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I explore and defend the unusual view that the replacement of matter taking place in the human body undermines egoistic reasons, and that we therefore have little or no basis for long-term egoistic concern. I begin by arguing that you should not have egoistic concern for a replica, i.e. a person resulting from a complete and sudden replacement of matter. I then argue that when it comes to egoistic concern, replication is not relevantly different from the slower and more gradual form of replacement found in human metabolism: if the former undermines egoistic reasons, so does the latter. I grant that the resulting view is, in some respects, hard to accept, but I conclude that we should at least treat it as a serious possibility.
Youth unemployment has been a primary concern for the European countries, especially after the 2008 Great Recession. In 2013 a Recommendation of the Council of the European Union established the Youth Guarantee (YG) as a political commitment to ensure that all young people receive a high-quality offer of employment, training or continued education within 4 months of becoming unemployed. To financially support the implementation of the YG in European countries and regions, the EU turned to the European Social Fund and created the Youth Employment Initiative (YEI). The YEI used regional disparities as a guiding criterion for the allocation of resources, but it has not been assessed at the regional level. We fill this gap by assessing the impact of the YEI on the labour market and educational outcomes of young people in EU regions that received funding between 2014 and 2018. The findings demonstrate that the YEI had a positive impact on youth opportunities in EU regions, supporting labour market integration and the return to education and training.
In the last decade, many scholars have sought to overcome the shortcomings of the reified conception of civil disobedience that was developed in the 1970s by offering alternative conceptions of (un)civil disobedience. The “disobedience framework” is now so predominant that it is almost unthinkable to refer to any protest involving an alleged infraction of official rules as anything other than disobedience. I argue that this overstretching of “disobedience” rests on the misleading assumption that “intentional lawbreaking” occurs in an uncontested political/legal space; it also ignores that, in certain contexts, activists insist on the legality of their protests even when they defy official orders. Examining how feminist activists in Turkey offer alternative interpretations of existing laws to challenge the legality of protest bans, I demonstrate that folding such protests into the disobedience framework silences protesters, erases their narratives of resistance, and adopts the state’s perspective on the “illegality” of their actions.
Most mental health difficulties have their onset in early adolescence. Increasingly, community based primary care is recognised as a critical pathway to early intervention. Despite encouraging initial evaluations, there is an ongoing need for evidence of the outcomes of primary care youth mental health programmes delivered at scale. This brief report examines reliable improvements in psychological distress and user satisfaction data from a national primary care youth mental health programme in the sustainment phase of implementation.
Methods:
This report takes a multi-methods approach to routine evaluation data. Young people (aged 12–25; N = 8,721) completed Clinical Outcomes Routine Evaluation (CORE-10 and YP-CORE) pre- and post-treatment. Clinical cut offs and a reliable change index (based on established guidelines) were used to report rates of reliable improvement. The analysis examined differences in outcomes based on age, gender, and clinical need. Satisfaction was measured using the youth service satisfaction survey (N = 4,267). Natural language processing techniques were employed to objectively analyse qualitative user feedback.
Results:
Most young people presented in the clinical range, with almost two-thirds reporting moderate to severe distress. Statistically significant reductions in distress were observed with large effect sizes (d = 1.08–1.28). Young people in the clinical range demonstrated significantly higher rates of reliable improvement compared to those who presented in the healthy range. In line with similar evaluations, young adults were more likely to achieve improvement and report higher satisfaction. Sentiment analysis of satisfaction data indicated a strong skew towards positive sentiment, with trust, anticipation and joy being predominant. Qualitative feedback pointed to waiting times as an improvement area.
Conclusion:
The absence of a control group limits our ability to evaluate the effectiveness of the service interventions. Nonetheless after a decade of service delivery, these results indicate that large scale national youth mental health programmes can achieve satisfaction and clinical outcomes in line with international standards. Further research is needed on the predictors of reliable change, differences across demographic groups and approaches to improving waiting times in primary care.
This paper renews the contemporary and enduring salience of archaic and discredited concepts of spatiality and physical geographic determinism, but historicises, repurposes and reworks them: it is an essay in critical and decolonial palaeo-territorialisation. Concreteness may well have been misplaced, but place – and space – might not have been altogether mis-concretised. Rethinking the global is an opportunity to step back and think about macro-scales and macro-scalarity more broadly. This paper exhumes and decolonially/critically reappropriates Carl Schmitt’s Großraum concept (re-examining, along the way, if not quite rehabilitating the Meer und Land thesis and Mackinder’s ‘geographical pivot’ (Mackinder 1904)) as a heuristic device to explore the overlooked scales of continents and continentality in the genealogy of a global geographic imaginary that is as much geotectonic as geo-historical. ‘The Global’ would then come to signify pre-eminently – or perhaps has always signified – as the intercontinental rather than the international: a space or set of spaces in some ultimate sense conditioned by the configuration of the planetary crust yet nonetheless produced through historical processes. We may never have been global, but we have been (inter)continental for the last half-millennium. State sovereignty, (racial) capitalism, colonialism, imperialism, public international law, fascism, communism and neoliberal globalisation have all been projects or formations – directly or indirectly, by design or accident – producing, pursuing, exploiting, organising and ordering continental Großräume. Contemporary regional trade blocs, regional international governmental organisations, regional human rights systems, military alliances and even putative civilisational divides all reflect the perdurable continental horizons of our ostensibly global imaginary.
An association between second-hand smoke exposure and depressive symptoms has been reported; however, further research is needed for clarity.
