"Just say no!": the right to refuse psychotropic medication in long-term care facilities

This article examines the rights of patients, particularly incompetent patients, in long-term care facilities to refuse psychotropic medication. In exploring this topic, the author focuses on the provisions of the Omnibus Budget Reconciliation Act of 1987 which was part of a Congressional solution to afford greater protection to residents of long-term care facilities. Because the legislation has not lived up to expectations, the author advocates for further legislative action to protect the dwindling bundle of rights of the elderly.     

Self-attitudes and deviant behavior: The case of the charismatic religious movement

Hypotheses are tested concerning the relationship between level of and changes in self-attitudes on the one hand and the adoption of membership in the charismatic religious movement on the other hand. The hypotheses are derived from a general theory of deviant behavior. Subjects (generally aged 13–25) were 65 members of a local charismatic religious group and a comparison group of 47 members of three, more traditional urban Protestant churches. Self-attitudes were measured by a self-derogation scale responded to with reference to two points in time: the present and 6 months to 1 year prior to the test administration. The three hypotheses were supported. (1) The charismatic subjects, relative to the comparison subjects, displayed significantly higher levels of self-derogation at the time of adopting membership in the charismatic group. (2) Individuals who adopted membership in the charismatic cults, relative to the comparison group, displayed a significantly greater tendency to decrease the level of self-derogation between the earlier point in time and the point in time when the subjects were interviewed. (3) Significantly greater decrease in self-derogation on the part of the charismatic cult subjects resulted in comparable levels of selfderogation for the charismatic and comparison groups at the time of the interview.Received M.D. from the University of Ottawa in 1960, did his fellowship in psychiatry in Mayo Clinic, 1968–1970, and is a fellow of the American Board of Neurology and Psychiatry (1973). Major interest is religion and psychiatry.Received Ph.D. in sociology from New York University in 1958. Current research interests are social psychiatry and, more specifically, the reciprocal relationship berween self-attitudes and the adoption of deviant response patterns.     

The European parliament and environmental legislation: The case of chemicals

The paper studies the impact of the EP on legislation on chemical pollutants introduced under the Cooperation procedure. A series of formal and informal analyses have predicted from significant impact of the EP, to limited impact (only in the second round) to no impact at all. Through the analysis of Parliamentary debates as well as Commission and Parliamentary committee documents, we are able to assess the significance of different amendments, as well as the degree to which they were introduced in the final decision of the Council. Our analysis indicates first that less than 30% of EP amendments are insignificant, while 15% are important or very important; second, that the probability of acceptance of an amendment is the same regardless of its significance. Further analysis indicates two sources of bias of aggregate EP statistics: several amendments are complementary (deal with the same issue in different places of the legal document), and a series of amendments that are rejected as inadmissible (because they violate the legal basis of the document or the germainess requirement) are included in subsequent pieces of legislation. We calculate the effect of these biases in our sample, and find that official statistics under estimate Parliamentary influence by more than 6 percentage points (49% instead of 56% in our sample). Finally, we compare a series of observed strategic behaviors of different actors (rapporteurs, committees, floor, Commission) to different expectations generated by the literature.     

A non-profit accountability framework

Abstract: A non-profit accountability framework is developed from the broader academic literature, both within non-profit studies and beyond. The framework includes a comprehensive set of stakeholders that non-profits need to be accountable to, as well as resources to be accountable for. These stakeholders and resources are then contrasted on a matrix. Sommaire : Un cadre d'imputabilité pour le secteur à but non lucratif est élaboréà partir de la documentation. Le cadre inclut un ensemble exhaustif de parties prenantes auxquelles le secteur à but non lucratif doit rendre des comptes, ainsi que des ressources pour lesquelles il est imputable. Ces parties prenantes et les ressources sont alors mises en contraste sur un tableau.