Research Topics
| Paul S AppelbaumSummaryAffiliation: Columbia University Country: USA Publications
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Publications
Law & psychiatry: imposed insanity defenses and political crimesPaul S Appelbaum
Department of Psychiatry, Columbia University, New York, USA
Psychiatr Serv 64:4-6. 2013..For crimes with political motivations, an imposed insanity verdict discredits the perpetrator and may distract the public from the threats posed by extreme political views...- Therapeutic misconception in research subjects: development and validation of a measurePaul S Appelbaum
Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, NY 10032, USA
Clin Trials 9:748-61. 2012..Previous studies have found that TM is widespread, but progress in addressing TM has been stymied by the absence of a validated method for assessing its presence... - Law & psychiatry: punishing juveniles who killPaul S Appelbaum
Department of Psychiatry, Columbia University, New York State Psychiatric Institute, 1051 Riverside Dr, Unit 122, New York, NY 10032, USA
Psychiatr Serv 63:956-8. 2012..The decision is interesting for its emphasis on rehabilitation, opening the door to further restrictions on punitive sentences for juveniles-and perhaps for adults too... - Law & psychiatry: Treatment of incompetent, dangerous criminal defendants: parsing the lawPaul S Appelbaum
Department of Psychiatry, Columbia University
Psychiatr Serv 63:630-2. 2012..Supreme Court decision in Sell v. United States entitled him to a judicial hearing. The lack of clarity over the rules that should govern such cases stems from the court's failure to make explicit the rationale for its landmark decision... - Law & psychiatry: Responsibility for torts: should the courts continue to ignore mental illness?Paul S Appelbaum
Department of Psychiatry, Columbia University, USA
Psychiatr Serv 63:308-10. 2012..Undeniably, though, mental disabilities are treated differently from physical impairments, and the law's resistance to change seems largely based on misunderstanding and prejudice against mental illness... - Consent in impaired populationsPaul S Appelbaum
New York State Psychiatric Institute, Unit 122, 1051 Riverside Drive, New York, NY 10032, USA
Curr Neurol Neurosci Rep 10:367-73. 2010..However, when substitute consent is necessary, state laws generally provide a range of options, including advance directives and familial consent... 
Law & psychiatry: insanity, guilty minds, and psychiatric testimonyPaul S Appelbaum
Department of Psychiatry, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, 122, New York, NY 10032, USA
Psychiatr Serv 57:1370-2. 2006..However, the column highlights the points in Justice Souter's decision that may have implications for any case involving mental health issues...- Commentary: psychiatric advance directives at a crossroads--when can PADs be overridden?Paul S Appelbaum
Division of Psychiatry, Law and Ethics, Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA
J Am Acad Psychiatry Law 34:395-7. 2006..Even in those circumstances, however, where PADs provide evidence of reasonable patient preferences (e.g., for one medication over another), the choices they embody should be respected... - Law & psychiatry: mental retardation and the death penalty: after AtkinsPaul S Appelbaum
Department of Psychiatry, Columbia University, USA
Psychiatr Serv 60:1295-7. 2009..This column reviews the Atkins case and considers the challenges associated with a clinical determination that can have life-or-death consequences for capital defendants... - Law & psychiatry: Genetic discrimination in mental disorders: the impact of the genetic information nondiscrimination actPaul S Appelbaum
Department of Psychiatry, Columbia University
Psychiatr Serv 61:338-40. 2010..This column discusses the process of passing the legislation, along with the implications of the act... - Psychiatrists' relationships with industry: the principal-agent problemPaul S Appelbaum
Department of Psychiatry, Columbia University, New York, NY 10032, USA
Harv Rev Psychiatry 18:255-65. 2010..Finally, such analysis directs attention to the benefits and costs of each alternative, thereby encouraging reliance on evidence as a basis for policy... - Law & psychiatry: Twenty-five years of law and psychiatryPaul S Appelbaum
