To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
At its heart, compassion is the feeling of being motivated to act in the presence of suffering. From a psychological perspective, the construct is conceived as having two dimensions: state and trait. The compassionate state reflects the feeling of compassion or having a compassionate response in the moment, while a compassionate trait is more stable, reflecting a general tendency towards compassion or towards feeling and responding compassionately most of the time. For people who are expected or required to be compassionate in their everyday life or work, compassion requires sustained courage and a continued willingness to engage with suffering, rather than avoid it. This chapter explores compassion from psychological, evolutionary, and physiological viewpoints. Despite a useful and growing literature in this area, a precise definition of compassion in practice can remain elusive. The meaning of compassion is not written in stone; it flows. As a result, what the concept means in healthcare, and how it works in practice, are, perhaps, made most tangible through providing compassionate care to patients, interacting with families, discussing compassion with colleagues, and teaching students about compassionate healthcare. If compassion is defined flexibly and understood wisely, it can shape care in positive ways, improve outcomes, and change lives.
Our special issue examines the regulation and practice of constitutional risk management in the V(isegrád)-4 countries (Czech Republic, Hungary, Poland and Slovakia). Unfortunately, the treatment of the COVID-19 pandemic made this enterprise relevant, as all four countries had to face a similar health emergency. This article presents the most important experiences and trends in the constitutional crisis management of the four countries, identifying the challenges that the constitutional emergency regulatory regimes have encountered so far. Our paper argues that despite the basically similar constitutional frameworks, these countries typically handled the crisis in a different way, and in the process many constitutional problems arose for which there was no clear or uniform solution. Since the purpose of the international comparative research that is the basis of our special issue was to examine the emergency constitution of these four countries in general (since it will have to be applied to possible later, other types of emergencies), in the last chapter of the article we examine the possibilities of a proposition that represents a novelty in the constitutional discourse on emergency situations: this is an option for the convergence of emergency constitutions.
The announcements by President Trump in April 2025, of unilateral hikes of 10–50 percentage points on U.S. import tariffs on all countries’ goods, are under threat of coming into force on July 9, 2025. This article estimates their likely effects on trade in alcoholic beverages, using a global model of national beverage markets. Various scenarios are compared. They suggest that if the tariff hike was restricted to just 20% on goods from the European Union, the value of global trade in each of the three beverages would shrink by one-tenth. But the U.S. tariff hikes are to apply to all countries’ goods, which are estimated to shrink global exports by 13% for wine, 22% for spirits and 33% for beer. In that broader scenario, most countries’ wine exports would shrink, but exports of beer and spirits would expand for some countries thanks to the trade divergence generated by the varying tariff hikes. If the increasing uncertainty associated with these developments led to a cumulated 2% drop in consumer spending, virtually all wine-exporting countries would sell less wine to both the U.S. and the rest of the world. That is, wine trade destruction would outweigh trade diversion.
This chapter introduces a new model to represent the heterogeneity of the Italian civitates. The model is based on the abundant archaeological evidence of the inhabited areas of their administrative centres, using it as a proxy for various economic and socio-political aspects of the civitas. This new variation model surpasses previous ones by being continuous (rather than categorical) and by formally incorporating the uncertainties associated with missing data.
Since 1994, the Andalusian Institute of Geophysics of the University of Granada group has been monitoring the seismic activity of Deception Island volcano (South Shetland Islands, Antarctica) during summer surveys. In this review, we analyse long-period and volcanic-tectonic events, including tremor episodes, recorded from 2011–2012 to 2021–2022 surveys with a local network and a seismic array. The seismo-volcanic activity on Deception Island occurs very locally, mainly as a result of tectonic destabilization induced by volcanic activity along with regional stresses, as a consequence of rifting and subduction processes spanning the South Shetland Islands, Bransfield Strait and Antarctica Peninsula. During this period, two changes to the volcanic alert level due to different volcanic parameters can be highlighted. The first of them was caused by the 2014–2015 seismic swarm as a consequence of a great regional perturbation located to the north-east of Deception Island, which spread around to the entire volcano. The second one, in the 2019–2020 survey, was established as a result of a significant increase in deformation parameters as a prelude of the August 2020 massive earthquake swarm that occurred in the Bransfield Strait, near the Orca submarine volcano. Furthermore, in the previous 2018–2019 survey, a peak of seismic activity was also recorded.
The growing burden of mental, neurological and substance use (MNS) disorders in low-resource settings has prompted efforts to integrate mental health into primary health care (PHC). This study evaluated the implementation and outcomes of a large-scale mhGAP training initiative under the Mental Health in Primary Care (MeHPriC) program in Lagos State, Nigeria. A total of 852 PHC workers from 57 facilities completed a 5-day mhGAP training and a 1-day refresher session. Using a pre-post mixed-methods design, we assessed changes in knowledge, stigma, clinical practice and self-efficacy, with follow-up at five months. Quantitative findings revealed significant improvements in knowledge and attitudes, with enhanced clinical practice reported by 69.1% of participants. Supervision, knowledge gains and self-efficacy emerged as predictors of improved practice. Qualitative data, analyzed using the Consolidated Framework for Implementation Research (CFIR), highlighted increased confidence, reduced stigma and the enabling role of supervision and peer support, alongside persistent barriers such as medication stock-outs and limited referral networks. The study offers robust evidence for the effectiveness of task-sharing approaches when supported by contextual adaptation and system-level readiness. The MeHPriC model demonstrates that government-led mhGAP scale-up in PHC is both feasible and impactful, offering a replicable pathway for mental health integration in other LMICs.
