Disasters as Crisis Triggers for Critical Junctures? The 1976 Guatemala Case

This article focuses on the 1976 Guatemala earthquake disaster as a possible crisis trigger, in a relatively strict application of the critical juncture analytical approach. It expands to include the broader question of what conditions might cause disasters to trigger crises that open critical junctures for nation‐states. The research concludes that the 1976 Guatemala disaster led to a high degree of community self‐organizing and alliance‐building across Guatemala, which the Guatemalan national security state at that time perceived as a fundamental crisis requiring a response. This reaction generated significant debate and policy conflict within the state; the resulting decision was massively repressive violence, with legacies that continue to this day. Another conclusion is that strictly applied, critical juncture analysis can untangle often very complicated disaster postimpact emergency, recovery, and reconstruction situations.     

An Assessment of the “Eggshell Psyche” in Simulated Civil Litigation

The eggshell plaintiff rule dictates that in the event that a defendant causes some amount of damage, he or she also becomes liable for all of the plaintiff’s injuries, including any unforeseeable harm. The present study investigated whether adults who may have an “eggshell psyche” due to childhood abuse endorse more symptoms of trauma after a simulated motor vehicle accident than individuals without a history of abuse. Participation in litigation was also examined as a potential stressor over and above the experience of a traumatic event. The results confirm that an individual’s abuse history was related to elevated symptom reports. However, the type of abuse and the litigation context did not incrementally contributed to symptom reports. Results have implications for attorneys, psychological expert witnesses, and plaintiffs who have a history of trauma.     

Understanding stalinism—the ‘Orwellian discrepancy’ and the ‘rational choice dictator’

This discussion article examines the logical bases of the arguments often encountered in the literature that compares Soviet and Nazi totalitarianism. It analyses the ‘Orwellian discrepancy’ between Marxist ideals and Soviet reality, the comparative differences in numbers of people that were murdered by the Stalin and Hitler regimes, and the distinction between ‘murder’ and ‘execution’ that is sometimes applied to the actions of the two tyrants. It then examines the notion of Stalin as a ‘rational choice’ dictator who, through the use of state-sponsored terror, was simply ensuring the survival of his regime, and suggests that a better model for Stalin's government would be that of ‘pseudo-rational choice irrationality’. Arguments that imply that ‘Team Stalin’ should not be seen as a totalitarian corporate form of government because of some attempted reforms and recently revealed institutional complexity are also considered. It concludes by reaffirming the importance of understanding human belief and intellectual factors to a comprehension of historical development.     

La responsabilisation du patient dans un contexte de télésoins à domicile

Sommaire: La volonté de transformation du système de santé est propice à une recrudescence du discours public sur la responsabilisation du patient. Les technologies d'information et de communication (tic ) sont régulièrement envisagées comme moyens pouvant permettre au patient d'exercer un rôle accru dans la prise en charge des questions de santé. Ce texte vise à cerner le sens de la responsabilisation dans un contexte de télésoins à domicile. L‘étude d'un service de suivi à domicile met en lumière l'un des quatre paradigmes d'interprétation de la responsabilisation du patient: le paradigme professionnel qui est orienté vers l'habilitation en matière de santé. Par une double lecture représentant les approches sociologique et psychologique, cette étude montre les possibilités et les limites d'une technologie de télésoins à domicile par rapport à six principales variables: accès aux connaissances; développement d'une réflexion argumentée; influence sur l'action ou la décision; compétence perçue; contrôle perçu; et intériorisation des buts. Les résultats permettent d'observer le haut niveau d'exigence que représenterait une initiative visant l’émergence de patients informés et compétents. Surtout des patients “experts” dans une vision de la responsabilisation fondée sur la reconnaissance du caractère holistique des connaissances, du principe d'autonomie de pensée et du potentiel d'influence du patient sur une variété de décisions. En conclusion, sont précisées les implications qu'ont ces résultats sur la gestion du système public de santé. Abstract: The willingness to transform the health care system is conducive to a new wave of public discourse on patient empowerment. Information and communications technologies (ict ) are regularly considered as means that allow the patient to exercise increased control in addressing health issues. This text aims at examining this phenomenon within the tele‐homecare context. The study of a follow‐up home‐care service highlights one of the four paradigms of the interpretation of patient empowerment: the professional paradigm that is health empowerment‐oriented. By using both a sociological and a psychological approach, the study identifies the possibilities and limitations of tele‐homecare technology, based on six major variables: access to knowledge, development of critical thinking, personal impact on action or decision, perceived competency, perceived control, and internalization of goals. The results show the high level of requirements needed for an initiative that would produce informed, competent and, most importantly, “expert” patients according to a vision of empowerment based on the recognition of the holistic nature of knowledge, the principle of autonomous thinking, and the patient's potential impact on a variety of decisions. In conclusion, the article defines the implications of these results in terms of the management of the public health system.     

Punishment and Permissibility in the Criminal Law

The United States Supreme Court has repeatedly insisted that what distinguishes a criminal punishment from a civil penalty is the presence of a punitive legislative intent. Legislative intent has this role, in part, because court and commentators alike conceive of the criminal law as the body of law that administers punishment; and punishment, in turn, is conceived of in intention-sensitive terms. I argue that this understanding of the distinction between civil penalties and criminal punishments depends on a highly controversial proposition in moral theory – namely, that an agent’s intentions bear directly on what it is permissible for that agent to do, a view most closely associated with the doctrine of double effect. Therefore, legal theorists who are skeptical of granting intention this kind of significance owe us an alternative account of the distinctiveness of the criminal law. I sketch the broad outlines of just such an alternative account – one that focuses on the objective impact of legislation on a class of protected interests, regardless of the state’s motivations in enacting the legislation. In other words, even if the concept of punishment is unavoidably intention-sensitive, it does not follow that the boundaries of the criminal law are likewise intention-sensitive, because the boundaries of the criminal law may be drawn without reference to the concept of punishment. I conclude by illustrating the application of this view to a pair of well-known cases, and noting some of its ramifications.     

The connection of police strategies for coping with workplace problems to stress in two countries

This research examined the direct effects of coping strategies on stress and the moderating effects of coping strategies on the associations between workplace problems experienced by police and stress in South Korea and the United States. Data revealed that coping strategies did not change the strength of connections between workplace problems and stress. Especially in the United States, the use of escape as a coping strategy was related to high stress. Findings were most consistent with the use of organizational-level interventions to increase police officers' job control and advancement opportunities, and pointed to the need to consider support as a way to limit stress.     

Non-market Returns to Traditional Human Capital: Nutritional Status and Traditional Knowledge in a Native Amazonian Society

Soviet Agricultural and Peasant Affairs. Edited by Roy D. Laird London: Constable &; Co. 1964, xiv, 335 pp. 60/‐

India's Export Trends and the Prospects for Self‐Sustained Growth. By Manmohan Singh. Oxford, Clarendon Press, 1964, pp. xiv + 370. 45s.

The Political Economy of Mexico. By W. P. Glade and C. W. Anderson. University of Wisconsin Press, Madison, 1963. Pp. xii, 242, $5.