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Damage Remedies and Institutional Reform: The Right to Refuse Treatment

dc.contributor.authorFurrow, Barry R.en_US
dc.date.accessioned2010-06-01T18:19:40Z
dc.date.available2010-06-01T18:19:40Z
dc.date.issued1982-10en_US
dc.identifier.citationFurrow, Barry R. (1982). "Damage Remedies and Institutional Reform: The Right to Refuse Treatment." The Journal of Law, Medicine & Ethics 10(5): 152-157. <http://hdl.handle.net/2027.42/71537>en_US
dc.identifier.issn1073-1105en_US
dc.identifier.issn1748-720Xen_US
dc.identifier.urihttps://hdl.handle.net/2027.42/71537
dc.format.extent655876 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.rights1982 American Society of Law, Medicine & Ethics, Inc.en_US
dc.titleDamage Remedies and Institutional Reform: The Right to Refuse Treatmenten_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelLaw and Legal Studiesen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelGovernment, Politics and Lawen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumMr. Furrow is an Associate Professor (Visiting) at the University of Detroit School of Law, und a Lecturer in the School of Public Health at the University of Michigan in Ann Arboren_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/71537/1/j.1748-720X.1982.tb01704.x.pdf
dc.identifier.doi10.1111/j.1748-720X.1982.tb01704.xen_US
dc.identifier.sourceThe Journal of Law, Medicine & Ethicsen_US
dc.identifier.citedreferenceFiss, O.M., Foreword: The Forms of Justice, Harvard Law Review 93 ( 1 ): 1, 52 ( November 1979 ).en_US
dc.identifier.citedreference2. Friendly, The Courts and Social Policy: Sub stance and Procedure, University of Miami Law Review 33: 21 ( 1978 ).en_US
dc.identifier.citedreferenceE. Cassell, The Healer's Art ( Lippincott, Philadelphia ) ( 1976 ) at 146–47: Not only does sickness cause the patient to lose control of the environment but, even more fundamentally, it causes him to lose control of his body….The body has become a dangerous, alien thing. Thus, a mental patient, who has in some cases adjusted to his symptoms, is forced to confront the physical manifestations of the psychotropic drugs, many of which entail substantial loss of control of his body and its functions.en_US
dc.identifier.citedreferenceGavison, Privacy and the Limits of the Law, Yale Law Journal 89: 421, 449 ( 1980 ).en_US
dc.identifier.citedreference5. Rogers v. Okin, 478 F. Supp. 1342 (D. Mass. 1979), 634 F.2d 650 (1st Cir. 1980), vacated sub nom., Mills v. Rogers, — U.S. — (1982). After this article was written, the Supreme Court remanded the case to the First Circuit for a determination of whether a right to refuse treatment with psychotropic drugs exists under Massachusetts law. The Court did not decide whether such a right exists in federal law. and therefore did not reach the issue of damages.en_US
dc.identifier.citedreference6. Rogers v. Okin, 478 F. Supp. 1342, 1365 ( D. Mass. 1979 ).en_US
dc.identifier.citedreference7. Id., quoting Superintendent of Belcher-town State School v. Saikewicz, 370 N.E.2d 417, 426 ( Mass. 1977 ).en_US
dc.identifier.citedreference8. Rogers v. Okin, 634 F.2d 650, 653 ( 1st Cir. 1980 ).en_US
dc.identifier.citedreference9. Id.en_US
dc.identifier.citedreferenceStone, The Right to Refuse Treatment, Archives of General Psychiatry 38 ( 3 ): 358 ( March 1981 ).en_US
dc.identifier.citedreference11. Carey v. Piphus, 435 U.S. 247 ( 1978 ) (plaintiffs were high school students awarded nominal damages only, for deprivation of due process when they were suspended from school).en_US
dc.identifier.citedreference12. Id. at 254.en_US
dc.identifier.citedreference13. Id. at 258.en_US
dc.identifier.citedreference14. Id.en_US
dc.identifier.citedreference15. Id.en_US
dc.identifier.citedreference16. Id. at 259.en_US
dc.identifier.citedreference17. Id. at 258.en_US
dc.identifier.citedreference18. Id.en_US
dc.identifier.citedreference19. See, e.g., Halperin v. Kissinger, 606 F.2d 1192 ( D.C. Cir. 1979 ) ( denial of Fourth Amendment rights through electronic surveillance; proof of actual damages are not required because of the nature of the interests involved ).en_US
dc.identifier.citedreference20. Wood v. Strickland, 420 US. 308, 318 ( 1974 ).en_US
