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Douglas Mossman, MD

Director, Glenn M. Weaver Institute of Law and Psychiatry


Education

BA, Oberlin College
MD, University of Michigan
General and Child Psychiatry Residency, University of Cincinnati

Areas of Interest

  • Mental Health Law
  • Psychiatry

Dr. Mossman joined the College of Law in June 2005 after having been an adjunct professor at the University of Dayton School of Law for more than a decade. In July 2008, he rejoined the Department of Psychiatry at the UC College of Medicine (having left in 1993), where he is an Adjunct Professor and Director of Forensic Psychiatry Training. From 1993 until 2008, he was Professor and Director of the Division of Forensic Psychiatry at the Wright State University Boonshoft School of Medicine.

Dr. Mossman's academic activities include teaching physicians, law students, and attorneys about the interface between psychiatry and the law. In his clinical practice, Dr. Mossman treats adults and children and performs evaluations that are used in legal proceedings. In May 2008, he received the Manfred S. Guttmacher Award from the American Psychiatric Association for his outstanding contributions to the literature in forensic psychiatry. He also is a Distinguished Fellow of the APA, a former councilor of the American Academy of Psychiatry and Law, and past-president of the Midwest Chapter of the American Academy of Psychiatry and the Law.

In addition to his regular teaching responsibilities, Dr. Mossman has given more than 200 lectures and presentations to medical, legal, and nonprofessional audiences at local, regional, national, and international meetings. His continuing medical education lectures have dealt with issues in law and psychiatry, psychopharmacology, medical decision-making and medical ethics. His presentations to attorneys and judges have focused on mental disorders and mental-health testimony. His 100-plus publications cover a wide range of topics, including legal and ethical issues, medical decision-making, statistics, and psychiatric treatment.

Dr. Mossman's current scholarly projects investigate prediction of aggression, competence to divorce, civil commitment, assessing competence to stand trial, legal developments related to novel antipsychotic drugs, and mathematical methods for evaluating forensic assessments.

