The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge

Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to follow through with appropriate biological treatm...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The American journal of psychiatry 1990-04, Vol.147 (4), p.409-418
1. Verfasser: Klerman, G L
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 418
container_issue 4
container_start_page 409
container_title The American journal of psychiatry
container_volume 147
creator Klerman, G L
description Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to follow through with appropriate biological treatment for its own diagnosis of depression, focusing instead on Dr. Osheroff's presumed personality disorder diagnosis and treating him with intensive long-term individual psychotherapy. The author suggests that this case involves the proposed right of the patient to effective treatment and that treatments whose efficacy has been demonstrated have priority over treatments whose efficacy has not been established.
doi_str_mv 10.1176/ajp.147.4.409
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79682920</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1310612369</sourcerecordid><originalsourceid>FETCH-LOGICAL-a444t-5664a01a1c6cca3a607a3456a77d0db19493ce41f26774a6850f1cc3dc8481ef3</originalsourceid><addsrcrecordid>eNp1kV1LHDEUhoModqte9rIQFFoQZpqvSSbeyaJVWPBGoXchm0mcLDuTMckI_nsjK7QUvToc3of3HHgA-IZRjbHgv_RmqjETNasZkntggRvaVIKQdh8sEEKkkg398wV8TWlTVkQFOQSHWHJJGFmA9X1v4ZReTO91jt7ASWdvx_wzwegf-wxzgNY5a7J_tjBHq_NQ4gvoh2nrTYHDmGBw8C71Ngbn4HMNl71NeZwzXIXu0R6DA6e3yZ68zyPwcH11v7ypVne_b5eXq0ozxnLVcM40whobboymmiOhKWu4FqJD3RpLJqmxDDvChWCatw1y2BjamZa12Dp6BH7seqcYnubygRp8Mna71aMNc1JC8pZIggp4-h-4CXMcy2-KEMQEI-gNOvsMwhQjjgnlslDVjjIxpBStU1P0g44vCiP1pkcVParoUUwVPYX__t46rwfb_aV3Pkp-vsv1NPl_Ln5Y9gpiJJe-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1310612369</pqid></control><display><type>article</type><title>The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge</title><source>MEDLINE</source><source>Psychiatry Legacy Collection Online Journals 1844-1996</source><source>Periodicals Index Online</source><creator>Klerman, G L</creator><creatorcontrib>Klerman, G L</creatorcontrib><description>Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to follow through with appropriate biological treatment for its own diagnosis of depression, focusing instead on Dr. Osheroff's presumed personality disorder diagnosis and treating him with intensive long-term individual psychotherapy. The author suggests that this case involves the proposed right of the patient to effective treatment and that treatments whose efficacy has been demonstrated have priority over treatments whose efficacy has not been established.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.147.4.409</identifier><identifier>PMID: 1969242</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>United States: American Psychiatric Publishing</publisher><subject>Adult ; Antipsychotic Agents - therapeutic use ; Clinical Trials as Topic ; Depressive Disorder - diagnosis ; Depressive Disorder - therapy ; Diagnosis, Differential ; Forensic Psychiatry ; Humans ; Litigation ; Male ; Maryland ; Medical ethics ; Medical malpractice ; Mental disorders ; Narcissism ; National Institute of Mental Health (U.S.) ; Patient Advocacy - legislation &amp; jurisprudence ; Personality Disorders - diagnosis ; Personality Disorders - therapy ; Psychiatry ; Psychiatry - standards ; Psychoanalytic Therapy - standards ; Social Responsibility ; Terminology as Topic ; United States</subject><ispartof>The American journal of psychiatry, 1990-04, Vol.147 (4), p.409-418</ispartof><rights>Copyright American Psychiatric Association Apr 1990</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a444t-5664a01a1c6cca3a607a3456a77d0db19493ce41f26774a6850f1cc3dc8481ef3</citedby><cites>FETCH-LOGICAL-a444t-5664a01a1c6cca3a607a3456a77d0db19493ce41f26774a6850f1cc3dc8481ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.147.4.409$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.147.4.409$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2846,21608,27846,27901,27902,77533,77534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1969242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klerman, G L</creatorcontrib><title>The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to follow through with appropriate biological treatment for its own diagnosis of depression, focusing instead on Dr. Osheroff's presumed personality disorder diagnosis and treating him with intensive long-term individual psychotherapy. The author suggests that this case involves the proposed right of the patient to effective treatment and that treatments whose efficacy has been demonstrated have priority over treatments whose efficacy has not been established.</description><subject>Adult</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Clinical Trials as Topic</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - therapy</subject><subject>Diagnosis, Differential</subject><subject>Forensic Psychiatry</subject><subject>Humans</subject><subject>Litigation</subject><subject>Male</subject><subject>Maryland</subject><subject>Medical ethics</subject><subject>Medical malpractice</subject><subject>Mental disorders</subject><subject>Narcissism</subject><subject>National Institute of Mental Health (U.S.)