dc.identifier.citedreference21. Gomez v. Toledo, 446 U.S. 635 ( 1980 ).en_US
dc.identifier.citedreference22. Rogers v. Okin, Supra note 6, at 1382–83.en_US
dc.identifier.citedreference23. See Nichols v. Layman, 506 F. Supp. 267 ( N.D. Ill. 1980 ) ( change in law on constitutional right to treatment ).en_US
dc.identifier.citedreference24. Bailey v. Lally, 481 F. Supp. 203 (D. Md. 1979) (unclearness of law on use of prisoners for medical experiments); Saffron v. Wilson, 481 F. Supp. 228 ( D. D.C. 1979 ) ( lack of clarity of rules governing demonstration near the White House ).en_US
dc.identifier.citedreference25. Wood v. Strickland, 420 U.S. 308, 322 ( 1974 ).en_US
dc.identifier.citedreference26. Id.en_US
dc.identifier.citedreference27. McCray v. Burrell, 622 F.2d 705 ( 4th Cir. 1980 ) ( failure to notify psychologist about bizarre behavior of inmate after placing him in solitary ).en_US
dc.identifier.citedreference28. Rogers v. Okin, supra note 6, at 1382.en_US
dc.identifier.citedreference29. Id. at 138. quoting from Downs v. Sawtelle, 574 F.2d 1, 12 (1st Cir. 1977), cert. denied, 439 U.S. 910 ( 1978 ).en_US
dc.identifier.citedreferenceGill, M.J., Side Effects of a Right to Refuse Treatment Lawsuit in Refusing Treatment in Mental Health Institutions– Values in Conflict ( A.E. Doudera, J.P. Swazey, eds. ) ( AUPHA, Ann Arbor ) ( 1982 ).en_US
dc.identifier.citedreference31. “Like frontline surgeons, they were required to work with what they had…[I]t would be unjust and unreasonable for courts to hold psychiatrists personally and individually responsible for resource deficiencies that are actually the responsibility of society.” Id. at 1385.en_US
dc.identifier.citedreferenceD. Dobbs, Handbook on the Law of Remedies §§3.1, 7.3 ( 1973 ) [hereinafter cited as Dobbs].en_US
dc.identifier.citedreference33. Id.en_US
dc.identifier.citedreference34. Id. at §7.3.en_US
dc.identifier.citedreference35. One court following Carey v. Piphus has allowed presumed damages in a case involving a prisoner incarcerated in a segregated jail. In Mickens v. Winston, 462 F. Supp. 910 (E.D. Va. 1978), aff'd mem. 609 F.2d 508 ( 4th Cir. 1979 ), the court concluded that “although plaintiff has failed to vocalize, with any specificity. his alleged injury, confining his testimony to ‘feeling bad,’ by virtue of defendant's intentional policy of racial segregation, the court concludes he was presumptively injured, for which he is entitled to a monetary award.” 462 F. Supp. at 913.en_US
dc.identifier.citedreference36. Brooks v. Moss, 242 F. Supp. 531, 532 (W.D. S.C. 19651 ($3.500 compensatory award for police assault includes element for “deprivation of rights as a citizen”). One commentator has suggested that Congress ser a fixed minimum recovery to effectuate the presumed damage remedy. See Note, Damage Awards for Constitutional Torts: A Reconsideration after Carey v. Piphus, Harvard Law Review 93 ( 5 ): 966, 989 and n.141 ( March 1980 ).en_US
dc.identifier.citedreference37. Dobbs, supra note 32, at $3.8.en_US
dc.identifier.citedreference38. Cochetti v. Desmond, 572 F.2d 102 ( 3rd Cir. 1978 ).en_US
dc.identifier.citedreference39. Carey v. Piphus, supra note 11, at 257 n.11.en_US
dc.identifier.citedreference40. Restatement (Second) Torts, §8 A ( 1965 ), defining “Intent: The word ‘intent’ is used to…denote that the actor desires to cause the consequences of his act, or that he believes that the consequences are substantially certain to result from it…”.en_US
dc.identifier.citedreference41. See Fountila v. Carter, 571 F.2d 487 ( 9th Cir. 1978 ) ( $5.000 punitive award based on $1 actual injury overturned ).en_US
dc.identifier.citedreference42. Dobbs, supra note 32, at §2.9.en_US
dc.identifier.citedreference43. See e.g., Zarcone v. Perry, 572 F.2d 52 (2nd Cir. 1978); Silver v. Cormier, 529 F.2d 161, 163 (10th Cir. 1976); Spence v. Staras, 507 F.2d 554 (7th Cir. 1974); Basista v. Weir, 340 F.2d 74 ( 3rd Cir. 1965 ).en_US
dc.identifier.citedreferenceLove, J.C., Damages: A Remedy for the Violation of Constitutional Rights, California Law Review 67 ( 6 ): 1242, 1275, n.274 (a typical range of punitive damage awards, from $250 to $10,000, is set forth).en_US
dc.identifier.citedreference45. 478 F. Supp. at 1381.en_US