Aims
This 20-year prospective cohort study aimed to longitudinally explore the relationships of smoking and second-hand smoke exposure with incident depressive symptoms in community-dwelling middle-aged and older adults.
Method
Data of adults aged ≥40 years were collected from the National Institute for Longevity Sciences – Longitudinal Study of Aging database (third to ninth waves). Participants with baseline (third wave) depressive symptoms, missing data or no follow-up participation were excluded. Baseline data on current cigarette smoking and second-hand smoke exposure were collected. Depressive symptoms were defined as a Center for Epidemiologic Studies Depression Scale score ≥16. Generalised estimating equation models evaluated longitudinal relationships of smoking and second-hand smoke exposure with incident depressive symptoms.
Results
The final analysis included 1697 participants (mean (s.d.) age, 58.7 (11.2) years; mean follow-up, 12.9 years). Depressive symptom incidence ranged from 8.0% (wave 4) to 6.5% (wave 9). Compared with non-current smokers, current smokers showed no significantly higher risk of incident depressive symptoms (multivariable-adjusted odds ratio (95% CI): 1.27 (0.96−1.68)). Subgroup analysis revealed higher risks in male current smokers (adjusted odds ratio (95% CI): 1.40 (1.00−1.94)) and current smokers aged ≥65 years (adjusted odds ratio (95% CI): 1.62 (1.00−2.63)). Current smokers exposed to second-hand smoke had a higher depressive symptom risk than unexposed non-smokers (odds ratio (95% CI): 1.50 (1.05−2.14)) and greater risk (odds ratio (95% CI): 1.39 (1.00−1.94)) than unexposed current smokers.
Conclusions
Smoking, combined with second-hand smoke exposure, is associated with future depressive symptoms in community-dwelling middle-aged and older adults.
Psychiatrists and anthropologists both rely on observation, discourse analysis and access to participants’ internal and external worlds. Ethnographic fieldwork, a key method in medical anthropology, offers a powerful tool to establish a robust evidence base of how to address mental health inequalities in ethnic minority communities.
Depth-averaged systems of equations describing the motion of fluid–sediment mixtures have been widely adopted by scientists in pursuit of models that can predict the paths of dangerous overland flows of debris. As models have become increasingly sophisticated, many have been developed from a multi-phase perspective in which separate, but mutually coupled sets of equations govern the evolution of different components of the mixture. However, this creates the opportunity for the existence of pathological instabilities stemming from resonant interactions between the phases. With reference to the most popular approaches, analyses of two- and three-phase models are performed, which demonstrate that they are more often than not ill posed as initial-value problems over physically relevant parameter regimes – an issue which renders them unsuitable for scientific applications. Additionally, a general framework for detecting ill posedness in models with any number of phases is developed. This is used to show that small diffusive terms in the equations for momentum transport, which are sometimes neglected, can reliably eliminate this issue. Conditions are derived for the regularisation of models in this way, but they are typically not met by multi-phase models that feature diffusive terms.
After World War II, Japan was severely degraded, and its people were generally devastated. For the country’s very survival, the beleaguered Japanese people sought to rebuild economically and reputationally. During this postwar period, Japanese business, union, and government leaders grappled with lagging progress and the necessary abandonment of prior transwar social and business arrangements. They sought new strategies to stimulate advancement in the wake of a governmental vacuum, labor unrest, and the threat of communism. In this context, Moral Re-Armament (MRA) took root in some areas of Japan during the period when Japan’s gross domestic product (GDP) grew from $102 billion in 1945 to $420 billion by 1961. MRA introduced Western-oriented societal values, intended to help nurture individual and societal change, including collaborative relations between unions and management. Of the first eight Japanese prime ministers after World War II, six either worked openly with or endorsed the MRA movement.
Childhood maltreatment can lead to poor socioemotional development, which may undermine parental functioning in adulthood. Having a large social network of relatives and friends, however, might buffer the effects of childhood maltreatment on parents. This prediction was examined using prospective data from the Minnesota Longitudinal Study of Risk Adaptation (N = 173). Early childhood maltreatment was assessed prospectively at ages 0 – 5. Socioemotional competence during middle childhood and adolescence (ages 5 – 16) was assessed via teacher reports. Adult parenting was assessed using a semi-structured interview at age 32 (N = 106) and dyadic parent-child observations at various ages (N = 85). At age 32, participants also wrote the names of friends and relatives in their inner, middle, and outer social circles. In a moderated mediation analysis, childhood maltreatment forecasted low socioemotional competence, which in turn predicted more negative parental orientations (greater hostility and lower emotional connectedness and involvement) and lower observed parental support in adulthood. However, having a large social network and having friends in one’s inner circle buffered this effect. These results highlight the significance of social networks in supporting parents who were maltreated in childhood, and primarily the importance of close friends.
Aotearoa New Zealand’s recognition of the Whanganui River as a legal person in 2017 has generated a lively debate. While advocates argue that ascribing personhood to natural entities is a powerful tool for redressing historical injustices against Indigenous peoples and for protecting the environment, critics argue that it is incompatible with Western legal and political systems. In this article, we use Thomas Hobbes’s theory of personhood to develop a novel account of ecological personhood. Hobbes explains how natural entities can be empowered to speak and act through authorized representatives, much as states, corporations, and wards do. Our Hobbesian account has three main payoffs. First, it offers a bridge between different legal orders and ontologies of nature. Second, it explains how “ecoship” is normatively different from corporate personhood and guardianship. Third, it highlights both the transformative potential of ecological persons and the ways in which they can be coopted and subverted.