A comparison of respondents in initial and recommitment hearings

Legislators and researchers have focused on one aspect of civil commitment: initial commitments. Many patients, however, remain in the hospital after their initial commitment expires and, thus, must be recommitted if they are to remain in involuntary treatment. Demographic, clinical, and treatment data were collected on 374 adults having initial or recommitment hearings during a 3-month period at a large state hospital in Virginia. Respondents in initial commitment hearings were younger and displayed acute symptoms; recommitment respondents were older with symptoms of chronic psychopathology, especially those associated with schizophrenia and organic brain syndrome. The subject of recommitment patients and hearings needs to be a focus of future research efforts to determine whether these differences are reflected in a greater relative gap between the letter and practice of the law in recommitment hearings.This research was supported by grant No. R03 MH44065-01 from the National Institute of Mental Health. The financial assistance of the Institute for Research Development of the Human Sciences Research Council is also acknowledged. This article was written while the first author was a postdoctoral fellow in Clinical Services Research, NIMH grant No. 5T32MH17184-06.     

Projecting the impact of the 1976 Medical Device Amendments on innovation in clinical chemistry tests

This paper is concerned with the impact of the Medical Device Amendments of 1976 and its implications in terms of innovation. With this objective the paper first describes the Medical Device Amendments of 1976. The paper then reports empirical evidence on the sources of a subset of innovations regulated by the Amendment's clinical chemistry diagnostic products. Finally, based on the pattern of innovations found, some thoughts are expressed about the likely effects of the Amendments.     

Intergroup Prejudice in Multiethnic Settings

This article examines how out-group perceptions among Asian Americans, blacks, Latinos, and whites vary with the racial composition of their surroundings. Previous research on the contextual determinants of racial attitudes offers mixed expectations: some studies indicate that larger percentages of proximate out-groups generate intergroup conflict and hostility while others suggest that such environments promote interracial contact and understanding. As most of this research has been directed at black-white relations, the applicability of these theories to a multiethnic context remains unclear. Using data that merge the 1992–1994 Multi-City Study of Urban Inequality and 1990 Census, we find that in neighborhood contexts, interethnic propinquity corresponds with lower levels of out-group prejudice and competition, although intergroup hostility is higher in metropolitan areas with greater minority populations. Further tests suggest that these results do not occur from individual self-selection; rather ethnic spatial and social isolation bolster negative out-group perceptions. These findings suggest the value of residential integration for alleviating ethnic antagonism .     

Significant Predictors of Soccer Players’ Moral Functioning from Components of Contextual Injustice, Sensitivity to Injustice and Moral Atmosphere

This study analysed the effects of contextual injustice on the moral functioning of soccer players with two goals: (1) to identify the factors of contextual injustice, moral atmosphere and sensitivity to injustice that significantly predict moral functioning and (2) to test the hypothesis that sensitivity to injustice has an effect only in unjust contexts. Three hundred players (from 16 to 40 years old) participated in the study. The analyses indicated a negative and significant effect of contextual injustice on moral functioning. Sensitivity to injustice was, like moral atmosphere, one of the best predictors of moral functioning. Moreover, sensitivity to injustice was a significant predictor of moral functioning in both just and unjust contexts.     

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