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This chapter furthers and advances the decolonial process discussed in previous chapters by providing a deeper understanding of the totality of anti-oppressive practice and its embedding into direct clinical work through the clinical supervision process. Special attention is paid to complimentary theories and concepts (e.g. the cycle of socialization, relational-cultural theory, building allyship, dismantling racism, inclusive supervision and followership, etc.) that strengthen anti-oppressive decolonial supervision and leadership practice.
Honest behavior of public sector workers is an important quality of governance, impacting the functioning of government institutions, the level of corruption, economic development and public trust. Scholars often assume that honesty is inherent to public sector culture, however empirical evidence on the causal effect of public sector culture on honest behavior is lacking. This research addresses this question by estimating the causal effect of priming public sector identity on the honest behavior of public employees. We validated an instrument for priming public sector identity and employed it in five preregistered incentivized experiments among civil servants in Germany, Israel, Italy, Sweden, and the UK (N = 2,827). We find no evidence for the effect of public sector culture on honest behavior in both individual (four studies) and collaborative (one study) tasks. The theoretical implications of these results for the study of moral behavior in the public sector are discussed.
This chapter explores the role of drugs in understanding neurotransmitter systems and addressing behavioral problems. It begins by discussing drug administration methods such as oral, intravenous, and inhalation, explaining how these routes influence pharmacokinetics, including drug absorption and metabolism. Like Chapter 6, the chapter then covers several practical applications, including in depression, anxiety and trauma, eating behavior (obesity), addiction, cognitive enhancement, and sleep. These examples underscore the progress that neuroscience has made (e.g., psychiatric medication), the progress that it continues to make (e.g., in psychedelic medicine), and the ongoing need for research and technological innovation. Furthermore, each example illustrates the complex and often ambiguous relationship between neurotransmitters and behavior, where neurotransmitters can influence multiple behaviors, and behaviors can be influenced by multiple neurotransmitter systems.
Since little is known about the mental health status of Chinese male adults, the present study aimed to explore the prevalence and predictors of psychological distress among Chinese male adults. This cross-sectional study recruited 6,140 men by convenience sampling in Liaoning and Shanghai. Psychological distress and perceived social support were measured by the Depression, Anxiety, and Stress Scale-21 and the Perceived Social Support Scale. Multivariable logistic regression analysis was employed to investigate the factors associated with psychological distress. The prevalence of depression, anxiety and stress among Chinese male adults were 14.2%, 26.4% and 12.9%, respectively. Male adults with low perceived social support reported symptoms on all measurements. Being middle-aged, college or above and residing in urban areas were associated with depression, while living in urban areas was the independent risk factor of anxiety. Stress was significantly associated with being middle-aged, married status and college or above. Our results revealed a high prevalence of psychological distress among Chinese male adults in this sample. Results suggest more attention needs to be paid to the mental health of male adults in the studied population, especially those who are middle-aged, college or above, married status and reside in urban areas.
Liberation as a praxis for the helping professions is a tool of resistance aimed at increasing cultural awareness and trauma informed approaches to engaging with marginalized populations. This approach requires of each of us in the helping professions to interrogate our own relationships with anti-Blackness, white supremacy, and bigotry. In order for effective advocates to do the good work of helping people, there must be a disassociation from white supremacy and white supremacists’ ideologies. Liberation as a praxis is the only way.
Loneliness is recognized as a significant public mental health issue, especially among adolescents. There is insufficient research on adolescent loneliness in countries such as Kenya, where adolescents make up 23% of the population. The aim of this study was to examine the prevalence of loneliness among high school students living in different regions of Kenya. This cross-sectional study included 2,652 high school students from ten schools across three Kenyan regions, reflecting both urban and rural settings. Participants completed a questionnaire assessing socio-demographic, educational, and psychological factors, along with their experiences of loneliness over the past year. The level of loneliness was assessed by the question “During the past 12 months, how often have you felt lonely?”. Loneliness during the past 12 months (responses “always” and “most of the time”) were identified in 17.1% of males and 16.6% of females. Significant factors associated with loneliness included grade level, geographical location, family structure, and perceived economic status. Urban students and those attending schools in Nairobi and Kiambu, as well as those from economically disadvantaged backgrounds, reported higher loneliness. The high prevalence of loneliness highlights the need for targeted interventions, particularly in urban and economically disadvantaged groups.
