The narrative structure of psychiatric reports

The present contribution illustrates the findings of a research about the narrative structure of psychiatric expertise. We have analysed a sample of nine expertises, using the methodology proposed by Roland Barthes in his book S/Z, in which he applies it to Honoré de Balzac's "Sarrasine". Barthes suggests that every narrative is characterized by the presence of five codes (hermeneutical, proairetic, semantic, symbolic and referential): we have searched for them in the expertises, but we have also observed the presence of many lapsus calami. As for our results, we have interpreted the massive presence of symbolic code in an expertise as a proof of the elaboration of the horror elicited by crime in the expert's narrative and, on the other side, the presence of referential code as the proof of the incapacity to treat such feeling and the necessity to defend himself from it. In this vision, lapsuses arise when the expert is astonished by the horror of the crime, and does not succeed in elaborating it either by using symbolic code or through his cultural resources (referential code). Finally, some reflections are made upon the difficulty for the voice of the defendant to be heard in the texts written about him.     

Better that ten guilty persons escape: punishment costs explain the standard of evidence

It is generally agreed that the conviction of an innocent person (type-I error) should be avoided even at the cost of allowing a certain number of acquittals of criminals (type-II error). The high standard of evidence that is usually required in criminal procedure reflects this principle. Conversely, the established model of optimal deterrence that follows the seminal work of Becker (1968) shows that the two types of error are equally detrimental in terms of deterrence and thus it prescribes the minimization of the sum of errors with no primacy given to type-I errors over type-II errors. This paper explains that when the costs of punishment are positive, and guilty individuals are, on average, more likely to be found guilty than innocent ones, wrongful convictions are more socially costly than wrongful acquittals. This justifies the bias against wrongful convictions without resorting to any ad hoc assumption about the relative weight of the two errors.     

Arrhythmogenesis and diagnosis of cardiac sarcoidosis. An immunohistochemical study in a sudden cardiac death

We present an uncommon case of sudden cardiac death in a 34-year-old white woman. She was found lifeless at home by her parents. Three months before death she was recovered at the Emergency Room for chest pain, palpitation and loss of consciousness. Subsequent cardiological evaluation with ECG showed sinusal rhythm, QRS deviation to the left, QS aspect, asymmetric and rounded T waves and slight length of QT. During hospitalization she presented some episodes of supraventricular paroxysmal tachycardia and non-sustained ventricular tachycardia. No echocardiography alterations were found. An anti-arrhythmic treatment was prescribed. Autopsy revealed some fibrotic scarring in the myocardium of left ventricle. The histological examination of the heart revealed diffuse and extensive fibrosis with non-caseating sarcoid granulomas. The lungs, kidneys and lymph node also showed the same non-caseating granulomas. The diagnosis of sarcoidosis with massive and extensive cardiac involvement was established as cause of death.     

Cardiac β1-adrenoceptor expression in two stress-induced cardiomyopathy-related deaths

Stress-induced cardiomyopathy (SICM) is characterized by transient systolic dysfunction of the apical and/or midventricular myocardial segments in the absence of obstructive coronary artery disease and is unique in that it can manifest itself after acute emotional stress. Excessive amounts of catecholamines released from sympathetic nerve endings as well as from the adrenal medulla under stressful conditions are considered to produce intracellular Ca(2+) overload and cardiac dysfunction through the β(1)-adrenoceptor signal transduction pathway. We describe the clinical and pathomorphological findings in two stress-induced cardiomyopathy fatal cases. Levels of catecholamines and their metabolites in urine samples were assessed too. Morphological patterns seen in SICM result from the complex interplay between sympathetic innervations, β-receptor density and function and catecholamine sensitivity.     