dc.identifier.citedreference46. 634 F.2d at 662.en_US
dc.identifier.citedreference47. See Harper & James, The Law of Torts, vol. 1, §5.30 at 468–70 (1956); Caperci v. Huntoon, 397 F.2d 799 (1st Cir.), cert. denied, 393 U.S. 940 ( 1968 ).en_US
dc.identifier.citedreference48. Imbler v. Pachtman, 424 U.S. 409, 442 ( 1976 ) ( White, J., concurring ).en_US
dc.identifier.citedreferenceS. Nahmod, Civil Rights and Civil Liberties Handbook §4.02 at 96 ( 1979 ).en_US
dc.identifier.citedreference50. Note, Damage Awards for Constitutional Torts: A Reconsideration after Carey v. Piphus, Harvard Law Review 93 ( 5 ): 966, 968 ( March 1980 ).en_US
dc.identifier.citedreference51. Carey v. Piphus, supra note 11, at 265.en_US
dc.identifier.citedreference52. Roeers v. Okin, supra note 8, at 660.en_US
dc.identifier.citedreference53. Renniev. Klein, 476 F. Supp. 1294, 1307–15 ( D.N.J. 1979 ).en_US
dc.identifier.citedreference54. Id. at 1312.en_US
dc.identifier.citedreferenceMills, M.J., The Continuing Clinicolegal Conundrum of the Boston State Hospital Case, Medicolegal News 9 ( 2 ): 9 ( April 1981 ).en_US
dc.identifier.citedreferenceBrooks, A., The Constitutional Right to Refuse Antipsychotic Medications, Bulletin of the American Academy of Psychiatry & the Law 8 ( 2 ): 179 ( 1981 ).en_US
dc.identifier.citedreferenceWhitman, C., Constitutional Torts, Michigan Law Review 79 ( 1 ): 5, 48 – 52 ( 1980 ).en_US
dc.identifier.citedreferenceG. Calabresi, The Costs of Accidents ( Yale Univ. Press, New Haven ) ( 1970 ) at 135–97.en_US
dc.identifier.citedreferenceCars, R.A., Damage Suits Against Public Officers, University of Pennsylvania Law Review 129 ( 5 ): 1110, 1139 ( 1981 ).en_US
dc.identifier.citedreference60. Halderman v. Pennhurst State School & Hospital, 446 F. Supp. 1295, 1307 ( E.D. Pa. 1977 ).en_US
dc.identifier.citedreference61. Brooks, supra note 56, at 189.en_US
dc.identifier.citedreferenceCaffrey, et al, Discontinuation or Reduction of Chemotherapy in Chronic Schizophrenics, Journal of Chronic Disability 17 ( 4 ): 347 ( 1964 ).en_US
dc.identifier.citedreferenceHuth, Mind Medicine's Side Effects: Are the Risks Worth the Cure ? Washington Post, April 9, 1972 at B-3, col. 1.en_US
dc.identifier.citedreference64. See Brooks, supra note 56, at 188.en_US
dc.identifier.citedreference65. The control of symptoms may not even have a therapeutic purpose in some cases, since the symptomatic behaviors may be preferred by the patients to the sedative effects of the neuroleptic drugs. Van Putton, Crumpton, Yale, Drug Refusal in Schizophrenia and the Wish to be Crazy, Archives of General Psychiatry 33 ( 12 ): 1443 ( December 1976 ).en_US
dc.identifier.citedreferenceGaughan, LaRue, The Right of a Mental Patient to Refuse Antipsychotic Drugs in an Institution. Law and Psychology Review 4: 43 ( 1978 ).en_US
dc.identifier.citedreferenceMarholin, Phillips, Methodological Issues in Psychopharmaceutical Research, American Journal of Orthopsychiatry 46 ( 3 ): 477 ( July 1976 ).en_US
dc.identifier.citedreference68. See Brooks, supra note 56, and discussion in Rennie v. Klein, supra note 53.en_US
dc.identifier.citedreference69. See Group for the Advancement of Psychiatry publication, Pharmaco-Therapy and Psychotherapy: Paradoxes, Problems and Progress, at 173–74 ( 1975 ).en_US
dc.identifier.citedreferenceKlein, Who Should Not be Treated with Neuroleptics But Often Are, in Rational Psychopharmacotherapy and the Right to Treatment ( F. Ayd, ed. 1974 ) See also Carpenter, McGlashan, Strauss, The Treatment of Schizophrenia without Drugs: An Investigation of Some Current Assumptions, American Journal of Psychiatry 134 ( 1 ): 14 ( January 1977 ); Klawans, Goetz, Perlik, Tardive Dyskinesia: Review and Update, American Journal of Psychiatry 137 ( 8 ): 900 ( August 1980 ).en_US
dc.identifier.citedreferenceDr. Jonathan Cole, quoted in Sobel, Something Nasty at the Bottom of the Psychiatric Drug Bottle, New York Times, June 8, 1980, at 20F.en_US
dc.identifier.citedreference72. See Brooks, supra note 5. at 202 (evidence that the level of use of the psychotropic drugs dropped off dramatically in the New Jersey state hospitals after the Rennie decision).en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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