Division of Psychiatry, Law, and Ethics, Department of Psychiatry, Columbia University College of Physicians and Surgeons corrected USA
Psychiatr Serv 57:18-20. 2006..He raises the question of what the next quarter century will hold, positing that mental health law will continue to reflect a tension between the interests of persons with mental illness and the public's fear of such individuals... - Law & psychiatry: Gun laws and mental illness: how sensible are the current restrictions?Paul S Appelbaum
Department of Psychiatry, Columbia University, USA
Psychiatr Serv 61:652-4. 2010..The laws may deter people from seeking treatment for fear of losing the right to possess firearms and may reinforce stereotypes of persons with mental illnesses as dangerous... - Impact of decisional capacity on the use of leverage to encourage treatment adherencePaul S Appelbaum
Division of Psychiatry, Law and Ethics, New York State Psychiatric Institute, New York, NY 10032, USA
Community Ment Health J 42:121-30. 2006..No strong or consistent associations were found between capacity and use of leverage, raising questions about the basis on which decisions to employ leverage are being made... - Law & psychiatry: deception, coercion, and the limits of interrogationPaul S Appelbaum
Department of Psychiatry, Columbia University, New York, NY, USA
Psychiatr Serv 60:422-4. 2009..The courts were asked to decide whether the confession was involuntary, and thus not admissible as evidence, on the basis of whether the deception was coercive... - Through a glass darkly: functional neuroimaging evidence enters the courtroomPaul S Appelbaum
Departmentof Psychiatry, Columbia University, New YorkState Psychiatric Institute, 1051 RiversideDr, Unit 122, New York, NY 10032, USA
Psychiatr Serv 60:21-3. 2009.... - Sex offenders in the community: are current approaches counterproductive?Paul S Appelbaum
Department of Psychiatric, Medicine and Law, Columbia University, New York, NY, USA
Psychiatr Serv 59:352-4. 2008..The author argues that draconian approaches will likely not achieve the goal of protecting the public and that they divert limited resources from other law enforcement needs... - Ethics and forensic psychiatry: translating principles into practicePaul S Appelbaum
New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA
J Am Acad Psychiatry Law 36:195-200. 2008..Though problematic behavior still exists, forensic psychiatry offers the factual background and interpretive context to allow legal decision-makers to make better choices than they otherwise would... - Privilege in the Federal Courts: should there be a "dangerous patient exception"?Paul S Appelbaum
Department of Psychiatry, Columbia University, New York, NY 10032, USA
Psychiatr Serv 59:714-6. 2008.... - Clinical practice. Assessment of patients' competence to consent to treatmentPaul S Appelbaum
Division of Law, Ethics, and Psychiatry, Department of Psychiatry, College of Physicians and Surgeons, Columbia University and New York State Psychiatric Institute, New York 10032, USA
N Engl J Med 357:1834-40. 2007 - Law & psychiatry: Death row delusions: when is a prisoner competent to be executed?Paul S Appelbaum
Department of Psychiatry, Columbia University, New York, NY, USA
Psychiatr Serv 58:1258-60. 2007..The Court indicated that competent prisoners must have a "rational understanding" of the reason that a death penalty is being imposed but declined to define a clear standard... - Techniques used by assertive community treatment (ACT) teams to encourage adherence: patient and staff perceptionsPaul S Appelbaum
Department of Psychiatry, Division of Psychiatry, Law and Ethics, Columbia University College of Physicians and Surgeons, New York, NY, USA
Community Ment Health J 44:459-64. 2008..This study suggests that ACT need not appear to either staff or patients as an intrinsically coercive model for the delivery of mental health services... - Law & psychiatry: whistle-blowers and the first amendment: protecting public employees in psychiatric facilitiesPaul S Appelbaum
New York State Psychiatric Institute, 1051 Riverside Dr, Unit 122, New York, NY 10032, USA