An unusual mechanical asphyxia in a homicide-suicide case by smothering and strangulation

A very unusual homicide of 2 children by smothering and strangulation by means of a rubber adhesive band carried out by the mother who committed suicide by the same manner is presented. Smothering is supposed to be one major cause of death in child homicide. Suicide by smothering is relatively uncommon. Suicidal smothering by winding strips of adhesive tape around the head to cover the nose and mouth is an even rarer method recently described in literature. The circumstances of the crime and the macroscopic and microscopic evidence are discussed to reduce the potential for underdiagnoses or mistakes in such cases in which it may be difficult to establish whether suicide or homicide occurred.     

Psychosocial Adjustment and Family Relationships: A Typology of Italian Families with a Late Adolescent

The importance of family relationships in human development and adjustment has always been recognized in psychological studies. The present study aims to construct a typology of families with a late adolescent and to analyze the family relationships present in each type. The typology, constructed using family satisfaction—a global index of family functioning—as the discriminate variable, took into account eight types. This study is focused on the two extreme types of the typology: Families with adequate functioning or satisfied families and Families with inadequate functioning or dissatisfied families. These two types of families were compared according to variables such as: (a) parent-child communication and its topics and (b) the family's decision-making process on topics related to the adolescent and his/her future orientation. All subjects completed a questionnaire composed of different scales. The results show substantial differences in the two family types regarding both family functioning and the role played by mothers and fathers. Satisfied families give evidence of a better communication process than the dissatisfied ones, greater sharing between parents and adolescents and, finally, a decision-making process based mostly on sharing and support. Moreover, in satisfied families the father has the role of social mediator. In this way, he succeeds in part in restoring equilibrium to the relational imbalance in favor of mothers so typical of Italian families.     

Posting of workers across the EU: an empirical investigation

This paper investigates the effects of the intra-European posting of workers on domestic labour markets in the years 2007–2009. Instrumental variables related to neighbouring countries’ populations are used to address the endogeneity between posting and labour market features. Contrary to conventional wisdom, we find that an intensification of posting inflows is not likely to displace domestic workers, at any educational levels. Instead, an increase in posting from abroad may raise domestic labour costs. No significant effects are found on sending country labour market variables. Results point towards the development of possible synergies between domestic and posted workers, so that posting can actually improve labour efficiency and put upward pressure on labour costs.     

Social Enterprise,Capabilities and Development Paradigms: Lessons from Ecuador

Recently, social movements in Latin America have affirmed the ‘buen vivir’ development paradigm that pursues the social and solidarity economy model in reaction to mainstream development strategies. In this paper we explore the features of the social economy that has emerged from the social movement resistance in Ecuador. We have two aims. First, to contribute to the comparative analysis of the varying patterns in the evolution of social enterprise around the world. Second, to provide general theoretical insights into the ways in which the social economy relates to the contemporary debate on alternative development paradigms.     

Introduction: citizenship as inhabitance? Migrant housing squats versus institutional accommodation

ABSTRACT

This special issue focuses on migrants’ self-organised strategies in relation to housing in Europe, namely the collective squatting of vacant buildings and land. In particular, the contributions to this special issue differentiate between shelter provided in state-run or humanitarian camps and squatted homes. Migrants squats are an essential part of the ‘corridors of solidarity’ that are being created throughout Europe, where grassroots social movements engaged in anti-racist, anarchist and anti-authoritarian politics coalesce with migrants in devising non-institutional responses to the violence of border regimes. In these spaces contentious politics and everyday social reproduction uproot racist and xenophobic regimes. The struggles emerging in these spaces disrupt host-guest relations, which often perpetuate state-imposed hierarchies and humanitarian disciplining technologies. Moreover, the solidarities and collaborations between undocumented and documented activists challenge hitherto prevailing notions of citizenship and social movements, as well as current articulations of the common. These radical spaces enable possibilities for inhabitance beyond, against and within citizenship, which do not only reverse forms of exclusion and repression, but produce ungovernable resources, alliances and subjectivities that prefigure more livable spaces for all. Therefore, these struggles are interpreted here as forms of commoning, as they constitute autonomous socio-political infrastructures and networks of solidarity beyond and against the state and humanitarian provision