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The penultimate chapter seeks to bring together literature from the sociology of the family and intimacy with the interdisciplinary field of death and dying studies to explore perinatal loss through a relational lens. It does this to examine the role of relationships across the journey of reproductive loss. The chapter begins by exploring the impact of baby loss and grief on intimate relationships and wider family members (for example, grandparents, aunts and uncles). It also explores the ways in which parents’ experiences of post-mortem practice are also deeply informed by biological connections and social relationships. While most of the chapter focuses specifically on the impact of baby loss on family relationships, it also examines the role that friends, work colleagues and health professionals can play. This is because bereavement is embedded in all social relationships. The chapter concludes by highlighting the socially embedded nature of baby loss, reinforcing the centrality of social relations across the entire baby loss journey.
Chapter 3 focuses directly on the post-mortem examination, centring its analysis on the development of minimally invasive autopsy (MIA) using magnetic resonance imaging (MRI). MRI is often perceived to be the ‘gold standard’ in healthcare. Its use in autopsy, however, signals the emergence of a novel application of the technology. Drawing on data from the study, this chapter explores parents’ and professionals’ feelings towards post-mortem MRI. For parents, MRI can be used to plan a less medicalised birth/death. It offers important information about why their baby died. The MRI image validates their baby’s existence, offering parents an important sense of closure. While post-mortem examination using MRI was not available to several parents in the study, most expressed an interest in this becoming more accessible in the future. This view was readily shared by professionals, especially when parents did not wish to consent to a full post-mortem. The chapter concludes by focusing on this novel technological application, exploring the extent to which MRI can enable us to reconceptualise ‘life’ beyond the old boundaries of ‘death’.
A new breed of prophets – intermediaries and pastoral bros of an AI industry with metaphysical aspirations – has surfaced on the global stage during troubled times. They make great promises, offer predictions and warnings, and stake out directions for humanity. This article argues that they do so by invoking the implicit collective memory of the apocalyptic imaginary known from ancient Jewish apocalyptic writings and, more specifically, by reenacting what we call prophetic memory. Through close readings in the tradition of biblical exegesis coupled with philosophical and critical hermeneutics, we trace strong AI narratives of doom and salvation to a range of media forms such as Twitter/X postings, books, interviews, journalistic feature articles, and reporting. Through these media, AI prophets speak of the end times while simultaneously offering a new beginning for humankind, not unlike the ancient prophets of the Hebrew Bible. Prophetic memory, we submit, is furthermore a mode of ‘collective future thought’ and an instantiation of the ‘remembering-imagining-system’. While its purpose is to create stability for a particular vision for the future, there is also a productive ambivalence of order and disorder at work within the apocalyptic AI imaginary. To question this ambiguous yet extremely powerful fixture on the human horizon, there is a need, we argue, for bothering the political-religious dimensions of the hegemonic AI imaginary and for scrutinizing how the AI industry founds its power base on the clout of prophetic memory – in a time of crisis in which many look for guidance and direction.
Subjective cognitive complaints (SCC) can precede cognitive decline and are associated with demographic, exposure, lifestyle, and psychological factors. Prevalences of SCC and their correlates in individuals with repetitive head impacts (RHI) are poorly understood. This study characterized SCC in former elite American football players by frequency, mood and behavioral correlates, concordance with informant reports, and associations with neuropsychological test performance, cerebrospinal fluid (CSF), and magnetic resonance imaging (MRI) markers of neurodegeneration.
Method:
Former American football players (n = 180) completed measures of global and domain-specific SCC, neuropsychiatric symptom questionnaires, neuropsychological testing, lumbar puncture, and MRI. Elastic net regression evaluated the relative importance of potential SCC correlates. Intraclass correlation coefficients measured concordance between self and informant reports. Multiple linear regressions tested associations between SCC and verbal memory and executive functioning scores. CSF Aβ1-42, p-tau181, t-tau, neurofilament light (NfL), hippocampal volume, and regional cortical thickness were examined for their potential associations with SCC.