Psychiatr Serv 58:900-2. 2007..Implications of the case for staff in public mental health systems are discussed... - Law & psychiatry: The new lie detectors: neuroscience, deception, and the courtsPaul S Appelbaum
Division of Psychiatry, Law, and Ethics, Department of Psychiatry, Columbia University College of Physicians and Surgeons, USA
Psychiatr Serv 58:460-2. 2007..Issues related to the use of such evidence in courts are discussed. The author concludes that neither approach is currently supported by enough data regarding its accuracy in detecting deception to warrant use in court... - "A fool for a client?" Mental illness and the right of self-representationPaul S Appelbaum
Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY 10032, USA
Psychiatr Serv 59:1096-8. 2008..California in 1975, which established the right of criminal defendants to represent themselves; and Godinez v. Moran in 1993, which upheld the Dusky standard for trial-related competence... - Coping with the ethical conundra of forensic psychiatry: a tribute to Howard Zonana, MDPaul S Appelbaum
Division of Law, Ethics and Psychiatry, Columbia University, New York, NY, USA
J Am Acad Psychiatry Law 38:551-8. 2010..These two examples, of the many that could have been chosen, illustrate the profound impact that Howard Zonana has had on the ethics of psychiatry as a whole and on the ethics of forensic psychiatry in particular... - Law & psychiatry: reforming malpractice: the prospects for changePaul S Appelbaum
Department of Psychiatry, Columbia University, New York, NY, USA
Psychiatr Serv 62:6-8. 2011..quot;No-fault" systems, such as those in New Zealand, Sweden, and Denmark, may be most likely to satisfy the interests of both patients and physicians but may not be politically acceptable in the United States... - Law & psychiatry: SSRIs, suicide, and liability for failure to warn of medication risksPaul S Appelbaum
Department of Psychiatry, Columbia University, USA
Psychiatr Serv 62:347-9. 2011..This column explores the application of this new approach and its implications for the mental health professions... - Lost in the crowd: prison mental health care, overcrowding, and the courtsPaul S Appelbaum
Departmentof Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY 10032, USA
Psychiatr Serv 62:1121-3. 2011..S. Supreme Court upheld the order, although it signaled that California could obtain more time to comply. Other states now are on notice that the justices will not permit grossly inadequate treatment conditions to continue indefinitely... - Assessment of therapeutic misconception in older schizophrenia patients with a brief instrumentLaura B Dunn
Department of Psychiatry, University of California, San Diego, La Jolla, CA 92161, USA
Am J Psychiatry 163:500-6. 2006..How best to assess therapeutic misconception is unclear. Also unclear is to what degree patients with severe mental illnesses, such as schizophrenia, may manifest these beliefs... - A new brief instrument for assessing decisional capacity for clinical researchDilip V Jeste
Department of Psychiatry, University of California, San Diego, Veterans Affairs San Diego Healthcare System, Bldg 13, Fourth Floor, 3350 La Jolla Village Dr, San Diego, CA 92161, USA
Arch Gen Psychiatry 64:966-74. 2007..However, there are few reliable and validated brief tools that could be used routinely to evaluate individuals' capacity to consent to a research protocol... - Assessment of capacity to consent to research among older persons with schizophrenia, Alzheimer disease, or diabetes mellitus: comparison of a 3-item questionnaire with a comprehensive standardized capacity instrumentBarton W Palmer
Department of Psychiatry, University of California, San Diego, USA
Arch Gen Psychiatry 62:726-33. 2005..Also, as requirements for formal assessment of decisional capacity are becoming more common, there is a clear need to identify efficient screening methods... - The ethics of research on deep brain stimulation for depression: decisional capacity and therapeutic misconceptionCarl Erik Fisher
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, USA
Ann N Y Acad Sci 1265:69-79. 2012..Even severely depressed patients did not manifest impairments in their capacity to consent to DBS research. Therapeutic misconception, however, remained prevalent... 
