When benefitting a patient increases the risk for harm for third persons — The case of treating pedophilic Parkinsonian patients with deep brain stimulation

This paper investigates the question whether it is ethically justified to treat Parkinsonian patients with known or suspected pedophilia with deep brain stimulation — given increasing evidence that this treatment might cause impulse control disorders, disinhibition, and hypersexuality. This specific question is not as exotic as it looks at a first glance. First, the same issue is raised for all other types of sexual orientation or behavior which imply a high risk for harming other persons, e.g. sexual sadism. Second, there are also several (psychotropic) drugs as well as legal and illegal leisure drugs which bear severe risks for other persons. We show that Beauchamp and Childress' biomedical ethics fails to derive a veto against medical interventions which produce risks for third persons by making the patients dangerous to others. Therefore, our case discussion reveals a blind spot of the ethics of principles. Although the first intuition might be to forbid the application of deep brain stimulation to pedophilic patients, we argue against such a simple way out, since in some patients the reduction of dopaminergic drugs allowed by deep brain stimulation of the nucleus subthalamicus improves impulsive control disorders, including hypersexuality. Therefore, we propose a strategy consisting of three steps: (1) risk assessment, (2) shared decision-making, and (3) risk management and safeguards.     

BOOK ANNOUNCEMENTS … BOEKAANKONDIGINGS

SUMMARY

• In this article a number of general principles and practical tasks awaiting South African publishers are discussed by Andries Walter Oliphant, editor of Staffrider. Some of the points discussed are:

• the need for all South African publishers to underwrite non-racist democratic values;

• the need for South African publishers to advocate and defend the right of the reading public to have access to all published material and information;

• the need for publishers to counter the history of injustice, ignorance, racial prejudice and oppression by exposing and criticising any manifestation of it in society, the state and the media; and

• to give space to subordinate classes, such as workers and gender groups, to articulate their interests and conceptions of what freedom and social justice might mean to them.

     

Confronting Progressive Retreatism and Minimalism: The Role of a New Left Realist Approach

Left realists continue to offer progressive ways of studying and solving various types of crime in the streets, in the “suites,” and in intimate relationships. This article briefly describes the central themes, assumptions, and concepts of left realism and charts new directions in research, theory, and policy. Special attention is devoted to using new electronic technologies and to responding to the rabid corporatization of institutions of higher learning.     

From developmental to regulatory state? Japan's new financial regulatory system

Abstract

Recent financial reforms in Japan and elsewhere in Asia represent, for various authors, a fundamental shift in financial governance and in state–business relations in the region. The old ‘developmental’ state in East Asia has supposedly made way for a neoliberal ‘regulatory’ state, with its emphases on agency independence and the non-discretionary enforcement of rules. I show in this paper that this interpretation exaggerates the extent of the transformation in the important case of Japan. Although the outward institutional forms of economic governance in Japan, as with many Asian developing countries, has changed dramatically since the mid-1990s, discretion still remains at the core of economic and financial policy. In the area of Japanese banking regulation and supervision, I show how this highly discretionary application and enforcement has been consistent with domestic political pressures. The result is a substantial divergence between superficial convergence upon international regulatory standards and underlying behaviour. I also give reasons why globalization does not mean that this hybrid regulatory model is unsustainable.     

Separation/Divorce Sexual Assault in Rural Ohio: Survivors' Perceptions

Since the 1970s, many studies have enhanced a social scientific understanding of the lethal and non-lethal physical abuse of women during and after separation and divorce, but less than a handful have examined sexual assaults on rural women who want to leave, are trying to leave, or who have left spouses or live-in male partners. Further, none of the work done so far on this problem has examined the role of collective efficacy. The results presented here help fill these research gaps and call into question the common assumption that there is more collective control on criminal behavior in rural settings. Moreover, our exploratory qualitative data show that collective efficacy can take many shapes and forms, and often what is perceived as the “common good” may actually be behaviors and discourses that threaten the health and well-being of women seeking freedom from abusive male partners.     

Preventive servicing is good for business and affordable homeownership policy

Abstract

This article documents the growing importance of preventive servicing—business practices that emphasize early intervention in delinquency and default management practices that also help financially troubled borrowers avoid foreclosure. We suggest that the loan servicing side of the affordable housing delivery system may be underappreciated and undercapitalized.

We use a database of more than 28,000 affordable housing loans to test several preventive servicing‐related propositions and find that after we control for loan and borrower characteristics, the likelihood that a delinquent mortgagor within this universe will ultimately default varies significantly across servicers. This suggests that loan servicing is an important factor in determining whether low‐ and moderate‐income borrowers who fall behind in their mortgage payments will end up losing their homes through foreclosure. It also suggests a need for policy makers to incorporate preventive servicing into affordable homeownership programs.     

