Decision to seek commitment. Psychiatric decision making in a legal context. 1982

P S Appelbaum, and R M Hamm

In seeking to commit patients, psychiatrists have often been accused of pursuing ends other than those prescribed by the law, but empiric data have been lacking on those factors that influence commitment decisions. In this study 34 clinicians, most of whom were psychiatrists, responded to 65 requests by voluntary patients for discharge from the hospital. The legal criteria governing commitment were found to be significantly related to the decision. Those nonlegal criteria that seemed most consistently to play a significant role in the decision seemed closely related to one of the legal criteria. The clinicians' affective responses to their patients and the patients' personality traits did not play a significant role in the decision. These findings suggest that this group of clinicians was acting in substantial accordance with the dangerousness requirements of the commitment law.

UI MeSH Term Description Entries
D008404 Massachusetts State bounded on the north by New Hampshire and Vermont, on the east by the Atlantic Ocean, on the south by Connecticut and Rhode Island, and on the west by New York.
D010551 Personality Behavior-response patterns that characterize the individual. Personalities
D011570 Psychiatry The medical science that deals with the origin, diagnosis, prevention, and treatment of mental disorders.
D003134 Commitment of Mentally Ill Legal process required for the institutionalization of a patient with severe mental problems. Outpatient Commitment,Commitment, Outpatient,Mentally Ill Commitments
D003617 Dangerous Behavior Actions which have a high risk of being harmful or injurious to oneself or others. Behavior, Dangerous,Dangerousness,Hazardous Behavior,Behavior, Hazardous,Behaviors, Hazardous,Dangerous Behaviors,Hazardous Behaviors
D003657 Decision Making The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea. Credit Assignment,Assignment, Credit,Assignments, Credit,Credit Assignments
D005555 Forensic Psychiatry Psychiatry in its legal aspects. This includes criminology, penology, commitment of mentally ill, the psychiatrist's role in compensation cases, the problems of releasing information to the court, and of expert testimony. Jurisprudence, Psychiatric,Psychiatric Jurisprudence,Psychiatry, Forensic
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes

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