Invocation of coercion context in compliance communication -- power dynamics in psychiatric care

This article draws on observations from ethnographic fieldwork to develop a theoretical understanding of the power dynamics in psychiatric care. The aim is to analyze how psychiatric clinicians solve compliance problems by invoking "coercion context". It is suggested that clinicians take a rather instrumental approach to laws regulating coercive intervention. Clinicians may invoke a coercion context even with voluntary patients. For example, they may use wordings that connote coercion, or they may make use of how treatment wards are set up to accommodate involuntary patients, thus stalling voluntary patients who cannot exit through locked doors. A coercion context can also be invoked to solve mundane practical problems, e.g. when clinicians talk about "coerced showers". The management of information and maintaining a suitable "awareness context" with regards to coercion is an essential feature in clinical attempts to achieve compliance from patients. In conclusion, the notion of coercion context helps explain the confusing findings from previous research about patients' apparent misconceptions of their formal legal status. Furthermore, it is argued that research that rely on decontextualised, objectifications of "coercion" risk to miss the meaning coercion is assigned in everyday clinical practice.     

Administrative Agencies and the Collaborative Game: An Analysis of the Influence of Government Agencies in Collaborative Policy Implementation

Over the past decades, most countries have witnessed an increase in collaborative arrangements for engaging stakeholders in collective decision‐making processes. Despite the fact that the role of the state in the collaborative structures has been one of the highly debated issues, there is still a need for a more comprehensive understanding of how governmental agencies affect the performance of collaborative actions. This article develops a framework for systematic analyses of collaborative effects on policy performance. Using PROCESS OLS regression, the authors apply the framework to project‐level Cohesion Policy implementation in Finland – that is, to collaborative arrangements embedded in a rather fragmented and complex administrative context. The typical state characteristics of a Nordic country make Finland an interesting case for studying the interaction in collaborative arrangements between the administration and external agencies in a modern welfare state. The results presented in this article show that government agencies have a considerable moderating impact on the relationships between collaborative qualities and performance. The impact is, however, dependent on the responsiveness of the external agent to the bureaucratic rationale. The results underline the importance of more holistic approaches for analyzing complex collaborative constellations, focusing particularly on interaction effects between potential explanatory factors.     

Beyond Compliance: Recognition,Solidarity and Minority Rights in Post-Accession Estonia

Implementation of minority rights norms is an important step for integration. The ultimate aim of norm diffusion is internalization, that is, when a norm is being taken for granted. This article seeks to develop an understanding of socialization beyond formal compliance and suggests that material and ideational structures at both the elite and societal levels mutually reinforce one another. The framework is applied to the case of the integration of the Russian minority in Estonia, 1991–2016. The concepts of recognition and solidarity help to theorize and explain this socialization process and the constraints of both materialist and identity dimensions.     

Territorialising identity,authority and conflict in Africa: an introduction

In much of Africa, the simultaneous contestation over sub-national demarcations, political identities and the locus of authority has activated a territorial politics. In such contexts of uncertainty, state rulers and other social forces advance competing notions of the relevant and legitimate boundaries of territories and identities. This collection of articles examines how, across the continent, struggles over territory are linked to divergent understandings of identity and authority, with significance for territorial integrity, national identity and conflict.     

Unintentional Nonhunting Firearm Deaths in Sweden, 1983–2012

We examined the association between unintentional nonhunting firearm deaths and changes in firearm legislation in Sweden. There were 43 fatalities during the study time frame 1983–2012, representing 46% of all unintentional firearm deaths during the same period. The victims were predominantly young males (mean age 25 years). Slightly more than half of the deaths were caused by another person and were inflicted at close range. The main cause of the incidents was human error. The majority of the involved firearms were legal; however, most victims killed with illegal firearms were under the influence of alcohol and/or drugs at the time. The death rate decreased significantly following the introduction of the hunter's examination in 1985. Education and training associated with the hunter's examination was at least partially responsible for the decline in fatalities after 1985. Future prevention should target the availability of illegal firearms.     

