Perceived coercion and need for hospitalization related to psychiatric admission

Psychiatric hospitalization constitutes a moment of major stress to the point that occurrences of posttraumatic stress disorders have been described. Feelings of coercion are usual, whatever the legal status of admission. Patients may also consider afterwards that they needed hospitalization even if they refused it initially. A cross-sectional survey has been conducted among the inpatients of a Swiss psychiatric hospital to assess their subjective view of admission with emphasis on legal status, perceived coercion and need for hospitalization. Eighty-seven questionnaires were completed and analyzed. Results indicated that 74% of patients felt that they had been under pressure to be hospitalized, whether or not they were involuntarily admitted. Seventy percent felt their admission was necessary. More involuntary patients reported a subjective lack of improvement. Clinicians could decrease feelings of coercion of their patients while discussing need for hospitalization, legal status and subjective feeling of coercion as different dimensions. An argument is presented to favor positive pressure from social environment over legal involuntary commitment in many hospitalizations.     

The political economy of regional integration in East Asia

A widely held consensus view claims that East Asia has been shifting recently from a market-led to an institution-based form of regional economic integration, primarily as a result of the 1997–1998 financial crisis. Next to post-crisis financial cooperation schemes under the ASEAN+3, the surge of Regional Trade Agreements (RTAs) involving East Asian countries is thought by some to further substantiate this claim. The objective of the paper is to question the validity of this claim. By examining the current state of play of economic cooperation, in the financial and monetary areas as well as in the trade sphere, the paper highlights the limitations of the formal regional integration movement in East Asia to date, as well as the vastly different dynamics underlying the financial and trade developments. It also explores the changing nature of intra-regional trade and investment linkages and concludes that this new form of interdependence may be instrumental in changing the trade-offs of formal regional economic schemes.     

Millian Radical Democracy: Education for Freedom and Dilemmas of Liberal Equality

This paper returns to J. S. Mill to draw out democratic conceptions of education and equality that challenge still-current conceptions of intractable human inequalities. Mill acknowledges that individuals differ in abilities. Nonetheless, he develops a broad conception of 'education for freedom' and insists that only 'wretched social arrangements' prevent virtually all people from exercising capacities for self-government in citizenship, marriage, and industry. In the same breath, he qualifies his democratic egalitarianism with reference to a sub-class of working people whose 'low moral qualities' leave them unfit for such self-government. Modern liberal states largely dismiss Mill's more radical democratic impulse. Meanwhile, they reiterate and refine his exclusionary one through new practices for constructing and managing inequalities – for example, IQ tests, educational 'tracking', and social science categories like the 'underclass'. I reconsider this divided legacy of Mill's egalitarianism as a basis for rethinking the limits of today's 'meritocratic' egalitarianism.     

The Effect of Light Exposure on the Degradation of Latent Fingerprints on Brass Surfaces: The Use of Silver Electroless Deposition as a Visualization Technique

We have studied the degradation of sebaceous fingerprints on brass surfaces using silver electroless deposition (SED) as a visualization technique. We have stored fingerprints on brass squares either (i) in a locked dark cupboard or (ii) in glass‐filtered natural daylight for periods of 3 h, 24 h, 1 week, 3 weeks, and 6 weeks. We find that fingerprints on brass surfaces degrade much more rapidly when kept in the light than they do under dark conditions with a much higher proportion of high‐quality prints found after 3 or 6 weeks of aging when stored in the dark. This process is more marked than for similar fingerprints on black PVC surfaces. Identifiable prints can be achieved on brass surfaces using both SED and cyanoacrylate fuming (CFM). SED is quick and straightforward to perform. CFM is more time‐consuming but is versatile and can be applied to a wider range of metal surfaces than SED, for example brass surfaces which have been coated by a lacquer.     

DNA identification in mass fatality incidents

DNA identification has become an important aspect of mass fatality management as well as in other instances of difficult identification of human remains. Most large mass fatality incidents will require DNA identification. Medical examiners should prepare for such potential eventuality. Whether DNA is tested, in mass fatality incidents, DNA specimens should be obtained from remains as well as from next-of-kin for potential testing. DNA identification is neither as slow nor as expensive relative to the overall fatality management as is commonly assumed. This article sought to provide medical examiners with a framework for DNA identification in mass fatality incidents.     

Does punishment of minor sexual offences deter rapes? Longitudinal evidence from France

Using original French panel data, this paper investigates the relevance of the broken windows theory in case of an offence category featured by the absence of monetary benefits. Estimates from random and fixed effects models highlight the deterrent effect of sanctions for rapes and minor sexual offences. The enforcement activity of rapes is the most deterrent factor both for rapes and other sexual offences, compared with the rapes- and minor sexual offences-reducing impact of an increase in the enforcement activity for minor sexual offences. Our results cast doubt on the broken windows theory. From a normative perspective, it would be more efficient to deter the authors of rapes rather than those of less severe sexual offences.     

Sudden Death by Spontaneous Epiglottic Hematoma Secondary to High Blood Levels of Warfarin

A 67‐year‐old man was found dead, at his home. On external examination, we found a voluminous purplish black ecchymosis of the anterior neck area. On internal examination, we found a voluminous epiglottis hematoma completely obstructing the upper airway. It was associated with other sites of intra‐abdominal hemorrhage. Toxicological studies revealed the presence of warfarin at a concentration of 8.4 mg/L in peripheral blood, which supposes an INR well above 4.5. To conclude, we supposed death was due to asphyxia secondary to a spontaneous epiglottic hematoma caused by a high blood concentration of warfarin. Hemorrhage in the epiglottis is very rare. To our knowledge, our patient is the only case of “sudden death” reported with spontaneous epiglottic hematoma due to high blood concentration of warfarin. In forensic practice, an anterior neck ecchymosis, without trauma, may suggest hemorrhage into soft airway tissues. Pathology findings make it possible to exclude exogenous trauma.     

Cold-blooded women can detect lies with greater accuracy than other women

Lies are notoriously difficult to detect. But it appears that some people are better at accomplishing this task than others even though the factors contributing to deception detection accuracy are not well understood. This study explored the influence of empathy on the detection of deception as a function of the detectors’ gender while dark personality traits were statistically controlled. Eighty men and 80 women were requested to judge whether individuals viewed in videos were giving their true opinion or not on current debatable issues (50% truthful and 50% deceptive narratives). Judges were divided into four groups according to their gender and their degree of empathy, as assessed using the Questionnaire Measure of Emotional Empathy. It was found that women with lower levels of empathy distinguished false from true opinions better than women with higher empathy, whereas no such difference was found in men. These results suggest that the degree of empathy in women influences their ability to detect deception and supports recent studies showing that emotional skills negatively affect deception detection ability. We suggest that less empathic women are less affected by emotional contagion and thus may be more able to focus on non-emotional cues that might reveal deception.