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Robert I. Simon - Author

About the Author

Books by Robert I. Simon

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

The American Psychiatric Publishing Textbook of Suicide Assessment and Management

Author: Robert I. Simon Format: Hardback Release Date: 24/06/2012

The second edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Management has been extensively updated and expanded to more thoroughly reflect the challenges clinicians face in assessing and managing suicide risk -- and ultimately in preventing tragedy. The number of chapters has been increased approximately 20%, from 28 to 34. In addition, 22 new chapter authors were recruited for the second edition, representing nearly half of the 50 authors from the first edition, to allow the reader to obtain a more varied and sometimes new point of view. Focusing on core competencies where appropriate, the book offers many new features: An extensively revised organization of sections and chapters to coincide with the natural sequence of events in evaluating and treating patients. Depending on where clinicians are in this series of events, they may more readily access information they need. A robust and entirely new section on suicide prevention that includes chapters on lethal means restrictions, suicide prevention programs, and current research related to prevention A chapter on suicide in the military, which was added to address the critical social challenge of depression and posttraumatic stress disorder in soldiers returningfrom Iraq and Afghanistan An entire chapter on the role of the Internet in subjecting people to intimidation, humiliation, and the exposure of private acts to the public sphere. Cyberbullying is an emergent problem, that clinicians should know about. An extensive review of neurobiological findings related to the risk and completion of suicide, many of which have been reported since the last edition was published A thoughtful discussion of the myriad issues raised by managed care, including split treatment, involving two clinicians managing a patient's care. A thorough exploration of the essential aspects of suicide risk assessment. Unlike physicians in other fields, psychiatrists treating patients at risk for suicide do not have access to diagnostic procedures and laboratory tests to assist them. With this new edition of The American Psychiatric Publishing Textbook of Suicide Assessment and Management, clinicians can hone their assessment skills and ensure that their knowledge of suicide assessment and management is current, evidence-based, and comprehensive. When dealing with patients at risk for self-harm, nothing less will do.

Preventing Patient Suicide Clinical Assessment and Management

Preventing Patient Suicide Clinical Assessment and Management

Author: Robert I. Simon Format: Paperback / softback Release Date: 23/10/2010

Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of imminent suicide risk and the myth of passive suicide ideation . Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

Study Guide to Forensic Psychiatry A Companion to The American Psychiatric Publishing Textbook of Forensic Psychiatry

Study Guide to Forensic Psychiatry A Companion to The American Psychiatric Publishing Textbook of Forensic Psychiatry

Author: Robert I. Simon, Robert E. Hales Format: Paperback / softback Release Date: 06/05/2010

Study Guide to Forensic Psychiatry is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Forensic Psychiatry, Second Edition. The Study Guide is made up of 139 questions divided into 23 individual quizzes of 5-10 questions each that correspond to chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that not only addresses the correct response but also explains why other responses are not correct. The Study Guide's companion, The American Psychiatric Publishing Textbook of Forensic Psychiatry, Second Edition is a versatile resource that is valuable not only for practicing psychiatrists (both the general clinician and the forensic specialist) but also for psychiatric residents, those enrolled in forensic fellowship programs, and other mental health professionals. Organized around case examples and featuring an index of legal cases, the book provides the context clinicians require to navigate the legal system, understand their role as expert witnesses, and practice professionally and ethically.

