Paul Appelbaum
@appelbap
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Dollard Professor of Psychiatry, Medicine & Law @ColumbiaPsych Legal and ethical issues in medicine, forensic psychiatry, genetic ethics
Joined March 2011
Mendelian imputation is a promising method for imputing missing parental genotypes and estimating direct genetic effects. But so far there has been little reflection on its legal and ethical implications, which we consider here:
osf.io
Mendelian imputation is a promising method for imputing missing parental genotypes and estimating direct genetic effects. While the method has clear scientific benefits, so far there has been little...
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RT @ColumbiaEthics: 🧬 What happens when a genetic therapy is made for just one patient? How do we support and regulate development?.In @JME….
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An important alert on the implications of an Executive Order on "gold standard science" that many of us may have missed:
thehastingscenter.org
The United States has never had a situation in which political and ideological nonscientists got the last word about what is credible science. The direct political oversight of science represented in...
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What do we know about how mental illness affects pretrial defendants' chances of reoffending or failing to appear for trial? Answer: Not very much. See our new article: A Scoping Literature Review of Mental Illness in Decisions Regarding Pretrial Release
jaapl.org
Judges generally make pretrial release decisions based on the risk that a defendant will miss court appearances or pose a danger to the community; for criminal cases initiated in state courts, this...
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RT @ColumbiaEthics: 🆕 New from affiliated faculty Prof. Paul Appelbaum @appelbap in Psychiatric Services:."Medical Malpractice: Coming Chan….
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RT @JAMAPsych: "There is an urgent need for research on strategies to manage psychiatric disorders associated with restricted reproductive….
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Our analysis of the impact of abortion restrictions on mental health in pregnancy, just out today:
jamanetwork.com
This Special Communication addresses the concerns that psychiatrists and other mental health professionals can have when assisting patients who are facing psychiatric disorders associated with...
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Our systematic review or the literature on the psychosocial impacts of autism-related genetic testing is now online (in preprint format) at JAACAP:
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The capacity of newborn genomic screening to identify risks for conditions without effective treatments, along with diseases that may develop much later in life, can create challenges for parents and offspring alike:
nytimes.com
Screening can now determine their risk for an ever-growing list of conditions — including ones we can’t do much about.
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The new American Law Institute Restatement on Medical Malpractice portends changes in how the courts assess clinician liability, with more emphasis on evidence-based care. Neil Kaye and I discuss here:
psychiatryonline.org
In 2024, the American Law Institute revised its influential Restatement of the Law for medical malpractice. The most important change is an updated standard for determining when a clinician is...
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Most firearms used in mass shootings in the US are legally acquired--and legal guns are associated with higher number of fatalities. Another reason why focusing exclusively on illegal possession won't stop the violence epidemic.
onlinelibrary.wiley.com
Understanding the relationship between firearm regulations and the lethality of mass murder involving firearms has implications for prevention efforts. We examined 625 incidents of mass murder...
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Flying under the radar, HHS announces it no longer intends to enforce mental health insurance parity rules. The inevitable result: markedly reduced access to treatment. via @statnews.
statnews.com
Access to care could be affected, following HHS indication that it will not enforce updates adopted in 2024 to the mental health parity law.
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📷.No one dies of "complications of schizoaffective disorder." Disturbing questions about the quality of care rendered people in ICE custody, including people with mental illness:
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In this new article, @StephRolinMD and I review the expansion of liability for colleges and universities in addressing students with mental health issues:
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RT @ColumbiaEthics: Watch the recording of our April Ethics Grand Rounds: The Geneticization of Education and Its Bioethical Implications w….
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To what extent should childhood abuse be taken into account in sentencing for murder of the abuser? The Menendez brothers' case is dealing with exactly that question:
thefp.com
Increasingly, judges are giving lighter sentences to criminals who suffered abuse during childhood. That could be good news for Erik and Lyle Menendez.
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RT @ColumbiaEthics: TOMORROW: Join us online at 12pm ET for Ethics Grand Rounds: The Geneticization of Education and Its Bioethical Implica….
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A study of AI chatbots for treatment of mental disorders has gotten attention recently, but we should restrain our enthusiasm until some key questions are answered: selection bias? appropriate control? duration of effect? human supervision required?
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Social isolation and loneliness are common problems that bring people into psychiatric treatment--and are widely prevalent elsewhere as well. Clinicians need to pay more attention to these factors and help patients break the cycle of isolation.
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A fascinating and terrifying look inside the chaos at NIH--and an answer to the question of why, despite court orders, grant funding has not started flowing again:
theatlantic.com
Administration officials pressured the NIH to avoid clear advice from the agency’s own lawyers to restart grant funding now.
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