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Ethnic inequalities in compulsory psychiatric hospital detentions are well-documented in the UK and internationally. It is unknown how UK coronavirus disease 2019 (COVID-19) lockdown measures, which led to restrictions in public movement, gatherings, in-person health service delivery and changes to police powers, further impacted inequalities.
Aims
In this study, we assessed whether national lockdown measures impacted ethnic inequalities in voluntary and compulsory psychiatric hospital admissions during the COVID-19 pandemic.
Method
Daily counts of admissions and detentions to psychiatric hospitals were extracted from a large population-level sample of secondary mental health service users in South East London. Changes during two COVID-19 lockdown periods, over 2020–2021, were compared with pre-pandemic periods (2016–2019) with the use of a regression discontinuity in time design to assess ethnic inequalities in voluntary and compulsory mental health admissions.
Results
Compared to the pre-pandemic reference (2016–2019), after adjusting for seasonal and weekly trends, overall admissions to mental health units dropped during the first COVID-19 lockdown (incidence rate ratio (IRR) 0.87 (95% CI: 0.75–1.00)), but compulsory detentions rose (IRR 1.25 (1.05–1.54)). This was mostly due to higher compulsory detentions in the Black Caribbean group (IRR 1.54 (1.08–2.19)). During the second COVID-19 lockdown, whereas total daily admissions remained similar to the pre-pandemic reference (IRR 1.03 (0.92–1.15)), total new daily detentions was elevated (IRR 1.28 (1.11–1.49)), specifically in Black Caribbean (IRR 1.53 (1.14–2.06)) and Black African (IRR 1.57 (1.06–2.34)) groups.
Conclusions
COVID-19 lockdown measures exacerbated pre-existing ethnic inequalities in compulsory psychiatric detention, particularly for those from Black Caribbean and Black African backgrounds. There is a need to address ethnic inequalities in compulsory psychiatric detentions and attend to exacerbations of pre-existing inequalities during health emergencies like the COVID-19 pandemic. This cannot be achieved without addressing systemic racism within criminal justice and healthcare systems and tackling inequalities in wider social and economic determinants of mental health.
Although studies in Second Language Acquisition have consistently highlighted the fundamental role played by vocabulary in mastering a foreign language, traditional Latin instruction still tends to focus primarily on morphology and syntax at the expenses of vocabulary, with the result that students often struggle to retain the words they are required to memorize. Following in the wake of research on Game-Based Learning, I suggest that introducing board games in the Latin classroom—particularly those designed to develop the different stages of new information acquisition—is an inexpensive and engaging way to facilitate vocabulary learning and retention, as well as to foster students’ socialization and participation.
In the global waste trade, importers buy containers of waste and scrap to meet demand for raw materials, especially in the Global South. But post-processing leftovers generate localized negative externalities. I use the waste trade as a setting to establish that low-capacity states can and do use tariffs as a tool in their environmental policy repertoire. Product-level tariffs can serve as Pigouvian ’sin’ taxes that incentivize private market actors to limit transactions and/or increase state revenue, both channels that can result in improved environmental outcomes. For evidence, I leverage the ‘China garbage shock’: in 2017 China banned imports of twenty-six waste products (HS six-digit), which disrupted economic–environmental trade-offs in other, newly competitive markets awash in diverted imports. Using novel data on 179 traded waste products and product-level tariffs (1996–2020), I demonstrate that those that received the shock raised tariffs in ways consistent with environmental protection.
Suicide is a significant global public health problem, with a disproportionately large burden among youth in low- and middle-income countries (LMICs). Despite growing awareness of the problem, evidence-based interventions in these settings are scarce.
Aims
This systematic review aims to identify and synthesise the evidence-based literature on the effectiveness of psychosocial-interventions to prevent suicide among young people aged 10–24 years in LMICs to reduce the risk of suicide and improve their mental-wellbeing.
Method
After registering protocol with the PROSPERO database of systematic reviews (CRD 420251016364), we searched electronic databases (e.g., PubMed, Medline, Cochrane Library, APA PsycINFO, Scopus, EMBASE, Web of Science and Google Scholar) for potential studies. We considered relevant literature in the English language and published from January 2000 to March 2025. Studies eligible for inclusion were psychosocial interventions compared with a control group, conducted on adolescents in LMICs, and with suicidal-ideation and suicide attempt as primary outcome. Reducing symptoms of anxiety and depression as well as improvements in quality of life were considered as secondary outcomes.