The American Psychiatric Publishing Textbook of Forensic Psychiatry

The American Psychiatric Publishing Textbook of Forensic Psychiatry

Author: Robert I. Simon Format: Hardback Release Date: 03/05/2010

The new, second edition of this comprehensive text boasts coverage that is both expanded and reconfigured to focus on the most critical topics and the most up-to-date approaches in forensic psychiatry. The first edition rapidly became the gold standard in this maturing discipline because it was the first textbook designed and written for both the general clinician and the forensic psychiatrist. This edition retains that versatility and extends its scope to include new issues in the field. New features include: A chapter on forensic geriatric psychiatry, a topic that grows in importance as our population ages A chapter on forensic psychiatry and the Internet, which poses questions and raises issues that become more salient every day An extensively revised chapter on psychological testing that addresses the administration and interpretation of the most current instruments in use in the field. In addition, the Textbook has preserved the features that made it so successful in its first edition, updating them to reflect current knowledge and practice. These include: An index of legal cases that provides the foundational knowledge and navigational tools to identify relevant precedents easily Chapters that are organized around case examples and include reviews of key concepts, practical guidelines, and references for further reading. A study guide is also available to assist in teaching or preparing for the forensic board examination A revised and updated chapter on ethics that takes into account the ongoing evolution and clarification of the ethical role of forensic psychiatrists Thorough coverage of what it takes to set up and manage a forensic practice and deal with key players in law enforcement and the legal system Detailed information about the role and responsibilities of the expert witness A survey of the different categories of legal cases, including malpractice, disability, competency, and criminal A detailed glossary of legal terms Practicing psychiatrists, psychiatric residents, and those enrolled in forensic fellowship programs, as well as other mental health professionals, will find The American Psychiatric Publishing Textbook of Forensic Psychiatry, Second Edition a well-organized, truly practical text and reference.

Bad Men Do What Good Men Dream A Forensic Psychiatrist Illuminates the Darker Side of Human Behavior

Bad Men Do What Good Men Dream A Forensic Psychiatrist Illuminates the Darker Side of Human Behavior

Author: Robert I. Simon, Thomas G. Gutheil Format: Paperback / softback Release Date: 23/04/2008

Robert Simon's Bad Men Do What Good Men Dream: A Forensic Psychiatrist Illuminates the Darker Side of Human Behavior is that rare title that is both essential reading for the mental health professional and accessible in style and content to the fascinated lay reader. In twelve powerful and provocative chapters, the author introduces readers to a psychological perspective on evil, character and destiny, as well as the making of good men and women. Simon also illuminates the psychology of psychopaths, serial killers, rapists and all manner of evil characters who appall and challenge us by their very existence. He rejects the common belief that his subjects are monsters with nothing in common with the more normal among us. Simon posits that if we deny our dark side, it can only obscure our understanding of violent offenders and impede our ability to both know ourselves and control our own, at times, unacceptable impulses. The author is among the foremost experts in forensic psychiatry. He is Director of the Program in Psychiatry and Law at Georgetown University School of Medicine. Author or co-author of more than two dozen books and editions, including the foundational Textbook of Forensic Psychiatry, Simon has made important contributions to the field of forensic psychiatry for more than 30 years. He is also an eloquent writer with a dramatic, yet nuanced, narrative style that takes the reader inside the mind of the evildoer. The first edition of this groundbreaking work garnered uniformly superlative reviews and was translated into several languages. This updated version retains Simon's engrossing portrayals and keen insight, while offering a number of key enhancements. The highlights include: Explorations of the Internet and violence, corporate psychopaths, cyberstalkers, perpetrators of school violence, and a new cast of serial killers, terrorists, and other evildoers. A psychological perspective on evil, serial killers, and us. Updates on the neuroscience and genetics of deviant behaviors. Reflections on empathy, character, and destiny: the making of good men and women. A new foreword by Thomas G. Gutheil, M.D., Professor of Psychiatry and Co-Founder, Program in Psychiatry and the Law at Harvard Medical School, that illuminates Simon's thesis and grounds it in historical context. Graphic but never sensational, unsparing but never cold, Simon's writing transcends the theoretical and achieves that most difficult of aims: leading readers to discover, contain, and transform the darkness within us all, to the betterment of our human condition.