</subject><subject>Patient Advocacy - legislation &amp; jurisprudence</subject><subject>Personality Disorders - diagnosis</subject><subject>Personality Disorders - therapy</subject><subject>Psychiatry</subject><subject>Psychiatry - standards</subject><subject>Psychoanalytic Therapy - standards</subject><subject>Social Responsibility</subject><subject>Terminology as Topic</subject><subject>United States</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNp1kV1LHDEUhoModqte9rIQFFoQZpqvSSbeyaJVWPBGoXchm0mcLDuTMckI_nsjK7QUvToc3of3HHgA-IZRjbHgv_RmqjETNasZkntggRvaVIKQdh8sEEKkkg398wV8TWlTVkQFOQSHWHJJGFmA9X1v4ZReTO91jt7ASWdvx_wzwegf-wxzgNY5a7J_tjBHq_NQ4gvoh2nrTYHDmGBw8C71Ngbn4HMNl71NeZwzXIXu0R6DA6e3yZ68zyPwcH11v7ypVne_b5eXq0ozxnLVcM40whobboymmiOhKWu4FqJD3RpLJqmxDDvChWCatw1y2BjamZa12Dp6BH7seqcYnubygRp8Mna71aMNc1JC8pZIggp4-h-4CXMcy2-KEMQEI-gNOvsMwhQjjgnlslDVjjIxpBStU1P0g44vCiP1pkcVParoUUwVPYX__t46rwfb_aV3Pkp-vsv1NPl_Ln5Y9gpiJJe-</recordid><startdate>19900401</startdate><enddate>19900401</enddate><creator>Klerman, G L</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19900401</creationdate><title>The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge</title><author>Klerman, G L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a444t-5664a01a1c6cca3a607a3456a77d0db19493ce41f26774a6850f1cc3dc8481ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Clinical Trials as Topic</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - therapy</topic><topic>Diagnosis, Differential</topic><topic>Forensic Psychiatry</topic><topic>Humans</topic><topic>Litigation</topic><topic>Male</topic><topic>Maryland</topic><topic>Medical ethics</topic><topic>Medical malpractice</topic><topic>Mental disorders</topic><topic>Narcissism</topic><topic>National Institute of Mental Health (U.S.)</topic><topic>Patient Advocacy - legislation &amp; jurisprudence</topic><topic>Personality Disorders - diagnosis</topic><topic>Personality Disorders - therapy</topic><topic>Psychiatry</topic><topic>Psychiatry - standards</topic><topic>Psychoanalytic Therapy - standards</topic><topic>Social Responsibility</topic><topic>Terminology as Topic</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klerman, G L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 13</collection><collection>Periodicals Index Online Segment 14</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access &amp; Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access &amp; Build (Plan A) - APAC</collection><collection>Primary Sources Access &amp; Build (Plan A) - Canada</collection><collection>Primary Sources Access &amp; Build (Plan A) - West</collection><collection>Primary Sources Access &amp; Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - Midwest</collection><collection>Primary Sources Access &amp; Build (Plan A) - North Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Northeast</collection><collection>Primary Sources Access &amp; Build (Plan A) - South Central</collection><collection>Primary Sources Access &amp; Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klerman, G L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1990-04-01</date><risdate>1990</risdate><volume>147</volume><issue>4</issue><spage>409</spage><epage>418</epage><pages>409-418</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>Although Osheroff v. Chestnut Lodge never reached final court adjudication, the case generated widespread discussion in psychiatric, legal, and lay circles. The author served as a consultant to Dr. Osheroff and testified that Chestnut Lodge failed to follow through with appropriate biological treatment for its own diagnosis of depression, focusing instead on Dr. Osheroff's presumed personality disorder diagnosis and treating him with intensive long-term individual psychotherapy. The author suggests that this case involves the proposed right of the patient to effective treatment and that treatments whose efficacy has been demonstrated have priority over treatments whose efficacy has not been established.</abstract><cop>United States</cop><pub>American Psychiatric Publishing</pub><pmid>1969242</pmid><doi>10.1176/ajp.147.4.409</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0002-953X
ispartof The American journal of psychiatry, 1990-04, Vol.147 (4), p.409-418
issn 0002-953X
1535-7228
language eng
recordid cdi_proquest_miscellaneous_79682920
source MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online
subjects Adult
Antipsychotic Agents - therapeutic use
Clinical Trials as Topic
Depressive Disorder - diagnosis
Depressive Disorder - therapy
Diagnosis, Differential
Forensic Psychiatry
Humans
Litigation
Male
Maryland
Medical ethics
Medical malpractice
Mental disorders
Narcissism
National Institute of Mental Health (U.S.)
Patient Advocacy - legislation & jurisprudence
Personality Disorders - diagnosis
Personality Disorders - therapy
Psychiatry
Psychiatry - standards
Psychoanalytic Therapy - standards
Social Responsibility
Terminology as Topic
United States
title The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T15%3A38%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20psychiatric%20patient's%20right%20to%20effective%20treatment:%20implications%20of%20Osheroff%20v.%20Chestnut%20Lodge&rft.jtitle=The%20American%20journal%20of%20psychiatry&rft.au=Klerman,%20G%20L&rft.date=1990-04-01&rft.volume=147&rft.issue=4&rft.spage=409&rft.epage=418&rft.pages=409-418&rft.issn=0002-953X&rft.eissn=1535-7228&rft.coden=AJPSAO&rft_id=info:doi/10.1176/ajp.147.4.409&rft_dat=%3Cproquest_cross%3E1310612369%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1310612369&rft_id=info:pmid/1969242&rfr_iscdi=true