Medical and legal aspects of genital mutilation and circumcision. Part II: Male circumcision

In the last few years, male circumcision has become the subject of controversial discussion. On the one hand, medical and hygienic arguments, ideology, freedom of religion, cultural identity and social adequacy are claimed by those supporting male circumcision. On the other hand, the justification of this practice also has to be critically scrutinized just as the question whether the parents have the right to consent to the operation. Today, opinions range from those who claim that religion and culture alone justify the practice to those who consider circumcision of minors unable to give their consent as bodily injury subject to punishment. In contrast to female genital mutilation, most positions do not postulate that circumcision violates morality. If the person concerned is able to give his consent, freedom of religion may also justify circumcision after weighing its pros and cons as well as its risks and potential side effects.     

Assaults in the elderly--a population-based study with victim and perpetrator characteristics

The aim of the present epidemiological study was to investigate characteristics of assaults in the elderly aged 65 years and above from the perspective of the victim and perpetrator. This population-based study included 23,142 assaults (according to §§ 224/226 StGB of German criminal law) that were recorded in Bavaria, Germany, from 1999 to 2005. The population-based ratio of serious crimes of battery for the elderly in comparison with the reference population was markedly lower (0.10; 95% CI: 0.09-0.11) in suspects aged more than 65 years and 0.08 (95% CI: 0.07-0.09) for the injured above 65 years. Elderly perpetrators differed significantly concerning the manner of the assault (p < 0.001). They committed less crimes in urban areas (56.1% vs. 68.8%) and were victimized significantly more in rural areas (p < 0.001; 41.2% vs. 30.2%). Violence in the elderly differs from that of the younger population. Further research is warranted to establish prevention measures.     

Ketoacidosis and Adrenocortical Insufficiency

We herein report an autopsy case involving a 27‐year‐old Caucasian woman suffering from chronic adrenocortical insufficiency with a background of a polyendocrine disorder. Postmortem biochemistry revealed pathologically decreased aldosterone, cortisol, and dehydroepiandrosterone levels in postmortem serum from femoral blood as well as decreased cortisol and 17‐hydroxycorticosteroid in urine. Decreased vitreous sodium and increased 3‐beta‐hydroxybutyrate and C‐reactive protein concentrations were observed. The cause of death was determined to be acute adrenocortical insufficiency. Fasting ketoacidosis was postulated to have precipitated the Addisonian crisis. Traumatic causes of death and third‐party involvement were excluded. The case highlights the importance of systematically performing exhaustive postmortem biochemical investigations to formulate appropriate hypothesis regarding the pathophysiological mechanisms involved in the death process.     

Choosing international organizations: When do states and the World Bank collaborate on environmental projects?

While international cooperation research emphasizes institutional design, states mostly interact with existing organizations. How do states choose organizations for cooperation? We develop a theory of agency choice for development projects, emphasizing the importance of domestic institutions, the scope of cooperation, and the resources of the implementing agency. If states are to cooperate with funding agencies that have abundant resources, such as the World Bank, they must accept more stringent conditions on project implementation. We argue states accept the stringent conditions that resourceful organizations demand if the public goods from project implementation are highly valuable. Empirically, this is the case for democratic states, large projects, and projects that produce national instead of global public goods. We test this theory using data on 2,882 Global Environment Facility (GEF) projects, 1991–2011. The GEF offers an ideal case because various implementing agencies are responsible for the actual projects. States implement projects in collaboration with the World Bank, which has the most expertise and resources among the GEF’s implementing agencies, if their regime type is democracy, the project size is large, and the benefits are primarily national. Qualitative evidence sheds light on causal mechanisms.     

Disentangling the Value of a Ministry: Party Leaders’ Evaluations of German State Ministries

While the role played by ministries in the process of coalition government has been investigated from multiple angles, there is a clear lack of knowledge about which specific ministry features party leaders actually value as they assess different government posts. This paper aims at discovering whether, next to office considerations, the policy influence resting with a ministry does affect its value. A new survey of party leaders in the German states enables us to estimate the relative importance of specific office (e.g. public standing) and policy considerations (e.g. influence via legislation) for ministries’ values as well as to directly investigate differences between parties. The results show that both office and policy considerations matter for ministry evaluation generally, but also that different aspects have different weights. Furthermore, while all parties value the policy influence of a ministry, there is variation as to which type of policy influence (cross-sectional vs. within-jurisdictional) parties emphasise.     

