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The husband will unknowingly violate a prohibition all the years that
 he lives with his unfaithful wife, and the sins add up and are many.
 Therefore we need not consider kevod habriyos in this case.
 Likewise in our case, since the matter is likely to affect the future,
 one would be obligated to tell the principal’s supervisors.   A PSYCHIATRIC PATIENT
 On the other hand, our case differs somewhat from the case pre-  CONFESSES HIS SINS;
 sented to the Noda Biyehudah. In our case, we are not dealing with a   PUBLICIZNG THEM IS
 proven transgression. It is not certain that the principal will continue   67  LIKELY TO HARM HIS
 his abusive acts, especially if the beis din warns him that his livelihood   REHABILITATION
 and position are at stake. Therefore, we return to the first point noted
 by the Noda Biyehudah, and perhaps due to kevod habriyos, one should
 do nothing. However, if we see the principal continuing his evil ways,
 he is like a pit found in a public domain and must be stopped without
 any concern for his own honor or his family’s.   1
 Regarding the third question: Is the physician obligated to expose   Question
 the principal if doing so will cause him personal harm? The physician   A person suffering from mental disorders came to request psychiatric
 is not obligated to suffer because of his exposure and a person is not   therapy and medications. He told the physician treating him that he
 obligated to expend money in order to fulfill the mitzvah of rebuke, as   abuses his young female relatives. The physician knows the family.
 explained in the Shulchan Aruch (Yoreh Deah #336:48). However, he   These acts may have very serious consequences, even danger to life, if
 is obligated to send an anonymous letter, so that he should not suffer   the victims wake up in the middle of his abusive acts. The patient has
 personally from this.  started treatment and the physician feels there is a chance of rehabil-
           itating him, but occasionally he reverts to his abusive acts, despite the
 1   SuMMaRy and Conclusions  treatment.
              If the physician tells the parents of the abused children, he will
 1.  One should summon the principal to appear before a beis din,   lose the patient’s trust and effectively close off the possibility of his
 who will clarify whether the allegations are true or not.  rehabilitation, the responsibility for which rests completely on the
           physician, who is the sole person involved in treating the patient.
 2.  If it appears that the principal will continue his lewd acts, one
 should inform on him to his supervisors without any concern   The physician wants to know the Torah view of this. Does he have
 for his family.  to be concerned about the welfare of the girls, and rescue them from
           the possible trauma and the mental damage they are likely to develop
 3.  The physician should go about this in a way that will not cause   if they wake up, Heaven forbid, or should he focus on the rehabilita-
 him any personal harm.  tion process of only his own patient since ultimately, if the treatment
        is successful, much future damage will be prevented?
 Participation of parents in the psychological treatment of their   In order to answer this question, let us begin with two additional
 children  questions:




 398   1  Medical-HalacHic Responsa of Rav ZilbeRstein  Publicizing the sins of a psychiatric patient  2   20818_efi-ab - 20818_efi-ab | 13 - A | 18-08-20 | 13:29:04 | SR:-- | Cyan   20818_efi-ab - 20818_efi-ab | 13 - A | 18-08-20 | 13:29:04 | SR:-- | Magenta   20818_efi-ab - 20818_efi-ab | 13 - A | 18-08-20 | 13:29:04 | SR:-- | B






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