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Robert Klitzman, M.D.
Research Scientist
Associate Professor of Clinical Psychiatry

TEL: (212) 543-3710
FAX: (212) 543-6003

last update: 3/13/07

 

Robert Klitzman, M.D., is the Director of the Ethics and Policy Core of the HIV Center. He co-founded and for five years co-directed the Columbia University Center for Bioethics, and is a member of the Division of Psychiatry, Law and Ethics in the Department of Psychiatry. Using inter-disciplinary methods drawing on medical sociology, medical anthropology, and medical ethics, he has studied several areas related to HIV and other disorders. His book, Being Positive: The Lives of Men and Women With HIV, examined the meanings of HIV infection, the ways in which individuals living with HIV find sources of hope in their lives, and the ways the virus alters individuals' identities and social and moral worlds. He has conducted research with Ronald Bayer, Ph.D. on self-disclosure of HIV serostatus to sexual partners and others, examining how individuals - both heterosexual and gay - make decisions about whether, what, when, and to whom to disclose. Mortal Secrets: Truth and Lies in the Age of AIDS, their book based on this work, contextualizes approaching policy issues concerning partner notification and other areas. The Trembling Mountain: a Personal Account of Kuru, Cannibals, and Mad Cow Disease explores cross-cultural responses to epidemics. His books A Year-Long Night: Tales of a Medical Internship, and In a House of Dreams and Glass: Becoming a Psychiatrist examine psychological, social and ethical issues that arise in medicine and psychiatry, respectively. His book, When Doctors Become Patients, was published in Fall 2007 by Oxford University Press. He has written numerous articles investigating issues facing HIV infected health care workers, ways gay men and lesbians communicate about their sexual orientation to their health care providers, gay men's use of MDMA ("ecstasy") and its relationship to unsafe sex and other variables, dilemmas raised by genetic testing, and issues faced by IRBs in decision-making concerning HIV and other research areas, both domestically and internationally. He has been the recipient of a Mentored Clinical Scientist Award (K08) from NIMH, and received several awards for his work, including Fellowships from the Russell Sage Foundation, the Commonwealth Fund, and the Rockefeller Foundation.

EDUCATION

Princeton University, Princeton, NJ B.A. 1980 History
Yale University School of Medicine, New Haven, CT M.D. 1985 Medicine

PROFESSIONAL EXPERIENCE

1979 Medical Aide, Centre de Recherche Medical de Forcilles, Brie-Comte-Robert, France
1985-1986 Intern, New York Hospital-Cornell University Medical Center, New York, NY
1986 New York State License # 168061-1
1986-1989 Psychiatry Resident, Payne Whitney Clinic, The New York Hospital-Cornell University Medical Center, New York, NY
1986-1989 Medical Student Supervisor, Cornell University Medical Center, New York, NY
1988 Assistant Unit Chief, Inpatient Research Unit, Payne Whitney Clinic, The New York Hospital-Cornell University Medical Center, New York, NY
1989 Assistant Unit Chief, Outpatient Department, Payne Whitney Clinic, The New York Hospital-Cornell University Medical Center, New York, NY
1989-1990 Fellow, Public Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY
1989-1995 Peer Reviewer, Milbank Quarterly
1989-present Peer Reviewer, JAMA, American Journal of Public Health
1990-1993 Fellow, HIV Center for Clinical and Behavioral Studies, Columbia University and New York Psychiatric Institute, New York, NY
1991-1993 Robert Wood Johnson Foundation Clinical Scholar, University of Pennsylvania, Philadelphia, PA
1993-1995 Resident Preceptor, Department of Psychiatry, Columbia University, New York, NY
1993-1996 Aaron Diamond Foundation Postdoctoral Research Fellow, Columbia University, New York, NY
1993-1996 Co-Investigator, Ethics, Policy, and Legal Core, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, New York, NY
1993-present Adjunct Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA
1993-present Co-Investigator, Psychosocial/Qualitative Assessment Core, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, New York, NY
1994-1995 Mentor, Postdoctoral Research Fellowship Training Program, Columbia University, New York, NY
1996-2003 Assistant Professor of Clinical Psychiatry, Department of Psychiatry, Columbia University, New York, NY
2000-2003 Assistant Professor, Mailman School of Public Health, Columbia University, New York, NY
2000-present Editorial Board, Journal of Homosexuality
2001-2006 Co-Director, Center for Bioethics, Columbia University, New York, NY
2003-present Associate Professor of Clinical Psychiatry, (in Sociomedical Sciences), College of Physicians and Surgeons and Mailman School of Public Health, Columbia University, NY, NY
2004-present Director, Ethics and Policy Core, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, NY, NY