Publications

    Articles, Essays & Book Reviews

  • Commentary: Let's Think about Human Factors, Not Human Failings, 37 J. Am. Acad. Psychiatry & L. 25 (2009)
  • Defensive Medicine: Can It Increase Your Malpractice Risk?, 8(12) Current Psychiatry 86 (2009)
  • The Imperfection of Protection through Detection and Intervention: Lessons from Three Decades of Research on the Psychiatric Assessment of Violence Risk, 30 J. Legal Med. 109 (2009)
  • Promoting, Prescribing, and Pushing Pills: Understanding the Lessons of Antipsychotic Drug Litigation, 13 Mich. St. U. J. Med. & L. 263 (2009) (with 3L Weaver fellow Jill L. Steinberg)
  • Sex with Former Patients: OK after Retirement?, 8(8) Current Psychiatry 25 (2009)
  • Smoking Allowed: Is Hospital Policy a Liability Risk?, 8(5) Current Psychiatry 28 (2009)
  • Analyzing the Performance of Risk Assessment Instruments: A Response to Vrieze and Grove (2007), 32 Law & Hum. Behav. 279 (2008)
  • Conceptualizing and Characterizing Accuracy in Assessments of Competence to Stand Trial, 36 J. Am. Acad. Psychiatry & L. 340 (2008)
  • Connecting Which Dots? Problems in Detecting Uncommon Events, Correctional Service of Canada, Sexual Homicide and Paraphilias: The Correctional Service of Canada’s Experts Forum 2007, 41 (A. J. R. Harris & C. A. Page, eds. 2008)
  • Divorce, Custody, and Parental Consent for Psychiatric Treatment, 7(8) Current Psychiatry 63 (2008) (with Christina G. Weston)
  • Evaluate Liability Risks in Prescribing, 7(4) Current Psychiatry 91 (2008)
  • Going Outside Your Area of Expertise: How Far Is Too Far?, 7(10) Current Psychiatry 53 (2008)
  • Quantifying the Accuracy of Forensic Examiners in the Absence of a Diagnostic "Gold Standard" (U. of Cincinnati Public Law Research Paper No. 08-23) (with Michael D. Bowen, David Vanness, David Bienenfeld, Terry Correll, Jerald Kay, William M. Klykylo & Douglas S. Lehrer)
  • Tips to Make Documentation Easier, Faster, and More Satisfying, 7(2) Current Psychiatry 80 (2008)
  • Topiramate as Treatment for Alcohol Dependence, 299 JAMA 405 (2008) (with Sarah Stringer & Marie Rueve)
  • Violence Risk: Is Clinical Judgment Enough?, 7(6) Current Psychiatry 66 (2008)
  • AAPL Practice Guideline for the Forensic Psychiatric Evaluation of Competence to Stand Trial, 35 J. Am. Acad. Psychiatry & L. S3 (2007)
  • Avoiding Errors about "Margins of Error", 191 Brit. J. Psychiatry 561 (2007) (with T. Sellke)
  • Lesson from Va. Tech: Focus on Treatment, Cincinnati Enquirer, Apr. 29, 2007
  • Predicting Restorability of Incompetent Criminal Defendants, 35 J. Am. Acad. Psychiatry & L. 34 (2007)
  • Another Look at Interpreting Risk Categories, 18 Sexual Abuse: J. Res. & Treatment 41 (2006)
  • Critique of Pure Risk Assessment, or Kant Meets Tarasoff, 75 U. Cin. L. Rev. 523 (2006) (winning submission, 2008 Manfred S. Guttmacher Award)
  • Tests of a Symptom Checklist to Screen for Comorbid Psychiatric Disorders in Alcoholism, 47 Comprehensive Psychiatry 227 (2006) (with Ashley B. Benjamin, Nancy S. Graves, and Richard D. Sanders)
  • Is Prosecution "Medically Appropriate"?, 31 New Eng. J. on Crim. & Civ. Confinement 15 (2005)
  • How a Rabbi's Sermon Resolved My Tarasoff Conflict, 32 J. Am. Acad. Psychiatry & L. 359 (2004)
  • Atkins v. Virginia: A Psychiatric Can of Worms, 33 N.M. L. Rev. 255 (2003)
  • Daubert, Cognitive Malingering, and Test Accuracy, 27 Law & Hum. Behav. 229 (2003)
  • Psychiatry in the Courtroom, 150 Pub. Int. 22 (Winter 2003)
  • Unbuckling the "Chemical Straitjacket": The Legal Significance of Recent Advances in the Pharmacological Treatment of Psychosis, 39 San Diego L. Rev. 1033 (2002)
  • "A Fool for a Client": Print Portrayals of Forty-Nine Pro Se Criminal Defendants, 29 J. Am. Acad. Psychiatry & L. 408 (2001) (with Neal W. Dunseith, Jr.)
  • Intervals for Posttest Probabilities: A Comparison of Five Methods, 21 Med. Decis. Making 498 (2001) (with James O. Berger)
  • Commentary: Assessing the Risk of Violence—Are "Accurate" Predictions Useful?, 28 J. Am. Acad. Psychiatry & L. 272 (2000)
