BiblioVault - Books by Hagan, John

Care of the Dying Patient

Edited by David A. Fleming & John C. Hagan III

University of Missouri Press, 2010

Although the need for improved care for dying patients is widely recognized and frequently discussed, few books address the needs of the physicians, nurses, social workers, therapists, hospice team members, and pastoral counselors involved in care. Care of the Dying Patient contains material not found in other sources, offering advice and solutions to anyone—professional caregiver or family member—confronted with incurable illness and death. Its authors have lectured and published extensively on care of the dying patient and here review a wide range of topics to show that relief of physical suffering is not the only concern in providing care.

This collection encompasses diverse aspects of end-of-life care across multiple disciplines, offering a broad perspective on such central issues as control of pain and other symptoms, spirituality, the needs of caregivers, and special concerns regarding the elderly. In its pages, readers will find out how to:

effectively utilize palliative-care services and activate timely referral to hospice,
arrange for care that takes into account patients’ cultural beliefs, and
respond to spiritual and psychological distress, including the loss of hope that often overshadows physical suffering.

The authors especially emphasize palliative care and hospice, since some physicians fear that such referrals may be viewed by patients and families as abandonment. They also address ethical and legal risks in pain management and warn that fear of overprescribing pain medication may inadvertently lead to ineffective pain relief and even place the treating team at risk of liability for undertreatment of pain.

While physicians have the ability to treat disease, they also help to determine the time and place of death, and they must recognize that end-of-life choices are made more complex than ever before by advances in medicine and at the same time increasingly important. Care of the Dying Patient addresses some of the challenges frequently confronted in terminal care and points the way toward a more compassionate way of death.

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Divergent Social Worlds

Neighborhood Crime and the Racial-Spatial Divide

Ruth D. Peterson

Russell Sage Foundation, 2010

More than half a century after the first Jim Crow laws were dismantled, the majority of urban neighborhoods in the United States remain segregated by race. The degree of social and economic advantage or disadvantage that each community experiences—particularly its crime rate—is most often a reflection of which group is in the majority. As Ruth Peterson and Lauren Krivo note in Divergent Social Worlds, "Race, place, and crime are still inextricably linked in the minds of the public." This book broadens the scope of single-city, black/white studies by using national data to compare local crime patterns in five racially distinct types of neighborhoods. Peterson and Krivo meticulously demonstrate how residential segregation creates and maintains inequality in neighborhood crime rates. Based on the authors' groundbreaking National Neighborhood Crime Study (NNCS), Divergent Social Worlds provides a more complete picture of the social conditions underlying neighborhood crime patterns than has ever before been drawn. The study includes economic, social, and local investment data for nearly nine thousand neighborhoods in eighty-seven cities, and the findings reveal a pattern across neighborhoods of racialized separation among unequal groups. Residential segregation reproduces existing privilege or disadvantage in neighborhoods—such as adequate or inadequate schools, political representation, and local business—increasing the potential for crime and instability in impoverished non-white areas yet providing few opportunities for residents to improve conditions or leave. And the numbers bear this out. Among urban residents, more than two-thirds of all whites, half of all African Americans, and one-third of Latinos live in segregated local neighborhoods. More than 90 percent of white neighborhoods have low poverty, but this is only true for one quarter of black, Latino, and minority areas. Of the five types of neighborhoods studied, African American communities experience violent crime on average at a rate five times that of their white counterparts, with violence rates for Latino, minority, and integrated neighborhoods falling between the two extremes. Divergent Social Worlds lays to rest the popular misconception that persistently high crime rates in impoverished, non-white neighborhoods are merely the result of individual pathologies or, worse, inherent group criminality. Yet Peterson and Krivo also show that the reality of crime inequality in urban neighborhoods is no less alarming. Separate, the book emphasizes, is inherently unequal. Divergent Social Worlds lays the groundwork for closing the gap—and for next steps among organizers, policymakers, and future researchers. A Volume in the American Sociological Association's Rose Series in Sociology

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Georgetown Journal of International Affairs

Summer/Fall 2014, Volume 15, No. 2

Medha Raj and Warren Ryan, Editors. William Handel, Executive Director

Georgetown University Press

According to the United Nations, 9.6 billion people will inhabit our planet by 2050. Population growth and movement will have an enormous impact on global dynamics in the twenty-first century, in both the developing world as well as in advanced industrialized societies. In light of this global demographic reality, this issue of the Georgetown Journal of International Affairs focuses on the topic of “Destabilizing Demographics,” exploring the opportunities and challenges presented by dynamic population patterns and structures. Demographic shifts affect multiple facets of international affairs, impacting economies, modifying politics, and reshaping the fabric of our societies. These changes could have catastrophic international consequences if ignored or evaded. However, as this issue’s Forum demonstrates, the future holds promise for those who choose to reorganize on the cusp of significant population transformation. Adaptation as a form of mitigation must be informed by diverse solutions and multi-sectoral cooperation. Consider, for example, the intersection of family planning and climate change, or the connection between gender gaps and crime. Through pragmatic policymaking and international collaboration, seismic demographic change may not necessitate disaster. We round out this issue with articles regarding decidedly twenty-first century concerns: communication, integration, and globalization. Moha Ennaji describes the challenges of Berber language incorporation in Morocco and its significance to democratic reform. Dan Saxon examines the role of human judgment in semi-autonomous weapons use, questioning the ethics of unmanned machines. Andrés Monroy-Hernández and Luis Daniel Palacios analyze the utility, efficacy, and implications of citizen journalism within Mexico’s ongoing drug war. And Lawrence Gostin and Alexandra Phelan explore how, in an increasingly interconnected world, the international community can collectively prevent and control the spread of infectious diseases.

