When Healing Harms

The legal case that changed psychiatry and forced a reckoning within the profession. In 1979, Dr. Raphael Osheroff admitted himself to Chestnut Lodge, a prestigious psychiatric hospital, expecting world-class care for his severe depression. Instead, he was confined to a locked ward, denied medication, and subjected to seven months of talk therapy. The experience rendered him physically frail and emotionally devastated before his parents secured his transfer to a hospital willing to prescribe the antidepressants he desperately needed. But the damage was done: his marriage, his practice, and his reputation all lay in tatters. Then he did something unprecedented. He sued Chestnut Lodge. When Healing Harms excavates the long-buried story behind one of the most consequential—and most misunderstood—malpractice cases in modern psychiatry and surfaces its impact that persists to this day. Drawing on thousands of pages of court transcripts, medical files, legal archives, hundreds of letters, video testimony, and interviews, Eric Caplan provides the definitive account of how a world-renowned psychiatric hospital failed a patient in crisis, and how the story of that failure has been obscured and misrepresented for more than four decades. The result is a revelatory examination of how psychiatry confronted its limitations—and unwittingly gave rise to a system that has failed seriously ill patients even more than the one Osheroff fought to change.