Longitudinal consent-related abilities among research participants with schizophrenia: results from the CATIE studyT Scott Stroup
Department of Psychiatry, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, United States
Schizophr Res 130:47-52. 2011..If participants lose abilities during a trial they may not be able to judge and protect their interests. If reduced abilities are common or can be predicted, special protections can be targeted appropriately...- Determining when impairment constitutes incapacity for informed consent in schizophrenia researchScott Y H Kim
Department of Psychiatry, Bioethics Program, and Center for Behavioral and Decision Sciences in Medicine, University of Michigan, 300 North Ingalls, Ann Arbor, MI 48109 0429, and Massachusetts General Hospital, Boston, USA
Br J Psychiatry 191:38-43. 2007..Although people with schizophrenia display impaired abilities for consent, it is not known how much impairment constitutes incapacity... - Use of leverage over patients' money to promote adherence to psychiatric treatmentPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
J Nerv Ment Dis 194:294-302. 2006..Family members seemed to provoke fewer negative feelings as money managers. The frequency with which money leverage is used suggests attention is needed to both the fairness of leverage and the means of minimizing negative effects... - Treating incompetent defendants: the Supreme Court's decision is a tough SellPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Psychiatr Serv 54:1335-6,1341. 2003 - Correlates of treatment-related decision-making capacity among middle-aged and older patients with schizophreniaBarton W Palmer
Department of Psychiatry, University of California San Diego, the Veterans Medical Research Foundation, Veterans Affairs San Diego Healthcare System, San Diego, CA 92161, USA
Arch Gen Psychiatry 61:230-6. 2004..We examined the range, stability, and correlates of treatment-related decisional capacity in this patient population... - Proxy and surrogate consent in geriatric neuropsychiatric research: update and recommendationsScott Y H Kim
Department of Psychiatry and the Program in Clinical Ethics, University of Rochester Medical Center, Rochester, NY, USA
Am J Psychiatry 161:797-806. 2004..The authors provide an updated discussion, critique, and recommendations regarding the need for clear legal and regulatory policy on this issue... - Anticipating issues related to increasing preimplantation genetic diagnosis use: a research agendaRobert Klitzman
College of Physicians and Surgeons and Mailman School of Public Health, Columbia University, New York, USA
Reprod Biomed Online 17:33-42. 2008..Improved understanding of these issues will ultimately enhance the development and implementation of future clinical guidelines and policies... - Voluntariness of consent to research: a conceptual modelPaul S Appelbaum
College of Physicians and Surgeons, Columbia University, USA
Hastings Cent Rep 39:30-9. 2009..To date, however, voluntariness and its impairment have been poorly conceptualized and studied. The legal doctrine of informed consent could provide a useful model... - Views of internists towards uses of PGDRobert Klitzman
Columbia University, 1051 Riverside Drive, Mail Unit 15, New York, NY 10032, USA New York State Psychiatric Institute, 1051 Riverside Drive, Mail Unit 15, New York, NY 10032, USA Electronic address
Reprod Biomed Online 26:142-7. 2013..These data thus have critical implications for training, research and practice... - Law & psychiatry: dangerous persons, moral panic, and the uses of psychiatryPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
Psychiatr Serv 54:441-2. 2003 - How closely do institutional review boards follow the common rule?Charles W Lidz
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01605 2805, USA
Acad Med 87:969-74. 2012..To determine how closely institutional review board (IRB) discussions reflect the ethical criteria specified in the Common Rule federal regulations... - Against the grain? A reasoned argument for not closing a state hospitalJeffrey L Geller
Center for Mental Health Services Research, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Psychiatr Q 76:177-94. 2005.... - Competence to consent to research among long-stay inpatients with chronic schizophreniaJeffrey A Kovnick
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
Psychiatr Serv 54:1247-52. 2003..However, variation across the sample points to the need for individualized assessment and for validated techniques for facilitating decision making in the face of decisional impairments... - Capacity to provide informed consent for participation in schizophrenia and HIV researchDavid J Moser
Department of Psychiatry, Mental Health Clinical Research Center, University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52240, USA
Am J Psychiatry 159:1201-7. 2002.... - Screening for suicidality in the emergency department: when must researchers act to protect subjects' interests?Azgad Gold
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA
Arch Suicide Res 15:140-50. 2011.... - The therapeutic misconception: problems and solutionsCharles W Lidz
Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Med Care 40:V55-63. 2002..The therapeutic misconception is a serious problem for informed consent in clinical research... - Clinical ethics versus clinical researchPaul S Appelbaum
Columbia University College of Physicians and Surgeons, USA
Am J Bioeth 6:53-5; discussion W42-5. 2006 - Unconscious conflict of interest: a Jewish perspectiveAzgad Gold
NY State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA
J Med Ethics 37:402-5. 2011..Here, we draw on traditional texts of Jewish law pertaining to the prohibition of taking a gift to illustrate recognition by the ancients of unconscious conflicts of interest, and their approach to dealing with the problem... - Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditionsHarold Alan Pincus
Department of Psychiatry, Columbia University, and New York Presbyterian Hospital, New York, NY 10032, USA
Am J Psychiatry 164:712-9. 2007.... - The 'quiet' crisis in mental health servicesPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, USA
Health Aff (Millwood) 22:110-6. 2003..Unless purchasers demand effective coverage of mental health treatment, mental health services will likely continue to wither away... - Consent form readability and educational levels of potential participants in mental health researchPaul P Christopher
Department of Psychiatry, Brown Medical School, Butler Hospital, 345 Blackstone Blvd, Providence, RI 02906, USA
Psychiatr Serv 58:227-32. 2007.... - Therapeutic misconception in clinical research: frequency and risk factorsPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, USA
IRB 26:1-8. 2004 - The capacity to vote of persons with Alzheimer's diseasePaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Psychiatry 162:2094-100. 2005..This article explores how persons with Alzheimer's disease perform on these criteria... - Law & psychiatry: "depressed? Get out!": dealing with suicidal students on college campusesPaul S Appelbaum
Department of Psychiatry, Columbia University Medical Center, 1051 Riverside Drive, 122, New York, New York 10032, USA
Psychiatr Serv 57:914-6. 2006.... - Substance use, symptom, and employment outcomes of persons with a workplace mandate for chemical dependency treatmentConstance Weisner
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Box F 0984, San Francisco, CA 94143, USA
Psychiatr Serv 60:646-54. 2009..This study examined the role of workplace mandates to chemical dependency treatment in treatment adherence, alcohol and drug abstinence, severity of employment problems, and severity of psychiatric problems... - Genetic testing in psychiatry: a review of attitudes and beliefsRyan E Lawrence
Department of Psychiatry, Columbia University Medical Center, New York City, USA
Psychiatry 74:315-31. 2011.... - Re-evaluating the therapeutic misconception: response to Miller and JoffePaul S Appelbaum
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA
Kennedy Inst Ethics J 16:367-73. 2006..In the absence of empirical studies on the steps required to dispel TM and the impact of such procedures on subject recruitment, it is premature to surrender to the belief that TM must be widely tolerated in clinical research... - Therapeutic misconception and the appreciation of risks in clinical trialsCharles W Lidz
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655, USA
Soc Sci Med 58:1689-97. 2004..The results of this research suggest that subjects often sign consents to participate in clinical trials with only the most modest appreciation of the risks and disadvantages of participation... - Civil commitment in Turkey: reflections on a bill drafted by psychiatristsRasim Arikan
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655 0002, USA
Int J Law Psychiatry 30:29-35. 2007..Authors discuss the highlights of the draft within the context of Turkey's current cultural, social and judicial structure, and compare it to similar laws of other countries... - Decisional capacity of patients with schizophrenia to consent to research: taking stockPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Schizophr Bull 32:22-5. 2006.... - Willingness of subjects with thought disorder to participate in researchPhilip J Candilis
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Schizophr Bull 32:159-65. 2006..Because of differences in severity of illness, cognition, and reasoning among subjects who decline to participate in research, greater attention to this population appears warranted... - Evaluation of "subject advocate" procedures in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) schizophrenia studyT Scott Stroup
Department of Psychiatry, University of North Carolina School of Medicine, University of North Carolina at Chapel Hill, CB 7160, Chapel Hill, NC 27599 7160, USA
Schizophr Bull 32:147-52. 2006..Nonspecific benefits included good public relations and engagement of family members. Improved training regarding the procedures may be needed to achieve specific goals of enhanced patient autonomy and retention in the study... - Enrolling in deep brain stimulation research for depression: influences on potential subjects' decision makingPaul P Christopher
Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Depress Anxiety 29:139-46. 2012.... - The participation of community members on medical institutional review boardsCharles W Lidz
