The doctrine of informed consent: a tale of two cultures and two legal traditions

In this article, the author compares and contrasts the notion of informed consent in medical decision making in the Western legal system with the traditional Jewish biblical legal system. Walter critically examines the philosophical underpinnings of disease and medical healing in both legal systems, and describes the practical consequences that emanate from the different ideologies in terms of the individual's rights of choice of treatment. She explains that the Western system is predicated on notions of individual autonomy and self determination. Patients therefore have the autonomous ability to select and direct their own medical therapy. By contrast, the traditional biblical system of law is based on the concept that the body does not belong to the individual. Instead, the body is given to man by God as a trust to respect and preserve. Therefore, the individual patients "has no absolute right to control his body and ... he has no real decision making power as to medical treatment choices." In the Jewish biblical tradition, consent is not necessary for obviously beneficial or obviously non-beneficial procedures; consent is only necessary in decisions with uncertain outcomes or when making choices between equal options. Patients are encouraged to seek the counsel of religious authorities and to conform to rabbinical interpretations of the traditional Jewish law.     

A comparative evaluation of a new generation jail

This study reports findings from an evaluation of a new generation jail in a large southwestern state. The jail is one component of a complex containing a traditional jail, an indirect supervision facility (barracks), and the new generation jail. Using survey and operational data, we compare the new generation jail to the other two facilities. The findings provide generally positive support for the effectiveness of the new generation jail. Inmates and staff were much more satisfied with the physical facilities. Staff perceived it as more secure, though they reported only limited advantages in safety and security. Violence and disciplinary problems were substantially lower. However, no savings in staffing levels were noted, nor were there differences in job satisfaction for staff in the new generation jail. We discuss the implications of the findings and suggest additional directions for jail evaluations.     

Review of Books on Private Law and EU Law

Books reviewed in this article:
H. Kötz, Europäisches Vertragsrecht, Band I: Abschluß, Gültigkeit und Inhalt des Vertrages
H. Kötz, A. Flessner, European Contract Law, vol. 1: Formation, Validity, and Content of Contract; Contract and Third Parties
U. Drobing, Private Law in the European Union     

Intimacy status: Relationship to interpersonal perception

Five modes of reacting to the intimacy-isolation crisis of young adulthood were described, measured, and validated. Criteria for inclusion in one of the five intimacy statuses were (1) presence or absence of peer friendships, (2) presence or absence of an enduring-committed-heterosexual relationship, and (3) depth vs. superficiality of peer relationships. Statuses were compared on a partner-perception task assessing subject's intimate knowledge of his partner (a close male or female friend who accompanied the subject to the experiment). In all, 66 male college students participated in the study, 50 with male partners and 16 with female partners. The results support the hypothesis that subjects high in intimacy status share a greater degree of mutual knowledge and understanding with their partners then medium-or low-level intimacy status subjects.The research was supported by SUNY/Buffalo Institutional Funds Grant No. 050-A081A.This article is based in part on a doctoral dissertation submitted to the State University of New York at Buffalo (Orlofsky, 1974).Received Ph.D. in clinical psychology at the State University of New York at Buffalo in 1974. Primary research interest is in personality development during late adolescence and young adulthood, particularly identity formation and the development of an intimate mode of interpersonal relationships. Also involved in research on sex roles and psychological androgyny.     

Correlates of self-concept among black early adolescents

This study examines the self-concept of Black eighth-grade students from the Midwest in relation to Black acceptance, social intimacy, locus of control, and sex-role type. Twenty-eight students high in self-concept were compared with 31 students whose self-concept was low. As predicted, the high self-concept group scored higher than the low self-concept group in intimacy, internality, and acceptance of black identity. As also predicted, the high self-concept group had a significantly greater number of adolescents with masculine and androgynous sex roles than the low self-concept group; Black females with high self-concepts included a larger proportion of individuals with androgynous sex roles than low self-concept females. However, the prediction that high self-concept males would have a larger proportion of masculine sex roles than low self-concept males was not supported. The difficult situation of the low self-concept adolescents is discussed, along with the implications for intervention.On clinic internship at Smolian Psychiatric Clinic in Birmingham, Alabama. Major interests are clinical psychology and Black identity.Received Ph.D. in social psychology from the University of Colorado. Major interests are the development of intimacy and identity in adolescence and young adulthood.