Law and ethics of deep brain stimulation

Deep brain stimulation (DBS) is a non-destructive, adjustable, and mainly reversible method of continuously giving electrical impulses into a small area of the brain via implanted electrodes. It has been established as a standard form of treatment for specific cases of Parkinson's disease, essential tremor and dystonia. It is currently being evaluated for several mental disorders, dementia and even alcoholism. In spite of its growing practical importance, the legal issues have so far undergone almost no analysis. The article outlines both the essential legal questions of DBS from the perspective of German Law as well as major issues of the current ethical debate, and the correlation of both fields.     

The quality of civil society in post-communist Eastern Germany: a case-study of voluntary associations in Leipzig

Quantitative data show the weakness of civil society in the post-communist countries of East-Central Europe by using such indicators as membership in voluntary associations. Building on this data, this research offers an in-depth case-study of voluntary associations in the Eastern German city of Leipzig in order to examine the quality of the existing civil society. Due to structures put in place by the local government to encourage citizen input in policy decisions and widespread democratic participation both before and after the fall of communism, Leipzig presents an interesting case-study in assessing the vibrancy of civil society, and thus democracy, in a post-communist city that appears to embrace ideals of citizen participation. The study, based on data from 23 qualitative interviews with members of citizen associations, local parliamentarians and city officials, explores three main issues that are found in the theoretical literature on associations and civil society: the development of civic competence; the creation of a public sphere; and the relationship between civil society and the state. The qualitative nature of this study offers a more nuanced assessment of civil society in Eastern Germany than the quantitative data allow. I conclude that there are clear deficits but also strengths in the development of civil society.     

Facilitating Help Seeking Behavior and Referrals for Mental Health Difficulties in School Aged Boys and Girls: A School-Based Intervention

Although the need for early intervention for mental health difficulties is widely acknowledged, few studies have attempted to explicitly increase actual help seeking behavior for mental health difficulties. Students in intervention classrooms received two one-hour, in-class workshops on distress and help seeking and were compared to students in non-intervention classrooms in a 2-level hierarchical model. More frequent help seeking behavior and more mental health referrals were observed among students in the intervention group than among students in the comparison group. Effects were moderated by the level of distress experienced by students, but not by help seeking attitudes, and could not be accounted for by school staff referrals or website utilization. Results showed that help seeking behavior for mental health difficulties and mental health referrals can be increased with only a moderate investment in time, but that benefits of school-based intervention may be greatest among students with specific needs, such as high levels of distress.

Testing the Use of Pigs as Human Proxies in Decomposition Studies

Pigs are a common human analogue in taphonomic study, yet data comparing the trajectory of decomposition between the two groups are lacking. This study compared decomposition rate and gross tissue change in 17 pigs and 22 human remains placed in the Forensic Investigation Research Station in western Colorado between 2012 and 2015. Accumulated degree days (ADD) were used to assess the number of thermal units required to reach a given total body score (TBS) (1) which was used as the measure of decomposition. A comparison of slopes in linear mixed effects model indicated that decomposition rates significantly differed between human donors and pig remains χ²₍₁₎ = 5.662, p = 0.017. Neither the pig nor the human trajectory compared well to the TBS model. Thus, (i) pigs are not an adequate proxy for human decomposition studies, and (ii) in the semiarid environment of western Colorado, there is a need to develop a regional decomposition model.     

Correlates of Behavioral Outcomes in Sexually Abused Children

The present study attempted to identify individual and contextual factors associated with outcomes in a group of 63 latency-aged children disclosing sexual abuse (SA). Children reporting SA were found to display greater internalizing and externalizing behavioral difficulties as well as more sexualized behaviors relative to same-age non-abused peers. Mothers also reported these children as less socially competent than their peers. Family contextual factors appeared to be associated with behavioral difficulties and made a unique contribution to the prediction of externalizing and sexualized behaviors. Of the personal variables, avoidance coping was found to be linked to poorer outcomes. In examining possible factors linked to ‘resilient’ outcomes in a 6-month time-frame, family conflict and avoidance coping were found to be associated to clinical status in children reporting SA.     

Marriage at the intersection between tradition and globalization

In this paper, we will investigate the popularity of marriage migration between Turkish communities in Western Europe and emigration regions in Turkey. Our focus here is specifically on the Belgian case, namely the ‘Emirdag connection’. In Belgium, the majority of immigrants with a Turkish background come from the region of Emirdag, in the province of Afyon. On the basis of quantitative research methodologies, we first consider the magnitude of the phenomenon and the socio-economic situation of those involved. Using the qualitative research techniques of participant observation and in-depth interviews, we analyze the mechanisms in an attempt to explain marriage migration between these regions. Why do so many young people, born and raised in Western Europe, opt for an unknown partner from a region that is largely unknown to them but which proves to be their parents', or even grandparents', region of origin? Why does migration remain such a valuable life project for many young people in these regions of origin, despite the real danger of many negative side effects? The popularity of marriage migration is often explained by its role in making migration possible. However, migration theories alone cannot explain this phenomenon. Here we will argue that the existence of a ‘culture of migration’ that binds the region of origin with the region of destination and in which ‘the family’ as an institution is capable of building a bridge between traditional praxis, as well as the challenges linked to international migration, are crucial for understanding the enduring popularity of marriage migration.     

Analysing Choice in Australian Individual Funding Disability Policies

The Australian National Disability Insurance Scheme (NDIS) will allocate funding packages to people with disability who are assessed as needing paid support. The NDIS is an example of individual funding, which is currently not the dominant way of organising disability support in Australia. Individual funding aims to increase opportunities for personal choice. We present a framework for understanding current individual funding policies in each Australian jurisdiction according to two policy dimensions that potentially enable greater personal choice for people with disability: who holds their allocated funds and where support can be purchased. The findings show wide disparities in choice across the country, particularly due to constrained funds and the shortage of support to purchase in regional areas. The analysis demonstrates that NDIS implementation will need to consider that, while individual funding can be empowering for some people with disability, enabling choice can be challenging for administrators and service providers.     

The Scavenging Patterns of Feral Cats on Human Remains in an Outdoor Setting

Two cases of feral cat (Felis catus) scavenging were documented at the Forensic Investigation Research Station in Whitewater, Colorado. Human remains at the facility are placed outside, observed daily, documented with field notes, and photographed; decomposition is scored on a Likert scale. Scavenger activity is monitored with game cameras. The cases documented included: preferential scavenging of the soft tissue of the shoulder and arm, differential consumption of tissue layers, superficial defects, and no macroscopic skeletal defects. This pattern more closely parallels the documented pattern of bobcat (Lynx rufus) scavenging than that of domestic cats. Scavenging among felids is relatively rare, as felids typically prefer to hunt. Such cases studied in detail are relatively few, spatially relative, and lack statistical robustness. While only two examples are reported here, these cases are rare overall, and this documentation may help field investigators understand the place of feral cats within a local scavenger guild.