Clinical Manual of Psychiatry and Law

Clinical Manual of Psychiatry and Law

Author: Robert I. Simon, Daniel W. Shuman Format: Paperback / softback Release Date: 06/12/2006

In their latest collaboration, Clinical Manual of Psychiatry and Law, noted forensic psychiatrist Dr. Robert Simon and legal scholar Daniel Shuman, both recipients of the Guttmacher Award, have created a unique, practical reference to enable psychiatrists to transform the impact of the law on their clinical practices from an adversary to a working partner. In lieu of scare tactics or horror stories, Dr. Simon and Professor Shuman clearly explain not only what the law requires and why but how best to integrate its requirements to enhance clinical practice and reduce the risk of successful tort claims. They have written a clear, comprehensible, and accessible volume that will guide practitioners through the thickets of the law and benefit their clinical practices. This volume covers a wide range of topics, from confidentiality, privilege, informed consent and the right to refuse treatment to treatment boundaries, involuntary hospitalization, seclusion and restraint, management of violent as well as suicidal patients, and the additional requirements which apply to the treatment and evaluation of minors or persons with mental disabilities. It also includes the tort (i.e., negligence, intentional harm) claims that arise from a breach of the law's expectations. The content reflects the latest legal precedents concerning such topics as: Establishment of the doctor-patient relationship and liability for damages caused by its breach, including new rulings governing confidentiality and testimonial privileges Case law regarding informed consent -- especially the issue of competency when dealing with minors or persons with mental disabilities New rules and regulations restricting the use of seclusion and restraint Guides to the most recent laws regarding involuntary hospitalization and emergency commitment Insights into recent state court decisions concerning disclosures by therapists of threats of harm by patients against others, including such issues as conflicts between the duty to maintain confidentiality and the duty to protect Reviews of recent legislation proscribing sexual misconduct or prosecuting sexual exploitation of patients under existing rape or sexual assault laws Clinicians will find this wealth of knowledge immediately practical and lawyers will appreciate its in-depth treatment of complex psychiatric issues. With extensive references and a glossary of legal terms, Clinical Manual of Psychiatry and Law deserves a place among the top legal references for mental health professionals.

Study Guide to Forensic Psychiatry A Companion to the American Psychiatric Publishing Textbook of Forensic Psychiatry

Study Guide to Forensic Psychiatry A Companion to the American Psychiatric Publishing Textbook of Forensic Psychiatry

Author: Robert I. Simon, Liza H. Gold Format: Paperback / softback Release Date: 01/04/2006

Study Guide to Forensic Psychiatry is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Forensic Psychiatry. The Study Guide is made up of 115 questions divided into 23 individual quizzes of 5-10 questions each that correspond to chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that not only addresses the correct response but also explains why other responses are not correct. The Study Guide's companion, The American Psychiatric Publishing Textbook of Forensic Psychiatry is the first reference designed and written for both the general clinician and the experienced forensic psychiatrist. Twenty-eight recognized experts introduce the forensic subjects that commonly arise in clinical practice. Each chapter is organized around case examples and includes a review of key concepts, practical guidelines, and references for further reading. This practical textbook makes this interesting specialty accessible to trainees and seasoned practitioners. Purchase the online version of the Study Guide at http://cme.psychiatryonline.org and receive instant scoring and CME credits. Please note that scoring of the exam and CME credit are available only if you purchase the online version.

Assessing and Managing Suicide Risk Guidelines for Clinically Based Risk Management

Assessing and Managing Suicide Risk Guidelines for Clinically Based Risk Management

Author: Robert I. Simon Format: Hardback Release Date: 03/10/2003

Patient suicide is an unavoidable occupational hazard of psychiatric practice. Indeed, it is the rare clinician who does not struggle, even agonize, over the complex task of assessing and managing the risk of suicide in patients. Patient suicides account for the greatest number of malpractice suits filed against psychiatrists and for the greatest number of settlements and verdicts covered by professional liability insurers. In this book, written by a clinician for clinicians, Dr. Simon, an established expert in psychiatry and law, offers A solid, easy-to-understand review of how medical malpractice law applies to patient suicides. He discusses the standards of care physicians must meet, the conditions associated with malpractice liability, and how best to minimize risks of litigation. Extensive references to peer-reviewed literature on suicide and recent malpractice cases, including those triggered by patient suicides, which give insight into the latest developments in both the scientific community and the courts. Much-needed practical advice, including advice on working with suicide risk assessments and suicide prevention contracts, on treating suicidal patients in various settings (outpatient, inpatient, collaborative, and emergency), and on coping with issues arising in the aftermath of a patient's suicide (documentation, confidentiality, and survivor care). Clearly defined risk management guidelines that will help clinicians avoid litigation or establish a sound legal defense if sued for malpractice. Numerous case examples that make the theoretical discussions and clinically based risk management guidelines that follow come alive. Rich in advice that draws on the author's more than 40 years of clinical experience, this book serves as an essential aid to clinicians.