  • Conventional and Atypical Antipsychotics and the Evolving Standard of Care, 51 Psychiatric Services 1528 (2000) (with Douglas S. Lehrer)
  • Evaluating Violence Risk "By the Book": A Review of HCR-20: Assessing Risk for Violence, Version 2 and The Manual for the Sexual Violence Risk—20, 18 Behav. Sci. & L. 781 (2000)
  • Interpreting Clinical Evidence of Malingering: A Bayesian Perspective, 28 J. Am. Acad. Psychiatry & L. 293 (2000)
  • The Meaning of Malingering Data: Further Applications of Bayes's Theorem, 18 Behav. Sci. & L. 761 (2000)
  • "Hired Guns," "Whores," And "Prostitutes": Case Law References to Clinicians of Ill Repute, 27 J. Am. Acad. Psychiatry & L. 414 (1999)
  • How Do Attorneys Choose Mental Health Experts? Findings from a Survey of Local Attorneys and Judges, 48(5) Dayton B. Briefs 5 (1999)
  • Malpractice Implications of Prescribing Antipsychotic Medications, 19 Directions in Psychiatry 311 (1999)
  • Open Trial of Olanzapine in Patients with Treatment-Refractory Psychoses, 19 J. Clin. Psychopharmacology 62 (1999) (with Richard D. Sanders)
  • Plotting ROC Curves: Giving Us Fits, 19 Med. Decis. Making 214 (1999)
  • Three-Way Rocs, 19 Medical Decision Making 78 (1999)
  • "Courtroom Whores"? Or, Why Do Attorneys Call Us? Findings from a Survey on Attorneys' Use of Mental Health Experts, 26 J. Am. Acad. Psychiatry & L. 27 (1998) (with Marshall B. Kapp)
  • The Need for Continuing Legal Education on Mental Disability Law: A Survey Study of Local Attorneys and Judges, 48(4) Dayton B. Briefs 16 (1998)
  • Presenting and Challenging Mental Health Testimony: Psychological Damages in Tort Litigation, 47(3) Dayton B. Briefs 20 (1998) (with Solomon M. Fulero)
  • Attorneys' and Judges' Needs for Continuing Legal Education on Mental Disability Law: Findings from a Survey, 25 J. Psychiatry & L. 327 (1997) (with Marshall B. Kapp)
  • A Decision Analysis Approach to Neuroleptic Dosing: Insights from a Mathematical Model, 58 J. Clinical Psychiatry 66 (1997)
  • Deinstitutionalization, Homelessness, and the Myth of Psychiatric Abandonment: A Structural Anthropology Perspective, 44(1) Social Sci. & Medicine 71 (1997)
  • Malpractice and the Psychiatrist: A Primer for Residents, 21 Acad. Psychiatry 11 (1997) (with Marshall B. Kapp)
  • Sex on the Wards: Conundra for Clinicians, 25 J. Am. Acad. Psychiatry & L. 441 (1997) (with Deborah A. Dorfman and Michael L. Perlin)
  • Are You Liable for Your Patients' Sexual Behavior?, Vol. V, No. 5, Psychiatric Malpractice Risk Mgmt. (1996)
  • Evaluation and Restoration of Competence for Execution: A Defense of Psychiatric Participation, 21 AAPL Newsl. 60 (1996)
  • Measuring Decisional Capacity: Cautions on the Construction of a "Capacimeter", 2(1) Psychol. Pub. Pol'y & L. 73 (1996) (with Marshall B. Kapp)
  • Presenting Evidence of Malingering to Courts: Insights from Decision Theory, 14 Behav. Sci. & L. 271 (1996) (with Kathleen J. Hart)
  • VA Disability Compensation: A Case Study in Countertherapeutic Jurisprudence, 24 Bull. Am. Acad. Psychiatry L. 27 (1996)
  • Dangerousness Decisions: An Essay on the Mathematics of Clinical Violence Predictions and Involuntary Hospitalization, 2 U. Chi. L. Sch. Roundtable 95 (1995)
  • Dénouement of an Execution Competency Case: Is Perry Pyrrhic?, 23 Bull. Am. Acad. Psychiatry L. 269 (1995)
  • Resampling Techniques in the Analysis of Non-Binormal Rocs, 15 Med. Decis. Making 358 (1995)
  • Violence Prediction, Workplace Violence, and the Mental Health Expert, 47 Consulting Psychol. J. Prac. & Res. 223 (1995)
  • Assessing Predictions of Violence: Being Accurate about Accuracy, 62 J. Consulting Clin. Psychol. 783 (1994)
  • At the VA, It Pays to Be Sick, 114 Pub. Int. 35 (Winter 1994)
  • Further Comments on Portraying the Accuracy of Violence Predictions, 18 Law & Hum. Behav. 587 (1994)
  • Is Forensic Testimony Fundamentally Immoral?, 17 Int'l J.L. & Psychiatry 347 (1994)
  • How Bad Is Civil Commitment? A Study of Attitudes toward Violence and Involuntary Hospitalization, 21 Bull. Am. Acad. Psychiatry L. 181 (1993) (with Kathleen J. Hart)
