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.     

Genocide Reconsidered: A Pragmatist Approach

The recent literature on genocide shows signs of taking what might be called a “processual turn,” with genocide increasingly understood as a contingent process rather than a singular event. But while this second generation's turn may be clear to those within the literature, the theory guiding the change is insufficiently specified. The theory regarding process and contingency is implicit, and, as such, genocide theory does not realize its full generative potential. The primary goal of this article is to provide a more robust theoretical framework for making sense of the continually evolving dimensions of genocide. It builds on the literature's existing foundations, most notably Mann's (2005) notion of “contingent escalations.” In the spirit of the recent revival of American Pragmatism in sociology, it draws on the work of Dewey, Mills, Follett, and Addams (among others) as part of a theoretical reconstruction using pragmatist concepts such as rupture, perplexity, vocabularies of motive, and experimentation to consider examples from the Rwandan genocide and show how we might explore the potential for non‐teleological intentionality on the part of genocidal actors. The result is an enhanced theoretical framework that offers “fresh eyes” for considering one of the worst (and most under‐theorized) social problems.     

Beyond Triangulation: Reconstructing Mandela’s Writing Life through Propulsive Facilitation at the Archive

Qualitative Sociology - Multimethod studies generally fall under what are referred to as “confirmatory” or “complementary” approaches. Yet in addition to these two...     

TEACHING THE PRODUCTION/OPERATIONS MANAGEMENT CORE COURSE: INTEGRATING LOGISTICS PLANNING ACTIVITIES

This paper discusses the benefits of restructuring the introductory undergraduate production and operations management (pom) course to improve its pedagogical effectiveness and to better convey the importance of integrating logistics planning activities. The introduction of a dynamic integrative semester-long case study which involves students in applying pom concepts and tools through a simulation game is reported.     

The dynamics of hapū research relationships

Abstract

The Whakaki Lake Trust has a long history of being an active kaitiaki of Whakaki Lake and has developed a hapū-based restoration and enhancement programme at the Lake property. Part of this programme has involved working with a range of external agencies and researchers. Research relationships have become an important part of the restoration process to build the capability and capacity of hapū to execute activities associated with restoration. In addition, relationships have provided an opportunity to strengthen and expand the knowledge base that hapū can draw upon to inform ecological restoration and resource management decisions. Some of these relationships have been adversarial and a source of much frustration. As a consequence the Trust has developed very clear expectations and policy around working with others. My experience of developing a doctoral research project with Whakaki Lake Trust is used here to discuss hapū expectations of research and resultant academic dilemmas.     

Penalized Maximum Likelihood Estimator for Normal Mixtures

The estimation of the parameters of a mixture of Gaussian densities is considered, within the framework of maximum likelihood. Due to unboundedness of the likelihood function, the maximum likelihood estimator fails to exist. We adopt a solution to likelihood function degeneracy which consists in penalizing the likelihood function. The resulting penalized likelihood function is then bounded over the parameter space and the existence of the penalized maximum likelihood estimator is granted. As original contribution we provide asymptotic properties, and in particular a consistency proof, for the penalized maximum likelihood estimator. Numerical examples are provided in the finite data case, showing the performances of the penalized estimator compared to the standard one.     

中国古代慈善事业的发展特点

中国古代慈善事业在漫长的历史发展过程中不但逐渐形成了庞杂而丰富的思想体系,而且其慈善主体也实现了从最初单纯的国家慈善到以国家慈善为主、宗族慈善和宗教慈善为重要补充的多元化发展过程。另外,中国古代慈善事业的发展轨迹还明显具备与整个中国古代社会兴衰相表里的重要特点。     

Deliberation and Ethnicity

Scholars typically suggest that deliberation, defined as communication guided by reason‐giving and inclusion, works best behind a veil of ignorance or when personal differences are bracketed. In this article we explore deliberation within ethnically diverse groups. We operationalize ethnicity in three ways: as an aspect of individual identity, as an identity that is made salient through priming, and as an enactment relative to interactions in particular situations. In this way, we can explore the applicability of our previous experimental results to ethnically diverse groups. We find similar results: within ethnically diverse groups, deliberation matters; participants are more likely to reconsider their positions when deliberating than when simply talking about politics. Ethnicity has no adverse effects on the quality of deliberation, indicating that bracketing has no significant impact. On the contrary, when conceptualized as a relational enactment, ethnicity is correlated with increased levels of reason‐giving and inclusion, and hence higher quality deliberation. This suggests deliberation works in multiethnic groups in much the same way as—if not better than—it does in homogeneous groups. Deliberation is a robust form of political communication that not only helps manage, but also embraces diverse subjective experiences as a part of the political process.