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Women’s mental health has long been misunderstood, misrepresented and mistreated. Historically, women have been institutionalised, dismissed and subjected to clinical models that fail to account for the dynamic nature of female biology. The reliance on male-centric research and clinical guidance in mental healthcare is dated; we seek new models that incorporate and validate a woman’s experience of menstruation, menopause and other hormonal changes. Understanding the interplay between hormones and mental health, on biological, psychological and social levels, offers a vital lens through which to understand the complexity. Through explanation of the scientific underpinnings by experts in the field and real stories of women who have endured misdiagnosis, poor treatment and disability, this book exposes the consequences of neglecting to understand a woman’s hormonal experience, and the transformative potential when care is hormonally informed. We stand at the cusp of a revolution in women’s health. Emerging research and innovation promise a future where care is compassionate, evidence-based and attuned to women’s lived realities of menstruation, menopause and mental health.
Slowing down and mitigating the impact of climate change necessitates changes to individual behaviour in a multitude of realms. While reducing resource waste in the production process and consuming less are essential, it is also necessary to increase resource reuse with both effective re- and upcycling. However, relatively little is known about the determinants of upcycling behaviour. In this chapter, the literature on the identified psychological and social drivers is reviewed. A broader reading of behavioural determinants for green behaviour change is used to outline possible pathways for behaviour change still untested in a scientific setting in the context of upcycling. The chapter concludes with a critical review on the relative impact of both up- and recycling compared to their perceived effectiveness. Potential ways increase the likelihood of effective reuse while also reducing overall resource use are considered from a social norms perspective.
By the early summer of 2012 we had started my sabbatical in Birmingham, and this chapter explores the changes for us and for me as a result of being in a new environment, along with friends who found it hard to talk to me about the cancer experience. I had a research fellowship at the University of Birmingham, and Mayu started an MA.
Women’s mental health has been shaped by patriarchal societal biases in science, medicine and society. Early medical texts attributed women’s distress to their reproductive system or sexual deprivation. In the Middle Ages, mental illness was often misinterpreted as witchcraft, reinforcing harmful beliefs about female autonomy, and in the nineteenth century, male-dominated medical science pathologised women’s independence with diagnoses such as ‘moral insanity’ to justify institutionalising women who defied social norms. Twentieth-century feminism underpinned advances in medicine and social reform, shaping health policy and psychiatric practice, although controversies around research into hormone replacement therapy (HRT) disrupted momentum. Despite progress, persistent gender bias in research and access to mental health care persists, particularly for marginalised groups, although initiatives like the Women’s Health Strategy offer hope for a more equitable future.
Chapter 5 assesses the patronage and use of books in the late ninth and early tenth centuries. The following case studies are discussed: two earlier Anglo-Saxon prayerbooks (the Book of Cerne and Book of Nunnaminster) to which new material was added, a new volume of Latin hagiographies (Paris, Bibliothèque nationale de France, lat. 5574), and a Carolingian manuscript to which several additions were made by English-trained scribes (London, British Library, Cotton Vespasian D. xiv, fols. 170–224). Engagement with these books took place in diverse settings, some of which were more informal than one might expect. The motivations for such activity are assessed too. These case studies pave the way for a holistic assessment of the contemporary manuscript corpus. Physical qualities, texts and languages are considered, as are the possible settings in which books were produced and used. Attention is drawn to the evidence for female book use, and to the importance of international networks. Continuities with earlier decades are acknowledged, as are new developments, including a more pronounced association between books and bishops. The chapter closes with a call to remain open-minded about this book culture’s range of social contexts and participants.
This chapter provides a snapshot of Rwanda’s evolving political settlement and economic development trajectory. The chapter begins by highlighting significant structural vulnerabilities that shaped Rwanda’s domestic politics historically, including ethnicity-based inequalities and political contestation, historical divisions associated with the royal family and aristocracy, refugee issues, inadequate employment opportunities and regional inequalities. It then highlights the rapid growth that took place in Rwanda over the last three decades, which has also been accompanied by significant export diversification. It then provides a brief political settlement analysis of present-day Rwanda, highlighting how development is being contested transnationally, pointing to the key vulnerabilities characterising its hub-based strategy. In particular, it describes how increased elite vulnerability has meant that the government has been reluctant to support domestic capital. As a result, the Rwandan government has failed to develop effective state–business relations aimed at achieving structural transformation.
The book is motivated by the question of analysing how Rwanda’s development trajectory can contribute to our understanding of why structural transformation remains so elusive. This chapter introduces the central contributions of the book. First, the book employs structuralist political settlements analysis to highlight how contemporary late development is contested transnationally, prompting the need for analysis across different scales. Second, the book describes how African growth has been largely driven by the services sector and Rwanda is emblematic of contemporary African growth experiences, especially since, like elsewhere on the continent, structural transformation has remained elusive. Third, the book contributes to existing literature on Rwanda by highlighting that the Rwandan Patriotic Front prioritised services-based strategies partly to reduce its reliance on domestic businesspeople because of the elite vulnerability that has characterised its rule. This strategy has yielded growth and export diversification without achieving structural transformation because elite vulnerability has inhibited effective state–business relations. The introduction also includes a discussion of the methodology employed in the book and the structure of the chapters that follow.
While early postwar musical modernist explorations seemed progressive during the 1950s, Yugoslav composers faced European and American avant-garde trends at the inaugural Music Biennale Zagreb in 1961. Founded by Croatian composer Milko Kelemen, who refused to conform to the demands of socialist realism, the Zagreb Biennale was the most significant cultural event in Yugoslavia in the early 1960s and continued to play a pivotal role in the country’s cultural diplomacy over the next three decades. Taking advantage of the Cold War political divisions, Yugoslavia’s unique position as a “liberal” communist state that did not belong to either bloc, and an economic model that adopted elements of socialism and capitalism, Kelemen devised a plan that reads like a Cold War spy novel. Pitting the Soviets against the Americans and Western Europeans with fabricated stories, Kelemen managed to secure the participation of the most recognizable figures in contemporary music in the US and Europe. Consequently, his festival became one of the most relevant international festivals of contemporary music and a forum for Yugoslavia’s engagement with Western avant-gardism.
The emperor, and his granddaughter, joined me as in-patients (they had their own floor), and I reflect on this experience and other experiences with Japanese national symbols like singing (or not) the anthem at School Open Days.