No (,) More Bolam Please: Montgomery v Lanarkshire Health Board

Montgomery v Lanarkshire Health Board concerned a negligent non‐disclose of certain risks involved in natural birth. The Supreme Court departed from Sidaway v Bethlem Royal Hospital, which formerly governed negligent risk disclosure. A new test was adopted: risks that are material must be disclosed, the materiality of a risk to be decided by reference to a reasonable person in the patient's position, or where the medical professional should be reasonably aware a particular patient is likely to attach significance to that risk. The Court emphasised risk disclosure practices must focus on what the patient wants to know. Yet the Court's portrayal of this change as a development of Sidaway is questionable. The decision is problematic in its engagement with precedent, the new test's future implications and statements regarding therapeutic privilege. Despite rejecting Bolam v Friern Hospital Management Committee's relevance to risk disclosure, this case is likely to remain relevant.     

When Bad (Good) Things Happen to Good (Bad) People: The Impact of Character Appraisal and Perceived Controllability on Judgments of Deservingness

When third parties judge the deservingness of outcomes experienced by others, what role does their appraisal of others' character play in their judgments? Two experiments examined this question by locating it within the framework of Feather's (1994a) theoretical analysis of deservingness. In both experiments, participants read 16 stories in which (a) people of good or bad character (b) experienced positive or negative outcomes in events (c) over which they had high or low control, then rated the extent to which each outcome was deserved. All three factors were found to affect ratings of deservingness, but the dominant influence was the Valence of Character × Valence of Outcome interaction. Outcomes were judged to be deserved when the valences attached to actors' character and their outcomes were congruent (either ++ or ??) and undeserved when the valences were incongruent (either +? or ?+). Most of the results supported Feather's formulations and, in addition, suggested how people integrate several perceptions into a composite judgment of deservingness.

     

A prospective follow-up of children with anorexia nervosa

We report on a prospective follow-up (mean 3.1 years) of 22 children with anorexia nervosa (mean age at onset—12.1). Adequate information was obtained for 18 children. The specific outcome was good in 10 (55.5%), intermediate in 5 (27.8%), and poor in 3 (16.7%); none had died. No prognostic factors were identified. The findings are compared with those from the long term follow-up of a previous cohort of children with anorexia nervosa, and confirm the unsatisfactory prognosis for this age group.Major research interest concerns the etiology and treatment of eating disorders in children and adolescents.Has been with the Eating Disorders Research Team since 1992. His major interest is research methodologyHas been with the eating disorders Research Team since 1989. Her major interests are in obsessional-compulsive problems and eating disorders in children.Major research interests include eating disorders in children and adolescents, cystic fibrosis, the effects of transplantation in children and adherence to treatment. Chief Editor ofClinical Child Psychology and Psychiatry. Has been collaborating with the Eating Disorders Research Team since 1985.     

Are expert penmen better than lay people at producing simulations of a model signature?

Although forensic signature examination is considered to be an identification science, it is a theoretical possibility that an individual may learn to forge another person's signature that is free from indications of simulation behaviours. This proposition was tested in a signature blind trial that was administered to 42 forensic handwriting examiners (FHEs). Participants expressed opinions on the authorship of 100 questioned signatures. The questioned signatures comprised a mixture of genuine, disguised and simulated signatures. Calligraphers formed part of the population of individuals who provided simulated signatures for the trial. A total of 3100 opinions were expressed of which 1254 were correct, 224 misleading and 1622 were inconclusive. Of the opinions expressed regarding the simulated signatures, the misleading score for the calligraphers' forgeries were approximately four times that of the lay persons' forgeries. These results provide strong evidence in support of the proposition that calligraphers are more skilled at simulating signatures than are lay people and can produce forgeries that some FHEs have difficulty detecting.     

Post-feeding larval behaviour in the blowfly, Calliphora vicina: effects on post-mortem interval estimates

Using the rate of development of blowflies colonising a corpse, accumulated degree hours (ADH), or days (ADD), is an established method used by forensic entomologists to estimate the post-mortem interval (PMI). Derived from laboratory experiments, their application to field situations needs care. This study examines the effect of the post-feeding larval dispersal time on the ADH and therefore the PMI estimate. Post-feeding dispersal in blowfly larvae is typically very short in the laboratory but may extend for hours or days in the field, whilst the larvae try to find a suitable pupariation site. Increases in total ADH (to adult eclosion), due to time spent dispersing, are not simply equal to the dispersal time. The pupal period is increased by approximately 2 times the length of the dispersal period. In practice, this can introduce over-estimation errors in the PMI estimate of between 1 and 2 days if the total ADH calculations do not consider the possibility of an extended larval dispersal period.     

Trippin' on Sally D: Exploring predictors of Salvia divinorum experimentation

Salvia divinorum is a new recreational drug where few studies have been conducted on its prevalence and predictors of use. Using a sample of undergraduate students, this study investigated these issues. While a small number reported experimenting with salvia, logistic regression models showed that demographics, marijuana use, and self-control are statistically significant predictors. The effect of gender on use was explained by low self-control; but the effect of marijuana use remained. Results also showed that White males who frequently smoke marijuana and have extremely low self-control are most likely to use salvia. Limitations and future research are discussed.