Knocking at the wrong door: insured workers' inadequate psychiatric care and workers' compensation claims

ObjectiveTo describe the prevalence of inadequately evaluated and treated psychopathology among insured workers making workers' compensation claims for psychiatric disability whose cases were reviewed by one forensic psychiatrist. To assess the relationship of inadequate evaluation and treatment to the outcomes of these workers' compensation claims.MethodsRecords of a series of 185 workers' compensation cases reviewed in 1998 and 1999 by a California forensic psychiatrist were abstracted. Patient factors (gender, Axis II pathology, psychosocial circumstances, substance abuse), case factors (psychiatric injury secondary to physical injury, or secondary to psychological stresses), type of provider (mental health, or other), adequacy of evaluation and treatment, forensic psychiatrist's recommendation, and claim outcome were categorized. The relationships between case characteristics, adequacy of care, and claim outcome were described.Results22% of cases had adequate evaluation, 48% superficial, and 30% had no evaluation. 11% had adequate treatment, 67% superficial, and 22% had no treatment. Compared to claims for psychiatric disability related to a physical injury, claims related to psychosocial stresses more often had superficial diagnostic evaluations and treatments. Those with superficial treatment were less likely to have their claim granted (19.3%) than those with no treatment (47.5%) or those with adequate treatment (36.8%). Success of claim was not related to provider type.ConclusionsThe majority of the studied workers with employer-provided health insurance who sought workers' compensation for disability due to mental illness did so inappropriately, in that the workplace did not cause the psychopathology. Their seeking workers' compensation was plausibly due to the observed inadequate evaluation and treatment available through their employer-provided health insurance. The adequacy of their care influenced the likelihood their claim would be granted. The relations observed here merit further research to establish their generality and to determine their causes.     

Juries and Viewpoint Representation

To generate high-quality deliberations, juries should be diverse in terms of not only demographics but also viewpoints. Using data from the Survey of Texas Adults (n = 1380), we examine whether existing processes select for individuals who represent the population on a variety of viewpoint characteristics, particularly whether the process of forming juries selects for people who are more independent-minded versus authority-minded. We find, on average, that those who believe in the importance of speaking English, are less compassionate, support Biblical literalism, and express more concern about the community effects of wrongdoing are more likely to have been former jurors than to not have served. Death penalty support is also modestly predictive of jury membership. Non-jurors rate their neighborhoods as cleaner than do former jurors. Results point to composition effects in the summonsing process and to the possibility that some types of people exempt themselves from this civic obligation.     

The interconnections of political power,psychotherapy, and world community

This study of the main evening television news programs in four European countries focuses on the framing of news surrounding a major European event, the January 1, 1999, introduction of the common European currency, the euro. We investigated the visibility of political and economic news in general and of the launch of the euro in particular. We found variations across countries in the emphasis on political and economic news, with the proportion of the newscast normally devoted to these subjects ranging from 45% to 60%. Journalists in all countries were more likely to emphasize conflict (rather than economic consequences) in framing general political and economic news. In the coverage of the launch of the euro, there was a greater emphasis on framing the news in terms of economic consequences. The findings are discussed in terms of influences on framing practices internal and external to journalism and the value of the cross-national comparative approach.     

The militant palestinian organizations and the Arab‐Israeli peace process

The current Arab‐Israeli peace negotiations have normalized frequent and open contacts between Israel and its neighbors. This new situation is primarily the result of Operation ‘Desert Storm’ and the Soviet Union's dissolution. Both events forced the Middle Eastern states and sub‐national organizations to re‐evaluate their perceptions of one another, as well as of the degree of support they might expect from their superpower patrons. This article begins by examining the ways in which these events have affected those countries and organizations which chose to participate in the peace process and finally focuses on the policies of the Palestinian national movement ‐ specifically the groups which are opposed to the negotiations and have vowed to undermine them. It argues that these groups seek to subvert any peace treaty which the talks may produce and that the moderate Palestinian leadership has proven incapable of controlling them. It concludes that unless this occurs, it will be impossible to implement any agreement.     

评阿兰·沃森的《法律移植:比较法的方法》

<正> 爱丁堡大学民法教授阿兰·沃森在其《法律移植:比较法的方法》(Legal Transplants:An Approach to Comparative Law,佛吉尼亚大学出版社,1974年版)一书中试图证实比较法是一门学科。沃森教授提出:"比较法是研究有关法律的本质,特别是有关法律发展的本质的学科。"其主要功能在于使人了解"决定法律发展进程的独特因素。" 然而,研究十六世纪在鲁瑞斯坦(本文作者杜撰的国家)以特殊形式出现的独特的法律