  • Balancing Risks and Benefits: Another Approach to Optimizing Diagnostic Tests, 4 J. Neuropsychiatry Clin. Neurosci. 331 (1992) (with Eugene Somoza)
  • Comparing and Optimizing Diagnostic Tests: An Information-Theoretical Approach, 12 Med. Decis. Making 179 (1992) (with Eugene Somoza)
  • Comparing Diagnostic Tests Using Information Theory: The "INFO-ROC Technique", 4 J. Neuropsychiatry Clin. Neurosci. 214 (1992) (with Eugene Somoza)
  • Diagnostic Tests and Information Theory, 4 J. Neuropsychiatry Clin. Neurosci. 95 (1992) (with Eugene Somoza)
  • The Psychiatrist and Execution Competency: Fording Murky Ethical Waters, 43 Case W. Res. L. Rev. 1 (1992)
  • Psychiatry and the Homeless Mentally Ill: A Reply to Dr. Lamb, 149 Am. J. Psychiatry 951 (1992) (with Michael L. Perlin)
  • "Biological Markers" and Psychiatric Diagnosis: Risk-Benefit Balancing Using ROC Analysis, 27 Biol. Psychiatry 811 (1991) (with Eugene Somoza)
  • Neuropsychiatric Decision-Making: Designing Non-Binary Diagnostic Tests, 3 J. Neuropsychiatry Clin. Neurosci. 197 (1991) (with Eugene Somoza)
  • Neuropsychiatric Decision Making: The Role of Prevalence in Diagnostic Testing, 3 J. Neuropsychiatry Clin. Neurosci. 84 (1991) (with Eugene Somoza)
  • News Media Promote Prejudice about Mental Illness, The MHAC Advocate 3 (Winter 1991)
  • Potential HIV Exposure in Psychiatrically-Hospitalized Adolescent Girls, 148 Am. J. Psychiatry 528 (1991) (with Dewleen G. Baker)
  • Predicting Length of Childhood Psychiatric Hospitalization: An "Ecological" Approach, 17 Quality Rev. Bull. 269 (1991) (with Dewleen G. Baker and D. A. Songer)
  • ROC Curves and the Binormal Assumption, 3 J. Neuropsychiatry Clin. Neurosci. 436 (1991) (with Eugene Somoza)
  • ROC Curves, Test Accuracy, and the Description of Diagnostic Tests, 3 J. Neuropsychiatry Clin. Neurosci. 330 (1991) (with Eugene Somoza)
  • Do Serum Dexamethasone Levels Improve the DST?, 20 J. Affective Disorders 13 (1990) (with Eugene Somoza)
  • Improving State-Funded Child Psychiatric Care: Reducing Protracted Hospitalization through Changes in Treatment Planning, 16 Quality Rev. Bull. 20 (1990) (with Dewleen G. Baker, E. Johnson, and K. Macaulay)
  • The INFO-ROC Technique: A Method for Comparing and Optimizing Inspection Systems, 9A Review of Progress in Quantitative Nondestructive Evaluation 601 (New York, Plenum Press, 1990) (with Larry McFeeters and Eugene Somoza)
  • Introduction to Neuropsychiatric Decision Making: Binary Diagnostic Tests, 2 J. Neuropsychiatry Clin. Neurosci. 297 (1990) (with Eugene Somoza)
  • Optimizing REM Latency as a Diagnostic Test for Depression Using Receiver Operating Characteristic (ROC) Analysis and Information Theory, 26 Biological Psychiatry 990 (1990) (with Eugene Somoza)
  • Assessing Improvements in the Dexamethasone Suppression Test Using Receiver Operating Characteristic Analysis, 25 Biological Psychiatry 159 (1989) (with Eugene Somoza)
  • Evaluation and Optimization of Diagnostic Tests Using ROC Analysis and Information Theory, 24 Int'l J. of Biomedical Computing 153 (1989) (with Eugene Somoza and L. Soutullo-Esperon)
  • Maximizing Diagnostic Information from the Dexamethasone Suppression Test: An Approach to Criterion Selection Using Receiver Operating Characteristic Analysis, 46 Archives of Gen. Psychiatry 653 (1989) (with Eugene Somoza)
  • Child Custody and the Mental Health Professional, Charleston B. Ass'n Newsl. (Spring 1988)
  • The Dexamethasone Suppression Test and Depression: Approaches to the Use of a Laboratory Test in Psychiatry, 6(1) Neurologic Clinics 21 (1988) (with George W. Arana) and 7(1) Endocrinology & Metabolism Clinics 21 (1988)
  • Recovery for Psychological Damages: A Discussion of South Carolina Case Law and Post-Traumatic Syndromes, Charleston B. Ass'n Newsl. (Winter 1988)
  • United States v. Lyons: Toward a New Conception of Legal Insanity, 16(1) Bull. Am. Acad. Psychiatry L. 49 (1988)
  • Assessing and Restoring Competency to be Executed: Should Psychiatrists Participate?, 5 Behav. Sci. & L. 397 (1987)

