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Harold J. Bursztajn, M.D.

TitleAssociate Clinical Professor of Psychiatry
InstitutionBeth Israel Deaconess Medical Center
DepartmentPsychiatry
Address96 Larchwood Drive
Cambridge MA 02138-4639
Phone617/492-8366
Fax617/441-3195

 Biography 
 awards and honors
- http://www.forensic-psych.com/data/HJB_CV.php
2008 - A. Clifford Barger Excellence in Mentoring Award

 Overview 
 overview
Harold J. Bursztajn, MD -[Curriculum Vitae]- has over twenty-five years of service as a distinguished patient care-focused clinician and as senior clinical faculty at Harvard Medical School. Among his many distinctions at Harvard Medical School is being recognized as a practicing "doctor's doctor" by being named Principal Mentor at Harvard Medical School and being awarded the A. Clifford Barger Excellence in Mentoring Award as well as being the first physician/forensic psychiatrist in Harvard Medical School's history to be appointed as the representative of the Harvard Medical School Alumni Board of Directors to the Harvard University Alumni Board. He continues to be active in patient care, forensic consultation, and judicial education. Among the many clinical honors bestowed by Dr. Bursztajn's patients and colleagues nationwide is his being recently named to the "Best Doctors in America" list.

He is co-Founder of the Program in Psychiatry and the Law at the Beth Israel Deaconess Medical Center Department of Psychiatry of Harvard Medical School and Associate Clinical Professor of Psychiatry at Harvard Medical School. Author of the highly acclaimed book, Medical Choices, Medical Chances this classic has been reviewed favorably in leading medical journals ranging from the New England Journal of Medicine and the Journal of the American Medical Association to the American Journal of Psychiatry. Among his other leading contributions to medical and mental health education are three books Divided Staffs, Divided Selves, a Case Approach to Mental Health Ethics, Decision Making in Psychiatry and the Law and Psychiatric Ethics and the Rights of Persons with Mental Disabilities in Institutions and the Community, as well as numerous articles in medicine, psychiatry, forensic neuropsychiatry and clinical ethics.

Dr. Bursztajn consults clinically and forensically, provides second opinions in patient care, teaches medical students and conducts continuing medical education courses for professionals; and advises institutions, the courts, and public health-oriented media on forensic psychiatry and clinical ethics-related issues. He serves as a peer reviewer expert for leading medical and psychiatric journals, non-profit medical and ethics review organizations, health care and human services corporations and the judiciary. His numerous awards and honors in the course of twenty-five years of service as a Harvard Medical School clinical faculty member range from the Solomon Faculty Research Prize to his being named as one of only fifty Principal Clinical Mentors for Harvard Medical School entering class.

In addition to his twenty-five-year commitment to patient care, Dr. Bursztajn consults nationally and internationally to individuals and institutions, plaintiff and defense attorneys, and the courts as a distinguished forensic psychiatric expert. Among his areas of expertise are treating vulnerable patients, improving medical and mental health decision making, informed consent and malpractice and product liability risk reduction, and standards for the forensic evaluation of employment-related claims, diminished capacity, psychiatric autopsies, and violence prevention.

Dr. Bursztajn is active in public education and promoting intergenerational learning and inquiry. Contributions to public education include his work as a guest analyst on news programs including CNN Headline News, Boston's WCVB News Show Chronicle and public education programs such as those presented by ABC's Discovery Channel including "Who Killed Julius Caesar?, " "Who Killed Tutankhamun?," "Who Killed Alexander the Great?," "The Mysterious Death of Cleopatra," and "Columbus: Secrets From The Grave." His work in public education with teams of experts from a variety of scientific and humanities backgrounds has been recognized both academically in Harvard Magazine and publicly in The Sunday London Times.

Dr. Bursztajn teaches and consults nationally to psychiatrists and other mental health professionals, as well as to physicians across the primary and specialty medical care spectrum. He serves as faculty for the Harvard Medical School Psychiatric Intensive Diagnostic Interviewing Preparatory Course for the Board of Psychiatry & Neurology certification examinations. He continues to publish and present workshops nationally and internationally on a variety of special interest topics in medicine and in general and forensic neuropsychiatry.

