Dimensions of the self-concept: A source of further distinctions in the nature of self-consciousness

This study distinguished between forms of self-consciousness (private self-consciousness and social anxiety) and investigated the effect of self-esteem, vulnerability to criticism, and the tendency to fantasize on each. Utilizing a sample of adolescents (age 12 to 19 years), a structural equation analysis using unobserved variables revealed that, as expected, vulnerability to others' criticism heightened both private self-consciousness and social anxiety. In contrast, the tendency to fantasize in everyday life increased only private self-consciousness, and low self-esteem led directly only to increased social anxiety. Further, results showed that self-esteem had an appreciable indirect effect on both private self-consciousness and social anxiety, as mediated by vulnerability and the tendency to fantasize, indicating that the effect of self-esteem (a primary motivator) was more complex than an analysis of direct effects would indicate. Implications for our understanding of self-consciousness and the self-concept are discussed.My deepest thanks go to Morris Rosenberg, whose insights into the self-concept were indispensable, both in conceptualization and in analysis. I also thank John A. Fleishman and Edward Z. Dager for their constructive comments on early drafts of this article. Any errors remaining are my responsibility.This study was supported by NIMH Grant R01 MH27747-06 awarded to Morris Rosenberg. The data were analyzed using the facilities of the Computer Science Center, University of Maryland, College Park.Professor Elliott received his Ph.D. in sociology at the University of Wisconsin, Madison. His current major interest is in the structure of the self-concept.     

Book reviews

Richard Parsons. The Carpets of Afghanistan. London: Oriental Textile Press, 1983; £25.

Michael Rywkin. Moscow's Muslim Challenge: Soviet Central Asia. London: C. Hurst & Company, 1982. 183 pp., bibliography and index.     

US: hospital negligent for failing to warn prior patient of risk of HIV infection by transfusion

The Supreme Court of Tennessee has ruled that a university hospital was negligent for not contacting patients who had received blood transfusions in the early 1980s to advise them of the risk of HIV infection. In Amos v Vanderbilt University, it awarded US$4.3 million in damages to the estate and family of a woman who died eight years after receiving HIV-tainted blood during surgery.     

Court dismisses appeal for right to assisted suicide

On 29 November 2001, the Ontario Court of Appeal issued a lengthy decision overturning a lower-court judgment in favour of three hemophiliacs infected with HIV in 1985 through contaminated blood-factor concentrate. The joint decision in the three cases of Robb, Rintoul, and Farrow is the latest decision in litigation dating back to 1992. The plaintiffs alleged negligence by the Canadian Red Cross Society and the Canadian government for delays in introducing heat-treated concentrate after the risks posed by unheated product were known.     

Tax Court allows tax credit for herbs and vitamins, not for massage

In August 2001, the Tax Court of Canada issued its most recent judgment on the tax deductability of expenses for complementary/alternative therapies. The decision in Pagnotta v Canada is significant for people with HIV/AIDS who use such therapies. It also illustrates how provincial and federal laws regulating health-care practitioners and natural health products have a financial impact on the cost of accessing treatment.     

Report on complementary/alternative health care and HIV/AIDS

In 2001, the Canadian HIV/AIDS Legal Network published a lengthy report on Complementary/Alternative Health Care and HIV/AIDS: Legal, Ethical & Policy Issues in Regulation. The document is the first in a series of papers to be produced by the Legal Network on priority legal and ethical issues related to HIV/AIDS care, treatment, and support. The article below summarizes the contents of the report.     

WTO ministerial conference adopts declaration on TRIPS and public health

In November 2001, the 4th Ministerial Conference of the World Trade Organization adopted a Ministerial Declaration on public health and the WTO's Agreement on Trade-Related Aspects of Intellectual Property Rights (the "TRIPS Agreement"). The declaration represents a modest advance in addressing concerns that strict patent laws, and threats of trade sanctions, will be a barrier to most of the world's people with HIV/AIDS accessing affordable medicines. The full significance of the declaration remains to be seen, as it depends on what political impact it has at the WTO and on its member countries, and what legal impact it will have in the interpretation of the TRIPS Agreement.     

WTO: US and Argentina settle dispute over patents and data protection

In May 2000, supplementing an earlier complaint filed in May 1999, the US filed a complaint against Argentina, alleging that its patent laws violate the World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property (the TRIPS Agreement). The gist of the US complaint was that Argentina's law failed to provide: (1) adequate protection against "unfair" commercial use of undisclosed test data submitted in order to get market approval of pharmaceutical products; (2) certain safeguards for compulsory licences on an invention granted on the basis of inadequate working by the patent holder; and (3) adequate measures to prevent infringements of patent rights. The US also alleged that Argentina denies certain exclusive rights of patent holders, such as the exclusive right to import the patented product into the country. At the end of May 2002, the US and Argentina notified the WTO that they had reached a "mutually agreed solution," without prejudice to their respective rights and obligations under WTO agreements, and the US has withdrawn its complaint.