Federal tax-exemption requirements for joint ventures between nonprofit hospital providers and for-profit entities: form over substance?

This article discusses the IRS rule on hospital joint ventures and related legal developments. The central thesis is that the IRS's emphasis on operational control is misplaced from both a legal and a policy perspective, and reflects a decidedly strong preference for the form of a joint venture's governance over the substance of its charitable and community service activities. More specifically, the article challenges the IRS position that the rule is a corollary of existing tax law principles. Additionally, social science research is presented to demonstrate that the rule is not likely to promote, and may in fact undermine, United States health policy objectives.     

Observations from practice: support group membership as a process of social capital formation among female survivors of domestic violence

This article explores the authors' practice observations of female domestic violence survivors' journey from first agency contact to active participation in a support group process. The authors have witnessed female victims of domestic violence challenging the social isolation imposed by their dominant partners as they search for meaning in their lives. As practitioners, they have observed women building trustful relationships and establishing supportive networks during the group process. In this article, the authors suggest that the support group process facilitates trust and network formation indicative of social capital.     

Risk of harm: inmates who harm themselves while in prison psychiatric treatment

In this study, 242 randomly selected male offenders who were receiving psychiatric treatment in prison were administered psychological and neuropsychological evaluations and were followed during their treatment in a prison psychiatric hospital. Offenders who harmed themselves in treatment were compared to those who did not harm themselves. Eighteen percent of offenders harmed themselves, the severity of which required medical intervention. Young age, drug abuse, absence of Axis I mental disorder but presence of Axis II borderline personality disorder identified offenders who harmed themselves. Psychopathy checklist-revised (PCL-R) total rating > or = 30 and PCL-R Factor 2 (antisocial lifestyle) rating also identified offenders who harmed themselves. Additionally, offenders who harmed themselves also were 8.36 times more likely than their cohorts to harm treatment staff. Theoretical understanding of offenders who harm themselves, the importance of considering the environmental context in identifying risk factors for self-harm, and implications for treatment are suggested.     

What is 'a Great Power'?

This article rejects the idea that a great power requires formal recognition or 'general interests' or an inclination to 'responsible' behaviour. Contrary to Martin Wight, it also rejects the view that the demonstration of great military power in war is either a necessary or a sufficient condition of being a great power. It also denies, contrary to William T. R. Fox, that an ability to 'project' power worldwide is a necessary condition of being a great power (though it would, of course, be sufficient). On the basis of an investigation of the historical great powers, this article concludes that a great power is one whose reputation for existing or latent military strength may be equalled but not significantly surpassed by that of any other power.     

Standardized assessment of substance-related, other psychiatric, and comorbid disorders among probationers

This study examined the prevalence of alcohol- and substance-related disorders in a random sample of 627 adult probationers in Illinois. The investigation also explored the prevalence of major psychiatric disorders and their co-occurrences with alcohol and substance use disorders. To detect the presence of psychiatric disorders, researchers employed standardized assessment tools based on Diagnostic and Statistical Manual of Mental Disorders criteria. Overall, results showed that probationers had significantly higher rates of psychiatric disorders, substance use disorders, and co-occurring disorders compared with persons in the general population. In light of these findings, probation administrators are urged to invest more resources in treating drug use, mental illness, and codisorders, the latter of which is associated with a higher risk of violent behaviors.     

Allele frequencies and haplotypes of six new Y-specific STR loci in Koreans

Six Y-specific STR loci, DYS434, DYS435, DYS436, DYS437, DYS438, and DYS439 were analyzed in 300 unrelated Korean males using single multiplex PCR system.     

Population genetics of nine STR loci: TH01, TPOX, CSF1PO, vWA, FESFPS, F13A01, D13S317, D7S820 and D16S539 in a Korean population

Allele frequencies for nine STR loci namely, TH01, TPOX, CSF1PO, vWA, FESFPS, F13A01, D13S317, D7S820 and D16S539 were obtained from a sample of 437 unrelated individuals living in Chungcheong-do, South Korea.     

Institutions and the Growth of Knowledge: Evidence from International Environmental Regimes

This article argues that institutions not only reflect ideas prevalent at the time of their creation, but also play vital roles in driving the growth and dissemination of knowledge. Because institutions are not actors in their own right, however, it is essential to identify the mechanisms through which they influence the behavior of those who are producers and consumers of knowledge. The central section of the article explores three distinct mechanisms or families of mechanisms that come into play in this context:(1) framing the research agenda, (2) privileging certain types of knowledge claims, and (3) guiding the application of knowledge to specific policy concerns. The article's concluding section examines the policy implications flowing from the proposition that institutions play significant roles in creating knowledge regarding the issues they address. Throughout, observations relating to international environmental or resources regimes provide a source of illustrations.     

Understanding due discretion of judgment in Catholic marriage courts

Psychiatrists and psychologists provide consultation to the Catholic Church's marriage courts. Operating under the Church's legal code, these tribunals assess the validity of weddings that have ended in divorce. This report describes one of the standards used for this purpose, the lack of due discretion of judgment, which is concerned with the maturity, understanding, and appreciation that the couple brought to the ceremony. This normal capacity is vulnerable to various mental illnesses, which if present with sufficient severity may nullify the marriage vows as seen by the Church (though not necessarily by the state). Such a finding results in freedom to marry again despite the Church's ban on divorce, provided that due discretion of judgment is regained. Case examples and discussion of the assessment process for due discretion of judgment prepare the consultant to apply psychiatric findings to this unique and urgent legal issue.