There are a variety of areas of human suffering which, insofar as they evoke painful or frightening feelings, can become all too sadly unspeakable. Among Dr. Bursztajn's special interests are the long term consequences of massive psychic trauma. Over the years he has explored this topic in workshops for health care providers both nationally and internationally. He also continues to consult and teach to a variety of health-care professionals, ranging from members of hospice ethics committees to surgical grand rounds attendees regarding the foundations of current clinical and organizational ethics standards for patient care. Dr. Bursztajn's motivation for becoming a doctor and for continuing to practice clinically and to teach nationally can be found in the following article: "The Shoah and its Aftermath," which presents the testimony of Dr. Bursztajn father, a Holocaust survivor.


 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Haque OS, De Freitas J, Viani I, Niederschulte B, Bursztajn HJ. Why did so many German doctors join the Nazi Party early? Int J Law Psychiatry. 2012 Sep; 35(5-6):473-9.
    View in: PubMed
  2. Gopal AA, Cosgrove L, Shuv-Ami I, Wheeler EE, Yerganian MJ, Bursztajn HJ. Dynamic informed consent processes vital for treatment with antidepressants. Int J Law Psychiatry. 2012 Sep; 35(5-6):392-7.
    View in: PubMed
  3. Cosgrove L, Shaughnessy AF, Wheeler EE, Austad KE, Kirsch I, Bursztajn HJ. The American Psychiatric Association's guideline for major depressive disorder: a commentary. Psychother Psychosom. 2012; 81(3):186-8.
    View in: PubMed
  4. Lerner MD, Haque OS, Northrup EC, Lawer L, Bursztajn HJ. Emerging perspectives on adolescents and young adults with high-functioning autism spectrum disorders, violence, and criminal law. J Am Acad Psychiatry Law. 2012; 40(2):177-90.
    View in: PubMed
  5. De Freitas J, Haque OS, Gopal AA, Bursztajn HJ. Response: clinical wisdom and evidence-based medicine are complementary. J Clin Ethics. 2012; 23(1):28-36; author reply 37-40.
    View in: PubMed
  6. Lerner MD, Haque OS, Northrup EC, Lawer L, Bursztajn HJ. Emerging perspectives on adolescents and young adults with high-functioning autism spectrum disorders, violence, and criminal law. Correction. J Am Acad Psychiatry Law. 2012; 40(3):445.
    View in: PubMed
  7. Gopal AA, Cosgrove L, Bursztajn HJ. Commentary: the public health consequences of an industry-influenced psychiatric taxonomy: "attenuated psychotic symptoms syndrome" as a case example. Account Res. 2010 Sep; 17(5):264-9.
    View in: PubMed
  8. Preter M, Bursztajn HJ. Crisis and opportunity-The DSM-V and its neurology quandary. Asian J Psychiatr. 2009 Dec; 2(4):143.
    View in: PubMed
  9. Cosgrove L, Bursztajn HJ. Strengthening conflict-of-interest policies in medicine. J Eval Clin Pract. 2010 Feb; 16(1):21-4.
    View in: PubMed
  10. Cosgrove L, Bursztajn HJ, Krimsky S. Developing unbiased diagnostic and treatment guidelines in psychiatry. N Engl J Med. 2009 May 7; 360(19):2035-6.
    View in: PubMed
  11. Cosgrove L, Bursztajn HJ, Krimsky S, Anaya M, Walker J. Conflicts of interest and disclosure in the American Psychiatric Association's Clinical Practice Guidelines. Psychother Psychosom. 2009; 78(4):228-32.
    View in: PubMed
  12. Oguntoye A, Bursztajn HJ. Commentary: inadequacy of the categorical approach of the DSM for diagnosing female inmates with borderline personality disorder and/or PTSD. J Am Acad Psychiatry Law. 2009; 37(3):306-9.