According to accounts like Alexander Bird’s Minimal Functional Account of social knowledge, various groups like those within the sciences can socially know that <p>, even if no particular individual within that group knows that <p>. Bird’s primary example of a group that has such knowledge is the community of semiconductor physicists – which, as he contends, is sufficiently functionally integrated to satisfy accounts like his own. But, what about specialist communities within philosophy? Do they satisfy accounts like Bird’s own? Should they? As I will suggest in this article, some of them should, but do not appear to do so – at least, as of yet.
I offer an interpretation of Kant’s doctrine of cognitive spontaneity that explains how the understanding can function outside of the efficient-causal structure of nature, without being part of what McDowell calls ‘the domain of responsible freedom’. Contemporary literature is dominated by the ‘cognitive agency’ approach, which identifies cognitive spontaneity with a kind of freedom. Against this view, the ‘cognitive processing view’ banishes agential notions from its account but also reduces the understanding to mere mechanism. I argue that neither of these interpretations is obligatory, motivating a teleological but non-agential account that resists assimilation into either of the current approaches.
This chapter looks at ways of building personal resilience as a foundation for compassion. The chapter starts by presenting relevant learnings about resilience from the Covid-19 pandemic; outlines positive behaviours that promote individual physical health, mental health, and resilience; presents a guided imaginative practice focusing on resilience and inner solidity, and, finally, draws together key themes of resilience, equanimity, and compassion towards the end of the chapter. The overall message is that self-care is (a) an act of radical self-compassion, (b) the basis of compassion for other people, and (c) a vital foundation for resilience, among other qualities. We cannot care for others, or become more resilient, unless we care for ourselves, so it is essential that healthcare workers pay attention to their physical and mental health. This includes optimising levels of physical exercise, sleep patterns, and dietary habits, as best as possible. It also includes specific steps to improve mental health, both in our own lives and in relationship with other people. Physical and mental health are intimately related with each other. Both are vital foundations for learning greater resilience and cultivating deeper compassion for ourselves, our patients, their families, and our colleagues in the healthcare professions.
This chapter investigates the relationship between wealth and officeholding in Pompeii. It presents a new reconstruction of the wealth distribution among the Pompeian elite, combining an economic model with archaeological evidence from the local housing stock. The findings suggest that there were significantly more households in Pompeii with curial and senatorial wealth than there were Pompeian decurions and senators.
Few studies have investigated stapedotomy using 1470 nm diode laser, and the present article contributes with clinical experience.
Methods
A retrospective analysis was conducted to investigate hearing performance of 22 patients undergoing 1470 nm diode laser-assisted primary stapedotomy.
Results
In 8/22 cases, accidental breaches to the inner ear by the laser and in 14/22 cases the stapedotomy was performed as planned only by drill. Air–bone gap and loss of sensorineural hearing were low and with no significant differences for groups at follow-up. No patients with breaches by laser reported new or worse tinnitus.
Conclusion
Accidental breaches in the stapes footplate using this diode laser did not appear to equate with inner ear damage within this limited cohort. Hearing outcomes were not significantly affected. These findings should be interpreted with caution. Further studies evaluating this laser wavelength in stapedotomy is required.
As we cultivate mindfulness, we can develop and deepen our compassion skills, both for ourselves and for others. Without self-compassion, we will struggle to look after other people compassionately. This chapter explores ways to build self-compassion and how to extend this compassion to other people in our lives. This includes our patients, their families, and our colleagues, as well as our own families and circles of friends. These are important tasks that find their roots in the theoretical and research foundations of compassion, and build on the awareness skills that we develop through mindfulness practice. This chapter presents exercises for deepening self-compassion, growing compassion for other people in our lives, and extending that compassion to everyone. By focusing on common humanity, we move towards a more stable, engaged response to other people, less informed by our own situation and more informed by theirs, less shaped by our judgements about them and more shaped by what we can achieve together. Developing compassion for everyone can be challenging, especially for people whom we anticipate will be difficult, but, with awareness, we can move in the right direction. This chapter concludes with an exercise that focuses on generating feelings of compassion towards other people by encouraging mindfulness of our connection with all beings and the planet as a whole.
Shifting Landscapes is a rich, multidimensional exploration of urban education in the multiverse of India, adding value to the growing scholarship on broader connections between urbanisation and education. As cities have continued to develop, their spatial, social and cultural landscapes have also evolved to adapt to the global capitalist needs. Education has been an integral part of these transformations, and the upheavals within the education sector have given rise to privilege and exclusion in schooling and growing marginality of the poor. The volume takes on an interdisciplinary approach to examine how the idea of the urban and that of urban education are co-constituted and, more specifically, how spatial and educational inequalities in cities intersect. The chapters bring together diverse contexts to address the heterogeneity of urban social reality in India and similarly document the changes in educational access, provision, aspirations and politics in several parts of the country. This title is available as Open Access on Cambridge Core.
Despite being outlawed, attacks on cultural heritage remain a pervasive feature in atrocity contexts, the effects of which are compounded by a relative deficit of accountability at the international level. To remedy this gap, the Office of the Prosecutor (OTP) of the International Criminal Court (ICC) issued Policy on Cultural Heritage. However, crimes against cultural heritage are not fully articulated in the Court’s governing instruments. To leverage the protective scope of the Court, the Policy adopts a human rights understanding of cultural heritage which I frame in terms of distinctive relationships between heritage and atrocity crimes. The Policy fertilises a second argument shorthanded as world-building. Against world-destruction, the Policy erects an accountability architecture. Conceptually, it foregrounds an understanding of the world as a cultural construct around which social relations are organised. Crimes against heritage undercut the very notion of what it means to be human; disrupt cultural identification, transmission, and development processes; and deny present and future generations the ability to be specific kinds of cultural human beings. In those regards, this article adds to the world society research agenda of English School theory by examining how the Policy more fully develops the Court’s role as an agent for humanity.