Presentations

  • Critique of Pure Risk Assessment, Manfred S. Guttmacher Award Lecture, Annual Meeting of the American Psychiatric Association, Washington DC (May 4, 2008)
  • How Accurate Are Determinations of Competence to Stand Trial? American Psychology-Law Society Conference, Jacksonville, Florida (March 7, 2008)
  • Thinking Clearly About the Accuracy of Actuarial Risk Assessment Instruments: A Moderated Panel Discussion, American Psychology-Law Society Conference, Jacksonville, Florida (March 6, 2008) (with SD Hart)
  • Assessing Adjudicative Competence: How Accurate?, Annual Meeting of the American Academy of Psychiatry and the Law, Miami Beach, Florida (October 18, 2007)
  • Stalking: From Risk Assessment to Prosecution, Annual Meeting of the American Academy of Psychiatry and the Law, Miami Beach, Florida (October 18, 2007) (with DA Pinals, PJ Resnick, and JL Knoll)
  • Connecting Which Dots? Problems in Detecting Uncommon Events, Corrections Service of Canada Symposium on Sexual Homicide. Lord Elgin Hotel, Ottawa, Ontario, Canada (October 1, 2007)
  • Risk Assessment in 2020: What I Hope We'll Be Doing—and Why, Annual Meeting of the Forensic Faculty of the Royal College of Psychiatrists, Prague, Czech Republic (February 8, 2007)
  • Proposed AAPL Guidelines: Trial Competence, Disability Assessments, Annual Meeting of the American Academy of Psychiatry and the Law, Chicago, Illinois (October 27, 2006) (with LH Gold)
  • Predicting Restorability of Incompetent Defendants, Annual Meeting of the American Academy of Psychiatry and the Law, Chicago, Illinois (October 26, 2006)
  • Predicting Outcomes of Treatment to Restore Competence to Stand Trial, Annual Meeting of the American Psychiatric Association, Toronto, Ontario, (May 24, 2006)

For earlier presentations, please see the Dr. Mossman's CV.

    Awards

    • 2008 Manfred S. Guttmacher Award
    • 2008 Career Achievement Award, WSU Department of Psychiatry
    • 2008 Chair's Recognition Award, WSU Department of Psychiatry
    • 2006 Who's Who in Science and Engineering
    • 2005 Best Doctors in America
    • 2004 Who's Who in the Midwest
    • 2001 Faculty Recognition Award, WSU Department of Psychiatry
    • 1998 Chair's Recognition Award, WSU Department of Psychiatry
    • 1990 Mental Health Media Award, Ohio Mental Health Association
    • 1986 Maurice Levine Essay Award (2nd Prize)
    • 1985 Maurice Levine Essay Award (1st Prize)
    • 1984 Maurice Levine Essay Award (1st Prize)
    • 1972 National Merit Scholar

Courses

  • Mental Health Law