Book Reviews

Book Review in This Article:
L aw and E thics in the P ractice of P sychiatry . Edited by Charles K. Hofling, M.D.
M ale P ractice : H ow D octors M anipulate W omen . By Robert S. Mendelsohn, M.D.
N urse P ower . By Karen O'Rourke and Salley Barton     

Cracking Through Hegemonic Ideology: The Logic of Formal Justice

In this analysis I argue for the independent effects on social change of the internal logic of formal justice. Institutionally, oppositional ideas that challenge the legitimacy of a hegemonic system emerge in “safe spaces” that subordinate groups create within a culture dominated by hegemonic ideas. The oppositional ideas derive in part from an existing informal culture of opposition, access to repertories of contention, and favorable openings in the political system. In addition, however, these ideas are often propelled independently by the logic of formal justice, in which, when the reasons for separate treatment have been discredited, equality is the default option. The analysis demonstrates the power of this logic and suggests that it spreads through the mechanism of “organized activist” variation and “everyday activist” selection.     

Exploring application of the Interpersonal-Psychological Theory of Suicidal Behaviour to self-injurious behaviour among women prisoners: Proposing a new model of understanding

The current study examines the application of capacity, psychological distress, coping and personality to an understanding of self-injurious behaviour, with a specific focus on testing the Interpersonal-Psychological Theory of Suicidal Behaviour (IPTSB). One hundred and ninety women prisoners took part, completing a history questionnaire and measures of personality, coping styles and psychological distress. It was expected that self-injurious behaviour would be predicted by higher levels of emotional functioning difficulties, by an increased capacity to engage in such behaviours, by previous self-injurious behaviour, decreased levels of emotional stability and increased levels of emotional coping behaviour. Results supported the capacity component of the IPTSB, indicating that an increased history of self-injurious behaviour and of engagement in reckless behaviour were particular predictors. Increased psychological distress in some domains was also a predictor although the exact domain varied across the type of self-injurious engagement Increased levels of extraversion and decreased emotional coping predicted increased self-injurious engagement, although emotional coping only related to threats and cognition. The results point to the applicability of Interpersonal-Psychological Theory to understanding self-injurious behaviour and the importance of developing a revised model. The paper presents this in the form of the Integrated Model of Self-Injurious Activity.