Participation of children in clinical trials: UK, European and international legal perspectives on consent

The Declaration of Helsinki was, until recently, the leading international code on the conduct of clinical trials on human subjects. The Council of Europe's Convention on Human Rights and Biomedicine (1997) and the ICH guidelines for Good Clinical Practice (1996) represent a significant step towards increased harmonization of standards in the conduct of medical experiments on human subjects. But in spite of emerging areas of consensus, there remain important areas of unclarity and divergence. Medical practitioners involved in paediatric research in the UK are concerned about the lack of certainty in the law, particularly on the application of consent rules to emergency research. This paper examines UK, European and International norms on the participation of children in medical research and compares the circumstances under which consent rules may be waived under each normative regime.     

What Clients Know: Client perspectives and legal competence

This article does not have an abstract     

Lay perspectives on legal conundrums

Criminal law remains divided on the question of whether objectivity or subjectivity should be its dominant basis. Does liability begin with an objective act or harm, or with, subjective intent? In the first experiment, dealing with the conundrum of impossible act cases, the question is, Will respondents convict on subjective grounds (where intent to murder is clear), even when amanifest criminal act andharmful consequences are absent? The results show that they do convict, though their subjective preference moderates and even reverses with certain types of mistakes, or when thepotential harm, though not the actual harm, is perceived as high. In the second experiment, dealing with mistaken act and self-defense cases, the question is, Will subjectivity be determinative, or will respondents weigh objectivity more as the mistake gets more unreasonable? The results show that objectivity is weighed heavily, as fears of a plunge into subjective waters prove groundless Without legal guidelines, respondents navigate these conundrums by shifting their objective vs. subjective balance point, guided by good common sense.     

Electronic health records: international, structural and legal perspectives

The EHR is a database record that incorporates a patient's health care details from conception to death and which can be distributed over a number of sites or aggregated at a particular source. This article describes the function and concept of the EHR by relating it to other medical information technologies, parallel changes in health care delivery, and a holistic health information model. The article compares the progress that Europe, Australia and the United States have made in the journey towards EHR implementation and concludes by highlighting some of the costs, barriers and consequences associated with the transition to a comprehensive EHR system.     

Psychopathy and instrumental aggression: Evolutionary, neurobiological, and legal perspectives

In the study of aggression, psychopathy represents a disorder that is of particular interest because it often involves aggression which is premeditated, emotionless, and instrumental in nature; this is especially true for more serious types of offenses. Such instrumental aggression is aimed at achieving a goal (e.g., to obtain resources such as money, or to gain status). Unlike the primarily reactive aggression observed in other disorders, psychopaths appear to engage in aggressive acts for the purpose of benefiting themselves. This is especially interesting in light of arguments that psychopathy may represent an alternative life-history strategy that is evolutionarily adaptive; behaviors such as aggression, risk-taking, manipulation, and promiscuous sexual behavior observed in psychopathy may be means by which psychopaths gain advantage over others. Recent neurobiological research supports the idea that abnormalities in brain regions key to emotion and morality may allow psychopaths to pursue such a strategy—psychopaths may not experience the social emotions such as empathy, guilt, and remorse that typically discourage instrumentally aggressive acts, and may even experience pleasure when committing these acts. Findings from brain imaging studies of psychopaths may have important implications for the law.     

中国近代的法律期刊

Driven by the importation of western learning to China by Protestant missionaries in the nineteenth century and compilation and publication of legal and political serial books and magazines by students studying in Japan in the late Tsing Dynasty, modern Chinese legal periodicals appeared officially and developed vigorously. These legal periodicals facilitated the modern transformation of traditional Chinese ideology and academy in terms of the purposes, editing mode, academic specifications, writing techniques and language styles of some typical periodicals. As the periodicals were widely spread and demonstrated throughout universities, legal communities and judicial and legislative authorities, more people acquired common background in such aspects as thoughts and writing techniques. As the adhesive of professional community of media and an important means of maintaining knowledge production, periodicals created some new authority of saying, based on which the tradition of modern Chinese legal system has been established. Translated from Falü Kexue 法律科学 (Law Science), 2003, (5): 25–31     

What constitutes a psychiatric emergency: clinical and legal dimensions

In true medical emergencies, informed consent is presumed or implied without application of the usual standard. In the litigation over the right to refuse treatment in psychiatry, a limited right for involuntarily committed patients to refuse treatment has been upheld, absent a finding of a psychiatric emergency. Increasingly, clinicians may find that their sole extrajudicial option in instituting treatment over the patient's objection is in invoking a psychiatric emergency. The purpose of this communication is to discuss the clinical and legal issues in defining and invoking a psychiatric emergency in treatment refusal. The substantive and procedural issues in the use of the emergency exception in treatment refusal are discussed with recommendations for their use in clinical practice.     

Convergence and conflict perspectives in Scandinavian studies of the legal profession

This article focuses on classic Scandinavian studies of the legal profession. These classic studies, which followed World War II and the development of the Scandinavian welfare states, focused on national developments in the legal profession and its relevance to the development of the states and the markets. The studies are divided into convergence perspectives with Aubert's studies dominating on the one hand, and conflict perspectives with Mathiesen's studies dominating on the other. This article examines their similarities and differences in theoretical backgrounds, methodology and empirical data. It demonstrates how the two research traditions, despite their different theoretical perspectives, build their research on comparatively the same kind of empirical data and methodology and how they reach some of the same conclusions.     

Sexual assault cases in the legal system: Police,prosecutor, and victim perspectives

The purposes of this study were to assess (a) the extent of attrition in the processing of sexual assault cases in the legal systems, (b) factors associated with attrition at various stages in the process, and (c) victims' experiences in the legal system and the relations between these experiences and recovery. Our results suggest that substantial attrition continues to occur in the prosecution of rape cases, that more severe assaults are prosecuted more vigorously, that victims are generally satisfied with the police (but not with the legal system in general), and that neither attitudes nor case outcomes are associated with victims' postrape recovery. Research and policy implications are discussed.