This piece was reported by Vanessa Lowe and edited for 99% Invisible by producer Joe Rosenberg. A different version originally aired on the podcast Nocturne.
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It is then a further question how this sort of remedial moral liability ought to be recognized and enforced in the doctrinal architecture of the negligence tort. The standard strategy would be to recognize a legal duty of care running between therapist and parent, as some courts have done.234 But this strategy risks the perverse effects that have led other courts (along with defenders of the Palsgraf perspective) to decline to recognize any such duty of care235: It risks perverting the proper shape of the therapist’s deliberation, by conveying to him that he ought in treating his patient to incorporate a substantial concern for the interests of another party. And it risks generating legal incentives for him to act on such a concern, including in circumstances where it would conflict with a concern for the interests of his patient.