Psychological Injury and Law: Editorial on the Young and the Tested

In this editorial about our dynamic new journal and association, I describe how young professionals and students in both the mental health field and the legal profession can play a role in the association and how they can benefit from it and the journal. The association and journal are meant to serve the education and career aspirations of young people and, at the same time, we look forward to their contributions.     

The politics of multilateral environmental agreements lessons from 20 years of INEA

International Environmental Agreements: Politics, Law and Economics - This review article addresses the question: What lessons can we learn from work published in International Environmental...     

What matters to citizens in crisis recovery? Being listened to,action, and confidence in government

Policy Sciences - The policy decision-making process in the aftermath of a crisis is a dynamic and iterative process involving circumstances that are emotionally convoluted rather than stable and...     

Conservative Leaders,Coalition, and Britain’s Decision for War in 1914

Conservative leaders may have had a decisive impact on the decision by the Liberal government to enter the Great War in August 1914. In a seminal article of 1975, Keith Wilson argued that their readiness to fight “cut the ground … from beneath the feet of the non-interventionists” in the Cabinet. Those ministers who had hitherto opposed war now recognised that continued divisions could bring the government’s collapse, in which case the Unionists, probably in a coalition with pro-war Liberals, would take office and enter the conflict anyway. Since Wilson’s essay, important light has focussed on Unionist thinking by works that look at the July Crisis as part of a longer party history. This analysis provides a detailed investigation of the actions of Unionist leaders in the days immediately leading to war. It resolves some of the main contradictions in the primary evidence, argues that the possibility of a coalition was very real and demonstrates that one key player—the first lord of the Admiralty, Winston Churchill—subsequently tried, with some success, to disguise his activities.     

实施“教育强区“战略,促进建设“文化珠海“宏伟目标的实现

发展教育,是建设"文化珠海"的重中之重.珠海要实现"文化盛市"目标,必须建设"教育强市(区)",最大限度地提升人口的素质,营造较为浓郁的文化氛围.斗门区是珠海市西部的一个行政区,斗门建设"教育强区",对珠海提升人口素质,促进经济和精神文明的发展具有重要意义.本文在分析斗门区"教育强区"的有利条件和不利因素的基础上,提出创建斗门"教育强区"的建议.     

Medication noncompliance in schizophrenia: codification and update

Risk of relapse and recidivism makes the failure to take antipsychotic medication as prescribed a significant issue in forensic psychiatry. This question may arise in such contexts as the setting of bail, plea bargaining, the insanity defense, and sentencing. We have reviewed the literature on medication noncompliance in schizophrenia and present here the results, organized by topics relevant for the work of forensic mental health experts. Reported rates of noncompliance vary widely, reflecting major differences in the populations studied and the methods used as well as the complexities involved in defining noncompliant behavior. A noncompliance rate of 50 percent has been attributed globally to chronic patients, both medical and psychiatric. The tendency of significant factors to interact precludes a simple typology of noncompliance. However, environmental security and supportiveness correlate positively with adherence; whereas anxiety, paranoia, grandiosity, depression, and side effects correlate negatively. Clinicians' assessments of whether medication is being taken have proven to be unreliable. Although monitoring by chemical measurement, particularly a radioreceptor assay for urine samples, can be useful, depot injection ensures that prescribed medication is being taken. Less invasive means of promoting compliance are described; psychodynamic and ethical issues to be considered in the monitoring and promotion of compliance over extended time periods are presented. We also probe the link between medication noncompliance and behavioral relapse. The time between default and relapse is most often measured in weeks. Whether due to medication withdrawal or not, the relapse pattern of each individual tends to repeat, allowing its recognition before recidivism occurs. Restarting medication at this stage, especially with a dosage increase, is usually effective. In sum, the forensic mental health expert can now readily use a large and diverse literature to assist with a variety of significant issues.