Medicolegal Library 3

Edited by A. Carmi

Disability Edited by A. Carmi E. Chigier S. Schneider

With Contributions by H. Ariel P. J. Blommestijn A. Carmi E. Chigier B. Fishel D. W. Florence J. K. M. Gevers B. L. Gonzales D. Greenberg N. S. Greenberg A. F. Halmosh A. Kj0nstad U. Lowental J. E. Magnet N. J. Marlett A. Mashiah T. Mashiah G. Mendelson S. Moskowitz S. Navon M. Neumann A.Ohry B. Posner J. Rattock H. S. Rollmann-Branch J. Rubin S. Schneider L. Seda-Mendoza L. Shahani M. Sigal H. Schiinemann R. Stolberg-Acosta H. Stoll J. B. Varcoe M. Yaron

With 5 Figures and 20 Tables

Springer-Verlag Berlin Heidelberg New York Tokyo 1984

Judge Amnon Carmi P.O.B. 6451, Haifa 31063, Israel

Dr. Emanuel Chigier Medical Services, Youth Alliyah 12 Kaplan St., Tel Aviv 63474, Israel

Dr. Stanley Schneider Summit Institute, Wurzweiler School of Social Work, Yeshiva University Michlala, College for Women, P.O.B. 7446, Jerusalem, Israel

The Institution for National Insurance in Israel assisted with the editorial preparation.

ISBN-13: 978-3-540-13421-3 DOl: 10.1007/978-3-642-82278-0

e-ISBN-13: 978-3-642-82278-0

Library of Congress Cataloging in Publication Data. Main entry under title: Disability. (Medicolegal Library; 3). Includes bibliographies and index. 1. Handicapped - Legal status, laws, etc. 2. Handicapped. I. Carmi, Amnon. II. Chigier, E. III. Schneider, S. (Stanley). VI. Ariel, H. V. Series. [D NLM: 1. Handicapped. 2. Handicapped - legislation. HV 3011 D6105] K637.D57 1984 346.01'3 84-5459

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use a fee is payable to 'Verwertungsgesellschaft Wort', Munich.

© Springer-Verlag Berlin Heidelberg 1984 Softcover reprint of the hardcover 15t edition 1984

The use of registered names, trademarks, etc. in the publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.

Typesetting and binding: G.Appl, Wemding, printing: aprinta, Wemding 2119/3140-5 4 3 2 1 0

Foreword

The Medicolegal Library is the first and only series of its kind. Its importance is self-evident. During the last decade, science, especial­ly medical practice, has become an increasingly complex undertak­ing. Recent dramatic developments in medicine have given rise to both theoretical controversies and practical dilemmas. Society is struggling with new scientific, economic, cultural, and legal issues. The establishment of a series such as this appears vital for lawyers and physicians, for sociologists and psychologists, and for the pub­lic at large.

The editorial board of the Medicolegal Library consists of dis­tinguished scientists from many different countries and disciplines. Judge Amnon Carmi acts as principal series editor. Judge Carmi is the author of many books and articles on medical law, and is Editor­in-Chief of Medicine and Law: An International Journal.

The Medicolegal Library will issue two books each year. The first four books, soon to be published, will deal with child abuse, euthanasia, disability, and nursing, laws and ethics.

It is the wish and intention of Springer-Verlag that the Medico­legal Library play an important role throughout the world in the study and understanding of the field of medicine and law, for the benefit of both professions and of mankind at large.

Contents

1. Introduction

Speech Before the International Convention on the Medicolegal Aspects of Disability L.Shahani .................. .

What Is Medical and what Is Legal About Disability? E. Chigier ........................ .

