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We are a group of academic authors from the National Autonomous University of Mexico (UNAM) who are in direct contact with students and professionals in the medical doctor’s career, as well as specialties and subspecialties. We have learned firsthand about cases of abuse of power, harassment, and gender violence by physicians towards physicians. Therefore, we are very interested in the deeper analysis of an issue in the search for strategies to curb these acts that have been legitimized and normalized with the excuse of the hierarchical tradition of medical education or the path to follow to achieve professional goals.
The case we present is a conglomerate case based on a series of questions presented to us as part of an investigation entitled “Gender violence during medical training in Mexico”. UNAM, as an institution of higher education, must contribute to generating a change in mentality and education to achieve a more egalitarian, fair, and equitable treatment so that women and men are treated with the same respect and dignity and have the same rights to work and have a life project. Without this implying being left without work or being relegated to less essential and even trivial functions that require little or no creativity, human talent is wasted, which, in the long term, causes losses for any health institution and society.
This chapter introduces sentiment analysis as a bridge between language and decision-making, reviewing emotion taxonomies (valence/arousal, Ekman, Plutchik) and core tools (LIWC, ANEW, SentiWordNet) for measuring the sentiment tenor of text. It proposes LiMoLES, a utility function combining monetary payoffs with language-elicited sentiment, and tests it on framing effects in the extreme Dictator Game, showing that human-rated sentiment predicts altruism better than lexicons. The chapter extends LiMoLES to basic emotions, clarifies limits of lexicon intensity and context, and motivates a shift toward normative components (LiMoLNoS) when emotions alone cannot explain choices, ultimately setting up a broader LENS model of emotional and normative influences.
Denmark’s approach to European law was distinct from most other member states in that it remained a largely administrative rather than judicial process. This chapter explores how Danish civil servants, rather than politicians or courts, managed Denmark’s interaction with European law, proactively shaping its application whilst also containing its implications. Denmark’s well-known reluctance toward European integration writ large is mirrored in its interactions with EU law, seeking to maximise economic benefits while limiting the in-roads on national sovereignty by supranational institutions. Danish courts were initially hesitant to engage with the ECJ, avoiding preliminary references. Despite this cautious approach, Danish governments pragmatically defended the ECJ’s authority in European institutions, recognising that a strong legal system could serve Danish interests as a small member state. The chapter concludes that while Denmark did not actively resist European law, it strategically managed its impact through administrative means rather than direct judicial or political engagement.
Lived experience narratives are often used to provide depth of understanding to an area of study in medicine, using ‘real world’ exemplars that explicate theory and models of practice. In our case, the narratives in this part help us understand how the social context of the authors and the people they discuss shape collective experience, and drive the way institutions and individuals respond to sexual harassment within their profession.
The Epilogue begins with a critical consideration of the post-war careers of individuals featured prominently in previous chapters, tracking their contributions to the re-emergent German environmental movement after 1945. That movement failed to confront its links to the Nazi past for decades on end, leaving a distorted and misunderstood legacy that awaits resolution even now. Extending both the chronological and geographical framework, the Epilogue outlines significant new material on non-German examples of far right appropriation of environmental ideals over the past century, including Italian and British examples. These comparative cases are essential to understanding that the themes at the heart of the book are not a German peculiarity, while placing the specifics of the Nazi era into broader historical context. Last, the Epilogue points to the persistent political ambivalence of ecology. Environmental activists today are justifiably concerned that tying their predecessors to Nazism could discredit the politics of nature as a whole and play into powerful anti-environmental currents in contemporary culture. Historical perspective allows for a more informed approach to such charged questions. If guarding against a resurgence of neo-Nazism means paying closer attention to its history, honoring the environmental movement’s future requires taking an honest look at its past.
Edited by
Liz McDonald, East London NHS Foundation Trust,Roch Cantwell, Perinatal Mental Health Service and West of Scotland Mother & Baby Unit,Ian Jones, Cardiff University
Leadership is a very fashionable term and firmly established in the lexicon of managers in both the private and public sectors and within domestic and international politics. As a concept, it is complex, multifaceted, dynamic and invariably influenced by the context and organisational culture in which it occurs.
