Sudden cardiac death following psychoemotional stress

Sudden death from cardiac arrest is described, which occurred after a minor accident. Morphologically, a coronary change was found in the sense of "juvenile coronary atherosclerosis" in connection with intramural bleeding postmortem. As there were no injuries in connection with the accident but psychoemotional stress had occurred, it is concluded that affective resonance resulting from the accident initiated the death. The pathological and pathophysiological relationships are discussed.     

Reviews

John L. H. Keep, The Russian Revolution: A Study in Mass Mobilisation. London: Weidenfeld & Nicolson, 1977. 614 pp. £12.50.

Archie Brown and Jack Gray (eds.), Political Culture and Political Change in Communist States. London: Macmillan, 1977. xiii+286 pp. £10.00.

Mary McAuley, Politics and the Soviet Union. Harmondsworth: Penguin Books, 1977. 352 pp. £1.50.

G. P. van den Berg, De regering van Rusland en de Sovjet‐Unie. Leiden: 1977. 258 pp. English summary.

Richard Lowenthal, Model Or Ally: Communist Powers and the Developing Countries, London: OUP, 1977. x+400 pp. £12.95.

Martin McCauley, Khrushchev and the Development of Soviet Agriculture. The Virgin Land Programme 1953–1964. London: Macmillan, 1976. 232 pp. £10.00.

Robert W. Campbell, Trends in the Soviet Oil and Gas Industry. Baltimore and London: The Johns Hopkins University Press for Resources for the Future, 1976. xiv+125 pp.

Joseph S. Berliner, The Innovation Decision in Soviet Industry. Cambridge, Mass, and London: The MIT Press, 1976. ix+561 pp. £23.80.

James Riordan, Sport in Soviet Society. London: CUP, 1977. xi+435 pp. £10.00.

Robert Auty and Dimitry Obolensky (eds.), Companion to Russian Studies. Volume 2. An Introduction to Russian Language and Literature. London: CUP, 1977. 300 pp. £11.50.

Frederick C. Barghoorn, Detente and the Democratic Movement in the USSR. New York and London: The Free Press/Collier Macmillan Publishers, 1976. x+230 pp. $12.95.

Rudolf L. Tokés (ed.), Dissent in the USSR. Politics, Ideology, and People. Baltimore and London: The Johns Hopkins University Press, 1975. xvi+464 pp. £7.75.

Alexander Yanov, Detente after Brezhnev: The Domestic Roots of Soviet Foreign Policy. Translated by Robert Kessler. (Policy Papers in International Affairs, No. 2.) Berkeley: Institute of International Studies, University of California, 1977. x+90 pp. $3.00.

Nirmala Joshi, Foundations of Indo‐ Soviet Relations: A Study of Non‐Official Attitudes and Contacts, 1917–1947. New Delhi: Radiant Publishers, 1975. 204 pp. Rs. 30.

J. P. Jain, Soviet Policy Towards Pakistan and Bangladesh. New Delhi: Radiant Publishers, 1974. 258 pp. Rs. 50. $11.50.

Paul E. Lydolph, Geography of the U.S.S.R. Third edition. New York: Wiley, 1977. xi+495 pp.     

Evaluating the forensic informativeness of mtDNA haplogroup H sub-typing on a Eurasian scale

The impact of phylogeographic information on mtDNA forensics has been limited to the quality control of published sequences and databases. In this work we use the information already available on Eurasian mtDNA phylogeography to guide the choice of coding-region SNPs for haplogroup H. This sub-typing is particularly important in forensics since, even when sequencing both HVRI and HVRII, the discriminating power is low in some Eurasian populations. We show that a small set (eight) of coding-region SNPs resolves a substantial proportion of the identical haplotypes, as defined by control-region variation alone. Moreover, this SNP set, while substantially increasing the discriminating efficiency in most Eurasian populations by roughly equal amounts, discloses population-specific profiles.     

Schizophrenia and violent crime: the experience of parents

Individuals with schizophrenia have an increased risk of committing a violent crime, although their contribution to the overall criminality in society is small. In this qualitative study we have interviewed parents of adult sons, diagnosed with schizophrenia and who recently had been referred to forensic psychiatric treatment due to a violent crime, with an aim to explore the parents' experiences and emotional reactions. Four events, or status passages, emerged as crucial and common for all parents. These were the onset of the mental disorder, the diagnosis of schizophrenia, the violent behaviour/criminality and the recent referral to forensic psychiatric treatment. Every passage evoked strong emotional reactions such as guilt, fear, disappointment, anger and relief, which in return led to different actions taken. Unawareness of the character and severity of their sons' mental illness and the type of violent criminality they had committed were common and complicated contacts both between the parents and their sons, and also between family members and official authorities. The findings emphasize that psychiatric health care professionals must take the initiative and responsibility for information, education and support of family members.     

A plan analysis of pedophile sexual abusers' motivations for treatment: a qualitative pilot study

Many authors have suggested adapting treatment programs to the specific needs of sexual abusers. However, little research has been conducted to understand what these patients seek in therapy or what elements play a key role in keeping them in treatment. In this pilot study, fifteen (N=15) pedophile sexual abusers from La Macaza clinic for sexual abusers were interviewed. Plan analysis was used to investigate the most prevalent components involved in staying in or leaving therapy. Results suggest that many components involved in the plans leading to doing and to avoiding treatment were similar. Differences were found in regards to the outcome of confrontations with the therapists, a tendency to isolate and overcomply, guilt related to the abuse, a need for a stable environment, and a need to be accepted. These results are discussed along with possible ways to improve the patients' involvement in treatment.     

An Investigation of the Construct of Competence: A Comparison of the FIT,the MacCAT-CA,and the MacCAT-T

The 1990s witnessed Supreme Court decisions in both Canada and the United States on issues of competence that went against longstanding case law, psychological research, and common sense. These decisions held that there is to be one standard for all types of criminal competencies. The present research attempts to investigate whether this is an appropriate assumption and thus tests whether there are one or more constructs that underlie different types of competence. Two divergent types of competence were examined, competence to stand trial (both Canadian and American conceptualizations) and competence to consent to treatment, to determine if these different types of competence share a common underlying construct. Confirmatory factor analysis was used to test this question and results indicate that there is a common construct that underlies different types of competence.     

An unusual occupational accident: fall into a sewage plant tank with lethal outcome

Occupational accidents, often presenting with lethal outcomes, are a rarely reported issue in forensic literature. However, these incidents are part of medicolegal casework with special regard to reconstruction, liabilities and insurance law-related issues, respectively. We report on a lethal occupational accident in a metropolitan sewage plant. When performing routine controls, a technician fell into an overflow sewer and was immediately pulled into a 30 cm diameter drain. Rescue efforts were initiated immediately, but had to be terminated due to gas warning. Rescue teams continued the search, however, the body remained undiscoverable. Forty-eight hours later, the cadaver was found in an adjacent digester tank, from where it was finally rescued. It was concluded, that the body had been transported between the overflow sewer and the digester tank through a 120 m pipeline with several 90 degrees bendings and branch connections with a minimum diameter of 25 cm at the discharge valve. On medicolegal examination, the cadaver showed marked signs of advanced decomposition caused by anaerobic microorganisms in the 37 degrees C biomass environment. Moreover, as a consequence of the passage of the pipeline system, signs of massive trauma (several comminuted and compound fractures) were disclosed at autopsy. To us, this is the first report on a lethal occupational accident in a sewage plant; our observations demonstrate the rapid progress of putrefaction in a warm anaerobic bacterial environment and the massive trauma sustained.