Treatment Decisions for Critically Ill Infants: The Abrogation of the Best Interests Standard

The issue of withholding or withdrawing medical treatment from seriously ill newborns first gained the attention of the American public in 1982 when Baby Doe was allowed to die without surgery. Since that time, the predominant ethical, medical, and legal approach has been one that allows informed parents to make a reasonable medical treatment decision in the best interests of their infant with the concurrence of the health care providers. There has always been a minority that believes every infant should receive full medical treatment without regard to pain and suffering, until that infant dies a natural death. This viewpoint is reflected in recent judicial and legislative proceedings that have either already drastically changed the prevailing standard of care or threaten do so. This article reviews the significance of these changes.     

MANAGING CITIZEN CALLS TO THE POLICE: THE IMPACT OF BALTIMORE'S 3‐1‐1 CALL SYSTEM*

Research Summary: Our paper explores the impact of implementing a nonemergency 3‐1‐1 call system in Baltimore, Maryland. We found a large (34.2%) reduction in 9‐1‐1 calls following the introduction of the 3‐1‐1 nonemergency call system. Many, but not all, of these calls simply migrated over to the 3‐1‐1 call system. Overall, we identified a 7.7% reduction in recorded citizen calls to the police post 3‐1‐1 intervention. This recorded reduction in citizen calls was confounded by an increase in high priority calls to the 9‐1‐1 system (27.5%), a large overall reduction in low priority calls (54.3%), and an estimated increase (perhaps 8%) in unrecorded calls to the police. We also note a small increase in response times to high priority 9‐1‐1 calls following the implementation of the 3‐1‐1 call system and virtually no change in the amount of officer time available for community policing or problem‐oriented policing activities. Policy Implications: Our findings suggest that nonemergency call systems, such as 3‐1‐1, can greatly facilitate police efforts to better handle citizen calls for police service. However, the intrinsic value of nonemergency call systems is tightly woven with a police department's willingness to change dispatch policies (especially for those calls received via the 3‐1‐1 system), reallocate patrol resources, and adopt organizational reforms to support alternative methods (apart from dispatch) for handling nonemergency calls for service.     

DOES PRESCHOOL HELP PREVENT DELINQUENCY IN BOYS WITH A HISTORY OF PERINATAL COMPLICATIONS?*

We examined whether a preschool intervention program moderates the effects of perinatal complications with a sample of boys from the most disadvantaged areas of Montreal (Canada). Some boys experienced the preschool program and some did not, which allowed us to test whether the program had any effects on the boys' risk for early adolescent delinquency given their perinatal histories. We hypothesized that perinatal complications would place boys at significantly greater risk for antisocial behavior during early adolescence and that participation in a preventive preschool program might circumvent this risk. Independent of maternal sociodemographic characteristics, boys with a history of perinatal complications showed no greater risk of reporting delinquency during early adolescence than their same-sex peers without a history of perinatal complications. Surprisingly, the program showed a beneficial effect on boys with no history of serious perinatal complications. Such boys were less at risk for delinquency. In the presence of a serious medical condition after birth, the benefits of the program decreased significantly to the point that it placed the boys at risk.     

From Nativism to the Quota Laws: Restrictionist Pressure Groups and the US Congress 1879–1924

SUMMARY

In this article Professor Frank has investigated the history of attempts to pass restrictive immigration legislation through the United States Congress. The character and activities of the different lobbying groups is analyzed and the article shows how it was the resistance of the Executive Branch, largely through the use of the veto power, that held back legislation until 1917. Thereafter liberal opposition to the extension of immigration laws was increasingly ineffectual and marginalized. The study ends with the passage of the Quota Act of 1924.     

ASSESSING AND EXPLAINING MISPERCEPTIONS OF PEER DELINQUENCY*

Peer delinquency is a robust correlate of delinquent and criminal behavior. However, debate continues to surround the proper measurement of peer delinquency. Recent research suggests that some respondents are likely to misrepresent their peers’ involvement in delinquency when asked in survey questionnaires, drawing into question the traditional (i.e., perceptual) measurement of peer delinquency. Research also has shown that direct measures of peer delinquency (e.g., measures obtained via networking methods such as Add Health), as compared with perceptual measures, differentially correlate with key theoretical variables (e.g., respondent delinquency and respondent self‐control), raising the question of whether misperception of peer delinquency is systematic and can be predicted. Almost no research, however, has focused on this issue. This study, therefore, provides detailed information on respondents’ misperceptions of peer behavior and investigates whether individual characteristics, the amount of time spent with peers, and peer network properties predict these misperceptions. Findings indicated that 1) some individuals—to varying degrees—misperceived the delinquent behavior of their peers; 2) self‐control and self‐reported delinquency predicted misperception; 3) respondents occupying densely populated peer networks were less likely to misperceive their peers’ delinquent involvement; and 4) peers who occupy networks in which individuals spend a lot of time together were more likely to misperceive peer delinquency. Implications are discussed.     

Explaining Variation in the Effectiveness of Transnational Energy Partnerships

This article analyzes the effectiveness of transnational multi‐stakeholder partnerships for sustainable development—also known as “Type II outcomes” of the 2002 World Summit on Sustainable Development—in the sustainable energy sector. We combine quantitative and qualitative research. Quantitatively, we use a database of 340 partnerships, including 46 partnerships that focus on energy. Our qualitative analysis includes case studies of five partnerships that appear as the most effective and five that are operational but only with modest degrees of effectiveness. We study two competing hypotheses. The first, rooted in institutionalism, assumes that variation in effectiveness is related to organizational structures and procedures. The competing hypothesis emphasizes the power of actors and expects partnerships that involve key business actors and powerful Northern states to perform better. We conclude that the level of institutionalization is most important in explaining effectiveness, while powerful partners and the type of internal organization may further enhance effectiveness.     

Grass-Roots Activism and the Drunk Driving Issue: A Survey of MADD Chapters

A survey of the local grass roots chapters of Mothers Against Drunk Driving (MADD) revealed that local chapter officers are primarily married, moderately educated, women who are active participants in other community organizations, and are often victims or have had family members killed in auto crashes. The chapter officers of MADD come from the traditional social base of community grass-roots activism and believe they have the support of other community groups. MADD's agenda for local activism resembles a moral crusade in that public awareness and youth education are given high priority in local chapters, with "legal advocacy" and victim assistance activities receiving less emphasis. Finally, chapter officers seem to adhere to a traditional moral belief in individual responsibility in their commitment to public awareness and stiffer penalties as "solutions" to the drunk driving problem.