HONORS AND AWARDS 

1977 Lyndon Baines Johnson Honorary Internship, U.S. House of Representatives
1981 Dupont Fellow, Yale University School of Medicine
1985 The Keese Prize, (Outstanding Medical School Thesis), Yale University Medical School
1986 Diplomate, National Board of Examiners
1987-1989 Burroughs-Wellcome Fellow, American Psychiatric Association
1989 Selected for Who's Who in the East
1989 Selected for Contemporary Authors
1990 Diplomate, American Board of Psychiatry and Neurology
1991 MacDowell Colony Fellow
1993 "Best Science Book of the Year," Association of American Publishers , (for textbook in which chapter was included)
1994, 2001 Merck Company Foundation Fellow, Corporation of Yaddo
1994 Award for Best Research Paper by a Fellow, HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University
1996-1999 Picker-Commonwealth Scholar Award
1999-2000 Visiting Scholar, Russell Sage Foundation
2001 Selected for Who's Who in the World
2003 Rockefeller Foundation, Individual Residency, Bellagio
2004 Finalist, Lambda Literary Award
2004 Nominee, Pulitzer Prize

PUBLICATIONS

Klitzman, R. Review of Richard Selzer's Letters to A Young Doctor, Yale Journal of Biology and Medicine, 56(1): 59-60, 1983.

Klitzman, R. Review of Lewis Thomas' The Youngest Science, Yale Journal of Biology and Medicine, 56(3): 263 264, 1983.

Klitzman, R., Alpers, M., Gajdusek, D.C. The Natural Incubation Period of Kuru and the Episodes of Transmission in Three Clusters of Patients. Neuroepidemiology, 3:3-20, 1984.

Klitzman, R. Letter to the Editor, The New York Times Book Review, November 9, 1986, p. 65.

Klitzman, R. "Stay Tuned," New York Doctor, 2(6): 23, 1989.

Klitzman, R. A Year-long Night: Tales of a Medical Internship, New York: Viking Press, 1989. Paper Edition: New York: Penguin Books, 1990.

Klitzman, R. Review of Lisa Belkin's First, Do No Harm, Princeton Alumni Weekly, October 13, 1993, p. 24-25.

Klitzman, R. and Perry, S. Psychiatric Complications in the Critically Ill. In Surgical Intensive Care, eds. Shires G.T. and Barie P. Boston: Little, Brown and Co., 1993, 1247-62.

Klitzman, R. Review of Edward Shorter's From The Mind Into The Body, New York Times Book Review, January 16, 1994, p. 22.

Klitzman, R. Review of Frederic Hafferty's Into The Valley: Death and the Socialization of Medical Students, Journal of General Internal Medicine, 9(2): 120, 1994.

Bodkin, A., Klitzman, R., Pope, H.: Treatment orientation and associated characteristics among North American academic psychiatrists. Journal of Nervous and Mental Disorders, 184:729-735, 1995.

Klitzman, R. That Way Madness Lies, New York Times, March 4, 1995, Op-Ed page.

Klitzman, R. Sketching Books. In Introduction, The Sketch Books of Melissa Meyer, New York: The Metropolitan Museum of Art, 1997.

Klitzman, R.: In a House of Dreams and Glass: Becoming a Psychiatrist. New York: Simon and Schuster, 1995. Paperback edition: New York: Fawcett Books. 1996.

Klitzman, R.: Being Positive: The Lives of Men and Women with HIV. Chicago: Ivan R. Dee, Inc., 1997.

Klitzman, R.: Disclosure. In: R.A. Smith (Ed.), Encyclopedia of AIDS: A Social, Political, Cultural, and Scientific Record of the Epidemic. Chicago and London: Fitzroy-Dearborn, Inc., pp. 181-182, 1998.

Klitzman, R.: The Trembling Mountain: Kuru, Cannibals and Mad Cow Disease. New York: Plenum, 1998, paperback edition, 2001, Japanese edition: Hosei University Press, 2003.

Klitzman, R., Bodkin, A., Pope, H.: Sexual orientation and associated characteristics among North American academic psychiatrists. The Journal of Sex Research, 35:282-287, 1998.

Klitzman, R.: Self-disclosure of HIV-status to sexual partners: A qualitative study of issues faced by gay men. Journal of the Gay and Lesbian Medical Association, 3:39-39, 1999.