Assessing and Managing Suicide Risk Guidelines for Clinically Based Risk Management

Assessing and Managing Suicide Risk Guidelines for Clinically Based Risk Management

Author: Robert I. Simon Format: Paperback / softback Release Date: 30/09/2003

Patient suicide is an unavoidable occupational hazard of psychiatric practice. Indeed, it is the rare clinician who does not struggle, even agonize, over the complex task of assessing and managing the risk of suicide in patients. Patient suicides account for the greatest number of malpractice suits filed against psychiatrists and for the greatest number of settlements and verdicts covered by professional liability insurers. In this book, written by a clinician for clinicians, Dr. Simon, an established expert in psychiatry and law, offers A solid, easy-to-understand review of how medical malpractice law applies to patient suicides. He discusses the standards of care physicians must meet, the conditions associated with malpractice liability, and how best to minimize risks of litigation. Extensive references to peer-reviewed literature on suicide and recent malpractice cases, including those triggered by patient suicides, which give insight into the latest developments in both the scientific community and the courts. Much-needed practical advice, including advice on working with suicide risk assessments and suicide prevention contracts, on treating suicidal patients in various settings (outpatient, inpatient, collaborative, and emergency), and on coping with issues arising in the aftermath of a patient's suicide (documentation, confidentiality, and survivor care). Clearly defined risk management guidelines that will help clinicians avoid litigation or establish a sound legal defense if sued for malpractice. Numerous case examples that make the theoretical discussions and clinically based risk management guidelines that follow come alive. Rich in advice that draws on the author's more than 40 years of clinical experience, this book serves as an essential aid to clinicians.

Clinical Psychiatry and the Law

Clinical Psychiatry and the Law

Author: Robert I. Simon Format: Paperback / softback Release Date: 12/09/2003

Updates to this edition: Clinical and legal issues in the use of clozapine in treatment of schizophrenia Clinical information and new cases involving tardive dyskinesia Changes in civil and criminal law regarding right to refuse treatment An update of clinical guidelines and legal regulations of ECT An update on suicide risk assessment and new legal cases involving suicide An update on violence risk assessment and new legal cases involving the duty to protect endangered third parties New statutes and criminal sanctions regarding sexual misconduct New statutes limiting the liability of therapists toward third parties who are injured or killed by patients Changes in the relationship between psychiatrists and nonmedical therapists Regulatory developments regarding physician impairment Numerous tables and an updated glossary of legal terms New section on common terms and abbreviations in legal citations