Results:
Rates of SCC ranged from 43 to 77% depending on the domain. Symptoms of depression, impulsivity, and anxiety were strongly associated with SCC. Self- and informant-reported SCC showed moderate inter-rater agreement. Adjusting for age, race, education, APOE ϵ4 carrier status, and depressive symptoms, SCC were associated with lower objective verbal memory and executive functioning performance. SCC were associated with lower parahippocampal cortical thickness but not with hippocampal volume or any of the measured CSF tests.
Conclusions:
SCC are strongly associated with neuropsychiatric factors in former American football players. SCC may also be a marker of cognitive decline and neurodegeneration.
In a sample of early post-menarchal female adolescents, this study examined sleep regularity in relation to depression symptoms, circadian rhythms, and chronotype preference. Sixty-six female adolescents, aged 11–14 and within fifteen months post-menarche, completed a one-week sleep and circadian rhythm assessment involving self-reported sleep behaviors, 24-h sleep monitoring using wrist actigraphy, and serial cortisol and 6-sulfatoxymelatonin collections for four days. Sleep regularity was operationalized as the probability of being in the same wake/sleep state at any two timepoints 24 h apart (i.e., sleep regularity index (SRI)). Reduced SRI was associated with higher depressive symptoms (F [1,273] = 18.65, p = < .0001), as were eveningness chronotype (F [1,273] = 21.13, p = < .0001), sleep duration (F [1,273] = 6.25, p = .01), and self-reported life stress (F [1,273] = 22.82, p = < .0001). The interaction between SRI and chronotype was also a predictor of increased depression (F [1,273] = 18.65, p = < .0001), such that eveningness and low sleep regularity predicted higher scores. Sleep regularity was not significantly associated with cortisol awakening response, cortisol slope, or overnight melatonin levels. Sleep regularity appears linked to altered mood in early post-menarchal girls. Further research linking sleep regularity to physiological processes governing sleep is warranted. Interventions targeting sleep regularity stand to improve mental health outcomes, as well as promote healthy developmental trajectories for affect regulation.
This study investigates the relationship between bilingualism, language use, aging, and interference control using the Color–Word Stroop test task. We examined 158 highly proficient Basque–Spanish bilinguals and 84 Spanish monolinguals (aged 30–80 years) to test whether interference control declines with age and whether bilingual adaptations depend on language use frequency. Language experience was assessed using an adapted Language and Social Background Questionnaire and Color–Word Stroop test interference scores were analyzed by regression models. Results showed that interference control declines with age. Group-level differences between bilinguals and monolinguals were not significant once education was included as a covariate, although a small marginal advantage for bilinguals emerged when using education-adjusted T-scores. Within the bilingual group, higher use of the minority language (Basque) in social contexts was associated with significantly better interference control. Social language use showed a stronger relationship with interference control than home use. These findings highlight that bilingual advantages are not uniform but depend on language use frequency and context, contributing to understanding how bilingual experience shapes cognitive control across the lifespan.
Adolescence represents a pivotal neurodevelopmental period marked by escalating anxiety symptoms and heightened approach motivations. Although anxiety is typically linked to avoidance, concurrent shifts in motivational systems and neurocircuitry may alter its behavioral and neural expression, shaping developmental trajectories and treatment response. This study investigated how approach motivations (Behavioral Activation System; BAS) interact with anxiety to influence behavior and brain function in N = 121 adolescents (ages 9–13; 44% girls; 33.1% White, 22.3% Latino, 19.8% Asian, 14.9% Black, 9.9% Mixed Race). Participants completed a decision-making task and resting-state fMRI. Dimensional analyses examined joint effects of anxiety and BAS on risk-taking behaviors, task-evoked neural activity and connectivity, and intrinsic connectivity at rest. Higher anxiety was associated with risk aversion and inhibition when BAS was low, but with risk-taking and impulsivity when BAS was high (risk-taking: β = 0.25, p = .012; inhibitory control: β = 0.13, p < .001). During risk-taking, anxiety and BAS showed interactive effects on striatal (β = −0.10, p = .006) and amygdala (β = 0.10, p = .005) activity alongside distinct effects on prefrontal–subcortical connectivity (β = −0.30, p = .014; β = 0.17, p = .01). Higher BAS was associated with stronger intrinsic prefrontal–striatal connectivity (β = 0.23, p = .012), while anxiety showed no significant resting-state effects. Findings underscore the role of reward-related systems in adolescent anxiety and support developmentally informed, personalized intervention strategies.
