Parliamentary procedure: principal forms and political effects

A standard conclusion of theorists who model bargaining as a non-cooperative game is that the party designated to make the first move—the formateur party—will determine the bargaining outcome. Most empirical studies of parliamentary coalition formation have paid surprisingly little attention to the formation process. In this paper we model government formation as a two-stage unordered discrete choice problem that better reflects this process. The first step involves the selection of a formateur party, and the second involves the choice of partners by the predicted formateur. We evaluate several hypotheses for the two stages, using a data set of all cabinets formed in the Western European countries from 1970 to 2006. In our analyses of formateur selection, we find that party size is clearly the dominant feature. In the second stage, we show that when predicting government composition it is fruitful to add information drawn from a first stage analysis.     

Informed consent in the electroconvulsive treatment of geriatric patients.

The past 15 years have been marked by an increasingly stringent regulatory atmosphere regarding the administration of ECT, leading to delays in treatment and declines in usage. Regulatory changes requiring judicial intervention in clinical decisions are driven by the notion that only the courts can provide adequate due process protections when legal rights and clinical need conflict. We retrospectively reviewed the documentation of the informed consent process for 62 geriatric patients receiving ECT to assess the degree to which clinicians conformed to the spirit of the informed consent doctrine in a state that allows significant clinical discretion in decisions to administer ECT to patients lacking decisional capacity. In the eight cases in which the patient's decisional capacity was questioned, we found appropriate documentation of the patient's failure to comprehend his condition or the proposed treatment, evidence of a high degree of family involvement in decision making, and extensive use of outside consultants to document decisional incapacity and the need for treatment. Evidence of family participation in decision making was present for a high percentage of cases in which decisional capacity was unquestioned. Our review demonstrated high compliance with the procedural safeguards contained in the state regulation and with the spirit of the informed consent doctrine.