Klitzman, R.: Sorcery and science: Responses to Kuru and other epidemics. Western Journal of Medicine, 171:204-6, 1999.

Klitzman, R., Pope, H.G., Hudson, J.I.: MDMA abuse and high-risk sexual behaviors among 169 gay and bisexual men. American Journal of Psychiatry, 157:1162-4, 2000.

Klitzman, R.: The social and moral commitments of a physician writer. In: C.M. Messikomer, J.P. Swazey, et al. (Eds.), Society and Medicine: Essays in Honor of Renee C. Fox. New Brunswick: Transaction, 2002.

Klitzman, R. "Missing..." Doubletake, 8(2): 18-23, 2002.

Klitzman, R. Letter to the Editor, "Fighting Crime, Risking Privacy," New York Times, May 13, 2002, p. A16.

Klitzman, R. "When Grief Takes Hold Of the Body," Science Times Section, New York Times, September 10, 2002, p. F5.

Klitzman, R., Greenberg, J., Dolezal, C., Pollack, L.: MDMA ("Ecstasy") use and its association with high risk behaviors, mental health and other factors among gay/bisexual men in NY City. Drug and Alcohol Abuse, 66:115-125, 2002.

Klitzman, R., Greenberg, J.: Patterns of communication between gay and lesbian patients and their health care providers. Journal of Homosexuality, 42:65-75, 2002.

Lazzarini, Z., Klitzman, R.: HIV and the law. Journal of Law, Medicine and Ethics, 30:533-547, 2002.

Klitzman, R. "Questions That Have No Answers," Science Times Section, New York Times, January 21, 2003, p. F5.

Klitzman, R. "With Disease, Fear Knows No Cultural Boundaries," Science Times Section, New York Times, May 13, 2003, p. F6.

Klitzman, R. "Seeing Risk and Reward Through a Patient's Eyes," Science Times Section, New York Times, May 27, 2003, p. F7.

Klitzman, R., Bayer, R.: Mortal Secrets: Truth and Lies in the Age of AIDS. Baltimore: Johns Hopkins, 2003.

Klitzman, R., Bayer, R.: Tell it slant: Sex, disclosure and HIV. Studies in Gender & Sexuality, 4:227-262, 2003.

Klitzman, R. "A Timely Lesson in Horror Unvarnished," Science Times Section, New York Times, October 26, 2004, p. F5.

Klitzman, R., Kirshenbaum, S., Kittel, L., et al.: Intricacies and inter-relationships between HIV disclosure and HAART: A qualitative study. AIDS Care, 16:628-640, 2004.

Klitzman, R., Kirshenbaum, S., Kittell, L., Morin, S.F., Daya, S., Mastrogiacomo, M., Rotheram, M.J.: Naming names: Perceptions of name-based HIV reporting, partner notification, and criminalization of non-disclosure among persons living with HIV. Sexuality Research and Social Policy, 1:38-57, 2004.

Klitzman, R., Daya, S.: A scientific bent: Challenges and changes in spirituality faced by doctors who become patients. Social Science and Medicine, 61(11):2396-2406, 2005.

Klitzman, R.: Selected topics in clinical neuroethics. In: J. Illes (Ed.), Neuroethics. NY: Oxford U. Press, 2005.

Klitzman, R.: The importance of social, cultural, and economic contexts, and empirical research in examining "undue inducement." American Journal of Bioethics (AJOB), 5(5):19-21, 2005.

Klitzman, R., Siragusa, J.: Contexts, anyone?: The need for contextualization in the debate about the moral status of embryos. American Journal of Bioethics (AJOB), 5(6):56, 2005.

Klitzman, R. "Genetic Testing Creates New Versions of Ancient Dilemmas," Health & Fitness Section, The New York Times, January 17, 2006, p.F5.

Klitzman, R. Views of Risks and Benefits Among Doctors Who Become Patients, Patient Education and Counseling, Patient Education and Counseling, 64:277-284, 2006. January 20, 2006.

Klitzman, R. Milestones: Antoni Van Leeuwenhoek, FRS on Vermeer: A Figment of the Imagination, The FASEB Journal, 20: 591-594, 2006.

Klitzman, R.: Complications of culture in obtaining informed consent. American Journal of Bioethics, 6(1): 20-21, 2006.

Klitzman, R.: Qualifying confidentiality: Historical and empirical issues and facts. American Journal of Bioethics, 6(2): 26-27, 2006.

Krosin, M., Klitzman, R., Levin, B., Cheng, J., Ranney, ML. Problems in comprehension of informed consent in rural and peri-urban Mali, West Africa. Clinical Trials, 3(3): 306-313, 2006.