Approximately 20% of Nigerians experience a mental health condition, yet fewer than 10% receive minimally adequate care. This scoping review synthesises the development, implementation and outcomes of mental health policies in Nigeria from 1916 to 2025. Using Arksey and O’Malley’s framework, systematic searches were conducted across PubMed, Web of Science, PsycINFO, AJOL and Google Scholar (inception–December 2024), supplemented by grey literature from governmental and non-governmental sources. The Walt and Gilson Policy Triangle guided the analysis of policy context, content, processes and actors. Nigeria’s policy trajectory demonstrates normative progress, transitioning from custodial approaches under the Lunacy Ordinance (1916) to a rights-based orientation in the Mental Health Act (2023). However, implementation outcomes remain constrained. Workforce expansion has been modest (psychiatrists increased from 250 in 2018 to approximately 350 in 2024), treatment coverage remains low (10–15%) and budget allocation is insufficient (3.3% of the health budget). Barriers include inadequate financing, weak coordination across federal and state levels, limited stakeholder engagement and insufficient integration of community, traditional and faith-based providers. Comparative analysis highlights that Ghana’s autonomous Mental Health Authority, South Africa’s provincial directorates and Kenya’s community health volunteer model provide governance and implementation structures absent in Nigeria. Findings indicate that Nigerian mental health policies, while necessary, are insufficient alone for system strengthening. Effective policy translation requires increased and protected financing (target: 5% of health budget by 2027), task-shifting strategies, establishment of a National Mental Health Information System, federal incentives for state-level adoption, integration into primary healthcare (5,000 PHCs by 2028) and inclusive governance that incorporates service users and traditional healers.
Adolescent girls affected by displacement face substantial mental-health risks. The Sibling Support for Adolescent Girls in Emergencies (SSAGE) is a 12-week, gender-transformative, family-based program designed to improve adolescent girls’ mental health in humanitarian settings. This mixed-methods pilot randomized controlled trial (RCT) assessed SSAGE’s feasibility, acceptability and potential effects among 186 Venezuelan migrant and Colombian returnee families in Colombia. Adolescent girls aged 13–19 years, their male siblings and caregivers participated in parallel sessions on gender dynamics, communication and relationships. Implementation outcomes drew on the Mental Health Implementation Science Tools (acceptability and feasibility subscales), attendance records and qualitative interviews. Analyses followed an intent-to-treat approach using adjusted linear and logistic regression models. Quantitative analyses did not identify measurable changes in adolescent girls’ mental health outcomes at endline; however, attendance was modest, with only ~10% of families meeting the predefined protocol threshold. Implementation findings revealed strong participant satisfaction and high acceptability of SSAGE content and mentor relationships. Engagement was constrained by economic hardship, transportation and venue barriers, and some caregivers’ acute emotional distress, which likely limited feasibility and potential impact. SSAGE shows promise as a gender-transformative, family-based approach, but successful delivery in urban migrant settings will require tailored and refined implementation strategies.
People with severe mental illness (SMI) die 10–20 years earlier than the general population, largely due to non-communicable diseases (NCDs) such as hypertension and diabetes and risk factors such as hypercholesterolaemia. This cross-sectional study gathered data from people with SMI from three national mental health institutions in South Asia. Data was collected based on the WHO Stepwise approach to NCD risk factor surveillance and the prevalence of screening, diagnosis and treatment for diabetes, hypertension, and hypercholesterolaemia was assessed. Logistic regression models assessed the associations of sociodemographic characteristics with NCD screening. Three thousand nine hundred and eighty nine participants were recruited. Screening prevalence varied by country and disease, with hypertension being the most commonly screened NCD (Bangladesh = 52.5% [50.0–55.1], India = 43.1% [40.3–45.9], Pakistan = 60.9% [58.2–63.5]), and cholesterol was the least common (Bangladesh = 4.1% [3.2–5.2], India = 14.8% [12.9–17.0], Pakistan = 9.6% [8.1–11.3]). Characteristics such as BMI, age and education level were positively associated with screening, and females were more likely to be screened than males. There are low levels of screening for NCDs among individuals with SMI accessing tertiary institutions in South Asia, with significant sociodemographic disparities. Standardised screening protocols tailored to South Asian populations could mitigate the increased risk of NCDs in this population.