Tribal or Indigenous? The Indian Dilemma

Abstract

Current Maoist struggles, resulting from deprivation of livelihood in the Central Indian tribal belt and for autonomy in Northeast India, focus on the rights of tribes who claim to be indigenous In the Northeast the demand is to be considered the ‘original’ inhabitants of the region and, in the rest of India, it is the first inhabitants of India as a whole. Most conflicts today are around identity, central to which is indigenous status and tribal sustenance. Much resource has been alienated for ‘national development’ since independence in 1947. A national failure to recognise the importance of community-based sustenance facilitates its alienation. Intensified alienation, resulting from globalisation, causes more conflicts and greater state suppression. This article discusses the link between development and indigenous status, and implications for human rights.     

Book review

Aspects of Development and Underdevelopment. By Joan Robinson. Cambridge‐Cambridge University Press (Modern Cambridge Economics), 1979. Pp. x + 146. Hardback £7.95, paperback £2.50.

From Modernization to Modes of Production: a critique of the sociologies of development and underdevelopment. By John G. Taylor. London: Macmillan, 1979. Pp. xii + 335. Hardback £12, paperback £4.95.

Theories of Underdevelopment. By Ian Roxborough. London: Macmillan, 1979. Pp. xii + 175. Hardback £10, paperback £3.95.

Development Administration: Concepts, Goals, Methods. By George F. Gant. Madison: University of Wisconsin Press, 1979. Pp. xii + 343. $21.50.

Developing Country Debt. Edited by Lawrence G. Franco and Marilyn J. Seiber. New York: Pergamon Press, 1979. Pp. xi + 309. £20.

The Lending Policy of the World Bank in the 1970s: Analysis and Evaluation. By Bettina S. Hürni. Boulder, Colorado: Westview Press, 1980. Pp. xvi + 173. $20.

The World Bank and the Poor. By Aart van de Laar. Boston, The Hague: Martinus Nijhoff, 1980. Pp. xii + 260. $15.

The New Authoritarianism in Latin America. Edited by David Collier. Princeton: Princeton University Press, 1979. Pp. v + 456. Hardback £15.10, paperback £3.65.

The Political Economy of Peru 1956–78: Economic development and the restructuring of capital. By E. V. K. FitzGerald. Cambridge: Cambridge University Press, 1979. Pp. xi + 360. £17.50.

Scarcity and Survival in Central America. By William H. Durham. Stanford: Stanford University Press, 1979. Pp. xvii + 209. £14.50.

Peasants and Poverty: A Study of Haiti. By Mats Lundahl. London: Croom Helm, 1979. Pp. 699. £19.95.

The Rational Peasant: The Political Economy of Rural Society in Vietnam. By Samuel L. Popkin. Berkeley: University of California Press, 1979. Pp. xxi + 306. £9.

The Economy of Kenya: the Kenyatta Era. By Arthur Hazlewood. Oxford: Oxford University Press, 1979. Pp. x + 231. Hardback £9, paperback £4.95.

Chinese Education in Transition: Prelude to the Cultural Revolution. By Julia Kwong. Montreal: McGill‐Queen's University Press, 1979. Pp. xi + 207 $13.95.

Hydropolitics of the Nile Valley. By John Waterbury. Syracuse, N.Y.: Syracuse University Press, 1979. Pp. xii + 301. $20.

The Volta River Project: A Case Study in Politics and Technology. By David Hart. Edinburgh: Edinburgh University Press, 1980. Pp. 142. £7.50.

Economic Development, Cities and Planning: The Case of Bombay. By Nigel Harris. Bombay: Oxford University Press, 1979. Pp. vi + 93. £5.15.

Sociological Analysis of the Working of Small Farmers Development Agency. By Mumtaz Ali Khan. Simla: Indian Institute of Advanced Study, 1978. Pp. x + 175. Rs. 32.

Planning for Basic Needs in Kenya: Performance, Policies and Prospects. By Dharam Ghai, Martin Godfrey and Franklyn Lisk. Geneva: International Labour Office, 1979. Pp. x + 167. £5.

Women in Rural Development: the People's Republic of China. By Elisabeth Croll. Geneva: International Labour Office, 1979. Pp. 61. Paperback, £3.75.     

The trade and fiscal impact of EU/ACP economic partnership agreements on West African countries

The European Union is currently negotiating free trade agreements, called Economic Partnership Agreements (EPAs), with African countries as part of the Cotonou Agreement between the European Union and African, Caribbean and Pacific countries. The paper empirically assesses the impact of the EPAs on trade flows and government revenue for 14 West African countries. The results indicate that the decline in import duties due to the preferential tariff elimination might be of some cause for concern and that complementary fiscal and economic policies have to be implemented before or at the time the EPAs come into force.