The legal role of medical professionals in decisions to withhold or withdraw life-sustaining treatment: part 2 (Queensland)

This is the second article in a series of three that examines the legal role of medical professionals in decisions to withhold or withdraw life-sustaining treatment from adults who lack capacity. This article considers the position in Queensland, including the parens patriae jurisdiction of the Supreme Court. A review of the law in this State reveals that medical professionals play significant legal roles in these decisions. However, the law is problematic in a number of respects and this is likely to impede medical professionals' legal knowledge in this area. The article examines the level of training medical professionals receive on issues such as advance health directives and substitute decision-making, and the available empirical evidence as to the state of medical professionals' knowledge of the law at the end of life. It concludes that there are gaps in legal knowledge and that law reform is needed in Queensland.     

Security of international civil aviation: The role of ICAO

Abstract

The International Civil Aviation Organization in the last twenty years has marshaled support of the overwhelming majority of its 150 member states in developing security programs and establishing a legal framework of international cooperation against terrorism in international aviation. The Tokyo Convention of 1963 establishes jurisdiction over offenses while an aircraft is in flight and grants a wide spectrum of powers to the aircraft commander to restrain a passenger. The Hague Convention of 1970 obliges states to punish the unlawful seizure of aircraft with severe penalties and to either extradite the offender or try him. The Montreal Convention of 1971 establishes a system of suppression of acts against aircraft, covering mostly acts on the ground that might endanger an aircraft in flight, and requires states to take practicable measures to prevent such offenses. In the past few years the number of countries adhering to these pacts and instituting improved security measures has increased significantly. Accompanying this trend has been a downward trend in acts of unlawful interference and seizure of aircraft to 147 in the 1978–1980 period compared to 245 in the 1969–1971 period. Nevertheless, only steadfast efforts by all nations can complete the job of eliminating unlawful interference with international civil aviation.     

Forensic aspects of ocular injury

A case of homicidal stabbing resulting in bilateral penetrating ocular injuries is described. The case is noteworthy in that it highlights an unusual mechanism of death in homicidal stabbing. Disturbances in heart rhythm including asystole can be ascribed to the so-called oculocardiac or trigeminocardiac reflex. Although this phenomenon is well known to ophthalmologists, neurosurgeons, and anesthetists, it is much less familiar to forensic pathologists. This is a potential mechanism of death worthy of consideration in cases of sudden unexpected death occurring in the context of facial injury.     

A longitudinal study of moral and ego development in young adults

The purpose of this study was to investigate the longitudinal changes in moral judgment and ego development in a young adult sample when a concurrent measure of verbal ability was used as a statistical control. Sixty-one late adolescents and young adults, representing three educational groups, were tested in 1977 and 1979 on the Defining Issues Tests, a measure of moral judgment (Rest), the Sentence Completion Test of Ego Development (Loevinger and Wessler) and Terman's Concept Mastery Test, a measure of verbal ability. No group or time differences were found in ego development. A significant increase was found between the 1977 and 1979 moral judgment scores,p<0.05, and between groups at both testing,p<0.001. Sex differences were found,p<0.01, with females scoring higher than males, which were statistically accounted for by verbal ability. These findings suggest that moral development continues into the young adult years and that verbal ability may moderate sex differences in moral judgment.     

Barriers to competition and the effect on political shirking: 1953–1992

Economists and political scientists have offered a variety of explanations for why legislators might rationally choose to ignore the preferences of their constituents, political parties, and presidents. The broad conclusion of this literature is that there is an element of “shirking” in congressional voting. The objective of this paper is to suggest that the effects of shirking in congressional voting may have increased over time, largely in response to the raising of barriers to competition in congressional elections, thereby enabling legislators to vote their own preferences without fear of losing reelection. We use a quasi-experimental design that controls for the effects of party, region, electoral safety, presidential control of the White House, and constituency factors, in isolating the causal effects of barriers to entry on a continuous series of roll-calls regarding the raising of the debt limit between 1953 and 1992. We find that “shirking” in legislative voting on debt limit legislation is a post-1970s phenomenon.     

Parents' Achievement Goals and Perfectionism in Their Academically Talented Children

Parents of academically talented students have been accused of pushing their children to attain high levels of achievement, as well as fostering performance anxiety and perfectionism in their children. Parents' achievement goals for their children, in terms of the focus on high performance or learning for understanding, were examined in relation to children's perfectionism. Parents (127 sets) and their sixth-grade academically talented children (56% boys) completed the Multidimensional Perfectionism Scale and parents reported their achievement goals for their children. Most parents reported learning goals, suggesting that emphasis on meeting external standards is not predominant among parents of talented students. Children of performance goal parents were significantly more likely to exhibit dysfunctional perfectionism than children of learning goal parents, reporting a combination of high concern about mistakes, doubts about actions, parental expectations, and parental criticism. Parents' achievement goals can help predict which students might be at risk for adjustment problems and future underachievement.     

Looking beyond reelection: Revising assumptions about the factors motivating congressional behavior

This paper challenges the assumption inherent in most models of legislative behavior — namely that congressmen are driven by the desire for reelection. I offer an alternative perspective: incumbents seek to maximize their discretionary investments and the income generated by the job. The only constraint on this behavior is that legislators provide a satisfactory level of constituency service — a product that I suggest entails slight opportunity, and few manufacturing, costs for congressmen, and one that is unlikely to lose its value with increased production. I also demonstrate that increases in salary and discretionary investments have lengthened congressional careers.     

Female victims of child sexual abuse: Adult adjustment

A questionnaire administered to a University sample of 245 female victims of sexual child abuse and 750 nonvictims attempted to determine whether abuse is related to poor adult social and psychological adjustment. The instrument consisted of three outcome measures of adjustment, variables directly related to abuse, perceived satisfaction with early family life, and demographic data. Only one of the outcome measures — the Texas Social Behavior Inventory — yielded a statistically significant difference between the samples. There was a steady, significant and progressive increase in maladjustment between the nonabused, the nonincestuously abused and the incest victims. When controls were applied for levels of satisfaction with early family life, differences between the abused and nonabused samples disappeared. Those abused as children who reported good treatment by parents exhibited no ill effects as adults on the TSBI.