Attachment disorganization has enduring consequences for children’s socioemotional health. Although disrupted caregiving (e.g., frightening or intrusive behaviors) is a strong antecedent of attachment disorganization, much of its variance remains unexplained, highlighting the need to identify additional precursors. This longitudinal study examined the combined effects of mothers’ observed disrupted caregiving at six months of age, and their self-reported psychopathology, childhood maltreatment history, and sociodemographic risk, on infant attachment disorganization in the strange situation procedure at 22 months of age. Participants included 285 mother–infant dyads (52% boys; 80% white) from a Canadian pregnancy cohort. Sociodemographic risk (β = .15), disrupted caregiving (β = .27), and their interaction (β = .24) were associated with attachment disorganization. Sociodemographic risk was associated with greater attachment disorganization only at high levels of disrupted caregiving. Intervention strategies that address both caregiving behaviors and broader sociodemographic risks are needed to reduce attachment disorganization.
This study examines the mediating roles of dehumanization and humiliation in the relationship between political violence and mental health outcomes characterized by depression, anxiety and stress among Palestinians. This cross-sectional quantitative study was conducted in October 2024 with 633 Palestinian adults from the West Bank. The sample was recruited online through convenience sampling. Participants completed Arabic versions of the Exposure to Political Violence Scale, the Experience of Dehumanization Scale, the Humiliation Inventory and the Depression, Anxiety and Stress Scale-21. All measures were culturally adapted and validated. Ethical approval was obtained from the An-Najah National University, and informed consent was obtained. The findings revealed that political violence is positively associated with stress (r = 0.38), anxiety (r = 0.35) and depression (r = 0.34; all p < 0.01). Additionally, structural equation modeling revealed that political violence predicted higher stress (β = 0.66), anxiety (β = 0.83) and depression (β = 0.77), with significant indirect effects through dehumanization and humiliation (β range = 0.21–0.28; p < 0.01). Findings highlight the strong associations between exposure to political violence and poorer mental health, particularly when accompanied by experiences of humiliation and dehumanization. This research highlights the importance of developing culturally tailored, community-based mental health programs in Palestine that address the psychological effects of these experiences and promote resilience and recovery.
Over the last decades, there has been an increasing interest in the cognitive interaction between language and music. Previous research has focused on investigating potential underlying processes shared by the two domains. While some studies do not support such a connection when examining linguistic and music pitch, there seems to be a consensus concerning the existence of structural rule parallels, essential to the linguistic and musical adequacy. The present study focuses on the role of a non-linguistic acoustic cue, such as a high/neutral or low music pitch note, to investigate whether it affects the phrase word boundaries on garden-path sentences in Greek, leading to the elevation of garden-path effects, similarly to what has been suggested for rising intonation. Through a self-paced reading-listening experiment where word segments are accompanied by music pitch notes, our results showed significant ambiguity resolution effects for both high and low music pitch. We interpret the obtained data as an indication of an interaction between language and music, where general (random) sound signals may facilitate linguistic processing.