    View in: PubMed
  13. Bursztajn HJ. Re: common pitfalls in the evaluation of testamentary capacity. J Am Acad Psychiatry Law. 2008; 36(1):157.
    View in: PubMed
  14. Hamm RM, Reiss DM, Paul RK, Bursztajn HJ. Knocking at the wrong door: insured workers' inadequate psychiatric care and workers' compensation claims. Int J Law Psychiatry. 2007 Jul-Oct; 30(4-5):416-26.
    View in: PubMed
  15. Pirakitikulr D, Bursztajn HJ. Pride and prejudice: avoiding genetic gossip in the age of genetic testing. J Clin Ethics. 2007; 18(2):156-61.
    View in: PubMed
  16. Haque OS, Bursztajn H. Decision-making capacity, memory and informed consent, and judgment at the boundaries of the self. J Clin Ethics. 2007; 18(3):256-61.
    View in: PubMed
  17. Pirakitikulr D, Bursztajn HJ. The Grand Inquisitor's choice: comment on the CEJA report on withholding information from patients. J Clin Ethics. 2006; 17(4):307-11.
    View in: PubMed
  18. Gutheil TG, Bursztajn HJ. Attorney abuses of Daubert hearings: junk science, junk law, or just plain obstruction? J Am Acad Psychiatry Law. 2005; 33(2):150-2.
    View in: PubMed
  19. Gutheil TG, Bursztajn H, Hilliard JT, Brodsky A. "Just say no": experts' late withdrawal from cases to preserve independence and objectivity. J Am Acad Psychiatry Law. 2004; 32(4):390-4.
    View in: PubMed
  20. Bursztajn HJ, Sobel R, Allbright A. Protecting privacy in the behavioral genetics era. Ment Phys Disabil Law Rep. 2003 Jul-Aug; 27(4):523-6.
    View in: PubMed
  21. Bursztajn HJ, Paul RK, Reiss DM, Hamm RM. Forensic psychiatric evaluation of workers' compensation claims in a managed-care context. J Am Acad Psychiatry Law. 2003; 31(1):117-9.
    View in: PubMed
  22. Gutheil TG, Bursztajn H. Avoiding ipse dixit mislabeling: post-Daubert approaches to expert clinical opinions. J Am Acad Psychiatry Law. 2003; 31(2):205-10.
    View in: PubMed
  23. Bursztajn HJ. Protecting patient care and public safety in the managed-care era. Gen Hosp Psychiatry. 2002 Jan-Feb; 24(1):1-3.
    View in: PubMed
  24. Bursztajn HJ. Work disability after major mental illness and trauma. Psychiatr Serv. 2001 Nov; 52(11):1421.
    View in: PubMed
  25. Schrecker T, Acosta L, Somerville MA, Bursztajn HJ. The ethics of social risk reduction in the era of the biological brain. Soc Sci Med. 2001 Jun; 52(11):1677-87.
    View in: PubMed
  26. Illingworth P, Bursztajn H. Death with dignity or life with health care rationing. Psychol Public Policy Law. 2000 Jun; 6(2):314-21.
    View in: PubMed
  27. Bursztajn HJ. Clinical trials and effectiveness research. Am J Psychiatry. 2000 Jan; 157(1):152-3.
    View in: PubMed
  28. Bursztajn HJ. Melatonin therapy: from benzodiazepine-dependent insomnia to authenticity and autonomy. Arch Intern Med. 1999 Nov 8; 159(20):2393-5.
    View in: PubMed
  29. Bursztajn HJ, Brodsky A. Captive patients, captive doctors: clinical dilemmas and interventions in caring for patients in managed health care. Gen Hosp Psychiatry. 1999 Jul-Aug; 21(4):239-48.
    View in: PubMed
  30. Bursztajn HJ, Sobel R. Accountability without health care data banks. Health Aff (Millwood). 1998 Nov-Dec; 17(6):252-3.
    View in: PubMed
  31. Bursztajn HJ. Recovered memories. Psychiatr Serv. 1998 May; 49(5):699-700.
    View in: PubMed
