Legal considerations of sleep deprivation among resident physicians

Medical training in the United States often takes the form of a grueling endurance test in which patients are often those most at risk. This Article discusses sleep deprivation among resident physicians in the United States with an eye towards resolving the problem through legal channels. It analyzes the effects of sleep deprivation on resident physicians, with subsequent discussion of the implications for patient care and medical training. Next, it makes comparisons to medical training in other developed nations, as well as regulations that exist in the airline and trucking industries, where public safety is a principal concern. Furthermore, this Article discusses proposals to mend the dilemmas created by sleep-deprived resident physicians through statutory and regulatory reform, deterrence by way of tort law, and unionization or collective bargaining.     

Notes toward a nomad subjectivity: The poetics of Gu Cheng (1956–1993)

In this paper, Deleuze and Guattari's notions of desiring‐production and nomad subjectivity are applied to the work of the contemporary People's Republic of China poet Gu Cheng, a writer who attempted to formulate an ‘aimless’ self engaged in endless becoming. In addition, the concept of ‘Mao style’ proposed by Li Tuo is discussed with regard to Mao Zedong's Talks at the Yan'an Conference on Art Literature in order to demonstrate the repressive nature of the dominant discourse in China after 1949, and to show that its essential purpose was to trap individual desiring‐production within the restricted scope sanctioned by the Chinese Communist Party. The features of Gu Cheng's evolving model of subjectivity are discussed and evaluated in terms of their resistance to the effects of Mao style. Finally, there is a brief discussion of the reasons for Gu Cheng's failure to arrive at a positive conception of nomad subjectivity.     

Social coalitions,political strategies,and German unification, 1990–1993

To explain recent dramatic fluctuations in Chancellor Kohl's reputation as a political leader, a social coalition approach is advanced as an alternative to psychological and structural perspectives. After noting that different social coalitions might have arisen in 1990 in support of alternative conceptions of unification, this article explores the role of policy‐making in the genesis of a national bloc. It then argues that this process of coalition formation in 1990 has had profound implications for subsequent policy‐making by impeding Kohl's prospect of forging new social bases of support for the ongoing process of unification.     

Multivariate Comparison of Male and Female Adolescent Substance Abusers with Accompanying Legal Problems

Purpose

The factors that distinguish adolescent male and female substance abusers with and without legal problems were investigated.

Method

Youths (N = 4,071) admitted for substance abuse treatment were administered the revised Drug Use Screening Inventory (DUSI-R) to measure severity of health, behavior, and social adjustment problems.

Results

Legal problems were more frequent among boys; however, severity of disturbance was greater in girls on 9 of 10 scales. Substance abusing girls and boys with legal problems reported more severe behavior, substance abuse, family adjustment, and peer relationship problems than substance abusing peers without legal problems. Quality of peer relationship mediated the association of family dysfunction, substance abuse and behavior problems with legal problems in boys only.

Conclusions

Gender and legal status both need to be taken into account to potentiate treatment prognosis of substance abusing youths.