TEACHING CONTROVERSIAL TOPICS

This essay, based on a presentation at the 2009 Future of Family Law Education conference at the William Mitchell School of Law, discusses strategies for teaching controversial topics, focused on reproductive rights and related gender issues.     

Possible Fatal Acetaminophen Intoxication with Atypical Clinical Presentation

Acetaminophen or paracetamol, a commonly used over‐the‐counter analgesic, is known to elicit severe adverse reactions when taken in overdose, chronically at therapeutic dosage or, sporadically, following single assumptions of a therapeutic dose. Damage patterns including liver damage and, rarely, acute tubular necrosis or a fixed drug exanthema. We present a case of fatal acetaminophen toxicity with postmortem blood concentration 78 μg/mL and unusual clinical features, including a visually striking and massive epidermolysis and rhabdomyolysis, disseminated intravascular coagulation and myocardial ischemia. This case is compared with the most similar previous reports in terms of organ damage, clinical presentation, and cause of death. We conclude that a number of severe patterns of adverse effects to acetaminophen are emerging that were previously greatly underestimated, thus questioning the adequacy of the clinical spectrum traditionally associated with acetaminophen intoxication and leading to the need to review this spectrum and the associated diagnostic criteria.     

Purposefully Triggering Unintended Consequences: the European Commission and the Uncertain Future of the EU-ACP Partnership

ABSTRACT

The EU’s proposal to renew the EU-ACP Agreement in spite of a number of signals pointing in the opposite direction is, inter alia, the unintended consequence of independent decisions taken in three different policy areas (trade, environment, and foreign and security affairs). The common unintended consequence that the three decisions shared would not have materialised if the European Commission had not purposefully triggered it to justify its vision of future EU-ACP relations. These findings challenge the prevailing and superficial usage of the notion of the unintended as a synonym for unanticipated and undesirable, and demonstrate that unintended consequences do not necessarily presuppose lack of anticipation, but may well be the result of calculation by policymakers.     

Homicidal Ideation and Forensic Psychopathology: Evidence From the 2016 Nationwide Emergency Department Sample (NEDS)

Homicide is the most serious and costly criminal offense and better forensic and criminological understanding of homicidal ideation as a potential psychobehavioral precursor to homicidal conduct is critical. Using data from the 2016 Nationwide Emergency Department Sample (NEDS) from the Healthcare Cost and Utilization Project (HCUP) distributed by the Agency for Healthcare Research and Quality (AHRQ), we found 64,910 cases of homicidal ideation among a sample of 25.6 + million—a prevalence of 0.25%. Numerous conditions conferred increased substantially the likelihood of homicidal ideation including antisocial personality disorder (2406%), schizoaffective disorder (1821%), borderline personality disorder (1557%), paranoid personality disorder (1,504%), schizophrenia (1,143%), obsessive–compulsive personality disorder (921%), brief psychotic disorder (771%), unspecified psychosis (737%), avoidant personality disorder (596%), and schizoid personality disorder (571%), delusional disorder (546%), and other psychotic disorder (504%). Homicidal ideation is comorbid with serious psychiatric and behavioral problems and has important implications for offender typologies and homicidality.     

Beyond Economic Partnership Agreements: the European Union and the trade–development nexus

Without disregarding them, this volume seeks to go beyond the controversial and extensively researched Economic Partnership Agreements to offer new perspectives on the evolution of the trade–development nexus in the European Union against dramatic changes in the international context. In particular, it focuses on the reform of the Generalised System of Preferences, the negotiation of various Preferential Trade Agreements, the application of trade sanctions, the allegedly ambitious agendas on decent work, Aid for Trade and aid untying, and the implications of the changing balance of power in global economic relations. Taking diverse approaches and, at times, reaching different conclusions, contributors directly or indirectly address one or more of the three general themes that are discussed in this introduction: differentiation, coherence, and norms.     

Much ado about nothing? The European Union and the global politics of untying aid

This article has two main purposes. The first is that of providing a longitudinal analysis of the global politics of untying aid, by looking at a number of debates that have occurred within the Development Assistance Committee and in the context of a number of high-level forums on aid effectiveness. The second is that of proposing some explanations for the lack of significant progress in these contexts. The focus is on the European Union (EU), which has been widely perceived as one of the most fervent supporters of promoting the aid untying agenda. In all these debates, the EU's leadership aspirations have remained largely unfulfilled. Thus, the EU has failed to adopt a EU-wide vision on aid untying; persuade non-EU donors to untie their aid, even when it has played the reciprocity card; and promote a pro-poor use of foreign aid, by supporting local ownership and facilitating greater access of developing country firms to aid contracts.     

“Blue” Morality and the Legitimacy of the State—Ed Rubin's Soul,Self, and Society: The New Morality and the Modern State

Ed Rubin's provocative new book, Soul, Self, and Society: The New Morality & the Modern State (2015), attempts to capture the relationship between morality and the state. It maintains that that there are three comprehensive moral systems: the morality of honor that characterized feudal relationships and survives today in failed states and urban gangs, the morality of higher purposes that linked individual self‐worth and state legitimacy to a shared belief system, and the morality of self‐fulfillment that entrusts development of a moral code to each individual and sees the role of the state as creating the conditions for individual flourishing. This review essay argues that Rubin's work is critically important in explaining that the idea of self‐fulfillment combines public tolerance with private discipline, and rests on obligation as well as freedom. It suggests, however, that if the new morality were to truly take hold, it would weaken the links between citizen and state that make the system possible.     

International development and the European Union's external policies: changing contexts,problematic nexuses,contested partnerships

This special section explores and explains how the European Union's (EU's) overall approach to international development has evolved since the beginning of the twenty-first century. At the international level, the rise of a group of emerging economies has not only provided developing countries with greater choices, but has also further enhanced their agency, thus questioning the EU's leadership and even relevance in international development. At the European level, the various (paradigmatic) shifts in each of the three key external policies—trade, security and foreign policy—and the EU's aspiration to project a coherent external action have collided with the EU's commitment to international development. Numerous tensions characterize the various nexuses in EU external relations, which ultimately challenge the EU's international legitimacy and (self-proclaimed) identity as a champion of the interests of the developing world. Nevertheless, the EU has made more progress than is generally acknowledged in making its external policies more coherent with its development policy. Moreover, the EU's relationship with developing countries has gradually become less asymmetrical, though not because of the EU's emphasis on partnership and ownership but more because of the increased agency of developing countries.