Klitzman, R., Weiss, J., Daya, S. From "Male Bonding Rituals" to "Suicide Tuesday": A Qualitative Study of MDMA Use among Gay Men, Journal of Homosexuality, 51(3), 2006.

Klitzman, R. Improving Education on Doctor-Patient Relationships and Communication: The Views of Doctors Who Become Patients, Academic Medicine, 81(5): 447-453, 2006.

Klitzman, R. Views and approaches toward risks and benefits among doctors who become patients, Patient Education and Counseling, 64:61-68, 2006.

Klitzman, R. "Post-residency disease" and "the medical self": Identity and work among doctors who become patients, Perspectives in Biology and Medicine, 49(4): 542-552, 2006.

Klitzman, R., Weiss, J. Disclosures of illness by physicians to their patients: A qualitative study of doctors with HIV and other serious disorders. Patient Education and Counseling, 64:277-284, 2006.

Klitzman, R. Questions, complexities, and limitations in disclosing individual genetic test results. American Journal of Bioethics, 6(6):34-36, 2006.

Klitzman, R. Pleasing Doctors: When it gets in the way. BMJ 2007;335:514 (September 8 2007)

Klitzman, R. Additional implications of a national survey on ethics consultation in U.S. hospitals. American Journal of Bioethics, 7(2):47-48, 2007.

Klitzman, R. Views of the process and content of reviews of HIV vaccine trials among members of US Institutional Review Boards and South African Research Ethics Committees. Developing World Bioethics, 2007, available on-line at: http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1471-8847.2007.00189.x

Klitzman, R., Exner, T., Kirshenbaum, S.B., Remien, R., Ehrhardt, A.A., Kelly, J.A., Weinhardt, L.S., Catz, S. Johnson, M.O., Morin, S.F., Rotheram-Borus, M.J., Lightfoot, M., & Charlesbois, E. It's not just what you say: Relationships of HIV disclosure and risk reduction. AIDS Care, 19(6): 749-756, 2007.

Klitzman, R., Thorne, D., Williamson, J. Chung, W., & Marder, K. Decision-making about reproductive choices among individuals at-risk for Huntington's Disease. Journal of Genetic Counseling, 16(3): 347-362, 2007.

Klitzman, R. "Patient-time," "doctor-time," and "institution-time": Perceptions and definitions of time among doctors who become patients. Patient Education and Counseling, 66(2): 147-155, 2007.

Klitzman, R., Thorne, D., Williamson, J., & Marder, K. The roles of family members, health care workers and others in decision-making processes about genetic testing among individuals at risk for Huntington's Disease. Genetics in Medicine, 9(6): 358-371, 2007.

Klitzman, R., Thorne, D., Williamson, J., Chung, W., & Marder, K. Disclosures of Huntington's Disease risk within families: Patterns of decision-making and implications, American Journal of Medical Genetics, 143:1835-1849, 2007.

Klitzman, R., Siragusa, J., Albala, I., Appelbaum, P. The reporting of compensation in research articles. Journal of Empirical Research on Human Research Ethics. 2(4): 61-67, 2007.

Klitzman, R., Albala, I., Siragusa, J., Appelbaum, P. The reporting of compensation and risks on research recruitment websites. IRB , 30(1), Jan-Feb, 2008, 15-20.

Klitzman, R., Marhefka, S., Mellins, C., Wiener, L. Ethical issues concerning disclosures of HIV diagnoses to perinatally-infected children and adolescents. Journal of Clinical Ethics, 19(1): 31-57, 2008.

Klitzman, R., Appelbaum, P, and Chung, W., Anticipating issues related to increasing Pre-implantation genetic diagnosis use: A research agenda. Reproductive Biomedicine. 17(1), 2008. http://www.rbmonline.com/4DCGI/Article/Detail?38%091%09=%203517%09

Klitzman, R., Zolovska, B., Folberth, W., Chung, W., Sauer, M., Appelbaum, P, Presentations on IVF Clinic Websites of Information on Pre-implantation Genetic Diagnosis: Ethics, Risks and Benefits. Fertility and Sterility (In press).

Klitzman, R. Kuru Field Work: 1981, and Beyond. Transactions of the Royal Society (in press).

Appelbaum, P., Lidz, C., and Klitzman, R., Voluntariness of Consent to Research: A Conceptual Model. Hastings Center Report (In press).

HIV Center for Clinical and Behavioral Studies
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