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Biomedical subjects

S L Halleck

Publications and source records attributed to S L Halleck.

At least 19 recordsLinked to original sources
PubMed1997

Perils of being a plaintiff: impressions of a forensic psychiatrist.

The stresses of litigation for defendants are obvious. Less attention generally is given to the problems experienced by plaintiffs. Some examples are presented of plaintiffs in personal injury cases who experienced adverse reactions to the process of litigation. These experiences are not uncommon, and often the patient's condition is worse even after a case is settled. Explanations for this phenomenon and possible means of attenuating it are presented.

Adult↗
PubMed1992

Clinical assessment of the voluntariness of behavior.

There are a variety of therapeutic and forensic contexts in which the clinician is called upon to assess the voluntariness of behavior. Because the assessment has such complex moral and scientific dimensions, it has been difficult to conceptualize how it is done. By considering the behavior of clinicians and other relevant theoretical issues, the author has prepared a framework for thinking about the assessment of voluntariness. The relevance of diagnostic and philosophical issues is considered. Most of the factors which influence assessment are related to the nature of the patient's pathological experience, hypotheses of causation, and method of treatment. Dr. Diamond had a deep interest in questions of voluntariness and responsibility. I know that he would have disagreed with, at least, some of the material, but I believe that he would have thoroughly enjoyed discussing and arguing the issues. I know that I would have loved the dialogue.

Expert Testimony↗
PubMed1990

Dissociative phenomena and the question of responsibility.

There are many controversies regarding the prevalence, causation, possible iatrogenicity, and treatment of multiple personality disorder. Those who view the disorder as much more prevalent than has previously been suspected believe it is caused by experiences of severe child abuse and have used rather unorthodox techniques to help the patient relate the experience of abuse to current problems of dissociation. Other clinicians believe the disorder is overdiagnosed and that it may be created or made worse by therapists who unwittingly reinforce symptoms of dissociation. Many of the controversies about these issues can be clarified by considering the manner in which clinicians attribute responsibility for undesirable conduct associated with the disorder. In dealing with multiple personality patients, clinicians regularly must decide whether their therapeutic approach will emphasize the patient's responsibility for undesirable conduct or will minimize it. Practical and theoretical arguments can be made for both approaches. There are important consequences to patients using either approach, and particularly harmful consequences with inconsistent approaches. Clinical experience and wisdom dictate that until we have more objective data about the results of various forms of treatment, the preferred method of treatment of multiple personality patients should continue to focus upon maximizing their responsibility for any type of undesirable conduct.

Criminal Law↗
PubMed1988

Which patients are responsible for their illnesses?

Physicians must regularly make judgments as to the extent to which patients should be considered responsible for their symptoms. Such judgments have important social and treatment consequences for both physically and mentally disordered patients. A conceptual framework for assessing this type of responsibility is presented and the manner in which ascribing responsibility influences treatment is discussed.

Adult↗
PubMed1983

Malpractice in psychiatry.

This article offers a detailed presentation of all aspects of the subject from the regulatory and remedial purposes of malpractice law, to the reasons that a practitioner might incur liability including intentional acts, negligent diagnosis, negligent treatment, informed consent, and more. The author presents personal and professional advice in handling a malpractice suit.

Dangerous Behavior↗
PubMed1982

The concept of responsibility in psychotherapy.

Psychotherapists must be concerned with the manner in which they ascribe responsibility to patients. We tend to avoid conceptualizing this issue, however, and deal with it inconsistently. It is possible to develop a model for ascribing responsibility which can be used to facilitate the psychotherapeutic process.

Character↗
PubMed1978

The internship year: a negative view.

The decision to add a fourth year of training with emphasis on a primary care internship experience has created serious problems for most psychiatric residency training programs. The logistic problems involved in having a department of psychiatry develop an internship program are formidable. The experiences being provided are less than optimum. Conceivably, the logistic and quality uncertainties that now characterize some PGY-I programs may be a factor in discouraging medical graduates from entering psychiatry. The reasons for moving to an internship experience are also questionable. There are no data which suggest that the new training will produce better psychiatrists. Nor can the case for the internship be supported by past experience or an analysis of the educational needs of today's psychiatrist. Dr. John Romano comments on the author's presentation.

Internship and Residency↗
PubMed1976

The medical model and psychiatric training.

The educational, sociologic and economic justifications for a recent decision to require an internship type of postgraduate experience in psychiatric training are discussed. There are many practical disadvantages to adding this requirement. Depending on the type of internship developed, such experiences may also impair rather than facilitate the trainee's progress as a clinician.

Attitude of Health Personnel↗