  32. Bursztajn HJ, Brodsky A. Ethical and legal dimensions of benzodiazepine prescription: a commentary. Psychiatr Ann. 1998 Mar; 28(3):121-7.
    View in: PubMed
  33. Bursztajn HJ. Psychotherapist versus expert witness. Am J Psychiatry. 1998 Feb; 155(2):307; author reply 308.
    View in: PubMed
  34. Bursztajn HJ, Hamm RM, Gutheil TG. Beyond the black letter of the law: an empirical study of an individual judge's decision process for civil commitment hearings. J Am Acad Psychiatry Law. 1997; 25(1):79-94.
    View in: PubMed
  35. Bursztajn H, Brodsky A. A new resource for managing malpractice risks in managed care. Arch Intern Med. 1996 Oct 14; 156(18):2057-63.
    View in: PubMed
  36. Bursztajn HJ. World War II: Its effects after 50 years. Am J Psychiatry. 1996 Apr; 153(4):584-5.
    View in: PubMed
  37. Bursztajn HJ. Sexual harassment. Am J Psychiatry. 1995 Mar; 152(3):478; author reply 479.
    View in: PubMed
  38. Bursztajn HJ, Scherr AE, Brodsky A. The rebirth of forensic psychiatry in light of recent historical trends in criminal responsibility. Psychiatr Clin North Am. 1994 Sep; 17(3):611-35.
    View in: PubMed
  39. Bursztajn HJ. One axiom and eight corollaries for managing legal issues in an inpatient psychiatric setting. New Dir Ment Health Serv. 1994; (63):95-107.
    View in: PubMed
  40. Bursztajn HJ, Brodsky A. Clear, convincing, and authentic advance directives in the context of managed care? J Clin Ethics. 1994; 5(4):364-6.
    View in: PubMed
  41. Bursztajn HJ, Brodsky A. Authenticity and autonomy in the managed-care era: forensic psychiatric perspectives. J Clin Ethics. 1994; 5(3):237-42.
    View in: PubMed
  42. Bursztajn HJ. From PSDA to PTSD: the Patient Self-Determination Act and post-traumatic stress disorder. J Clin Ethics. 1993; 4(1):71-4.
    View in: PubMed
  43. Deaton RJ, Illingworth PM, Bursztajn HJ. Unanswered questions about the criminalization of therapist-patient sex. Am J Psychother. 1992 Oct; 46(4):526-31.
    View in: PubMed
  44. Bursztajn HJ. Competency to make a will. Am J Psychiatry. 1992 Oct; 149(10):1415-6.
    View in: PubMed
  45. Bursztajn HJ, Gutheil TG. Protecting patients from clinician-patient sexual contact. Am J Psychiatry. 1992 Sep; 149(9):1276.
    View in: PubMed
  46. Bursztajn HJ, Chanowitz B, Gutheil TG, Hamm RM. Micro-effects of language on risk perception in drug prescribing behavior. Bull Am Acad Psychiatry Law. 1992; 20(1):59-66.
    View in: PubMed
  47. Bursztajn HJ. Efficacy research and psychodynamic psychiatry. Am J Psychiatry. 1991 Jun; 148(6):817-8.
    View in: PubMed
  48. Bursztajn HJ, Harding HP, Gutheil TG, Brodsky A. Beyond cognition: the role of disordered affective states in impairing competence to consent to treatment. Bull Am Acad Psychiatry Law. 1991; 19(4):383-8.
    View in: PubMed
  49. Bursztajn H, Chanowitz B, Kaplan E, Gutheil TG, Hamm RM, Alexander V. Medical and judicial perceptions of the risks associated with use of antipsychotic medication. Bull Am Acad Psychiatry Law. 1991; 19(3):271-5.
    View in: PubMed
  50. Gutheil TG, Bursztajn H. Ways of dealing with a malpractice hazard. Am J Psychiatry. 1988 Nov; 145(11):1492-3.
    View in: PubMed
  51. Bursztajn H, Gutheil TG, Brodsky A, Swagerty EL. "Magical thinking," suicide, and malpractice litigation. Bull Am Acad Psychiatry Law. 1988; 16(4):369-77.
    View in: PubMed
  52. Bursztajn H, Gutheil TG, Hamm RM, Brodsky A, Mills MJ. Parens patriae considerations in the commitment process. Psychiatr Q. 1988; 59(3):165-81.
