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James Dolbow, MetroHealth Medical Center, Ohio,Eric Curfman, University Hospitals Cleveland Medical Center, Ohio,Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
James Dolbow, MetroHealth Medical Center, Ohio,Eric Curfman, University Hospitals Cleveland Medical Center, Ohio,Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
An otherwise healthy 6-month-old female infant with a normal birth history and no pertinent family history presents to pediatric neurology with concerns of abnormal movements. Parents report episodes during which her arms, legs, and head quickly flex forward and remain there for a few seconds. The movements started 2 months ago. These appear to be more common in the morning and are followed by crying. These events have been progressively increasing in frequency, now clustering shortly after awakening, and she has recently developed similar episodes involving back and neck arching, lasting a few seconds as well. Parents report that though she was previously able to, she now seems to have difficulty holding her head up when on her belly and smiles less when talked to.
The arts are undeniably emotionally evocative. This chapter focuses on our complex emotional entanglement with the arts and describes the range of emotional experiences that people have with the arts, as well as how those experiences can foster learning, curiosity, and growth. It argues that because of their ability to express and evoke emotionally complex experiences, the arts are a fertile ground for the development of a critical set of cognitive skills associated with emotional intelligence: perceiving, interpreting, regulating, and acting on emotions experienced by oneself and others. Empirical evidence is marshaled to show that the arts present us with novel opportunities to observe and examine how emotions are expressed in varied, nuanced, or even exaggerated ways, which offers insight into the emotional experience of others. Additionally, the chapter shows that feeling and actively reflecting on a host of emotions evoked during art making and art appreciation can help us to recognize and appropriately label our emotions, which is key to healthy self-regulation.
James Dolbow, MetroHealth Medical Center, Ohio,Eric Curfman, University Hospitals Cleveland Medical Center, Ohio,Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
A 40-year-old man with normal childhood development and history of depression presents to the outpatient neurology clinic, accompanied by his mother, for abnormal movements. He states he has become progressively clumsier over the past 3 years, now having difficulty standing still and walking, and feels as though his limbs are always moving. He endorses difficulty with coordinating movements such as holding objects, brushing his teeth, and dressing himself. His mother adds his mood lability has worsened over the past year and that she is concerned as his father showed similar symptoms prior to committing suicide at age 46.
James Dolbow, MetroHealth Medical Center, Ohio,Eric Curfman, University Hospitals Cleveland Medical Center, Ohio,Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
This chapter investigates the role of state-level bureaucrats in drafting and promoting legislation. In doing so, it challenges the conventional notion of separation-of-powers by showing that the executive branch often initiates statutory change. Drawing on original data from eleven states and a decades-long survey of administrators across all fifty states, the chapter demonstrates that bureaucrats are deeply involved in legislative affairs: authoring bills, collaborating with legislators, and influencing policy outcomes. Agency-initiated bills are common, pass at higher rates than other bills, and tend to attract bipartisan support. Their prevalence and success vary systematically across states, shaped by institutional capacity and partisan alignment: legislatures with fewer resources and unified partisan control are more likely to pass agency bills. At the individual level, legislators with greater power – such as committee chairs or those in the governor's party – are more likely to sponsor bureaucratic proposals. These findings put bureaucrats as strategic actors, valued by the legislature for expertise and policy-ready proposals. By focusing on the origination of legislation rather than just its implementation, this chapter provides new insight into the blurred boundaries between legislative and executive functions in US state politics and underscores the importance of studying bureaucratic influence at the earliest stages of the policymaking process.
James Dolbow, MetroHealth Medical Center, Ohio,Eric Curfman, University Hospitals Cleveland Medical Center, Ohio,Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
A 58-year-old man presents to the emergency department unable to walk. He reports that 3 weeks ago he tested COVID positive but only had minimal cough and gastrointestinal symptoms. One week after his COVID symptoms resolved, he noticed mild low back pain and pins and needles sensation in his feet. His sensory symptoms worsened over 2–3 days, and he began to notice difficulty walking and his legs felt “heavy.” Over the past few days his leg weakness has significantly worsened to the point of not being able to stand, and he has developed the same tingling sensation in his hands with new difficulty holding objects. He denies recent neck or back trauma, any visual symptoms, fever, or similar symptoms in the past.
This chapter explores intersectional organizing in the US immigrant justice movement and how social workers can apply this framework in their community work. In the past two decades, the intersectional identities of many immigrant organizers have driven strategies and campaign goals. Immigrant youth have shed the DREAMer identity, leaving behind the symbolic caps and gowns, while taking up the fight for a bolder vision of equity, inclusion, and liberation. Those who are most impacted are centered in the organizing campaigns. Many organizations and coalitions are rooted in the intersection of the criminal legal and immigration systems, also known as crimmigration. And deportation defense campaigns include those less desirable – the day laborers, the car wash workers, the street vendors, the criminal legal system impacted immigrants – not only the "good" model immigrants. The analysis developed in this chapter builds on the community and policy organizing led by undocumented organizers and allies on the streets.