Do Religious Factors Impact Armed Conflict? Empirical Evidence From Sub-Saharan Africa

Theoretically, the “mobilization hypothesis” establishes a link between religion and conflict by arguing that particular religious structures are prone to mobilization; once politicized, escalation to violent conflict becomes more likely. Yet, despite the religious diversity in sub-Saharan Africa and the religious overtones in a number of African conflicts, this assumption has not yet been backed by systematic empirical research on the religion–conflict nexus in the region. The following questions thus remain: Do religious factors significantly impact the onset of (religious) armed conflict? If so, do they follow the logic of the mobilization hypothesis and, if so, in which way? To answer these questions, this article draws on a unique data inventory of all sub-Saharan countries for the period 1990–2008, particularly including data on mobilization-prone religious structures (e.g., demographic changes, parallel ethno-religious identities) as well as religious factors indicating actual politicization of religion (e.g., inter-religious tensions, religious discrimination, incitement by religious leaders). Logit regressions suggest that religion indeed plays a significant role in African armed conflicts. These findings are compatible with the mobilization hypothesis, and stress the impact of conflict-prone religious structures, and particularly, the fact that overlaps of religious and ethnic identities are conflict-prone. Future research should investigate the religion-ethnicity-nexus in more detail.     

Public Opinion and Representation of Women in National Legislatures: An Analysis of Cause and Effect

Studies of female representation in national legislatures have claimed that the gender attitudes of a country's population have an effect on female representation in that country's parliament. This claim is based on the assumption that there is a unidirectional effect of public attitudes on female representation. This article tests that assumption, and hypothesises that in countries with multi-member electoral districts the effect is likely to flow in the opposite direction. When women are nominated, and to some extent elected to parliament, their presence in national politics affects public attitudes towards women in that role. Granger tests of causality in eight European countries and in the United States generally support these hypotheses. The effect flows from public attitudes to female representation in countries with single-seat districts, and in the opposite direction in countries with multi-member districts.     

Policy reform and the decline of corporatism in Sweden

This article describes the development of corporatism in Sweden from the 1970s onwards. We demonstrate that the Swedish case differs a great deal from other small European countries, such as the Netherlands and Sweden's neighbour Denmark, where corporatism is alive and well and often credited with providing for economic success in recent years. We study corporatism indirectly rather than directly, in the sense that we start from public policy changes in labour market policy, pensions, and immigrant policy, and follow the policy-making chain backwards in order to identify the norms, institutions, and actors that have mattered for policy choices, and how they mattered. Our conclusion is that Sweden has not only experienced decorporatisation in terms of formal institutional changes, but also in terms of a decline in the norms regarding social partnership that previously guided policy making and the interaction of interest organisations.     

The Political Foundations of Trust and Distrust: Reforms and Protests in France

This article argues that the high level of protest activity in France is, at least partly, the result of distrust between the government and the trade unions, and that such distrust is inevitable in a society where unions are sometimes strong enough to mobilise against the government but not confident in their own future strength. This trust problem can be overcome if governments are willing to make institutional changes that commit them to future policies, but such political engineering is costly and unstable, which explains why governments sometimes prefer open confrontation. The empirical part of the paper analyses four French social and labour market reform initiatives in the 1990s and 2000s, demonstrating that the ideas developed in this article help to explain important features of contemporary French policy-making.     

Explaining Attitudes toward Immigration: The Role of Regional Context and Individual Predispositions

Existing research makes competing predictions and yields contradictory findings about the relationships between natives’ exposure to immigrants and their attitudes toward immigration. Engaging this disjuncture, this article argues that individual predispositions moderate the impact of exposure to immigrants on negative attitudes toward immigrants. Negative attitudes toward immigration are more likely among individuals who are most sensitive to such threats. Because country-level studies are generally unable to appropriately measure the immigration context in which individuals form their attitudes, this article uses a newly collected dataset on regional immigration patterns in Austria, Germany, and Switzerland to test the argument. The data show that increasing and visible diversity is associated with negative attitudes toward immigrants, but only among natives on the political right. This finding improves the understanding of attitudes toward immigrants and immigration and has implications for the study of attitudes toward other policies and for immigration policy itself.