    View in: PubMed
  53. Pavlo AM, Bursztajn H, Gutheil TG, Levi LM. Weighing religious beliefs in determining competence. Hosp Community Psychiatry. 1987 Apr; 38(4):350-2.
    View in: PubMed
  54. Pavlo AM, Bursztajn H, Gutheil TG. Christian Science and competence to make treatment choices: clinical challenges in assessing values. Int J Law Psychiatry. 1987; 10(4):395-401.
    View in: PubMed
  55. Bursztajn H. "Ethicogenesis": Response to the articles "Consultation-liaison psychiatry and the teaching of ethics," by J. R. McCartney, and "Consultation-liaison psychiatry and clinical ethics," by J. R. Hayes. Gen Hosp Psychiatry. 1986 Nov; 8(6):422-4.
    View in: PubMed
  56. Gutheil TG, Bursztajn H. Clinicians' guidelines for assessing and presenting subtle forms of patient incompetence in legal settings. Am J Psychiatry. 1986 Aug; 143(8):1020-3.
    View in: PubMed
  57. Bursztajn H, Gutheil TG, Warren MJ, Brodsky A. Depression, self-love, time, and the "right" to suicide. Gen Hosp Psychiatry. 1986 Mar; 8(2):91-9.
    View in: PubMed
  58. Bursztajn H, Gutheil TG, Mills M, Hamm RM, Brodsky A. Process analysis of judges' commitment decisions: a preliminary empirical study. Am J Psychiatry. 1986 Feb; 143(2):170-4.
    View in: PubMed
  59. Gutheil TG, Bursztajn H, Brodsky A. The multidimensional assessment of dangerousness: competence assessment in patient care and liability prevention. Bull Am Acad Psychiatry Law. 1986; 14(2):123-9.
    View in: PubMed
  60. Bursztajn H, Barsky AJ. Facilitating patient acceptance of a psychiatric referral. Arch Intern Med. 1985 Jan; 145(1):73-5.
    View in: PubMed
  61. Bursztajn H. More law and less protection: "critogenesis" "legal iatrogenesis," and medical decision making. J Geriatr Psychiatry. 1985; 18(2):143-53.
    View in: PubMed
  62. Gutheil TG, Bursztajn H, Brodsky A. Malpractice prevention through the sharing of uncertainty. Informed consent and the therapeutic alliance. N Engl J Med. 1984 Jul 5; 311(1):49-51.
    View in: PubMed
  63. Wulsin LR, Bursztajn H, Gutheil TG. Unexpected clinical features of the Tarasoff decision: the therapeutic alliance and the "duty to warn". Am J Psychiatry. 1983 May; 140(5):601-3.
    View in: PubMed
  64. Gutheil TG, Bursztajn H, Hamm RM, Brodsky A. Subjective data and suicide assessment in the light of recent legal developments. Part I: Malpractice prevention and the use of subjective data. Int J Law Psychiatry. 1983; 6(3-4):317-29.
    View in: PubMed
  65. Bursztajn H, Gutheil TG, Hamm RM, Brodsky A. Subjective data and suicide assessment in the light of recent legal developments. Part II: Clinical uses of legal standards in the interpretation of subjective data. Int J Law Psychiatry. 1983; 6(3-4):331-50.
    View in: PubMed
  66. Bursztajn H, Hamm RM. The clinical utility of utility assessment. Med Decis Making. 1982; 2(2):161-5.
    View in: PubMed
  67. Bursztajn H, Hamm RM. Medical maxims: two views of science. Yale J Biol Med. 1979 Sep-Oct; 52(5):483-6.
    View in: PubMed
  68. Bursztajn H, Hamm RM. Decision analysis. N Engl J Med. 1979 Jul 5; 301(1):53-4.
    View in: PubMed
  69. Bursztajn H. The role of a training protocol in formulating patient instructions as to terminal care choices. J Med Educ. 1977 Apr; 52(4):347-8.
    View in: PubMed
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