PSYCHIATRY ARTICLES MAIN PAGE

12/4/2023· Psychiatry

An Empirical Data Comparison Of Regulatory Agency And Malpractice Legal Problems For Psychiatrists

By: Dr. James Reich

Medical board discipline findings indicate that psychiatrists are at increased risk of disciplinary action compared with other specialties. NPDB data indicated relatively infrequent problems for psychiatrists. In malpractice, psychiatry accounted for a small percentage of overall claims and settlements. Overall, more years in practice and a lack of board certification increased the risk of legal difficulties.

9/19/2022· Psychiatry

An Empirical Examination Of The Concept of "Stress-Induced" Personality Disorders

By: Dr. James Reich

This article examines the problem of stress-induced personality disorders empirically. Three different groups—state personality disorder, stress-induced personality disorder, and no personality disorder—are compared on clinical symptoms, functioning, and family history.

2/11/2014· Psychiatry

Assessing Emotional Distress

By: Dr. Stephen M. Raffle

The medical expert cannot express an opinion about the ultimate question to the trier of fact: how much is the plaintiff's emotional distress (emotional injury) worth in dollars? Yet when the question of these monetary damages is put to a jury, their deliberations are better-served if considered in the context of a Forensic Psychiatrist's knowledgeable findings and testimony.

3/11/2015· Psychology

Benefits of Forensic Psychological Evaluations

By: Dr. Ray Kim

Forensic psychological evaluations have become a valuable resource for the criminal justice system by addressing important forensic questions. For instance, assessing risk for violence can help courts make appropriate decisions on issues such as sentencing, granting privileges, and community reintegration. If an individual is assessed to be a high risk for future violence, a judge has grounds to order a more restrictive setting compared to someone who is a lower risk for recidivism. By tailoring court decisions based on accurate psychological evaluations, the community is safer while the defendant's rights are also protected.

7/11/2017· Psychiatry

Civil Litigation and Post-Traumatic Stress Disorder

By: Dr. Burt Singerman

An ever-increasing number of plaintiffs are claiming post-traumatic stress disorder. Why such a sudden, marked increase in litigation of this form? Post-traumatic stress disorder (PTSD) was first described in the sixth century B.C. The symptoms associated with the illness have not changed, though the name of the condition itself has, naturally, changed. In World War I the disorder was labeled "shell shock," linking the condition to the close lines between battling armies and the continuous firing of munitions. In World War II, the condition came to be called "combat neurosis." The term "post-traumatic stress disorder" entered the psychiatric nomenclature with the 1980 publication of the Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition.

10/10/2016· Psychiatry

Comparison of Psychiatrists and Psychologists in Clinical Practice

By: Dr. David Pingitore

Objective: The authors compared data from psychiatrists and psychologists in California to determine whether long-standing differences in clinical practice remain after the introduction of managed care and other changes in mental service delivery. Methods: Responses from practicing clinicians in California who participated in the 1998 National Survey of Psychiatric Practice and the 2000 California Survey of Psychological Practice were compared on items related to patient caseload, practice profile, and insurance or reimbursement arrangements.

12/14/2022· Psychiatry

Criteria For Diagnosing DSM-III Borderline Personality Disorders

By: Dr. James Reich

One hundred fifty-nine psychiatric outpatients were examined to determine which of the DSM-III Borderline Personality Disorder (BPD) criteria were most valid in terms of sensitivity, specificity, predictive power positive, and predictive power negative. Combinations of two criteria predicted

12/3/2014· Psychiatry

Direct Examination And Cross Examination of The Expert Witness: Psychiatrists And Psychologists

By: Dr. Stephen M. Raffle

In order for a medical opinion to be admissible as evidence in civil, criminal and administrative cases, the basis of the opinion must fulfill either the Daubert Criteria or the Frye test, depending on the jurisdiction. The judge of the court rules on the admissibility of the expert opinion. The effect of Daubert has been to limit expert testimony to opinions which are based on a scientific foundation. Daubert specifies that adequate scientific support and method and a known error rate must exist. The testimony of a mental health expert rendering an opinion using criteria which does not meet Daubert standards is weakened by the implication that it is not based on "sound science." In some instances, for example, a mental health expert uses an approach where there are no peer-reviewed studies or methods, such as when psychologists compose their own neuropsychological test batteries. In most cases where an attorney is considering a "Daubert challenge," a contemporaneous and up-to-date literature search is indicated. Also, extensive case law presently exists as to specific issues. Being familiar with the Daubert criteria enhances effectiveness in challenging a mental health expert's opinion, whether on voir dire or cross examination. On direct examination, the strengths of an opinion reached under Daubert criteria become a "teaching moment" for the trier of fact, because it will be founded on the science of mental health assessment.

1/25/2022· Forensic Psychiatry

Drug Treatment Of Personality Disorder Traits

By: Dr. James Reich

This article examines these pharmacological treatments. It first examines some of the drugs that have been used and some of the evidence for their effectiveness. It then takes the mindset of a clinician and looks at how some symptom clusters might be approached.

3/8/2012· Psychiatry

Facilitation of Mourning During Childhood

By: Dr. Gilbert Kliman

Here you will meet several children helped by Cornerstone who suffered from tragic losses and tragic circumstances. This chapter is essentially practical in its orientation to technique, describing several forms of treatment of bereaved children, with a minimum of theoretical essay. Probably the best definition of "mourning" for our current purposes is, "the totality of reaction to the loss of a loved object."