Old and very old adults as witnesses: event memory and metamemory

Older people constitute an important category of eyewitnesses. Episodic memory performance in older persons is poorer than in younger adults, but little research has been made on older persons’ metacognitive judgments. Since more persons of advanced age will likely be called upon as witnesses in coming years, it is critical to characterize this population’s metacognitive abilities. We compared event memory metacognition in old adults (66-year-old, n = 74) to very old adults (87 or 90 years old, n = 55). Participants were tested on their memory of a film, using questions with two answer alternatives and the confidence in their answer. As expected, the very old group had a lower accuracy rate than the old group (d = 0.59). The very old group, however, monitored this impairment, since their over-/underconfidence and calibration did not differ from the old group but they displayed a poorer ability to separate correct from incorrect answers (discrimination ability). Possibly, the very old group was able to monitor the level of their over-/underconfidence because they applied general self-knowledge about their memory skills. In contrast, the discrimination of correct from incorrect answers may be more dependent on ability to attend to the features of each retrieved memory.     

The Bio-economy and the Competition State: Transcending the Dichotomy between Coordinated and Liberal Market Economies

This article examines the role of the state in the emerging bio-economy. The starting point is that state interventions, including supportive regulatory arrangements and the shaping of public attitudes, constitute core assets in the evolution of bio-industrial complexes. Public policy in the bio-economy, across advanced industrial countries, is well captured by the “competition state” concept. This type of state takes different forms, analogously with the historical variants of the Keynesian welfare state. The article compares patterns of governance of the biotechnology sector in Finland and Sweden, the USA and the UK, and Australia. It is concluded that the bio-industry sector does not fit with the “models of capitalism” paradigm which postulates coherence within, and systemic divergences between, national models of economic governance. The bio-economy displays trends toward convergence, in particular mounting public investments in health care and in research and development. On the other hand, countries differ in their approach to market regulation, industrial support, and ethical restrictions. These differences do not follow the dichotomy between “liberal” and “coordinated” models of capitalism.     

MDS use with crime scene data replicates poorly: response to Goodwill,Alison, and Humann (this issue) and Davis (this issue)

Abstract

Examinations of treatment attrition form an important – although sometimes neglected – component of evaluating a correctional programme's effectiveness in reducing recidivism. Previous research has identified offender characteristics that predict non-completion. This study investigated non-completion in 138 high-risk, violent male prisoners attending an intensive cognitive–behavioural programme. Almost one-third of men who commenced it did not complete the 7-month programme. Most asked to leave of their own accord, or were removed for ongoing offending. In contrast to previous research, no support was found for the hypothesis that those who terminated treatment prematurely were more in need of intervention than those who completed the programme; non-completers did not differ from completers on static estimates of criminal risk, PCL-R scores, demographic variables or self-report scales measuring dynamic risk factors. It was concluded that successful prediction using variables related to criminal risk and criminogenic need depends both on the characteristics of programme participants, and on contextual factors such as programme policies: when high-risk high needs offenders are a programme's target clientele, variables related to risk and need will have limited predictive utility. From a practice perspective, the programme was successful in retaining through to completion a relatively untreatable group: high-risk offenders with moderate to high PCL-R scores.     

Women in campaigns 1550–1850 household and homosociality in the Swedish army

The article presents the main results from my study of social conditions in the Swedish Army between 1550 and 1850. The focus is on women's involvement and importance in the military. The most strikingly result is that women for a long time played a more crucial role in the Army than many people are unaware of. As a consequence, the unisexual, masculine, compulsory, military service which existed during most of the 20th century can be treated as an historical parenthesis. Nowadays women are permitted to serve in the military as soldiers, in older times women fulfilled their military duties as soldiers' wives. In a long-time perspective, the military role of women has shifted from wife to professional: the article explores this process. Soldiers on campaigns in the 17th century built households and had families, regardless of wartime or peacetime, and their households were also a natural part of the military, simultaneous with a strong male bonding principle, homosociality. Although conflicts existed between the two principles of organization, household and homosociality, they operated together at any rate until the beginning of the 19th century. The article illustrates how this cooperation worked, but also how the rise and fall of the household system in the military may be explained. Military thought, growth of state authority, a professionalization process and changed cultural norms were crucial. However, I want to emphasize the social practice of gender relations as a promoter of change: how norms and measures connected with marriage affected the military.     

Foreign Ownership and Employment Growth in a Developing Country

Many developing countries would like to increase employment in the formal sectors. One way to accomplish this goal may be to encourage the entrance of foreign firms. We examine employment growth in Indonesian plants taken over by foreign owners from domestic ones. We also examine the effect of FDI during different trade regimes and the timing of employment effects following an acquisition. For plants that change the nationality of ownership, we find a strong effect of shifts from domestic to foreign ownership in raising the growth rate of employment, but no significant effects of shifts from foreign to domestic ownership.