 Paul S. Appelbaum, M.D. is Professor of Psychiatry and
Director, Division of Psychiatry, Law, and Ethics,
Department of Psychiatry, College of Physicians and
Surgeons of Columbia University. He was previously A.F.
Zeleznik Distinguished Professor of Psychiatry;
Chairman of the Department of Psychiatry; and Director
of the Law and Psychiatry Program at the University of
Massachusetts Medical School. He is the author of many
articles and books on law and ethics in clinical
practice, including four that were awarded the Manfred
S. Guttmacher Award from the American Psychiatric
Association and the American Academy of Psychiatry and
the Law: (with Thomas G. Gutheil, M.D.) The Clinical
Handbook of Psychiatry and the Law (3rd ed., 2000);
Almost a Revolution: Mental Health Law and the Limits
of Change (1994); (with Thomas Grisso, Ph.D.) Assessing
Competence to Consent to Treatment: A Guide for
Physicians and Other Healthcare Professionals (1998);
and (with John Monahan, Ph.D., et. al.) Rethinking Risk
Assessment (2001).
Dr. Appelbaum is Past President of the American
Psychiatric Association, the American Academy of
Psychiatry and the Law, and the Massachusetts
Psychiatric Society, and serves as Chair of the Council
on Psychiatry and Law for the American Psychiatric
Association. He was previously Chair of the Commission
on Judicial Action for the American Psychiatric
Association and a member of the MacArthur Foundation
Research Network on Mental Health and the Law. He is
currently a member of the MacArthur Foundation Network
on Mandatory Outpatient Treatment. He has received the
Isaac Ray Award of the American Psychiatric Association
for "outstanding contributions to forensic psychiatry
and the psychiatric aspects of jurisprudence," was the
Fritz Redlich Fellow at the Center for Advanced Study
in the Behavioral Sciences, and has been elected to the
Institute of Medicine of the National Academy of
Sciences.
Dr. Appelbaum's research interests include informed
consent, decisional competence, research ethics,
prediction and management of violence by persons with
mental illnesses, coercion in medical treatment and
research, and other aspects of law and ethics in
medicine. He performs forensic evaluations in civil and
criminal cases, and treats patients with a broad
variety of problems, including depression, anxiety, and
adjustment problems.
He is a Co-Director of the HIV Center's Ethics and
Policy Core.
EDUCATION
| Columbia
University, New York, NY |
A.B. |
1972 |
Biology |
| Harvard Medical
School, Boston, MA |
M.D. |
1976 |
Medicine |
| Massachusetts
Mental Health Center, MA |
Resident |
1977-80 |
Psychiatry |
| Harvard Law
School, Boston, MA |
Special Student |
1979-80 |
Law |
| University of
Pittsburgh, Pittsburgh, PA |
Special Student |
1983-84 |
Public Health |
PROFESSIONAL EXPERIENCE
| 1977-1980 |
Clinical Fellow
in Psychiatry, Harvard Medical School, Boston,
MA |
| 1980-1984 |
Assistant
Professor of Psychiatry and Law, University of
Pittsburgh School of Medicine and Law,
Pittsburgh, PA |
| 1984 |
Associate
Professor of Psychiatry and Law, University of
Pittsburgh Schools of Medicine and Law,
Pittsburgh, PA |
| 1984 |
Director, Law and
Psychiatry Program, Western Psychiatric
Institute and Clinic, Pittsburgh, PA |
| 1984-1985 |
Director, Program
in Psychiatry and the Law, Massachusetts Mental
Health Center, Boston, MA |
| 1985 |
Associate
Professor of Psychiatry, Harvard Medical
School, Boston, MA |
| 1985-2005 |
A.F. Zeleznik
Professor of Psychiatry, Univ. of Massachusetts
Medical School, Worcester, MA |
| 1985-2005 |
Director, Program
in Psychiatry and Law, Univ. of Massachusetts
Medical School, Worcester, MA |
| 1988-1989 |
Visiting
Interdisciplinary Professor, Georgetown
University Law Center, Washington, DC |
| 1992-2005 |
Chairman,
Department of Psychiatry, University of
Massachusetts Medical School, Worcester,MA |
| 1996-97 |
Fellow, Center
for Advanced Study in the Behavioral Sciences,
Stanford, CA |
| 2006-present |
Dollard Professor
of Psychiatry, Medicine and Law, and Director,
Division of Psychiatry, Law and Ethics,
Department of Psychiatry, Columbia University,
New York, NY |
HONORS AND AWARDS
| 1983 |
Manfred S.
