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The Royal College of Psychiatrists’ report CR193 details the responsibilities of psychiatrists who provide expert evidence to courts and tribunals. This brief commentary describes the rewards and challenges of expert witness work, the author's role as the College's Lead for Expert Witnesses, and importance of CR193 for expert psychiatric witnesses.
Teenagers often present in crisis with risk issues, mainly risk to self but sometimes risk to others. Adolescent violence is commonplace and is not just the remit of adolescent forensic psychiatry. Clinicians may lack confidence assessing risk of violence and can neglect vital areas that are essential to reduce risk. Use of structured violence risk assessments enables the multi-agency professional network to formulate a young person's presentation and their violence in a holistic way and consequently develop targeted risk management plans addressing areas such as supervision, interventions and case management to reduce the risk of future violence. Of the several validated tools developed for young people, the Structured Assessment of Violence Risk – Youth (SAVRY™) is that most used by UK-based forensic adolescent clinicians. This article outlines the epidemiology, causes and purposes of violence among adolescents; discusses types of risk assessment tool; explores and deconstructs the SAVRY; and presents a fictitious risk formulation.
There has been considerable controversy amongst social and economic historians, anthropologists, economists, sociologists, political scientists and other specialists concerning the nature and structure of Latin American agrarian society. An increasing number of studies have come to challenge the traditionally accepted view that the backwardness of rural Latin America and its resistance to 'modernisation' are due to the persistence of feudal or non-feudal forms of social and economic organisation. Instead attention has shifted to an examination of the social and economic dislocations resulting from attempts to impose capitalist forms of agrarian enterprise on peasant or pre-capitalist societies. This book of essays by an international group of scholars represents a substantial empirical contribution to the ongoing debate. This book will be of interest not only to specialists in the field, but also to anyone wishing to understand the historical processes underlying contemporary Latin America's complex land tenure and rural employment problems.
In England and Wales mental health services need to take account of the
Mental Capacity Act 2005 and the Mental Health Act 1983. The overlap
between these two causes dilemmas for clinicians.
Aims
To describe the frequency and characteristics of patients who fall into
two potentially anomalous groups: those who are not detained but lack
mental capacity; and those who are detained but have mental capacity.
Method
Cross-sectional study of 200 patients admitted to psychiatric wards. We
assessed mental capacity using a semi-structured interview, the MacArthur
Competence Assessment Tool for Treatment (MacCAT–T).
Results
Of the in-patient sample, 24% were informal but lacked capacity: these
patients felt more coerced and had greater levels of treatment refusal
than informal participants with capacity. People detained under the
Mental Health Act with capacity comprised a small group (6%) that was
hard to characterise.
Conclusions
Our data suggest that psychiatrists in England and Wales need to take
account of the Mental Capacity Act, and in particular best interests
judgments and deprivation of liberty safeguards, more explicitly than is
perhaps currently the case.
Interfaces can be considered at a variety of length scales. All interfaces except grain boundaries are dielectric interfaces. In many cases, the geometric constraints of matching two lattices must be considered, together with the misfit strains that are often present. Continuum mechanics is useful for tackling such problems. In many cases, however, the local ordering of ions must also be considered. Atomistic simulation is therefore necessary, together with the problems associated with large length scales and long time scales. We discuss a number of examples to illustrate the issues involved and the compromises between different approaches that must be made.
The development of capitalist agriculture has had a wide variety of effects upon pre-existing agrarian societies in Latin America. The forms it has assumed have in part been determined by variations in such factors as climate, ecology, demographic structure and history, ethnic patterns, and land tenure. The central theme of this volume is that such variations, whilst important in explaining localized phenomena, should essentially be seen as aspects of a basic process of change from one mode of production to another in the rural sector.
This is not of course a new idea, and indeed a number of writers, especially in the fields of economic history and social anthropology, have already dealt with many of the questions of particular relevance to the theme of this volume. Broadly speaking, their various approaches can be divided into three different levels of generalization. First, there are those works principally concerned with identifying the general mode of production in contemporary Latin American agriculture, in which the argument has centred around the question of whether the social organization of agriculture is essentially feudal or capitalist. Secondly, there is a more limited amount of theoretical discussion relating to the different types of agricultural enterprise to be found in Latin America, in which the principal distinction is drawn between the hacienda and the plantation. Finally, there is a very considerable body of literature dealing with types of peasantry and rural labour, where discussion concentrates upon the role-structure of rural economic life.
