Book Review: Facing the Decisions One Should Make and the Decisions One Wants to Make

Authors of two recent books, Smart Choices and The Win-Win-Solution, offer negotiation practitioners some new twists on how they can improve their decision-making processes. In the first book, Hammond, Keeney, and Raiffa present a five-part PrOACT system, which features: an assessment of the problem; determination of objectives; exploration of alternatives; comprehension of the consequences; and dealing with tradeoffs. The second book, by Brams and Taylor, outlines four settlement options that are available to decision makers, but advocates an adjusted winner approach. The authors have devised a system in which individuals' subjective assessments of particular items in dispute receive point totals, which can then be divided in an equitable manner. In effect, the authors show readers how to deal with the decisions they should make, and those they want to make.     

A Classification Tree Approach to the Development of Actuarial Violence Risk Assessment Tools

Since the 1970s, a wide body of research has suggested that the accuracy of clinical risk assessments of violence might be increased if clinicians used actuarial tools. Despite considerable progress in recent years in the development of such tools for violence risk assessment, they remain primarily research instruments, largely ignored in daily clinical practice. We argue that because most existing actuarial tools are based on a main effects regression approach, they do not adequately reflect the contingent nature of the clinical assessment processes. To enhance the use of actuarial violence risk assessment tools, we propose a classification tree rather than a main effects regression approach. In addition, we suggest that by employing two decision thresholds for identifying high- and low-risk cases--instead of the standard single threshold--the use of actuarial tools to make dichotomous risk classification decisions may be further enhanced. These claims are supported with empirical data from the MacArthur Violence Risk Assessment Study.     

Studying schizophrenia outside the psychiatric setting

Two groups of college students were identified using the MMPI as a screening device: those with normal profiles and those with schizophrenic profiles. All those with previous psychiatric treatment were eliminated. A third group of hospitalized schizophrenics was matched to the first two along lines of age, sex and socioeconomic status. The three groups were then studied via a semistructured interview and compared for the clinical features of hospitalized schizophrenics and for objective enironmental stresses. As predicted, a group of well-functioning, untreated schizophrenics was delineated. The usefulness of the MMPI as a screening device is clarified, and the question of the true prevalence of schizophrenia is discussed. Contrary to prediction, the well-functioning schizophrenics were similar to the hospitalized schizophrenics, not to the normal controls, with regard to objective environmental stresses. The possible meaning of this is discussed considering the concept of subjective environmental stresses.This research is in part supported by USPHS grants MH-18991, MH-19477-01, and State of Illinois 131-13-RD, State of Illinois 218-12-RD.This reasearch is part of an extensive program investigating schizophrenia which is being conducted jointly by the Psychosomatic and Psychatric Institute of Michael Reese Hospital, the Department of Psychiatry, Pritzker School of Medicine, the University of Chicago, and the Illinois State Psychiatric Institute.Received M.D. from Northwestern University. Served psychiatric residency at the Psychosomatic and Psychiatric Institute of Michael Reese Hospital. Main interest is in psychotherapy and psychodynamics of youth.     

Political Cleavages in Sweden and Norway

The topic of the article is a comparison of voter reactions in Sweden and Norway towards some current political issues. The analysis is based upon nationwide election surveys in 1976 (Sweden) and in 1977 (Norway). Despite the fact that the party systems are different in several ways, the patterns of political attitudes in the two electorates are surprisingly similar. The analysis suggests that political cleavages are basically the same in these two neighbouring countries. Likewise the location of corresponding parties in the two systems is approximately the same in relation to specific cleavages.     

Acute selenium poisoning: suicide by ingestion

Selenium is a ubiquitous element in the environment essential to the human diet and widely utilized in industrial processes. Fatal human selenium intoxication is rare. The authors report a case in which investigators recovered a bottle of gun-bluing agent beside a 24-year-old man. He exhibited signs and symptoms typical of acute selenium intoxication presenting with nausea and vomiting, followed by pulmonary edema and rapid cardiovascular collapse approximately 3 to 4 h after ingestion. Classic electrocardiographic (EKG) changes, which have been reported to occur in acute selenium intoxication, included sinus tachycardia with ST wave alteration. Toxicological results confirmed elevated blood and tissue concentrations. The cause of death was ascribed to acute selenium intoxication, which ensued rapidly after oral consumption. The manner of death was suicide. This case report, which presents an overview of acute and chronic selenium poisoning, underscores the value of thorough toxicologic analyses of tissue and body fluids in humans.     

‘From Seoul with Love’ — The Continuing Relevance of the 1986 Seoul ILA Declaration on Progressive Development of Principles of Public International Law Relating to a New International Economic Order

Netherlands International Law Review -