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Tarasoff, Megan, and Mill

Preventing Harm to Others

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Part of the book series: Biomedical Ethics Reviews ((BER))

Abstract

This chapter concerns the balancing of individual privacy interests with societal protection interests. First, I examine Tarasoff laws, which address the duty of psychotherapists to warn and protect those who might be potential victims of their clients, even though such a duty violates the client’s rights to confidentiality and privacy. Although these rulings have a solid foundation in John Stuart Mill’s harm principle, they fail to meet several of the conditions upon which Mill insists. First, Mill claims that the threat of harm must be to a specific and readily identifiable person. An abstract threat to others in general does not justify interference with the liberty of an individual. Second, the harm should be reasonably predictable. A vague suspicion that harm might be done is not enough. Third, additional obligations may arise in the context of certain special relationships. If a relationship between two parties, based on certain expectations, has particular consequences for others, both parties have obligations to those others. To enhance practicability, I add a condition of consistency in content and application. It is not appropriate to have conflicting laws in various areas of the United States. To remedy the deficiencies of current Tarasoff laws, I suggest that they be modified to more closely resemble Megan’s Law, which addresses the duty of law enforcement agencies to notify potential victims of convicted sex offenders. Megan’s Law provides a good model because, although also grounded in Mill’s harm principle, it meets his additional conditions to justify state interference with the liberty interests of the individual. I conclude, however, with a cautionary note that some recent events indicate a disturbing trend in which Megan’s Law is being expanded beyond its legitimate scope of exercise. The law goes too far when the consequences of its application themselves foster harm to others.

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Notes and References

  1. Plato. (1974) The Republic, G. M. A. Grube, tranl. Hackett, Indianapolis, IL, p. 5.

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  2. Tarasoff v. Regents of the University of California (1976) et al., 551 P 2d 334.

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  3. Tarasoff v. Regents of the University of California

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  4. Mill, J. S. (1989) On Liberty, Collini, S., ed. Cambridge University Press, New York, p. 13.

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  5. Mill, J. S., p. 13.

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  6. Isaac, R. J. and Armat, V. C. (1990) Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill, The Free Press, New York, p. 338.

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  7. Felthous, A. R. (1989) The Psychotherapist’s Duty to Warm or Protect, Charles C. Thomas, Springfield, IL, p. 23.

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  9. Mill, J. S., p. 96.

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  10. Mill, J. S., pp. 103–104.

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  11. Tarasoff v. Regents of the University of California

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  12. See Stone, A. A. (1986) Vermont adopts Tarasoff a real barn-burner, Am. J. Psychiatry 143 (3), 352–355.

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  14. It may be salient to note that pedophilia is categorized as a form of mental illness. See American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th ed., American Psychiatric Association, Washington, DC, p. 302. 2.

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  15. Farmer, J. J., Jr. (2000) Attorney General Guidelines for Law Enforcement for the Implementation of Sex Offender Registration and Community notification Laws (revised March 2000 ), p. 1.

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  16. Mill, J. S., p. 13.

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  17. Farmer, J. J., Jr., p. 49.

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  18. One might wonder about the apparent lack of a reasonably identifiable individual victim in this case. The Registrant Risk Assessment Scale on each offender examines the characteristics of previous offenses. Then, each identifiable group is considered as a potential victim. If the offender preys upon children, then all members of the group “children” constitute the reasonably identifiable victim.

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  19. Farmer, J. J., Jr., Exhibit E, pp. 5–10.

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  20. Farmer, J. J., Jr., Exhibit E, p. 1.

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  21. Framer, J. J., Jr., p. 31.

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  22. Newman, M. (2000) Naming sex offenders on the Internet passes in New Jersey, The New York Times, November 8.

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  23. Byrne, C. (2000) Confused UK vigilantes target doctor, The Associated Press, August 30.

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© 2002 Springer Science+Business Media New York

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Sailors, P.R. (2002). Tarasoff, Megan, and Mill. In: Humber, J.M., Almeder, R.F. (eds) Mental Illness and Public Health Care. Biomedical Ethics Reviews. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-088-9_6

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  • DOI: https://doi.org/10.1007/978-1-59259-088-9_6

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-310-7

  • Online ISBN: 978-1-59259-088-9

  • eBook Packages: Springer Book Archive

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