The Israeli war against Gaza has severely disrupted daily life, including sleep, a fundamental human need. Chronic war-related trauma has caused hyperarousal, nightmares, and insomnia, perpetuating psychological distress. Overcrowded shelters and limited mental health services exacerbate these challenges. This study examines how the Israeli war against the Gazans affected Gazans’ sleep quality and patterns, focusing on sleep-related challenges faced by children and adults through firsthand accounts of war-induced trauma and stress. Forty semi-structured interviews with 20 children (ages 6–12) and 20 adults (14 mothers, 6 fathers) were analyzed using thematic analysis with a bottom-up, data-driven approach, refined through team discussions and cross-validation by independent judges. The five key themes identified are (1) chronic hypervigilance and sleep disruption, (2) trauma-driven sleep dysregulation in Gaza’s children, (3) sleeplessness in shelters, (4) maternal vigilance and the ramifications of sleeplessness, and (5) the health toll of chronic sleep deprivation. The findings highlight the urgent need for culturally sensitive mental health interventions, improved living conditions, and family-centered support services to alleviate war-related insomnia in Gaza.
The impacts of poverty and material scarcity on human decision making appear paradoxical. One set of findings associates poverty with risk aversion, whilst another set associates it with risk taking. We present an idealised rational-choice model, the Desperation Threshold Model (DTM), that explains how both these accounts can be correct. The DTM assumes that there are basic needs whose satisfaction is not fully divisible. This generates an S-shaped utility function for material resources. The value of gaining a dollar is at first small (because even with the extra dollar, basic needs still cannot be met); then large (because the extra dollar enables basic needs to be met); and then small again. Just above the basic needs threshold, people’s main concern is not falling below, and they are predicted to avoid risk especially strongly. Below the threshold, their most important concern is jumping above, and they are predicted to take risks that would otherwise be avoided. Versions of the DTM have been proposed under various names across biology, anthropology, economics and psychology. We review a broad range of relevant empirical evidence from a variety of societal contexts. Though the model primarily concerns individual decision making, it connects to a range of population-scale and societal issues such as: the consequences of economic inequality; the deterrence of crime; and the optimal design and behavioural consequences of the welfare state. We discuss interpretative issues, and suggest areas for future DTM research that bridges disciplines.
Political parties often use moral arguments—judgements about fundamental notions of right and wrong—to frame and explain their political views. Morality is an aspect of politics that people are regularly exposed to in real life. But what role does moral rhetoric play in party politics? And how does it shape our views? Focusing on Western democracies, Shared Morals examines what moral rhetoric looks like, how it affects voters, and how it is relevant for democratic representation. Drawing from studies on party competition, political behavior, and moral and political psychology, the book illustrates that moral rhetoric is an integral aspect of party communication. Yet, unlike many current narratives in the scholarly and policymaking worlds, Shared Morals draws attention to the potential for moral rhetoric to highlight common grounds, bridge differences, and bring people together.
Configuring Psychology offers a vibrant, multimodal sociological analysis of clinical psychology as a profession and practice in the UK. Starting from the widely-accepted principle and goal of enhancing access to care, it examines how political, economic, legal, and social dynamics intertwine with clinical norms and expertise. These interactions configure broader healthcare contexts, defining not only entry into therapy but also exclusion from it. Through close attention to policy developments, professional strategies, and psychologists' experiences, Martyn Pickersgill reveals how access reforms shape clinical knowledge, therapeutic practice, and understandings of psychology itself. He shows how expanding access has become both a moral imperative and a managerial project, with clinical psychologists balancing competing bureaucratic, ethical, and emotional demands in an increasingly strained NHS. As such, Configuring Psychology provides essential insights for social scientists as well as clinicians and policymakers navigating reform. This title is also available as open access on Cambridge Core.
This book presents a groundbreaking exploration of humanity's quest for altered states, from ancient psychoactive rituals to immersive AI and virtual reality, and examines their continued impact on cognition, culture, governance, and identity. Drawing on decades of global fieldwork and interdisciplinary research, Dr Sheldon Lee Gosline traces compelling connections between the regulation of controlled substances and the addictive dynamics of emerging technologies. Readers are challenged to move beyond binaries of legality and pathology and discover how symbols, rituals, and imagination have long mediated our understanding of self and reality. Bridging anthropology, neuroscience, philosophy, and the history of medicine, chapters introduce innovative concepts such as symbolic entropy and recursive regulation to interpret present crises and anticipate future transformations. A must-read for scholars, policymakers, and curious readers alike, the volume offers a powerful lens through which to understand the evolving future of consciousness in the digital age.