I feel that the psychotherapist had a duty to inform Tatiana of the possible threats coming her way. I feel that Poddar did not say that he wanted to kill her in passing and probably carried some depth and detail which should have tipped him/her off. One problem with this case is that you do run the risk of rendering psychologists useless if people feel that they will break confidentiality. it is a juggling act, you must maintain professional and reasonable practice or you will not be able to help anyone.
I feel he psycotherapist should have informed Tatiana. He did inform the campus police, but they only spoke with him for a few minutes. the therapist should have know that Poddar had real thoughts of killing Tatiana and should have taken those threats very serious. It is a shame that doctor patient confidentiality would have been broken, but in this case it would have been worth it. Each case would have to be judged individually and of the therapist had belief, even a little bit that their patient could harm themself or anyone else they must step in and inform someone.
I feel that the psychotherapist should have warned Tatiana of the potential threat. If he could warn her confidentially that would be ideal. However, if that is not possible I think that it is his duty to breach the confidentiality agreement with his patient and warn the potential victim. This is because I believe that the potential risk to Tatiana was greater than the risk of breaching confidentiality to Poddar.
Definitely in this case the psycho therapist needed to warn Tatiana in some fashion. I'm not sure what good it would have done for her to "be on her guard" against a person who was dead set on killing her, but perhaps she would have entered into a type of protection program. It seems more fair that Poddar should have to be relocated, though this would mean starting with a new therapist, and the goal here was not to break confidentiality, much less lose contact.
I agree with the comments above when they say that the Dr. had a duty or right to inform Tatiana of what was happening. I think that at all cost dr. should try to keep pt. confidentiality, but when it comes to harming other people physically as in killing or by harming them healthwise in regards to HIV for example, then i think it put the dr. is a rough place because they have a duty to the pt. but then they have a duty to other by informing them of potential treats and danger.
I think the therapist should have followed up on the patient because of the threats he was making. Even though he seemed to be normal, someone should have been seeing him throughout the course of the time to make sure he did not regress. I also think the police should have watched Poddar more closely as well and not releasing him with just the "promise of not seeing her."
When dealing with patient confidentiality, one has to tread very carefully. In Tatiana's case, I believe that the psychotherapist had a duty to break that confidentiality and warn authorities about the danger that this person posed to Tatiana. It was horrible what happened and horrible how it was allowed to happen with all the slips by those involved.
Mental health confidentiality walks a thin line. In Tatiana's case i don't think all of the blame shouldn't be placed on psycotherpaist. Yes it was his responsiblility to inform Tatiana on danger that she was in. But the psychotherapist did alert the authorities and he was detained. It was campus securities responsibility keep him in custody. The thin line in patient confidentality in mental health is not one that i would want to walk.
I feel that the psychotherapist had a duty to inform Tatiana of the possible threats coming her way. I feel that Poddar did not say that he wanted to kill her in passing and probably carried some depth and detail which should have tipped him/her off. One problem with this case is that you do run the risk of rendering psychologists useless if people feel that they will break confidentiality. it is a juggling act, you must maintain professional and reasonable practice or you will not be able to help anyone.
ReplyDeleteI feel he psycotherapist should have informed Tatiana. He did inform the campus police, but they only spoke with him for a few minutes. the therapist should have know that Poddar had real thoughts of killing Tatiana and should have taken those threats very serious. It is a shame that doctor patient confidentiality would have been broken, but in this case it would have been worth it. Each case would have to be judged individually and of the therapist had belief, even a little bit that their patient could harm themself or anyone else they must step in and inform someone.
ReplyDeleteI feel that the psychotherapist should have warned Tatiana of the potential threat. If he could warn her confidentially that would be ideal. However, if that is not possible I think that it is his duty to breach the confidentiality agreement with his patient and warn the potential victim. This is because I believe that the potential risk to Tatiana was greater than the risk of breaching confidentiality to Poddar.
ReplyDeleteDefinitely in this case the psycho therapist needed to warn Tatiana in some fashion. I'm not sure what good it would have done for her to "be on her guard" against a person who was dead set on killing her, but perhaps she would have entered into a type of protection program. It seems more fair that Poddar should have to be relocated, though this would mean starting with a new therapist, and the goal here was not to break confidentiality, much less lose contact.
ReplyDeleteI agree with the comments above when they say that the Dr. had a duty or right to inform Tatiana of what was happening. I think that at all cost dr. should try to keep pt. confidentiality, but when it comes to harming other people physically as in killing or by harming them healthwise in regards to HIV for example, then i think it put the dr. is a rough place because they have a duty to the pt. but then they have a duty to other by informing them of potential treats and danger.
ReplyDeleteI think the therapist should have followed up on the patient because of the threats he was making. Even though he seemed to be normal, someone should have been seeing him throughout the course of the time to make sure he did not regress. I also think the police should have watched Poddar more closely as well and not releasing him with just the "promise of not seeing her."
ReplyDeleteWhen dealing with patient confidentiality, one has to tread very carefully. In Tatiana's case, I believe that the psychotherapist had a duty to break that confidentiality and warn authorities about the danger that this person posed to Tatiana. It was horrible what happened and horrible how it was allowed to happen with all the slips by those involved.
ReplyDeleteMental health confidentiality walks a thin line. In Tatiana's case i don't think all of the blame shouldn't be placed on psycotherpaist. Yes it was his responsiblility to inform Tatiana on danger that she was in. But the psychotherapist did alert the authorities and he was detained. It was campus securities responsibility keep him in custody. The thin line in patient confidentality in mental health is not one that i would want to walk.
ReplyDelete