BC court orders government to pay for treatment

On 9 October 2002, the British Columbia Court of Appeal upheld a ruling of a BC court that the BC government must not discriminate against a disabled and disadvantaged group when choosing what medical treatments it will fund. The Court of Appeal ordered the BC government to pay for a particular form of treatment. The case is significant in the context of HIV/AIDS because it could lend support to arguments that a government must make appropriate accommodation for the health-care needs of other disabled and marginalized groups--for example, safe injection supervision for the treatment of addiction.     

Les innovations techniques en santé: le processus décisionnel et les limites de la réglementation

Sommaire: Dans nos sociétés, les décisions relatives aux nouveaux équipements techniques en santé sont en général prises au sein d'instances relevant plus ou moins directement du pouvoir gouvernemental (ministères, organismes régionaux, hôpi-taux, etc.). Plusieurs intervenants agissent dans ce milieu public où, comme acteurs du processus décisionnel, ils ont à résoudre diverses incertitudes et è tenir compte d'enjeux politiques, professionnels ou organisationnels. L'influence de ces incertitudes et de ces enjeux sur les décisions dépend aussi beaucoup de la phase (décou-verte, implantation ou diffusion, par exemple) dans laquelle se trouvent les innovations à un moment donné. Cet article tente donc de démontrer la complexité du processus décisionnel dans la mise en place des nouvelles technologies médicales de haute intensité. II met I'emphase sur le rôle et les limites de la réglementation. Abstract: In our society, decisions concerning new technical equipment for health care are in general made by bodies that are more or less directly under government control (ministries, regional bodies, hospitals, etc.). As actors in the decision-making process, these entities are required to clear up many uncertainties and take into account the political, professional or organizational issues. The influence of these uncertainties and issues on decision-making also depends on the stage (for example, discovery, introduction or dissemination) that an innovation has reached at any given moment. This article attempts to illustrate the complexity of the decision-making process as regards the implementation of new advanced medical technologies, and emphasizes the role and the limitations of regulation.     

CUSTODY EVALUATIONS

The procedures used to conduct custody evaluations and the purpose of such reports are currently under review by mental health and legal professionals. This article describes (a) the limitations inherent in clinical assessment and (b) characteristics of the adjudication process which necessarily limit the evaluator's thoroughness and the potential usefulness of evaluations. Given the primitive methods available for assessing families and predicting outcomes, the inability and unwillingness of the courts to process large amounts of clinical data, the conflicting motives surrounding evaluations, and the biases inherent in custody recommendations, the author argues for limited, well-defined, and objectively supported assessment procedures and evaluation criteria.     

Adolescent egocentrism-sociocentrism and self-consciousness

A standardized and objectively scored scale of adolescent egocentrism-sociocentrism (AES) and a self-consciousness scale were given to 44 subjects each in the sixth, eighth, tenth, and twelfth grades and college. The AES assesses three components of egocentrism including the personal fable, the imaginary audience, and general self-focuses, as well as sociocentrism and nonsocial subscales. As predicted, the personal fable and imaginary audience declined with age. The self-focus subscale showed a curvilinear relationship with age, while, again as predicted, sociocentrism increased and nonsocial focuses declined. Adolescent egocentrism, as expected, correlated positively with self-consciousness even with age controlled. Implications for the theories of egocentrism and sociocentrism in the adolescent years are discussed.Received his Ph.D. from the University of Minnesota. Major interests are adolescent social cognition and social development.