Psychosocial versus biomedical risk factors in Kevorkian's first forty-seven physician-assisted deaths

This article examines biomedical and psychosocial data on the first forty-seven cases of physician-assisted suicide (PAS) of Kevorkian as collected by means of both a physical autopsy and a preliminary psychological autopsy. The following patterns emerge: 1) The physical condition of these PAS patients was not typical of the conditions that lead to death in the United States. 2) Consistent with the above findings, our pilot data indicate that only 31.1 percent of these patients were terminal. While 73.9 percent were described as reporting pain, only 42.6 percent were revealed at autopsy to have a specific anatomical basis for their pain. However 36 percent were described as depressed, 66 percent as having some disability, and perhaps of key importance, 90 percent expressed a fear of dependency. Most important, our pilot data suggest the possibility of large gender differences, since 3) 68.1 percent of these forty-seven PAS's are women and only 31.9 percent are men. This represents the reverse of the gender pattern for completed suicides in the United States in 1995, resembling instead the approximate pattern for unsuccessful suicide attempts. 4) Approximately 75 percent of both men and women in the above sample were described as reporting pain. Men were almost twice as likely to have had an anatomical basis for the pain and three times as likely to be terminal. Our pilot data indicate PAS women are more likely to be described as depressed and twice as likely to have had a history of previous unsuccessful suicide attempts. 5) Kevorkian's patients were older than the typical unaided suicides in America. Reported pain decreases with age as does depression; however anatomical basis for pain increases slightly with age, and no age effect emerges for terminality. 6) Approximately two-thirds of those physician-assisted suicides were at middle SES levels. History of disability was the biggest risk factor for the low SES patients and fear of dependency for the high SES patients.     

Effect of the doctor on college students' attitudes toward physician-assisted suicide

Ninety-six students were presented with eighteen different vignettes describing different types of active and passive observed suicide, assisted suicide, and euthanasia. Attitudes regarding the morality and desired legality of each situation were measured. Results indicated that the interaction between the doctor and the patient, and, to a lesser extent, the active or passive nature of the agent of death, were more important than the actual actions of the doctor in allowing or causing death to occur.     

Lottery winners: The myth and reality

This paper is based on a study of 576 lottery winners from 12 states. Respondents to a mailed questionnaire included winners of sums ranging from $50,000 to millions. The data indicate that popular myths and stereotypes about winners were inaccurate. Specifically, winners came from various education and employment backgrounds and they were clustered in the higher income categories than the general population indicating that lotteries might not be as regressive as popularly believed. Winners were older than the general population and more often male (60 versus 40%). There was significant association between the amount a person won and his or her work behavior. Individuals with psychologically and financially rewarding jobs continued working regardless of the amount they won, while people who worked in low paying semi-skilled and unskilled jobs were far more likely to quit the labor force. Contrary to popular beliefs, winners did not engage in lavish spending sprees and instead gave large amounts of their winnings to their children and their churches. The most common expenditures were for houses, automobiles and trips. It was found that overall, winners were well-adjusterd, secure and generally happy from the experience.This study was funded by a grant from the Institute for Socioeconomic Studies in White Plains, New York.     

Chlamydia trachomatis infection in a male college student population

Male university students were studied to evaluate the merit of routine screening for chlamydia urethritis. Two hundred fourteen sexually active male students answered a questionnaire about symptoms of urethritis and exposure to and treatment for sexually transmitted diseases (STDs). All subjects were screened for chlamydia by enzyme immunoassay (Chlamydiazyme, Abbott Laboratories). Overall, Chlamydiazyme was positive in 42 of 214 subjects (19.6%). Eighty-six subjects had no symptoms and no history of untreated exposure to STD; 6 of these had positive Chlamydiazyme assays. Based on our results, we conclude that the proportion of male urethral chlamydia infections that are asymptomatic may be much higher than has previously been believed. We further conclude that asymptomatic sexually active male students on this campus are a high-risk population for whom routine chlamydia screening is appropriate.     

FOLK MODELS OF DYADIC MALE BONDS IN ISRAELI CULTURE

This article explores the phenomenology of dyadic male bonds in Israeli culture, based on a secondary analysis of friendship narratives derived from a sample of Israeli-Jewish men. Two folk models of male friendships are delineated, situated in local images of hegemonic masculinity in Zionist ideology. The first model is the hevreman style of relatedness, underscoring sociability and adventure seeking. It endorses "cool" sharing involving nonverbal modes of communication and physical support. The countermodel is "intellectual" relatedness, stressing the exchange of ideas and "soul talk." It endorses psychologistic support and the verbal articulation of emotions. These tropes are discussed in comparative context. Against the dominant psychological-feminist paradigm of "being" versus "doing," it is argued that experiences of male intimacy are richer than overriding stereotypes of male inexpressivity suggest. The article calls for an attentive use of folk models in the sociology of emotions, taking into account the effect of hegemonic meaning systems. Rather than viewing emotional behavior, gender stereotypes, and ideology as separate features in the study of emotions, it underscores how emotional experience is dependent on cultural-interpretative processes nested in local and global social norms, collective history, and gendered ideology.     

Outward bound: a treatment modality unexplored by the social work profession.

The Outward Bound Experience has a strong yet time-limited impact on delinquent youths. Social workers could help maintain the impact by establishing community-based followup programs that would reinforce and sustain the positive attitudes and behaviors developed.     

The Jewish Exodus from the New South Africa: Realities and Implications

In the 1990s, the Jewish population of South Africa declined at an unprecedented rate in marked contrast to Jewish populations in other English-speaking countries.
Possible explanations include fear of political instability and political violence, deteriorating economic conditions and prospects, fear of directly discriminatory government policies, rising violent crime rates, and more permissive immigration policies in desirable destination countries.
All but the last of these factors appear to have played some role. However, only changes in violent crime rates provide an explanation for the unprecedented surge in net emigration, persisting even after a successful political and economic transition to majority black rule under moderate African National Congress governments.
Changes in crime rates also provide the most satisfactory explanation for related changes in internal migration patterns.