This paper concerning the last 87 malpractice cases referred to the Department of Psychiatry and Law, Menninger Clinic, includes 57 suits against mental health practitioners and/or institutions, and 30 nonpsychiatric suits against general hospitals, surgeons, obstetricians, etc. A patient was available for interview in only 12 percent of the psychiatric cases; in 88 percent we reviewed medical records and consulted with attorneys. In the psychiatric cases the crucial question was whether a generally accepted standard of care was breached. The inherent problems of applying appropriate criteria to standards of care by practitioners and institutions are discussed. In half the psychiatric cases we found no significant deviation from acceptable clinical performance; in half we concluded that negligent practice had occurred. We did see a litigant for evaluation in 90 percent of the nonpsychiatric cases. The main issue involving them concerned harm or disability related to presumed negligence by medical personnel. How we evaluate such cases and apply disability criteria is discussed.
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Front Neurol
January 2025
Department of Public Health, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Background: Globally, in ~50% of epilepsy cases, the underlying cause remains unknown, despite the fact that various disease pathways may contribute to the condition. Nearly 80% of people with epilepsy live in low- and middle-income countries and the risk of premature death in people with epilepsy is up to three times higher than that for the general population. Identifying the determinants of epilepsy is important for applying evidence-based interventions to achieve a better outcome.
View Article and Find Full Text PDFPsychiatr Psychol Law
January 2024
Regional Forensic Psychiatric Services (Mason Clinic/Te Whatu Ora), Auckland, New Zealand.
There is considerable variability in fitness to stand trial (FST) findings between assessors, which may potentially influence the courts' decisions for defendants with intellectual disability (ID). This study aims to determine the influence of the defendant's intelligence quotient (IQ) score and the assessor's professional discipline on FST findings and court outcomes for ID defendants in Aotearoa New Zealand. This study included 146 defendants with ID who were assessed between 2005 and 2015.
View Article and Find Full Text PDFPsychiatr Psychol Law
January 2024
Adiyaman Branch Office, The Council of Forensic Medicine, Adiyaman, Turkey.
It is accepted all over the world that children whose biological, psychological, cognitive, moral and social development processes are ongoing and whose value judgments are not sufficiently developed should not be punished or that punishment reductions should be applied. This study retrospectively analyzed the variables in a Turkish sample of 315 cases in which the criminal responsibility of children (83.5% boys and 16.
View Article and Find Full Text PDFFront Pediatr
January 2025
Department of Urology, Shenzhen Children's Hospital, Shenzhen, Guangdong, China.
Purpose: To analyze the clinical data of five patients involving intravesical magnetic beads, summarizing diagnostic and therapeutic experiences.
Methods: From January 2018 to November 2023, five pediatric patients were treated for intravesical magnetic beads at Shenzhen Children's Hospital. We retrospectively reviewed and analyzed the records of these patients, including demographic characteristics, clinical symptoms, imaging studies, and treatment methods.
Psychiatr Clin North Am
March 2025
Harvard University, Boston Children's Hospital, Tic Disorders and Tourette Syndrome Program, Department of Neurology, 300 Longwood Avenue, Boston, MA 02115, USA. Electronic address:
Repetitive behaviors are the hallmark of many neuropsychiatric disorders, including Tourette syndrome (TS), obsessive-compulsive disorder (OCD), and autism spectrum disorder (ASD). Tics, compulsions, and stereotypies may appear similar and can be difficult to disentangle. This review addresses similarities and differences between these behaviors including clinical presentations, neuroimaging, genetics, and treatment paradigms in order to clarify the relationship between these disorders.
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