Sex, psychiatry, and law: uneasy bedfellows for uncertain times

Article Abstract:

An introductory explanation on the subject of sexuality and sexual relations among patients, mental health professionals and the law is presented. The studies are results of the work done by the Program in Psychiatry and the Law at the Massachusetts Mental Health Center, Harvard Medical School. Issues discussed include the problems of decision-making from relative uncertainty to greater uncertainty and the seemingly correct rule of simplicity on cases of child abuse. It is hoped that the presentation of issues will foster more intelligent thinking and reflection on sexual problems in psychiatry.

Ethical aspects, Psychiatry

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Obstacles to the dynamic understanding of therapist-patient sexual relations

Article Abstract:

Some obstacles to a more truthful and dynamic understanding of the nature of therapist-patient sexual relations that might lead to therapist sexual misconduct are discussed. People have difficulty in reconciling their world view with unpopular scientific facts. Stereotypes are held, favorite conceptions which are not easily given up, especially in the light of objective study. The desire to appear agreeable and to advance only politically correct ideas prompt people to resist deep and intelligent discussion on the behavioral contributions of both therapist and patient on sexual misconduct.

Reports, Mental health counseling, Psychiatric counseling

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False sexual-abuse allegations by children and adolescents: contextual factors and clinical subtypes

Article Abstract:

Contextual factors and clinical subtypes of false sexual allegations made by children and adolescents in a therapist-patient relationship are discussed. False allegations negatively affect not only the accused but the accuser as well and their present and future emotional relationships and growth. The four clinical subtypes of allegations reviewed are those arising from custody disputes, those caused by the accuser's psychological disturbances, those made by the conscious manipulation of the accuser and those based on iatrogenic elements.

Psychological aspects, Child abuse, Child sexual abuse, Child abuse reporting

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