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EVALUATION OF PATIENTS' ALLEGATIONS

Factors To Be Considered

1. Is accuser creditable?

2. Is story consistent and believable?

3. Is there a motive for revenge or mischief?

4. Have other allegations been made previously? Does a pattern of

allegations exist?

5. Has the patient been counseled in their charges by some

professional who has vested interest?

6. Is there any physical evidence of misdeed?

7. What is the reputation of the accused?

8. How does the accused respond to the charges?

9. Are there issues of custody, property settlement, divorce, or suit

involved?10. Is there a history of personality disorder - antisocial, narcissistic,

borderline - in either party?

False allegations of abuse occur in a variety of contexts; the most

frequent being

1) Disputed and ugly divorce cases;

2) in custody disputes involving children;

3) by angry borderline patients;4) by patients with Munchausen's syndrome by proxy;5) by psychopaths against authority figures;

6) by inadequate patients with strong needs for recognition/attention;

7) by patients with personality disorders;8) by substance abusers, particularly alcoholics;

9) by patients with paranoid psychoses;

10) by patients with paranoid personality;

11) by patient with "multiple personalities"15;

12) by passive patients urged to file complaints by their therapists to meet

the unspoken needs of the therapist.

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On another occasion, we talked with a young borderline

woman, who reported that she had made allegations to her

county medical society that her psychiatrist had been sexually

inappropriate with her.

She reported that she was angry at him, that he had not given

her the attention that she wanted, and that she made up the

charges to get even. Although she candidly reported that he

had never touched her, she said that she "was sure that he

wanted to."

Her physician was subjected to a lengthy series of hearings, but

the accuser left the state prior to the conclusion of anyformalized complaint. The charges were dropped when she

refused to further pursue them or attend a hearing to tell her

story.

The doctor had clearly been made to "pay the price" for not

meeting her narcissistic and borderline needs for attention and

recognition.