Abstract: In Human Nature and Conduct (1922), Dewey claims there is no specific “organ of moral knowledge” apart from ordinary activity. Such a claim collapses an important distinction in Greek philosophy between “arts” (technē) guided by theoretical knowing and mere “knacks” (empeiria) that accrue their results by trial and error. By denying that there is a specific “organ of moral knowledge,” it would appear that, for Dewey, morality is nothing but a hit-or-miss process, and such a position has exposed Dewey to criticisms over the years. This chapter will explore such concerns through engagement with the Daoist tradition. The focus will be on the Zhuangzi, a text that is replete with stories about craftspeople gaining insight and developing efficacy by engaging in ordinary activity without reliance on theoretical knowing. Such stories, commonly known as “knack passages,” are meant to be prescriptive; they tell us how to live. As such, they have occasioned critiques similar to those that Dewey received. Here, it will be argued that the Daoist tradition, while not providing “moral direction” as conventionally understood, is not without its own virtues. Similar virtues, in fact, are outlined in Dewey’s own philosophy, and these might mitigate the concerns of his critics.
In this study, we investigate Hungarian Plain Language (PL) and Simple Language (SL) with the primary objective of training a machine-learning-based sentence-level PL model that flags sentences where expert intervention may be needed during PL-oriented rewriting. The analysis uses a legal-administrative PL corpus and a news-based SL corpus, currently the only publicly available high-quality Hungarian resources for PL and SL. In low-resource settings, PL data are typically scarce, so selective data augmentation is a natural candidate for improving model performance. Our aims are threefold: (i) to provide a feature-based descriptive comparison of these Text Simplification resources; (ii) to test whether selectively chosen SL sentences can augment PL training data; and (iii) to evaluate the impact of such augmentation on sentence-level PL detection. Methodologically, we extract handcrafted linguistic features spanning surface, morphosyntactic and discourse properties. We derive a PL-likeness score from logistic-regression coefficients and use it to select SL sentences most similar to PL for augmentation, followed by supervised sentence-level PL detection with XLM-RoBERTa-large. Results show clear differences between PL and SL in sentence length, lexical diversity, syntactic depth and connective use. Selective inclusion of SL sentences yields modest gains in constrained settings, whereas indiscriminate mixing reduces precision and reliability.
Reinforcement and addiction are commonly attributed to dopamine and its release along the pathway from the ventral tegmental area to the nucleus accumbens. This chapter traces the historical development of research linking dopamine to reinforcement, reward prediction error, and incentive salience. It then evaluates the evidence for and against the dopamine theory of addiction and discusses challenges in testing this theory in human studies. The chapter concludes with a speculative exploration of potential dopamine-based treatments for addiction.
Abstract: In this chapter, Welchman examines John Dewey’s critique of traditional moral theories, particularly those grounded in nonempirical moral norms. She shows how Dewey challenges the idea that moral obligations derive from an intuitive grasp of absolute truths, arguing instead that norms emerge from human habits and social interactions. Tracing Dewey’s evolution from his early idealism to his later pragmatism, Welchman highlights his rejection of “intuitional ethics” and his shift toward a naturalistic account of moral reasoning. Dewey sees morality as a dynamic process, shaped by experience and subject to revision in light of its social consequences. Dewey maintains that moral principles should be empirically tested and continually refined. He argues that social institutions generate obligations, but these obligations must remain open to critical reflection. The chapter illuminates how this pragmatic approach positions morality not as an immutable ideal but as an evolving practice aimed at enhancing human welfare.
Perinatal mental health disorders are prevalent in Ecuador and Peru. Despite national health policies supporting maternal mental health care, service provision remains fragmented, relying on a mix of public, private, and nongovernmental actors. This study examined professional interest holders’ perceptions of barriers to perinatal mental health care and the solutions they propose. We employed a mixed-methods approach. First, a systematic review of publicly available data was conducted to identify organizations engaged in maternal and mental health care in Ecuador and Peru. Following this, in-depth, semistructured interviews were conducted with 17 key informants representing research institutions, nongovernmental organizations (NGOs), government agencies, and private sector entities. Thematic analysis was applied to identify structural barriers, institutional challenges, and proposed solutions. Findings revealed multilevel barriers to perinatal mental health care, including stigma, financial constraints, limited provider training, fragmented health services, and bureaucratic inefficiencies. Community-based interventions, task-shifting strategies, and increased public education were identified as effective approaches to addressing these challenges. Participants also emphasized the need for intersectoral collaboration, increased governmental investment, and policy reforms to strengthen maternal mental health services. Efforts to improve perinatal mental health care in Ecuador and Peru require a combination of culturally sensitive, community-driven interventions, as well as sustainable government investment and commitment.
