The need for research and ethical safeguards in special populations.
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Biomedical subjects
Publications and source records attributed to A D Milliken.
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The recent A.P.A. Statement on the Insanity Defence is a document important to all psychiatrists and medicolegal professionals in North America. Its contents are reviewed and contrasted with current Canadian practice on the insanity defence, as well as the proposals of the Mental Disorder Project of the Canadian Department of Justice. The American Psychiatric Association's proposal on the definition of mental disorder is contrasted with the current practice. It is also suggested that the proposal of the Mental Disorder Project to change the disposition of insanity acquittees will lead to difficulties similar to those which provoked the current crisis in the United States.
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Physicians have been criticized for abusing the civil rights of the mentally ill by their methods of committal. To see if such criticism is justified in Canada, a review was conducted of all the major legal journals to identify cases in which it was alleged that physicians had wrongfully certified a patient. These cases are outlined, and, when considered along with the scientific literature, show no justification to support allegations of abuse, but rather show that physicians act with care and concern on behalf of their patients.
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