Biomedical subjects

D M Doren

Publications and source records attributed to D M Doren.

3 recordsLinked to original sources

PubMed2001

Analyzing the analysis: a response to Wollert (2000).

In a thoughtful critique in the article preceding this one, many arguments are presented about the veracity of assumptions and conclusions I made in my 1998 publication concerning the sexual recidivism base rates for certain incarcerated sex offenders. This article responds to some of the issues raised. First, the ultimate conclusion of the preceding critique is assessed. Even when assuming the accuracy of all points made in the preceding article, an analysis described herein still demonstrates that the current U.S.A. civil commitment referral procedures "under-predict" sexual recidivism rates. Second, an inference made in the preceding critique, read as a possible implication from my article, is strongly contested. Finally, the remaining discussion responds to various other concerns that were raised. While scientific exploration of issues is typically expected to lead to occasional professional differences, a significant lack of agreement with the preceding critique is found.

Adolescent↗

PubMed1988

Emerging problems for staff associated with the release of potentially dangerous forensic patients.

Mental health professionals have been concerned recently about their liability for the actions of patients in their outpatient practices. The history of suits against clinicians for negligent release of inpatients extends back several decades since before the Tarasoff decision. The authors suggest that the same consumerism/victims' rights trends that resulted in Tarasoff and its progeny are likely to rebound again on forensic clinicians and that such pressures are likely to add to other political and social pressures that already complicate the treatment of forensic inpatients. They present three cases to illustrate the dilemmas involved in the release of forensic patients and argue that clinicians must bear significant responsibility for their current plight because of overstated claims of capacities to predict and treat aggressive behavior.

Adult↗

PubMed1985

The Munchausen patient in a forensic facility.

The many reports in the literature of chronic factitious illness (Munchausen's Syndrome) have emphasized the difficulty of treating these patients because of their propensity to leave medical facilities as soon as the factitious nature of their symptoms is discovered, and because of their disinclination to accept psychiatric help. The authors report on their treatment of such a patient who was incarcerated for over ten years under a criminal commitment, and discuss methods for overcoming resistances to treatment in Munchausen's patients.

Adult↗