The New Paradox of Psychiatric Malpractice
Stone, Alan A.
New England Journal of Medicine. 1984 Nov 22; 311(21): 1384-1387.
The growing conflict between proponents of the biological/behavioral and the psychodynamic/social models of psychiatric therapy is illustrated by a successful negligence suit argued before a Maryland malpractice arbitration panel. The patient sued a private psychiatric facility, claiming that its staff had failed to diagnose biological depression and had treated him unsuccessfully according to psychodynamic and social models rather than with drugs. His expert witnesses questioned the validity of a hospital specializing in psychodynamic treatment. Stone refutes this argument with reference to the "respectable minority" legal standard of care. However, he urges psychodynamic practitioners to consider seriously informing prospective patients of alternative treatments. (KIE abstract)