Anticipatory refusals and the action of 'wrongful living'

After years of debate, opinion among bioethicists and medical lawyers seems to have accepted that anticipatory refusals of medical treatment can, and furthermore should, be accorded the same legal status as contemporaneous refusals. But what would be the legal repercussions for a medic who treated an incompetent patient in contravention of such a directive? What remedies would be available to the claimant whose life had been extended contrary to his express wishes? This issue has never been explicitly addressed by the UK courts, but this paper looks at some of the conclusions and inferences we can perhaps draw from other, possible analogous areas of law. It also considers several North American cases that have addressed this issue, and asks what lessons we can learn therefrom.     

Black and white identity development: Aspects and perspectives

Empirical definitions of identity formation, and five variants, were constructed using a technique for studying multiple self-images. The method was then applied to a sample of black and white lower socioeconomic class boys. These boys were tested with this technique and given in-depth interviews twice a year, from the start to the finish of high school. The results of these longitudinal studies disclose that the black and white adolescents have emphatically differentpatterns of identity formation. The blacks are characterized by unchanging configurations of self-images. Both the content of their self-definitions and the interrelations for these self-definitions remain strikingly stable over the years. The whites, on the other hand, display a progressive integration of different self-images and stabilization of the content of these images. The more qualitative interview data corroborate these quantitative findings. The patterns displayed by the blacks are consistent with the definition of identity foreclosure, a disruption in ego identity development. The whites' patterns, however, are consistent with progressive identity formation. In addition to discussing these results, the paper goes on to consider ways to understand the findings. Sociocultural as well as cognitive aspects of the racial differences in identity development are explored.This is a revised version of a presentation to the Fall Meeting of the American Psychoanalytical Association, December 16, 1970. The earlier version was also the recipient of the Harry C. Solomon Essay Prize at the Massachusetts Mental Health Center, June 1970.Received M.A. (Social Anthropology) from Harvard University and M.D. from Yale University. Currently studying self-image and cognitive development in populations of normal and psychiatrically impaired adolescents.     

Collecting Africana

"To add a library to a house, is to give that house a soul."