General practitioners' perspectives regarding competence and confidentiality in an adolescent with suspected anorexia nervosa: legal and ethical considerations

In Victoria, Australia, the legal position regarding young people's competence to make medical treatment decisions has not been clarified in legislation, and a number of often vague common law decisions must be relied on for guidance. This situation produces a degree of uncertainty about appropriate professional practice, while also potentially impeding young people's rights claims in health care settings. With this in mind, the present research explored general practitioners' competence and confidentiality decisions regarding a 17-year-old female who presented with symptoms of an eating disorder. Questionnaires were sent to a random sample of 500 Victorian general practitioners, of whom 190 responded. After reading a case vignette, general practitioners indicated whether they would find the hypothetical patient competent and if they would maintain her confidentiality. Seventy-three per cent of respondents found the patient competent and most would have maintained confidentiality, at least initially. However, subsequent analysis of the rationales supplied for these decisions revealed a wide diversity in general practitioners' understandings and implementations of extant legal authority. This research highlights the need for general practitioners to be exposed to up-to-date and clinically relevant explanations of contemporary legal positions.     

Transformation of political elite as regime changes in Pakistan

Burton and Higely [(2001). ‘The study of political elite transformations’, International review of sociology/Revue internationale de sociologie, 11(2): 181–199] argue that when elites of a society are not united this will lead to an unstable political regime. Consensual elite cohesion is only created through distinctive elite transformation. This essay attempts to elaborate their argument in Pakistan, by developing a link among a continuous regime shift from authoritarian to democratic governments and the political elites who keep transforming their structure accordingly. The technique followed for it is analysing the epochal events over time from pre-partition till date which became reason for regime transformations. The discussion focuses on the collusions and contestations of multiple power elites within given social context which are embedded under the international context. It concludes that political elites in Pakistan were always embraced by multiple other power elites who accordingly hold dual elite identity to control the command post in the political arena. Such complex elite structure makes it paradoxical to distinguish political elite of Pakistan from other power elites of Pakistan.     

Global Governance: Prospects and Problems

The 50th anniversary of the UN in 1995 occasioned a widespread international discussion of 'global governance'. This term is understood to denote not just conventional bodies of international security and economic management but the overlapping and interlocking of institutions found in all issues and regions, and the increasing body of non-state actors, broadly termed 'international civil society'. This article discusses the functions and reform of global governance, and then examines these in the light of five central issues of the 1990s: the role of the great powers, peace-keeping, economic nationalism, a crisis of NGOs, and global values. It argues that advocacy of global governance must be matched by political realism on the one hand, and the recognition of the need for difficult ethical choices on the other.     

Discerning Immunity for Governmental Entities: Analyzing Legislative Choices

In 2006, three disagreements about the scope of immunity for governmental entities were considered by the U.S. Supreme Court. Governmental entities were seeking to avoid liability for their actions, claiming the defense of sovereign immunity. Other lawsuits involving governmental immunity under state constitutional and statutory provisions disclose controversies concerning the responsibilities of governments to injured persons. The complicated jurisprudence governing immunity for governmental entities shows two alternatives for legislatures. They have the ability to increase liability by waiving immunity or to add defenses that defeat liability. The trend seems to be to waive immunity for governmental entities while adding statutory defenses that are available to both the private sector and governmental entities.     

Indicators of Democracy in Professional Associations: Elite Recruitment, Turnover, and Decision Making in a Metropolitan Bar Association

This study considers political structure in bar associations with respect to one central problem: the tension between democracy and oligarchy in the internal politics of bar associations. Drawing on both theoretical and empirical material, the authors outline a series of indicators on which the degree of democracy and oligarchy in the organized bar may be measured and then apply these criteria to the Chicago Bar Association from 1950 through 1974. The authors briefly review writings on the political structure of bar associations in the United States and note relevant theoretical perspectives on the politics of voluntary associations. They distinguish several patterns of oligarchy and democracy and explore the consequences of certain trends for the Chicago Bar Association and other bar associations.     

Fatal postpartum spontaneous liver rupture: case report and literature review

Maternal hepatic rupture is a rare complication of pregnancy that can be fatal to both mother and child. This phenomenon is most often associated with preeclampsia/eclampsia and/or HELLP syndrome, which is defined by a collection of clinical features including hemolysis (H), elevated liver enzymes (EL), and a low platelet count (LP). These disease processes are typically identified and treated during pregnancy, often in the last trimester. The described case is unusual in that the decedent had no known history of preeclampsia/eclampsia or HELLP syndrome during this pregnancy, and she died suddenly several days postpartum of liver rupture with massive intraperitoneal hemorrhage following a routine cesarean section delivery and an uneventful hospital course. Similar cases are infrequent in the literature, which is reviewed in this report.     

The Pertinence of International Relations

Established as a distinct academic discipline at the end of the second world war, International Relations has above all been concerned with analysing relations between sovereign states - in the first instance, the causes of war between them and alternative forms of cooperation. Throughout its history, IR has been dominated by 'realism', an approach based on a juridical totalizing concept of the state. This denies the relevance of factors located within polities and societies and stresses the primacy of security issues in inter-state relations. More recent work in the field has sought to analyse the interaction of the domestic and the international and to explore the interaction of security with other, most evidently economic, factors. The relation of 1R to political science is defined by the shared concern with the 'pertinence' of the international; that is, how far specific political and social systems are, and are not, affected and determined by factors beyond their frontiers and how these forms of international influence are changing in the contemporary world.     

The noble art of the chase in the Arab world

Sir Terence Clark is a Council Member of the Society. He retired from the Diplomatic Service after a distinguished career spent mainly in the Middle East, where he was Ambassador to Iraq and Oman, and is the author of many articles in specialist journals on hunting and co‐author of The Saluqi: Coursing Hound of the East (1995), Dogs in Antiquity (2001) and Oman in Time (2001). This article is based on a lecture delivered to the Society on 23 October, 2002.     

Singapore's cultural policy and its consequences

Abstract

This article explores the effects of Singapore's Global City for the Arts project on the local theater industry. It begins by describing the character of the Singapore state and its ability to meet the challenges of globalization. It then shows that while historically global in orientation, the city-state's early cultural policies were resolutely local and insular prior to the economic recession in 1985. From that year on, local arts and culture was driven by an economic rationale — eventually culminating in the birth of a globally oriented national cultural policy: the Global City for the Arts project. The author contends that the Global City for the Arts project has pressured the Singapore state into shedding some of its authoritarian practices in order to conform to international norms. However, the author also illustrates how certain theater companies with the requisite cultural capital for the Global City for the Arts project have benefited from the country's cultural policies while others that do not possess such cultural capital are marginalized. The article concludes by arguing that the Singapore state, in going global, exacerbates the economic disparity by accentuating preexisting inequalities and divisions in the local.