CLINICAL ETHICS COMMITTEES IN THE UNITED KINGDOM: TOWARDS EVALUATION

In the United Kingdom there is a growing conviction that CECs have an important role to play in helping health care professionals address ethical dilemmas. For example, the Royal College of Physicians, the Nuffield Trust and the unofficial Clinical Ethics Network, which has received financial support from the Department of Health, commend the use of CECs in the UK. The growth of such committees has been influenced by the legal and policy support they have received in the United States. However, there is increasing concern about both the benefits and the quality of work produced by CECs. In addition, despite the rapid increase in the number of CECs in the UK, outside of the United States they remain under-researched and no formal mechanism exists to assess their performance. As a result we know little about the structure, function, impact and effectiveness of CECs. We are currently conducting a research project funded by the Wellcome Trust that seeks to interrogate the competing claims regarding the benefits and disbenefits of CECs. This initial account of our research provides a detailed analysis of theoretical issues that surround the development and use of CECs and points towards the questions that lie at the heart of the social science strand of our project.     

Adolescents as offenders, social order, and the morality of work in a postindustrial society: The Australian experience

This article argues that traditional views of employment as both financially necessary and morally imperative for guaranteeing a relatively smooth transition from adolescence to responsible adult status are naive in the context of a postindustrial society. Increased youth unemployment since the mid-1970s has excited considerable anxiety and debate about the criminal potential of “youth,” generating debate and research claiming a causal link between youth unemployment and crime. Analyzing this gives rise to inquiry about some of the old assurances and certitudes of full-time, waged labor in a context where full-time, waged labor is steadily becoming a minority activity for most people of working age. The pursuance of youth, political, and economic policies based on assumptions about an indefinite growth in the labor market, or a return to the “full-time employment” of the past, are problematic and require rethinking. Rather than providing corrective measures that entail the restoration of now unfeasible certainties (“full” employment), effort can be better spent appreciating the significance of the shift toward a postindustrial society and considering other ways of providing the inner stability and the fundamental social experiences for young people once obtained through waged work.     

Nativism or Economic Threat: Attitudes Toward Immigrants During the Great Recession

To better evaluate the weight of economic versus cultural factors in determining individual attitudes toward open borders, this article reports on a survey experiment conducted over the course of the Great Recession. Over the course of the recession, we measured changes in attitudes on both immigration and trade policies, controlling for economic circumstance. Based on the data provided by respondents on both their current salaries as well as a subjective assessment of their economic well-being, we illustrate how both objective and subjective perceptions of the economy interact with cultural factors and influence attitudes on open borders. The panel provides a unique picture of the “stickiness” of policy attitudes in hard economic times, and by extension, the level of commitment in the United States to globalization.     

Private and public voices: Does family group conferencing privilege the voice of children and families in child welfare?

This article examines the use of family group conferencing in child protection and considers its ability to privilege the voice of children and families who reach the attention of statutory child protection services. The family group conference (FGC) is a process of family decision-making in child protection, originally developed in Aotearoa New Zealand, and now practised in many countries including the UK. Examining the literature and research relating to the FGC it considers whether the approach provides a genuine context of participation and partnership, or whether it has become an instrumental professionally led practice as families are charged with greater responsibilities for children at risk.