II. Disability and Law

On the Realization of the Rights of Invalids According to the Israeli National Insurance Law

3

5

H.Ariel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11

Issues of Competence and the Dependent Adults Act N.J.Mar/ett ............................ 16

Employment Opportunities for the Handicapped in the United States S.Moskowitz . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Implementing Legal Mandates Regarding the Disabled in Educational Institutions in the USA N. S. Greenberg and D. Greenberg . . . . . . . . . . . . . . . 50

Learning Disabilities and the Court J. B. Varcoe . . . . . . . . . . . . . . . . . . . . . . . .. 58

Judicial Self-awareness and Psychoanalytic Countertransference H. S. Rollmann-Branch ........... .......... 63

The Disabled Person as a Witness in Court A.Carmi ................... .

Economic Constraints on the Effectiveness of Litigation and Legislation for the Disabled

70

J. Rubin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 75

VIII Contents

Assessment of Disability A. Kjtmstad . . . . . . . .

Chronic Pain in the Medicolegal Aspects of Workers' Compensation Cases

..... 84

D. w: Florence ........................... 106

III. Disability and Medicine

Psychosocial Aspects of Disability M.Neumann ........... . . ...... 115

Psychosocial Factors in Successful Rehabilitation U. Lowental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Liability of Medical Malpractice in German Law H. Stoll ............................... 128

The Family and the Invalid: Who Needs Whom? A. F. Halmosh. . . . . . . . . . . . . . . . . .. . ...... 141

Self-concept of Rheumatoid Arthritis Patients S.Navon, B.Fishel, and M. Yaron . . . . .. . ........ 147

Definitions of Rehabilitation in Legislation P. J. Blommestyn . . . . . . . . . . . . . . . . . . . . . . . . . . 159

Medicolegal Considerations in the Care of Severely Disabled Newborn in Canada J. E. Magnet ............................ 181

Rehabilitation of Heroin Addicts with Methadone Maintenance: A Five-Year Clinical Experience R. Stolberg-Acosta and L. Seda-Mendoza. . . . .. . ..... 187

Rehabilitation of Traumatic Brain-injured Patients A. Ohry and J. Rattok ....................... 191

Prostheses for Disabled Elderly Amputees T.MashiahandA.Mashiah .................... 193

The Effect of Legal Settlement on Work Disability Following Compensable Injury G.Mendelson . ........................... 198

Contents IX

IV. Medicolegal Aspects

Medicolegal Criteria for Post-traumatic Psycho Syndrome M. Sigal . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 209

Informed Consent by Mentally Disabled Persons H. Schiinemann. . . . . . . . . . . . . . . . . . . . . 215

Confidentiality: The Moral/Legal/Treatment Conflict S. Schneider. . . . . . . . . . . . . . . . . . . . . . . . . . 222

Disability, Medical Intervention, and Individual Freedom J. K. M. Gevers . . . . . . . . . . . . . . . . . . . . . . . .. . 230

Medicolegal Aspects of Sterilization for Mentally Disabled Persons B. L. Gonzales ........................... 238

V. Epilogue

The Eighties: Decade of Handicapped People B. Posner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247

Subject Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . 252

List of Contributors

Judge H. Ariel Hanna Street 16, Haifa 31999, Israel

Dr. P.J. Blommestijn Head, General Department of Old Age Welfare Policy and Social Rehabilitation, Netherlands Ministry of Culture, Recreation and Social Welfare

Judge A. Carmi P.O.B. 6451, Haifa 31063, Israel

Dr. E. Chigier Medical Services, Youth Alliyah, 12 Kaplan St., Tel Aviv 63474, Israel

Dr. B. Fishel Department of Rheumatology and Physical Medicine, Tel Aviv Medical Center, Tel Aviv University Medical School, Tel Aviv 63474, Israel

Dr. D. A. Florence 205 South Rhode Island Avenue, Minneapolis, MN 55426, USA

Dr. J.K.M.Gevers Institute of Social Medicine, University of Amsterdam Herrengracht 520, 1017 CC Amsterdam, The Netherlands

Dr. B. L. Gonzales Deputy Director of National Program, Association for Voluntary Sterilization, Inc., 708 Third Avenue, New York, NY 10017, USA

