Rekonvaleszenz der Demokratie? Die Erholung bürgerlicher Freiheitsrechte im internationalen Vergleich

Nach den Anschlägen vom 11. September 2001 wurden in einigen westlichen Demokratien bürgerliche Freiheitsrechte durch eine verschärfte Sicherheitsgesetzgebung empfindlich beschnitten. Allerdings zeigen sich im folgenden Jahrzehnt deutliche Erholungseffekte, die wiederum zwischen den Ländern variieren. Auf Grundlage von Daten u. a. des Demokratiebarometers gehen wir der Frage nach, welche Faktoren die unterschiedliche Erholung bürgerlicher Freiheitsrechte in 22 OECD-Staaten zwischen 2002 und 2012 erklären können. Dabei zeigt sich, dass ein starkes und unabhängiges Rechtssystem und eine liberale politische Kultur den Wiederaufbau von Freiheitsrechten fördern, während die Betroffenheit von terroristischen Anschlägen keinen signifikanten Effekt auf die Erholung der Freiheitsrechte hat. Die Ergebnisse sprechen dafür, dass Demokratien dann zu einer Selbstkorrektur im Bereich der Sicherheitsgesetzgebung fähig sind, wenn sie durch rechtsstaatliche Institutionen eingehegt werden, die durch eine liberale politische Kultur unterfüttert sind

Are the short-term cost savings and benefits of an early psychosis program maintained at 8-year follow-up?

This study aims to identify correlates of vocational functioning in a first episode psychosis (FEP) sample 7.5 years after presentation at a specialized early psychosis treatment service. The study involved a prospective, naturalistic follow-up of FEP patients commencing treatment with the Early Psychosis Prevention & Intervention Centre (EPPIC) in Melbourne, Australia, between 1995 and 1997. At treatment entry the Royal Park Multidiagnostic Instrument for Psychosis was used to assess duration of untreated psychosis (DUP), age at onset of psychotic disorder, and premorbid work/social functioning. At 7.5-year follow-up measures included the Brief Psychiatric Rating Scale (Thinking Disturbance subscale), Scale for the Assessment of Negative Symptoms (Alogia subscale), WHO Life Chart Schedule (to assess course of illness, treatment history, and duration of receipt of a disability support pension (DSP)), and the Structured Clinical Interview for DSM-IV (to derive Axis I diagnoses). Analyses involved 180 participants. Univariate and multivariate logistic regression analyses were used to estimate the effects of demographic, clinical and treatment variables on two outcomes: current employment; and durable employment (employment for more than 6 months in the past 2 years). The sample was primarily male (72%), with a mean age at follow-up of 29 years (sd=3.4). 45% reported current participation in competitive employment at 7.5 year follow-up (28% full-time, 17% part-time), and 53% reported recent durable employment. Multivariate analyses showed that, after controlling for other variables (including positive and negative thought disorder, premorbid functioning, and recent psychiatric treatment), current employment was negatively associated with continuous or episodic illness course characterized by worsening trajectory or incomplete remissions, disrupted education, and receiving a DSP for longer than 2 years. Lifetime diagnosis of schizophrenia, receipt of a DSP (regardless of duration) and disrupted education were negatively associated with durable employment. Educational attainment appears to be an important predictor of vocational outcome in the Australian labor market, although its relationship with premorbid functioning requires further investigation. The inverse relationship between DSP and employment, after controlling for symptom levels and course of illness, supports evidence from US studies that such payments may act as a disincentive to employment