Guttmacher Award of the American Psychiatric
Association (APA) and the American Academy of
Psychiatry and the Law (AAPL) for the
outstanding contribution to the literature of
forensic psychiatry (awarded for Clinical
Handbook of Psychiatry and the Law) |
| 1990 |
Isaac Ray
Award of the American Psychiatric Association
for outstanding contributions to forensic
psychiatry and the psychiatric aspects of
jurisprudence |
| 1993 |
Saleem Shah
Memorial Award of the State Mental Health
Forensic Directors Association for
contributions to forensic mental health
services |
| 1996 |
Manfred S.
Guttmacher Award of APA and AAPL for
outstanding contribution to the literature of
forensic psychiatry (awarded for Almost A
Revolution: Mental Health Law and the Limits of
Change) |
| 1997 |
Edward J.
Strecker, M.D., Award of the Institute of
Pennsylvania Hospital and Jefferson Medical
College for outstanding contributions in the
field of clinical psychiatry. |
| 2000 |
Manfred S.
Guttmacher Award of APA and AAPL for the
outstanding contribution to the literature of
forensic psychiatry (awarded for Assessing
Competence to Consent to Treatment: A Guide for
Physicians and Other Health Professionals) |
| 2000 |
Member,
Institute of Medicine, National Academy of
Sciences |
| 2001 |
C. Charles
Burlingame Award of the Institute of Living for
major contributions to the field of psychiatry |
| 2001 |
Seymour
Pollack Award of the American Academy of
Psychiatry and the Law for distinguished
contributions to the field of forensic
psychiatry |
| 2002 |
Manfred S.
Guttmacher Award of APA and AAPL for the
outstanding contribution to the literature of
forensic psychiatry (awarded for Rethinking
Risk Assessment: The MacArthur Study of Mental
Disorder and Violence) |
| 2002 |
Phillippe
Pinel Award of the International Academy of Law
and Mental Health for outstanding contributions
to scholarship, pedagogy, and leadership in the
field of law and mental health |
PUBLICATIONS
Appelbaum, P.S., & Roth, L.H. (1982).
Competency to consent to research: A psychiatric
overview. Arch Gen Psychiatry, 39, 951-958.
Appelbaum, P.S., Roth, L.H., & Lidz, C. (1982). The
therapeutic misconception: Informed consent in
psychiatric research. Int J Law Psychiatry, 5,
319-329.
Appelbaum, P.S., & Roth, L.H. (1983). The structure
of informed consent in psychiatric research.
Behavioral Sciences and the Law, 1(4), 9 19.
Appelbaum, P.S., Roth, L.H., Lidz, C.W., Benson, P.,
& Winslade, W. (1987). False hopes and best data:
Consent to research and the therapeutic misconception.
Hastings Center Report,17(2), 20-24, 1987;
Letter and reply 17(6), 41-42.
Appelbaum, P.S., & Grisso, T. (1988). Assessing
patients' capacities to consent to treatment. N Engl
J Med, 319,1635-638.
Benson, P.R., Roth, L.H., Appelbaum, P.S., Lidz,
C.W., & Winslade, W.J. (1988). Information disclosure,
subject understanding, and informed consent in
psychiatric research. Law & Human Behavior, 12,
455-475.
