Hypnoanalytic study of a false confession.
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Using the example of a large coalition of senior citizens in Ontario, Canada, the potential of consumer input to contribute to policy development and some key barriers to fulfilling that potential are explored. The political appeal of consumer involvement in policy development is highlighted, as is the potential for opposition from providers. The critical issue of finding sustainable funding to support consumer activities is also identified, along with the worrying trend of diminishing government support for such involvement in Canada.
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This article reflects on the author's modest experience as an expert witness in two trials: Osheroff vs. Greenspan (1983), and In the Matter of Baby K (1994). Bioethicists' expertise as scholar-teachers and consultants on particular issues merits qualification by judges as expert witnesses. The article argues that a different kind of expertise-strong moral advocacy-is required to be an effective expert witness. The major lessons of expert witnessing for the author concern the demands and strains on the bioethicist's role as scholar, teacher, and consultant. The Baby K case is analyzed in some detail, due to its importance for bioethics, ethics consultation, and the testimony of bioethicists on either side of the case. Rules of thumb are offered to guide decisions as to choices regarding expert witnessing, as well as a discussion of the interaction of law and bioethics.
The aim of this essay is to describe and reflect upon the concrete particulars of one academician's work as an expert ethics witness. The commentary on my practices and the narrative descriptions of three cases are offered as evidence for the thesis that it is possible to act honorably within a role that some have considered to be inherently illicit. Practical measures are described for avoiding some of the best known pitfalls. The discussion concludes with a listing of the distinctive competencies and understandings that are useful in serving as an expert ethics witness.
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The author describes his early association with several pediatric practitioners in Rhode Island in the 1950s who were among the first to use stimulant drugs in the treatment of children with attentional problems. He also discusses some of the later applications of their work. Since the early 1970s there has been a great deal of public interest in and apprehension about the use of these medications in school children. Since the early 1990s there has been concern about the influence of mental health service delivery systems on the prescriptive practices of physicians. Carved-out behavioral health care systems have the potential to improve the standard of care in the pediatric populations they serve.
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