University of Massachusetts Medical School, Department of Psychiatry, 55 Lake Avenue North, Worcester, MA 01605 2805, USA
J Empir Res Hum Res Ethics 7:1-6. 2012..They did not appear to represent the community so much as to provide a nonscientific view of the protocol and the consent form... - Law & psychiatry: facilitating testimony of people with mental illnessMichael Barnett
Department of Psychiatry, Columbia University, New York City, NY, USA
Psychiatr Serv 61:958-60. 2010..S. Supreme Court cases that placed substantial limits on the use of out-of-court statements under these laws; and in light of these limits, alternatives that would permit use of out-of-court statements... - The capacity to vote of persons with serious mental illnessRaymond Raad
College of Physicians and Surgeons, Columbia University, New York City, NY, USA
Psychiatr Serv 60:624-8. 2009..This study explored the performance on these criteria by a sample of individuals with serious mental illness... - Law & psychiatry: "One madman keeping loaded guns": misconceptions of mental illness and their legal consequencesPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655, USA
Psychiatr Serv 55:1105-6. 2004 - Law enforcement interviews of hospital patients: a conundrum for cliniciansPaul M Jones
Department of Psychiatry, University of Massachusetts Medical School, Worcester, USA
JAMA 295:822-5. 2006 - Assessing Kendra's Law: five years of outpatient commitment in New YorkPaul S Appelbaum
Department of Psychiatry, The University of Massachusetts Medical School, Worcester, 01655, USA
Psychiatr Serv 56:791-2. 2005 - Ethical issues in psychiatric geneticsPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
J Psychiatr Pract 10:343-51. 2004..Neglect will lead others to set the rules that will control medical practice, including the practice of psychiatry, in the new world of genetic medicine... - Persistence and stability of delusions over timePaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worster 01655, USA
Compr Psychiatry 45:317-24. 2004..Delusions appear to be more fluid over relatively short periods of time than has been suggested by many classic descriptions and contemporary formulations... - A geospatial analysis of the impact of sex offender residency restrictions in two New York countiesJacqueline A Berenson
Division of Forensic Psychiatry, Columbia University College of Physicians and Surgeons New York State Psychiatric Institute, New York, NY, USA
Law Hum Behav 35:235-46. 2011..These findings may have important policy and procedural implications in the creation and enforcement of sex offender statutes, as well as in the evaluation of those presently in place... - Dangerous severe personality disorders: England's experiment in using psychiatry for public protectionPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, Massachusetts 01655, USA
Psychiatr Serv 56:397-9. 2005 - Consent for intravenous thrombolysis in acute stroke: review and future directionsStephanie R White Bateman
Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, USA
Arch Neurol 64:785-92. 2007.... - Non-invasive brain stimulation in the detection of deception: scientific challenges and ethical consequencesBruce Luber
Division of Brain Stimulation and Therapeutic Modulation, Department of Psychiatry, Columbia University College of Physicians and Surgeons New York State Psychiatric Institute, New York, NY 10032, USA
Behav Sci Law 27:191-208. 2009..Ethical and legal consequences of the development of such a technology are discussed... - Law & psychiatry: policing expert testimony: the role of professional organizationsPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Psychiatr Serv 53:389-90, 399. 2002 - Response to the presidential address--the systematic defunding of psychiatric care: a crisis at our doorstepPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Psychiatry 159:1638-40. 2002 - Privacy in psychiatric treatment: threats and responsesPaul S Appelbaum
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Psychiatry 159:1809-18. 2002..The author provides an overview of the current status of privacy in psychiatric treatment, with particular attention to the effects of new federal regulations authorized by the Health Insurance Portability and Accountability Act (HIPAA)... - The origins of commitment for substance abuse in the United StatesKathleen Thomsen Hall
Department of Psychiatry, University of Massachusetts Medical School, Worcester 01655, USA
J Am Acad Psychiatry Law 30:33-45; discussion 46-8. 2002..The legacy of the early years of substance abuse commitment lives on... - Commentary: Obstacles to reform of mental health system: funding, fragmentation and fanaticismPaul S Appelbaum
Department of Psychiatry, Law and Psychiatry Program, U Mass Memorial Medical Center, Worcester 01655, USA
Isr J Psychiatry Relat Sci 42:211-3. 2005 - Treatment-related decision-making capacity in middle-aged and older patients with psychosis: a preliminary study using the MacCAT-T and HCATBarton W Palmer
Department of Psychiatry, University of California, San Diego, USA
Am J Geriatr Psychiatry 10:207-11. 2002..Results point to the importance of assessing DMC and to the potential modifiability of initial difficulties in understanding... - Involving decisionally impaired subjects in research: the need for legislationPaul S Appelbaum