Lidz, C.W., Appelbaum, P.S., & Meisel, A (1988). Two
models of implementing informed consent. Arch Intern
Med, 148,1385-1389.
Appelbaum, P.S. (1995). Consent and coercion:
Research with the involuntarily treated person with
mental illness or substance abuse. Accountability in
Research, 4, 69-79.
Appelbaum, P.S., & Grisso, T. (1995). The MacArthur
Treatment Competence Study, I, II, & III: Mental
illness and competence to consent to treatment. Law
and Human Behavior, 19, 105-174.
Grisso, T., & Appelbaum, P.S. (1995). A comparison
of standards for assessing patients' capacities to make
treatment decisions. Am J Psychiatry, 152,1033-1037.
Berg, J.W., Appelbaum, P.S., & Grisso, T. (1996).
Constructing competence: Formulating standards of legal
competence to make medical decisions. Rutgers Law
Review, 48, 345-396.
Appelbaum, P.S., & Grisso, T. (1997). Capacities of
hospitalized, medically ill patients to consent to
treatment. Psychosomatics, 38, 119-125.
Grisso, T., Appelbaum, P.S., & Hill-Fotouhi, C.
(1997). The MacCAT-T: A clinical tool to assess
patients' capacities to make treatment decisions.
Psychiatric Services, 48,1415-1419.
Appelbaum, P.S., Grisso, T., Frank, E., O'Donnell,
S., & Kupfer, D. (1999). Competence of depressed
patients for consent to research. Am J Psychiatry,
156, 1380-1384.
Carpenter, W.T., Gold, J.M., Lahti, A.C., Queern,
C.A., Conley, R.R., Bartko, J,J., Kovnick, J., &
Appelbaum, P.S. (2000). Decisional capacity for
informed consent in schizophrenia research. Arch Gen
Psychiatry, 57, 533-538.
Moser, D.J., Schultz, S.K., Arndt, S., Benjamin,
M.L., Fleming, F.W., Brems, C.S., Paulsen, J.S.,
Appelbaum, P.S., & Andreasen, N.C. (2002). Capacity for
research informed consent in schizophrenia and HIV.
Am J Psychiatry, 159,1201-1207.
Carpenter, W., Appelbaum, P.S., & Levine, R. (2003).
The Declaration of Helsinki and clinical trials: Focus
on placebo-controlled trials in schizophrenia. Am J
Psychiatry, 160, 356-262.
Stroup, S., & Appelbaum, P. (2003). The subject
advocate: An innovation for research participants with
the potential for fluctuating decisionmaking capacity.
IRB: Ethics and Human Research, 25 (3),
9-11.
Appelbaum, P.S., Lidz, C.W., & Grisso, T. (2004).
Therapeutic misconception in clinical research:
Frequency and risk factors. IRB: Ethics and Human
Research, 26(2),1-8.
Kim, S.Y.H., Appelbaum, P.S., Jeste, D.V., & Olin,
J. (2004). Proxy and surrogate consent in geriatric
neuropsychiatric research: Update and recommendations.
Am J Psychiatry, 161, 797-806.
Lapid, M.I., Rummans, T.A., Pankratz, V.S., &
Appelbaum, P.S. (2004). Decisional capacity of
depressed elderly to consent to electroconvulsive
therapy. J Geriatric Psychiatry Neurol, 17,
42-46.
Lidz, C.W., Appelbaum, P.S., Grisso, T., & Renaud,
M. (2004). Therapeutic misconception and the
appreciation of risks in clinical trials. Soc Sci
Med, 58,1689-1697.
Palmer, B.W., Dunn, L.B., Appelbaum, P.S., & Jeste,
D.V. (2004). Correlates of treatment-related decision
making capacity among middle-aged and older patients
with schizophrenia. Arch Gen Psychiatry, 61,
230-236.
Appelbaum, P.S. (2006). Decisional capacity of
patients with schizophrenia to consent to research:
Taking stock. Schizophr Bull, 32, 22-25. |