David Brading's paper constitutes the essential introduction to Part I, since it provides a useful point of departure for examining the development of the hacienda system. The haciendas of the Bajio of Mexico exemplify the economic and social difficulties encountered by pre-capitalist cereal agriculture – low profitability, unstable market conditions, and above all an underlying tension between the demands of demesne cultivation and the encroachments of tenant fanning. Indeed, in the particular case studied by Brading it seems that the landowning class had practically lost this struggle even before the great Mexican agrarian revolution of 1910–17. Jan Bazant's paper takes a similar starting point, showing the conflict between large landowners and the various categories of tenant labour settled on the periphery of their estates. However, in the haciendas of San Luis Potosí, unlike the Bajío, during the latter part of the nineteenth century the landowners were relatively successful in gradually restricting the rights of their tenants and successfully converting their peones into an increasingly impoverished class of day-wage labourers, stripped of the meagre privileges and security of the pre-capitalist agrarian society.
Arnold Bauer and Ann Hagerman Johnson deal in considerable detail with the changes in land tenure and land use during the period of expanding cereal agriculture in Chile. They show that the extension of cultivation took place mainly within the boundaries of existing estates through the conversion of previously unused land, and that there was in fact little or no change in the actual pattern of land ownership. (A similar point is made by Juan Martinez Alier in his paper on the Peruvian highlands.)
The establishment of new labour-intensive plantation systems in tropical lowland or piedmont areas, where the supply of local labour was insufficient to meet the increased demand, led to a search for new sources of labour, especially seasonal labour, and in many cases this resulted in the recruitment of Indian or mestizo peasants from the adjacent highland areas. In the case studied by Ian Rutledge, varying degrees of direct coercion were involved in the process of labour mobilization.
Ultimately, the increased susceptibility of the Indian agricultural labourer to a system of material incentives, combined with demographic growth in the highlands, made the early modes of labour organization irrelevant to the needs and conditions of the time. The process of agrarian change (as exemplified by the replacement of debt peonage by a national system of mandamiento) and the reluctance of the planter oligarchy to allow the emergence of free wage labour and a pure plantation proletariat are eloquent indices of the economic and political distortions induced by the dominance of a system of plantation monoculture, developed under conditions of dependent capitalism.
Rutledge's paper also deals with the general theoretical question of the relationship between the expansion of capitalist forms of agricultural production and pre-capitalist modes of labour recruitment, but the particular form of labour coercion described in this paper owed more to a deliberate policy of land monopolization in the highlands than to direct coercion by the state. However, given the immense power of the provincial oligarchy in the region studied by Rutledge, the line between direct and indirect coercion of labour (i.e. the distinction between the use of political and economic measures) is a difficult one to draw.
In so far as its starting point for the analysis of the process of agrarian change is the demise of the slave plantation system, Thomas H. Holloway's essay on labour organization in the Brazilian coffee industry provides certain points of contact with the papers included in Part IV. However, in this particular case the social and economic changes resulting from the large-scale immigration of European labour were so massive and far-reaching that they render any discussion of the changing status of the slaves themselves of minimal interest compared with the examples studied in the final section. Whereas-in the case of northeast Brazil's sugar cane industry an uncertain future for the commodity's markets meant that the decline and abolition of slavery was not accompanied by a relative shortage of labour (see the papers by Peter L. Eisenberg and Jaime Reis in Part IV), in the Sao Paulo region the decline of slavery occurred precisely at the time when great new opportunities were opening up for the cultivation and export of coffee. The coffee planters could never have taken full advantage of these new possibilities if they had tried to rely on local Negro labour; it is doubtful if even inter-regional transfers of ex-slaves would have supplied the quantity of manpower required. Instead, by encouraging the immigration of vast numbers of European labourers (mainly Italians) they totally transformed the social structure of the state of Sao Paulo.