Posttraumatic Stress Disorder in Litigation Guidelines for Forensic Assessment

Posttraumatic Stress Disorder in Litigation Guidelines for Forensic Assessment

Author: Robert I. Simon Format: Hardback Release Date: 30/10/2002

The terrorist attacks on the World Trade Center in September 2001 turned PTSD into a household word. But posttraumatic stress disorder has been documented throughout history: For example, as long ago as 1666, Samuel Pepys wrote in his diary that he still had night terrors 6 months after the great fire of London. PTSD, officially recognized as a diagnosis by DSM-III in 1980, is only the most recent term used to describe the suffering of trauma victims. Few could have foreseen its profound impact on litigation. Often dubbed the black hole of litigation -- where allegations are relatively easy to assert but difficult to defend because the symptoms are subjective -- PTSD has deeply influenced civil and criminal law in cases ranging from malpractice and personal injury to sexual harassment and child abuse. It is thus vital for all legal parties involved that forensic examiners perform credible psychiatric and psychological examinations of PTSD claimants. Intended to add direction and discipline to the forensic assessment of PTSD litigants, this expanded second edition begins with an updated chapter on current and future trends for the role of PTSD in litigation. Chapter 2 notes the increasing evidence that exposure to multiple events not only is more common than previously thought but also increases the risk for development of PTSD following the target event. Chapter 3 details diagnostic criteria and guidelines for the forensic psychiatric examination of the PTSD claimant. Most literature discusses PTSD in adults. Chapter 4 offers a rare perspective on PTSD in children and adolescents, including parental response to the trauma, developmental effects, and delayed onset symptoms. Forensic assessment of PTSD claimants is presented in Chapter 5, followed by new chapters on disability determinants (how PTSD impairs occupational functioning) and PTSD in the workplace, where the causal relationship between employment stress and a resulting mental or emotional disorder must be determined. Chapter 8 covers guidelines for malingering in PTSD, where the claimant may be motivated by financial gain or by a reduced charge resulting from an insanity defense. A new chapter on forensic laboratory testing in PTSD presents the tantalizing potential of psychophysiologic measurement to redeem the PTSD diagnosis from its daunting subjectivity. This essential collection by 13 U.S. experts sheds important new light on forensic guidelines for effective assessment and diagnosis and determination of disability, serving both plaintiffs and defendants in litigation involving PTSD claims. Mental health and legal professionals, third-party payers, and interested laypersons will welcome this balanced approach to a complex and difficult field.

Retrospective Assessment of Mental States in Litigation Predicting the Past

Retrospective Assessment of Mental States in Litigation Predicting the Past

Author: Robert I. Simon Format: Hardback Release Date: 14/03/2002

Why did the defendant do it? Mental health professionals are asked to help courts answer this question. To serve justice, the law calls for evidence of the mental state at the time a crime is committed, of suicide intent in civil litigation, and of mental capacity in contract litigation. The law asks psychiatrists and psychologists to retrospectively determine mental states -- a daunting task made even more difficult by the passage of time, the uncertain credibility of witnesses, the paucity of collateral sources of information, and often the death of the person in question. This is the first book dedicated entirely to the retrospective assessment of mental states. This fascinating book explores the role of the psychiatrist and psychologist, as an expert witness in litigation, in rendering a retrospective judgment of an individual's mental state. Distinguished contributors apply their expertise in psychiatry, psychology, and the law to address the problems of retrospective assessment. With the goal of developing guidelines for more accurate retrospective assessment of mental states, they present topics such as Guidelines for conducting retrospective assessments in children and adults Guidelines for the retrospective assessment without benefit of direct examination Assessments of suicide cases in both civil and criminal litigation Psychological testing and interviewing techniques that may assist in retrospective assessment Methods and analysis to help clinicians and attorneys critically evaluate the search for truth about the past. This remarkable book will prove indispensable for helping clinicians, lawyers, and judges better understand the complex and difficult process of retrospective reconstruction of mental states.

Psychiatric Malpractice Cases and Comments for Clinicians

Psychiatric Malpractice Cases and Comments for Clinicians

Author: Robert I. Simon, Robert L. Sadoff Format: Hardback Release Date: 30/04/1992

What are the facts about psychiatric malpractice? Is it increasing? If so, how rapidly? What areas of psychiatric practice pose higher risks of legal liability? The anxieties and uncertainties created by the increased threat of being sued for malpractice can interfere with the psychiatrist's provision of good clinical care. Through a general overview -- as well as a discussion of specific legal cases -- this volume presents the major malpractice traps encountered in everyday psychiatric practice.

American Psychiatric Press Review of Clinical Psychiatry and the Law

American Psychiatric Press Review of Clinical Psychiatry and the Law

Author: Robert I. Simon Format: Hardback Release Date: 01/10/1991

In keeping with previous volumes in this series, this latest edited collection addresses emerging legal pressure points in clinical psychiatric practice. Supported by recent references to case law, case vignettes, and useful assessment tools, this volume offers guidelines to clinicians on such issues as establishing an appropriate standard of disclosure in informed consent, dealing with the problem of dual loyalties, assessing patient suicide risk, and following proper procedure in the event a patient does commit suicide.