Effects of prostitution: An urban population responds

This article examines community perceptions about the legalization of prostitution in a large southern community. The authors utilized a random digit dialing technique to develop a representative sample consisting of 850 respondents. In addition, the authors interviewed prostitutes to determine their perceptions about how they helped individuals and society. Themes were developed from the personal accounts of the prostitutes and presented to the public to assess their feelings regarding whether or not prostitution is beneficial in certain instances. One of the major findings of the study was that 32% of the community members interviewed believed that prostitution should be legalized. This finding led the authors to discuss policy implications in the last section of the article.     

Reviews

Vladimir Shlapentokh, Soviet Intellectuals and Political Power: The Post‐Stalin Era. London: I. B. Tauris & Co. Ltd., 1990, xiv + 321 pp., £19.95

Jadwiga Staniszkis, The Dynamics of the Breakthrough in Eastern Europe. Berkeley, CA: University of California Press, 1991, xiii + 303 pp., £25.00, $35.00.

Richard Sakwa, Gorbachev and his Reforms, 1985–1990. London: Philip Allan, 1990, xiv + 459 pp., £35.00 h/b, £12.95 p/b.

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Patient termination of a life-sustaining medical device: Suicide or natural death?

Medical technology has made tremendous strides in extending the lives of patients who have suffered organ failure. Machines can now replace the function of the kidneys, the heart, and other vital organs. Much has been written about a patient's right to refuse or direct the withdrawal of medical treatment, especially at the end of life, under the guise of “death with dignity.” However, little attention has been paid to the situation where a patient elects to deactivate their life-sustaining medical device without a physician's involvement. This raises the challenging question of whether the patient's manner of death should be classified as suicide or natural. Surprisingly, common law, statutes, medical ethics, and public health practice are not in alignment on the answer. This article will explore the ramifications and far-reaching impact that such divergence has on the survivors and the medical community, as well as recommend corrective actions and practical approaches for the medical and legal practitioner.