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). |