Dr Lucire is a forensic psychiatrist. Her
expertise encompasses epidemic hysteria, epidemic somatization and moral
panics. She gives expert evidence in RSI and CTD cases. In the 1980s, Australia
experienced an epidemic of work disability attributed to Repetitive Strain
Injury, RSI or cumulative trauma disorder, CTD. This disorder is coded in both
epidemic and sporadic form as writers' cramp or occupational neurosis in the
International Classification of Diseases. This web page introduces the reader
to a completely orthodox approach to RSI and CTDs and demonstrates how the
injury theorists are operating in the wrong paradigm.
Dr Lucire has more than thirty years of experience as a clinician and
consultant. Dr Lucire has lectured on several aspects of psychiatry at
undergraduate, intern and post-graduate level. Dr Lucire can provide
consultancy services in all areas of Forensic Psychiatry and she has worked in
many jurisdictions in several countries, states and territories.
The work of a forensic psychiatrist is at the interface of law and psychiatry,
and of law and medicine. Dr Lucire has provided reports and expertise in cases
in all jurisdictions and in many areas which have an interface with the law.
Her current interest is in mass hysteria, which has as its forensic
representations RSI and
other functional somatic syndromes.
Dr Lucire's field of experience includes issues in:
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criminality,
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child custody,
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compensation,
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common law,
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credibility and reliability,
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Daubert standard of evidence,
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early health-based retirement,
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evaluation of disability and injuries,
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insurance law,
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superannuation,
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differentiating true from fabricated sexual abuse allegations,
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textual analysis to identify confabulation, and
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product liability,
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false advertising by pharmacutical companies,
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medical negligence,
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pharmacological injury.
Her clients have included the major institutions in Australia, legal aid
services, prosecutors, claimants and defendants, major Insurers of Workman's'
and Workers Compensation, victims' compensation boards, superannuation boards,
commercial, public and private liability insurers.
She practices in both criminal and civil litigation, the latter a vexed area
which tends to be more influenced by political than theoretical considerations.
Her efforts include in this area revolve around the provision of an accurate
diagnosis, so that causation is correctly attributed.
Dr Lucire believes that it is only from this starting point of diagnosis of
organic or functional disorder that causation can be attributed. Functional
disorder can and should be differentiated from malingering. By the time a case
comes up for settlement, the original symptoms of injury have often been
replaced by 'functional overlay' which causes confusion for the physical
specialists.
Her review of those clients who are not obviously 'psychiatric' is useful and
use can be made of such evaluations by many defendant and plaintiff clients.
How to refer cases and fee structure
The fees charged depend on where the consultation is carried out and on the
detail required. If the case is earmarked to be settled, less detail can be
provided. If the case is one marked for litigation, then more detail and
explanation are demanded. Fees for examinations and reports for simple cases
start at $500 in her Sydney office, and for RSI cases they range from $600
upwards depending on the detail requested. Reports done overseas are naturally
more costly, and the fee are dependent on economies of scale, as costs of
travel need to be covered. More details can be provided by e-mail to
lucire@ozemail.com.au
Dr Lucire is also available at:
The Psychology Centre
585 Englehardt Street
Albury NSW 2025
Phone: 02 6041 3688
Fax: 02 6041 6940
Suite 4/325 Edward Street
Wagga Wagga NSW 2650
Phone: 02 6925 6805
Fax: 02 6925 3971
Second Generation Antidepressants, SSRIs and Antipsychotics
Risks, Benefits and Consequences
1. 
Re-focussing Upstream: New generation drugs and public health. This
paper seeks to inform Australian health professionals, health administrators,
prescribers and citizens that what they have been told by the pharmaceutical
industry about a whole new generation of 'serotonin' drugs is simply not true.
(2008)
2. SSRIs: Forensic Issues.
Risk Benefit Analysis and Potential for Litigation In Australia. Duty to warn?
(Powerpoint) Presented at RANZCP Forensic Section Conference October 2003
Geelong
3. Do SSRIs cause
Suicide (2004) (Powerpoint).
4. Four seminal papers on SSRIs and their complications.
5. SSRIs: Do they cause suicide? The Science: Daubert Admissible evidence.
Australian Academy of Forensic Sciences, May 19, 2004. In Press. Also
Interantional conference of medical law, Sydney
6. SSRIs and their effects on Mental Health Presentations:
A plausible hypothesis. (PowerPoint) Presented at RANZCP Forensic Section
Conference October 2004, Fremantle.
7. New Drugs New Problems (PowerPoint) presented Section of Forensic psychiatry,
April 9 2005.
8. New Drugs New Problems:
Medico-political expose of the suicide crisis in Mental Health, Australian
Journal of Forensic Sciences.
9. The Ethics of
the Solitary Empiricist: How PhaRMAs changed common human unhappiness
into a deficit disease. Blackheath Philosophy Forum May 9 2005. Do Second
Generation Antidepressants Cause Suicide? A Daubert Hearing. Health, Australian
Journal of Forensic Sciences. May 19. 2004.
10.
Effects of Second Generation Antidepressants and Antipsychotics on Mental
Health Services in Australia Royal Australian and New Zealand College
of Psychiatrists 40th Conference, Convention Centre, Sydney 22 to 27 May. 2005.
11. Akathisia
and Crime: Product Liability issues. Royal Australian and New Zealand
College of Psychiatrists 40th conference, Convention Centre, Sydney 22 to 27
May. 2005.
12. The role of genetics and
cytochromes in drug response.
Key words
akathisia, causation, confabulation clinical iatrogenesis, drug side-effects,
pharmacological iatrogenisis, iatrogenic illness, compensation, co-morbidity,
cumulative trauma syndromes, Daubert, epidemic somatization, somatisation,
juridicogenic disease, legislation, lying nomogenic occupational neuroses,
predicament, prognosis, RSI, repetitive strain injury, cumulative trauma
simulation/collusion, social iatrogenesis, telegraphists' cramp, writers'
cramp, false memory syndrome, sexual abuse allegations, SSRI suicide, textual
analysis, confabulation, nomogenic, Workcover NSW, Transcover VIC, Medical
Assessor, IMS
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