Dr. David Greenberg Fiorello H. La Guardia Community College, The City University of New York, 31-10 Thomson Avenue, Long Island City, NY 11101, USA

X" List of Contributors

Prof. N. S. Greenberg Fiorello H. La Guardia Community College, The City University of New York, 31-10 Thomson Avenue, Long Island City, NY 11101, USA

Dr. A. F. Halmosh Psychiatric Community Service, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O.B. 2016, Beer-Sheba 84120, Israel

Prof. A. Kjonstad Professor of Law, University of Oslo, Oslo, Norway

Dr. U. Lowental Eshkol Boulevard 22, Apt. 3, Jerusalem 92-585, Israel

Dr. J. E. Magnet Faculty of Law, University of Ottawa, Ottawa, Canada

Dr. N.J.Marlett Faculty of Education, Department of Educational Psychology, The University of Calgary 2500 University Drive, N. W. Calgary, Alberta T2N IN4, Canada

Dr. A. Mashiah Vascular Surgery Unit, Kaplan Hospital, Rehovot, Israel

Dr. T. Mashiah Geriatric Medicine Department, Harzfeld Hospital, Gedera, Israel

Dr. G. Mendelson Department of Psychological Medicine, Monash University, Prince Henry's Hospital, 30 Queens Road, Melbourne 3004, Australia

Prof. Dr. S. Moskowitz 19 Connstock Hill Road, Norwalk, CN 06850, USA

Dr. S.Navon Department of Rheumatology and Physical Medicine, Tel Aviv Medical Center, Tel Aviv University Medical School, Ichilov Hospital, Tel Aviv 62239, Israel

Dr. M. Neumann Shalvata Mental Health Center, Tel Aviv University Medical School, P.O.B. 94, Hod Hasharon, Israel

List of Contributors XIII

Dr. A.Ohry Neurological Rehabilitation Department, Chaim Sheba Medical Center, Tel Hashomer, Israel

Dr. B. Posner Washington, DC 20067, USA

Or. J. Rattock Head Trauma Program, Institute of Rehabilitation Medicine, New York University, Medical Center, New York City, NY 10017, USA

Prof. H. S. Rollmann-Branch University of Southern California, Law Center and Medical School, Los Angeles, CA 90033, USA

Prof. Dr. J. Rubin Department of Economics, Rutgers University, New Brunswick, NJ 08903, USA

Prof. L. Seda-Mendoza Department of Psychiatry, School of Medicine, University of Puerto Rico P.O.B. 5067, San Juan 00936, Puerto Rico

L.Shahani Assistant Secretary General, Center for Social Development and Humanitarian Affairs United Nations, Postfach 500, 1400 Vienna, Austria

Dr. M.Sigal Pardessia Government Hospital, Sackler School of Medicine, Tel Aviv University, P.O.B. 2167, Netanya 42121, Israel

Dr. S. Schneider Summit Institute, Wurzweiler School of Social Work, Yeshiva University Michlala, College for Women, P.O.B. 7446, Jerusalem, Israel

Dr. H. Schiinemann Institut fUr Pharmazie und medizinischem Recht an der Universitat Gottingen, GosslerstraBe 19, 3400 Gottingen, FRG

Prof. R. Stolberg-Acosta Department of Psychiatry, School of Medicine, University of Puerto Rico, P.O.B. 5067, San Juan 00936, Puerto Rico

Prof. H. Stoll Universitat Freiburg, 7800 Freiburg, FRG

XIV List of Contributors

Dr. J. B. Varcoe Judge of the Provincial Court of British Columbia, 22460 Dewdney Trunk Road, Maple Ridge, British Columbia, Canada

Dr. M.Yaron Department of Rheumatology and Physical Medicine, Tel Aviv Medical Center, Tel Aviv University Medical School, Tel Aviv 63474, Israel