Rethinking risk in pediatric research

This article reviews four areas of pediatric research in which we have identified questionable levels of allowable risk, exceeding those foreseen by the Commission. They are the following: (1) the categorization of increasingly risky interventions as minimal risk in a variety of protocols; (2) the increasing number of applications for federal panel review of research not otherwise approvable because of higher projected risk levels; (3) research on asymptomatic at risk children; and (4) the inclusion of children and adolescents in placebo-controlled trials for participants of all ages without performing subgroup analysis. While embracing the imperative to include children in research is an encouraging step towards providing the pediatric population with effective medical care and finally eradicating the therapeutic orphan, we must ensure that this research does not become overly permissive.     

Discussion: Building the Developmental State: Achieving Economic Growth Through Co-operative Solutions: A Comment on Bringing Politics Back I

Drawing on the insights of game theory and East Asian experience, this short note argues the importance of co-operative solutions in achieving economic development. To realise these, even genuine developmental states must convince a sceptical private sector of their commitment to economic development. Because of this, credibility should be added to the mix of ingredients necessary for a successful developmental state.     

Psychiatric aspects of arsonists.

Arson is a major source of property damage, injury and death in the United States. Many people who commit arson have extensive psychiatric histories and symptoms at the time of their fire-setting. However, traditionally the law enforcement community and the mental health community have not shared information about the characteristics of people who set fires. This study examined mental health records and/or prison files from 283 arsonists. 90% of arsonists had recorded mental health histories, and of those 36% had the major mental illness of schizophrenia or bipolar disorder. 64% were abusing alcohol or drugs at the time of their firesetting. Pyromania was only diagnosed in three of the 283 cases. Different motives for setting fires are discussed; many patients were both angry and delusional. A survey instrument, which captures both psychiatric and legal data, is included. Suggestions are made for gathering future "profiling" information. A matrix approach to coding diagnosis and behavior is presented.     

Executive Privilege Reaffirmed? Parliamentary Scrutiny of the CFSP and CSDP

The EU’s Common Foreign and Security Policy (CFSP) and Common Security and Defence Policy (CSDP) occupy a unique space in EU governance. Both policies have supranational elements, yet their formally intergovernmental status shields them from the increased scrutiny powers granted to national parliaments after Lisbon. National parliamentary scrutiny of these policy areas has thus received relatively little attention. Using an analytical framework of ‘authority, ability and attitude’, this paper argues that attitude, meaning MPs’ willingness to scrutinise CFSP, is the most important factor in explaining the empirical variation in the quantity and quality of national parliamentary scrutiny of CFSP. Drawing on qualitative research and interviews conducted as part of the OPAL project, the paper demonstrates that formal powers do not, in practice, equate to ‘strong’ scrutiny, arguing that the strongest parliaments are those that make CFSP scrutiny a systematic, normalised and culturally accepted part of parliamentarians’ everyday work.