The chapter begins with an overview of different ideas about leadership, examining ‘wicked’ and ‘tame’ problems, the distinction between leadership and management, psychiatrists as leaders and different leadership styles. We then delve into the emerging fields of compassionate and systemic leadership, emphasising relational trust, diversity and collaboration. We explore the role of contention, developing collaborative relationships, the centrality of developing relational trust and working with diversity. The chapter concludes with a discussion focused on the ubiquitous influence of conflict in organisations. Throughout, we will explore leadership through multiple lenses to unlock new possibilities for practice.
This chapter is primarily a preparation for the study of the total variation flow. This is due to the fact that in order for the 1-Cheeger energy to be lower semicontinuous, it needs to be defined on the space of functions of bounded variation and not on the Sobolev space with exponent equal to one. Thus, we need to extend parts of the linear differential structure to the BV case, and to this end, we will require that we can approximate BV functions with Lipschitz functions in a suitable way. Our strategy will be to present a metric version of the Anzellotti pairings between a vector field with integrable divergence and a BV function due to Anzellotti and prove a generalised integration by parts formula. To be precise, we will prove the existence of two such pairings, separately for the case of the whole space and for a bounded domain with a sufficiently regular boundary. They are defined slightly differently, in particular, in the second case, the Gauss-Green formula takes into account the boundary effects.
The increasing intensity of industrialisation is taking its toll on nonhuman animals, leading to what is now described as the ‘the sixth mass extinction’ cause by Homo Sapiens. Since European settlement in 1788, the Australian continent has recorded the highest rate of mammal extinction in the world, currently a ten percent loss since pre-colonial times, with hundreds of other endangered species at high risk of disappearing. The Australian plays and performances considered in this chapter, which include Extinction by Hannie Rayson, Piece for Person and Ghetto Blaster and Green Screen by Nicola Gunn and Whale by Fleur Kilpatrick, explore what it means for humans to practice an ethical obligation of care for individual species, their place within particular habitats and ecosystems as well as the entanglement of human-nonhuman well-being and survival.
This chapter draws from work and social-cognitive psychology, which is concerned with understanding people at work, and specifically the social and individual cognitive dimensions to these serious misconducts. It offers a distinct perspective on sexual harm, by focusing on three interconnected elements: the individual, the specific types of behaviours, and the environment. Understanding these distinct elements and how they combine, alongside insight into different inhibitors is critical not only understanding why these events occur, but also why they persist. This lens highlights the role of power and its abuse by elites, and why others may be reluctant to challenge and raise their concerns. It also reveals why a professional, undertaking morally praiseworthy activities may paradoxically be more at risk from the distorting cognitive processes of moral licensing. Psychology offers new perspectives into these phenomena and more critically into upstream preventative responses, to show why remediative sanctions may not be so simple here.
This autobiographical essay by David Collier traces the evolution of his interest in concept analysis within political science. Sparked by a challenging dissertation defense on the distinction between squatter settlements and slums, Collier was motivated to better understand and refine social science concepts. He reflects on foundational influences, including Sartori’s notion of concepts as “data containers,” and explores how defining and variable properties can structure meaningful comparisons. Collier highlights the role of vivid, resonant terminology in shaping scholarly communication, drawing on examples from Hirschman, Krasner, and Murra. He credits influential mentors such as Philippe Schmitter and colleagues such as Henry Brady, as well as inspiration from the Ostroms and cognitive linguists such as Lakoff and Rosch. The essay underscores the importance of typologies, disaggregation, and sensitivity to conceptual stretching in empirical research, using the concept of corporatism and the idea of “critical junctures” as case illustrations. Collier also recounts his teaching experiences and collaborations, which reinforced his belief in the methodological and substantive value of rigorous concept work. The piece serves as both a personal narrative and a theoretical introduction to the study of concepts, setting the stage for the volume’s broader exploration of conceptual innovation in the social sciences.
Edited by
Liz McDonald, East London NHS Foundation Trust,Roch Cantwell, Perinatal Mental Health Service and West of Scotland Mother & Baby Unit,Ian Jones, Cardiff University
Suicide remains a leading cause of maternal death in the UK and in other high-income countries. While there are clear risks in severe mental disorder, those who die have experienced a range of mental illnesses and often come from more deprived communities. The Confidential Enquiries highlight the distinctive patterns of occurrence and progression in perinatal mental illness and the need for improvements in clinical evaluation of risk, effective risk management and the availability of high-quality perinatal mental healthcare as important factors in helping reduce progression to suicide.