To review the historical, conceptual, and ethical foundations of intelligence testing in neuropsychology and to consider whether alternative cognitive performance labels offer greater conceptual precision while reducing stigma.
Method:
We conducted a narrative review of early twentieth century cognitive assessments, tracing the evolution of intelligence testing and its intersections with eugenic ideology. Key examples include the Army Alpha and Beta tests administered during World War I and Ellis Island immigration assessments, which were frequently interpreted without consideration of cultural or educational influences. We examine how these practices informed early interpretations of neuropsychological performance, particularly in individuals with epilepsy, and shaped initial characterizations of neurologically based cognitive abilities.
Results:
Early intelligence testing was grounded in the belief that intelligence was a fixed and directly genetically determined trait. Test performance was interpreted as an index of biological superiority, lending scientific legitimacy to eugenic ideologies and reinforcing stigma toward individuals with epilepsy. Although modern frameworks emphasize multidimensional cognitive abilities, intelligence-based characterization persists and continues to be frequently reported as a primary outcome of neuropsychological testing.
Conclusions:
In contexts that require a single summary indicator of cognitive performance, labels such as Total Cognitive Composite are recommended since they avoid implying a fixed or unitary capacity. Continued reliance on the construct of “intelligence” is inconsistent with contemporary models of cognition, reflects outdated theoretical assumptions, and carries enduring psychosocial stigma. Moreover, its circular and internally inconsistent definitions substantially limit its validity and appropriateness within contemporary adult clinical neuropsychological practice.
Abstract: In this chapter, Herbert explores John Dewey’s concept of impulse in Human Nature and Conduct (1922), highlighting its oft-neglected role in his theory of agency. Dewey presents impulse as a spontaneous and creative force essential for breaking rigid habits and fostering intelligent inquiry. Unlike moral theories that treat impulse as something to suppress, he sees it as crucial to moral growth and adaptation. Dewey’s naturalistic framework situates impulse within a dynamic interplay with habit and intelligence. While habit provides stability, impulse introduces novelty, enabling the reorganization of conduct when patterns fail. This aligns Dewey with Peirce’s view of inquiry as emerging from disrupted expectations and contrasts with Bergson’s élan vital, which lacks Dewey’s empirical grounding. Dewey also engages implicitly with Freud, critiquing reductionist views of instinct while endorsing the constructive redirection of impulses through sublimation. Dewey envisions ethics as a form of empirical inquiry, treating moral agency as continuous experimentation rather than rule adherence. As Herbert concludes, Dewey critiques traditional moral philosophies for their distrust of impulse, arguing that rigid norms stifle creativity. Instead, Dewey advocates an ethics that integrates impulse, habit, and intelligence into a flexible and adaptive model for human flourishing.
Abstract: This chapter examines John Dewey’s concept of moral education as growth, emphasizing its implications for moral development beyond his earlier work. While Moral Principles in Education (1909) presents Dewey’s approach to moral education through social participation, it does not incorporate his later view of growth as the sole moral end. Waks points to the need for the reconstruction of Dewey’s moral education theory in light of Human Nature and Conduct (1922), where he defines morality as the expansion of conduct in meaning. As Waks illustrates, Dewey’s later theory of growth introduces a tension between cooperative participation and individual moral development. The chapter shows how, for Dewey, true moral growth requires openness to new experiences, creative problem-solving involving new ends and new means, and self-transformation, sometimes in conflict with established social norms and cooperative action. This challenges educators to cultivate both group cooperation and individual moral experimentation. Waks concludes that a reconstructed Deweyan moral education must balance social engagement and cooperation with fostering independent growth, requiring educators to create environments that encourage both communal participation and personal moral discovery.