Tarasoff V. Regents of The University of California - Opinion of The Court

Opinion of The Court

The California Supreme Court found that a mental health professional has a duty not only to a patient, but also to individuals who are specifically being threatened by a patient. This decision has since been adopted by most states in the U.S. and is widely influential in jurisdictions outside the U.S. as well.

Justice Mathew O. Tobriner wrote the famous holding in the majority opinion. "The public policy favoring protection of the confidential character of patient-psychotherapist communications must yield to the extent to which disclosure is essential to avert danger to others. The protective privilege ends where the public peril begins."

Justice Mosk wrote a partial dissent, arguing two things: (1) that the rule in future cases should be one of the actual subjective prediction of violence on the part of the psychiatrist, which occurred in this case, not one based on objective professional standards, because predictions are inherently unreliable; and (2) the psychiatrists notified the police, who were presumably in a better position to protect Tatiana than she would be to protect herself.

Justice Clark dissented, quoting a law review article that stated, "the very practice of psychiatry depends upon the reputation in the community that the psychiatrist will not tell."