The Georgetown Journal of International Affairs is the official publication of the Edmund A. Walsh School of Foreign Service at Georgetown University. Each issue of the journal provides readers with a diverse array of timely, peer-reviewed content penned by top policymakers, business leaders, and academic luminaries. The Journal takes a holistic approach to international affairs and features a ‘Forum’ that offers focused analysis on a specific key issue with each new edition of the publication, as well as nine regular sections: Books, Business & Economics, Conflict & Security, Culture & Society, Law & Ethics, A Look Back, Politics & Diplomacy, Science & Technology, and View from the Ground.

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Justice in the Balkans

Prosecuting War Crimes in the Hague Tribunal

John Hagan

University of Chicago Press, 2003

Called a fig leaf for inaction by many at its inception, the International Criminal Tribunal for the Former Yugoslavia has surprised its critics by growing from an unfunded U.N. Security Council resolution to an institution with more than 1,000 employees and a $100 million annual budget. With Slobodan Milosevic now on trial and more than forty fellow indictees currently detained, the success of the Hague tribunal has forced many to reconsider the prospects of international justice. John Hagan's Justice in the Balkans is a powerful firsthand look at the inner workings of the tribunal as it has moved from an experimental organization initially viewed as irrelevant to the first truly effective international court since Nuremberg.

Creating an institution that transcends national borders is a challenge fraught with political and organizational difficulties, yet, as Hagan describes here, the Hague tribunal has increasingly met these difficulties head-on and overcome them. The chief reason for its success, he argues, is the people who have shaped it, particularly its charismatic chief prosecutor, Louise Arbour. With drama and immediacy, Justice in the Balkans re-creates how Arbour worked with others to turn the tribunal's fortunes around, reversing its initial failure to arrest and convict significant figures and advancing the tribunal's agenda to the point at which Arbour and her colleagues, including her successor, Carla Del Ponte (nicknamed the Bulldog), were able to indict Milosevic himself. Leading readers through the investigations and criminal proceedings of the tribunal, Hagan offers the most original account of the foundation and maturity of the institution.

Justice in the Balkans brilliantly shows how an international social movement for human rights in the Balkans was transformed into a pathbreaking legal institution and a new transnational legal field. The Hague tribunal becomes, in Hagan's work, a stellar example of how individuals working with collective purpose can make a profound difference.

"The Hague tribunal reaches into only one house of horrors among many; but, within the wisely precise remit given to it, it has beamed the light of justice into the darkness of man's inhumanity, to woman as well as to man."—The Times (London)

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Northern Passage

American Vietnam War Resisters in Canada

John Hagan

Harvard University Press, 2001

More than 50,000 draft-age American men and women migrated to Canada during the Vietnam War, the largest political exodus from the United States since the American Revolution. How are we to understand this migration three decades later? Was their action simply a marginal, highly individualized spin-off of the American antiwar movement, or did it have its own lasting collective meaning?

John Hagan, himself a member of the exodus, searched declassified government files, consulted previously unopened resistance organization archives and contemporary oral histories, and interviewed American war resisters settled in Toronto to learn how they made the momentous decision. Canadian immigration officials at first blocked the entry of some resisters; then, under pressure from Canadian church and civil liberties groups, they fully opened the border, providing these Americans with the legal opportunity to oppose the Vietnam draft and military mobilization while beginning new lives in Canada. It was a turning point for Canada as well, an assertion of sovereignty in its post–World War II relationship with the United States.

Hagan describes the resisters’ absorption through Toronto’s emerging American ghetto in the late 1960s. For these Americans, the move was an intense and transformative experience. While some struggled for a comprehensive amnesty in the United States, others dedicated their lives to engagement with social and political issues in Canada. More than half of the draft and military resisters who fled to Canada thirty years ago remain there today. Most lead successful lives, have lost their sense of Americanness, and overwhelmingly identify themselves as Canadians.

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The Science of Near-Death Experiences

Edited by John C. Hagan III

University of Missouri Press, 2017

What happens to consciousness during the act of dying? The most compelling answers come from people who almost die and later recall events that occurred while lifesaving resuscitation, emergency care, or surgery was performed. These events are now called near-death experiences (NDEs). As medical and surgical skills improve, innovative procedures can bring back patients who have traveled farther on the path to death than at any other time in history. Physicians and healthcare professionals must learn how to appropriately treat patients who report an NDE. It is estimated that more than 10 million people in the United States have experienced an NDE. Hagan and the contributors to this volume engage in evidence-based research on near-death experiences and include physicians who themselves have undergone a near-death experience. This book establishes a new paradigm for NDEs.

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