Am J Geriatr Psychiatry 10:120-4. 2002 - Commentary: Willingness and competence of depressed and schizophrenic inpatients to consent to researchPaul S Appelbaum
Law and Psychiatry Program, University of Massachusetts Medical School, Worchester, MA, USA
J Am Acad Psychiatry Law 32:144-7. 2004 - Decisional capacity of severely depressed patients requiring electroconvulsive therapyMaria I Lapid
Department of Psychiatry and Psychology and dagger Department of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA
J ECT 19:67-72. 2003..Education improved their decisional capacity. There is an endpoint beyond which additional educational intervention does not result in measurable improvement in decisional capacity... - Law & psychiatry: psychiatric advance directives and the treatment of committed patientsPaul S Appelbaum
University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
Psychiatr Serv 55:751-2, 763. 2004 - Assessing competence to complete psychiatric advance directives with the competence assessment tool for psychiatric advance directivesDebra Srebnik
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, 98105, USA
Compr Psychiatry 45:239-45. 2004..Such use of the CAT-PAD may allow clinicians to better trust the content of PADs, which may, in turn, increase the likelihood PADs will be honored... - Decisional capacity of depressed elderly to consent to electroconvulsive therapyMaria I Lapid
Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
J Geriatr Psychiatry Neurol 17:42-6. 2004..They showed greater improvement in decisional capacity with education. The findings highlight the importance of providing education to the elderly to optimize their ability to give informed consent... - Law & psychiatry: Can a psychiatrist be held responsible when a patient commits murder?Paul S Appelbaum
Psychiatr Serv 53:27-9. 2002 - Prevalence and correlates of adequate performance on a measure of abilities related to decisional capacity: differences among three standards for the MacCAT-CR in patients with schizophreniaLaura B Dunn
University of California, San Diego, Department of Psychiatry, United States
Schizophr Res 89:110-8. 2007..These findings underscore the need for refinement of capacity assessment procedures and for improvements in the use of capacity assessment tools for screening purposes and to assist in categorical capacity determinations... - Civil commitment--the American experienceStuart A Anfang
University of Massachusetts Medical School, Worcester, MA, USA
Isr J Psychiatry Relat Sci 43:209-18. 2006..We suggest that current American commitment practice is influenced more by economic factors and social perceptions of mental illness than by changing legal standards... - Competence to complete psychiatric advance directives: effects of facilitated decision makingEric B Elbogen
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Brightleaf Square Suite 23 A, 905 West Main Street, DUMC Box 3071, Durham, NC 27710, USA
Law Hum Behav 31:275-89. 2007.... - The classification of violence riskJohn Monahan
School of Law, University of Virginia, 580 Massie Road, Charlottesville, VA 22903 1789, USA
Behav Sci Law 24:721-30. 2006..In this article, the development of the COVR software is described and several issues that arise in its administration are discussed... - A direct comparison of research decision-making capacity: schizophrenia/schizoaffective, medically ill, and non-ill subjectsPhilip J Candilis
Law and Psychiatry Program, University of Massachusetts Medical School, Department of Psychiatry, Worcester, MA 01655, United States
Schizophr Res 99:350-8. 2008.... - The capacity to appoint a proxy and the possibility of concurrent proxy directivesScott Y H Kim
University of Michigan Bioethics Program, Ann Arbor, MI 48109 0429, USA
Behav Sci Law 24:469-78. 2006..We first propose a rationale for assessing the capacity to appoint a proxy and then describe a novel interview instrument for assessing the capacity to appoint a proxy for research consent... - Violence and mental disorders: data and public policyPaul S Appelbaum
Am J Psychiatry 163:1319-21. 2006 - To commit or not to commit: the psychiatry resident as a variable in involuntary commitment decisionsS Pirzada Sattar
Creighton University School of Medicine, Omaha VA Medical Center, 4101 Woolworth Ave 116A, Omaha, Nebraska 68105, USA
Acad Psychiatry 30:191-5. 2006.... - Mental health training for law enforcement professionalsHeidi S Vermette
Department of Veterans Affairs Medical Center, Mental Health 116A, 4500 South Lancaster Road, Dallas, TX 75216, USA
J Am Acad Psychiatry Law 33:42-6. 2005..This survey suggests that police officers are interested in learning more about working with persons with mental illness and view it as an important aspect of the job... - Use of leverage to improve adherence to psychiatric treatment in the communityJohn Monahan
University of Virginia School of Law, 580 Massie Road, Charlottesville, VA 22903, USA
Psychiatr Serv 56:37-44. 2005..Logistic regression was used to examine associations between clinical and demographic characteristics and receipt of different types of leverage...