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Oviposition strategies, host coercion and the stable exploitation of figs by wasps.

A classic example of a mutualism is the one between fig plants (Ficus) and their specialized and obligate pollinating wasps. The wasps deposit eggs in fig ovules, which the larvae then consume. Because the wasps derive their fitness only from consumed seeds, this mutualism can persist only if the wasps are prevented from laying eggs in all ovules. The search for mechanisms that can limit oviposition and stabilize the wasp-seed conflict has spanned more than three decades. We use a simple foraging model, parameterized with data from two Ficus species, to show how fig morphology reduces oviposition rates and helps to resolve the wasp-seed conflict. We also propose additional mechanisms, based on known aspects of fig biology, which can prevent even large numbers of wasps from ovipositing in all ovules. It has been suggested that in mutualistic symbioses, the partner that controls the physical resources, in this case Ficus, ultimately controls the rate at which hosts are converted to visitors, regardless of relative evolutionary rates. Our approach provides a mechanistic implementation of this idea, with potential applications to other mutualisms and to theories of virulence.

Animals↗

Intersections of 'sanitation, sexual coercion and girls' safety in schools'.

OBJECTIVE: To explore safety for girls in schools, particularly how girls perceive and negotiate dangers and risks associated with the use of toilets. METHODS: Participatory action research over a period of 3 days at three schools in South Africa. Informants were 81 girls 16 years and older, teachers and other relevant school personnel. Data were collected through focus group discussions, in-depth interviews, participant observation, mapping and photography. RESULTS: Toilets had inadequate or no sanitation. Both their use and their avoidance were risky for female students and discouraged hygienic practices. Experience of sexual violence from male students and teachers was a major theme, but unrelated to school toilets. Male teachers used various strategies and opportunities to gain sexual access to the girls and previous experience of victimization prevented the girls from reporting them. CONCLUSION: To ensure a healthy school environment that promotes gender equality, all threats to safety, including the physical and social environment, must be considered.

Adolescent↗

The practice of empowerment and coercion by expert public health nurses.

This article describes the dialectic of public health nursing responsibility to empower families in self care as well as the nursing responsibility to evoke authority as needed to protect children from violence and neglect. Through qualitative study of expert home visiting public health nurses' anecdotes (N = 95), these apparently contradictory activities were discovered to co-exist in helping relationships. The synthesis of the apparent contradictions applies community rather than autonomy as the fundamental moral guide.

Child Advocacy↗

Legal coercion and retention in drug abuse treatment.

The criminal justice system is increasingly referring offenders who have mental health problems to the community mental health system for treatment. The effects of such referrals on treatment outcome and on the mental health and criminal justice systems are not well understood. Because the length of time an individual remains in a drug abuse treatment program is an important indicator of treatment effectiveness, this paper assesses the impact of court referrals by examining the relationship between a drug abuser's length of stay in treatment and his referral by legal and nonlegal sources. Regression analyses on data for more than 2,200 individuals indicate that clients who are legally induced to seek treatment stay in treatment longer than, and do at least as well as, those who seek treatment voluntarily. The implications of these findings for drug abuse treatment and policy are discussed.

Commitment of Persons with Psychiatric Disorders↗

Treating revolving-door patients who have "hospitalphilia": compassion, coercion, and common sense.

Treatments applicable to the frequently rehospitalized psychiatric patient--the so-called revolving-door patient--have been poorly delineated. One subgroup of these patients includes those for whom recidivism has become a way of life; they may be said to suffer from "hospitalphilia." Neither refractoriness to treatment nor noncompliance with medications explains their frequent admissions. The author presents ten clinical principles to guide treatment planning for this subgroup of patients. The principles emphasize cooperation between the patient and the treatment agencies in creating a comprehensive, consistent, and enforceable plan to reduce unnecessary hospitalizations. Four treatment strategies based on the principles are outlined: unlimited access to hospitalization, a chit or voucher system, a rationing system, and an approach centered on the patient's expressed ability to avoid hospitalization.

Activities of Daily Living↗

Ethical benefits and costs of coercion in short-term inpatient psychiatric care.

OBJECTIVE: The study examined the outcome of psychiatric inpatient care in terms of patients' reports of ethical benefits, which were defined as fulfillment of the ethical principles of beneficence and autonomy, and ethical costs, which were defined as any violation of those principles. METHODS: A consecutive sample of 84 committed patients and a random sample of 84 voluntarily admitted patients in psychiatric care in two Swedish counties were studied. The patients were assessed twice by a psychiatrist, at admission and at discharge or after three weeks of care. They were also interviewed by a clinical psychologist at discharge or after three weeks. Four aspects of the ethical benefits or costs of their care were examined--whether they reported improvement in mental health, being treated with respect, not being violated as a person, and not being exposed to measures against their will (aside from commitment). RESULTS: The great majority of all patients reported improvement as a result of the psychiatric care. A third of the committed patients and more than half of the voluntarily admitted patients experienced ethical benefits only, without ethical costs. Twenty-three percent of the committed patients and 13 percent of the voluntary patients experienced ethical costs only, without ethical benefits. Some of the patients who experienced ethical costs only were also rated by a psychiatrist as not improved. CONCLUSIONS: Few patients had no measurable benefits of care. For committed as well as voluntary patients, an association was found between perceived respect for autonomy and self-reported improvement in mental health.

Adolescent↗

Persuasion, coercion, medical paternalism or the Mental Health Act: the dilemma of detention in the general hospital.

This paper describes the cases of three patients where the question of the need for formal detention arose due to mental disorder, apparently primarily due to physical illness, which in each case required further investigation and treatment in a general hospital. It states some of the issues facing those caring for patients under these circumstances and offers advice on overcoming some of the problems.

Adult↗

Use of coercion in the outpatient treatment of alcoholism.

Attendance patterns of voluntary patients at an alcoholism clinic were compared with those of persons convicted of drunken driving who were required to attend the clinic as a condition of probation. The attendance rate of the coerced patients was much superior to that of the voluntary patients.

Adult↗

Coercion and compulsory hospitalization: some patients' attitudes.

Patients' attitudes upon admission to a psychiatric hospital were elicited. Negative feelings were expressed significantly more often by those who felt coerced into hospital and those admitted compulsorily. Reasons given for these negative feelings are discussed together with suggestions as to how admission procedures could be improved

Adolescent↗