentoring are two methods of helping the young forensic psychiatrist deal with some of the problems and, hopefully, avoid many of the pitfalls.

Expert Testimony↗

Confidentiality and the family as caregiver.

Many families provide mentally ill relatives with a residence and other support. Although professionals increasingly acknowledge the importance of the supportive role families play, families continue to report that they receive too little information from professionals about the patient, particularly when the family acts as caregiver. The authors suggest that mental health professionals' views about confidentiality may prevent them from providing information to families and urge professionals to rethink the issue of confidentiality and its application to families acting as caregivers. The authors conclude that certain information about a patient can--and should--be shared with families who are in a caregiver role without violating clinical, legal, or ethical principles.

Adult↗

Violence. Roots and remedies: the perspective of the forensic psychiatrist.

The role of the forensic psychiatrist is described in this paper. This role is unique in that it applies the research findings of the neurologist, the neuropsychologist, the criminologist, and other behavioral specialists to courtroom proceedings. The possibility that medical malfunction such as brain damage, endocrinological problems, toxicity, infection, or neurological disorder may be associated with violent behavior is discussed. The forensic psychiatrist has several functions to perform in the courtroom. He or she must be able to assess the likelihood that any type of malfunctioning such as those mentioned may have had a part in the defendant's violent behavior, assess the defendant's state of mind at the time of commission of the crime, and determine whether the individual is competent to stand trial. The five phases of the criminal justice system are reviewed as they bear on the work of the forensic psychiatrist.

Criminal Law↗

Sexual violence.

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Adult↗

Patient rights versus patient needs: who decides?

The rights of patients both to receive and to refuse treatment, often seen as contradictory within the profession of psychiatry, are discussed, and the cases on which these principles have been based are reviewed. Difficulties and discrepancies in defining "emergency situations" in which treatment can be given against a patient's will are enumerated. It is clear that legal and psychiatric perceptions of emergency situations differ in many respects. Authors are now beginning to discuss concepts such as the patient's responsibilities in treatment, as well as the right of the caregiver to treat. Other related issues include adjudication of competency to refuse treatment, the rights of families, and the difficulties inherent in attempts to predict dangerousness.

Decision Making↗

Changes in the law have improved treatment of the mentally ill.

Because mental health attorneys and therapists are working toward a similar goal--the alleviation of pain and suffering in psychiatric patients--they should make every effort toward cooperation in advocating patients' rights and proper medical treatment.

Commitment of Persons with Psychiatric Disorders↗