Results
Among 1,223 identified studies, only four met the inclusion criteria. Despite the limited evidence base, all included trials reported reductions in suicidal ideation and improvements in emotional well-being, suggesting the potential effectiveness of culturally adapted psychosocial approaches. Estimated intervention effect sizes ranged from large to extremely large (Cohen’s d = 1.46, 2.08, 1.30 and 3.02, respectively), compared with small-to-moderate effect sizes from high-income countries (d ≈ 0.24 to 0.54). Secondary benefits were noted for hopelessness, depressive symptoms and quality of life. However, interpretation is limited by small samples and inconsistent methods, reducing comparability with high-income data.
Conclusions
The review highlights major gaps in youth suicide prevention within LMICs, emphasising the urgent need for contextually relevant, evidence-based psychosocial interventions and policy frameworks. Findings suggest moderate effectiveness of current interventions, underscoring the importance of culturally tailored implementation to enhance impact.
Self-placement measures of masculinity and femininity have been gaining popularity in political science research, but questions remain about their long-term stability and the extent to which political views may impact gender identities. Taking advantage of two waves of measures of masculinity and femininity self-placement in an online panel, a categorical measure of masculinity and femininity (making use of a six-point scale, anchored scale) is found to be both highly stable and more stable than a scalar measure (making use of a 0 to 100 scale). The scalar measure is also found to be responsive to political views, such that men who report support for Donald Trump in the US Presidential elections identify as more masculine in the follow-up study. Overall, both measures are found to be relatively stable, bolstering the case that they are measuring a stable underlying construct.
Law is both shaped by and a vehicle for hierarchically structured dichotomies that fragment life, thought and action – most enduringly the split between scholarship and activism. This article revisits investigación militante, a Latin American and Caribbean tradition that rejects the separation between theory and practice, and between academic inquiry and political struggle. Through the work of Orlando Fals Borda, Lélia Gonzalez and Silvia Rivera Cusicanqui, we explore how investigación militante offers a distinctive onto-epistemological and ethical orientation for law and society research. Concepts such as senti-pensar, amefricanidade and ch’ixi open up approaches to law as a terrain for co-producing alternative normativities. We identify three core commitments – methodological, political and ethical – that distinguish investigación militante from adjacent approaches such as movement lawyering, offering critical resources for re-imagining law and society praxis amid intersecting planetary crises.
This chapter analyses the use of non-traditional trademarks (NTTMs) in the fashion industry. With reference to selected cases in the United States, the European Union and Singapore, the authors study the arguments for and against the protection of these signs as trademarks, as well as the appropriate test for the evaluation of distinctiveness. Although some fashion designers and enterprises have celebrated victories in court, it has been widely noted that the registration and protection of these NTTMs can be problematic and potentially detrimental to innovation in the fashion industry. The authors also critically examine the different tests of ‘association’ and ‘reliance’ as discussed in recent court decisions on acquired distinctiveness of NTTMs and conclude with a recommendation that the ‘reliance’ test is the preferred test.
Validity tests are used in both forensic and clinical settings, but their application in clinical practice is often hindered by misconceptions. These include the assumptions that validity tests imply a medico-legal dimension, primarily detect feigning or malingering, and provide minimal actionable information to clinicians. The authors critically discuss these misconceptions and argue that validity tests may offer significant value in clinical practice by assessing whether patients can describe their symptoms, complaints and impairments with reasonable accuracy, which has important implications for diagnosis and treatment planning. Importantly, in clinical practice, when interpreting validity tests, neutral terminology such as ‘over-reporting’ and ‘underperformance’ is often preferable to – and better to substantiate than – terms like ‘feigning’ and ‘malingering’, which can evoke moral judgements, creating an unnecessary barrier to using these valuable clinical tools.
Luxury fashion seeks to aestheticize scarcity and transform its possession into a sign of social distinction. Intellectual property law plays a crucial role in this process. This essay considers the social function that intellectual property law may continue to play in a purportedly ‘post-scarcity’ society of the future. It asserts that though intellectual property law has long played a technologically progressive role in modern societies, its social function in such societies has been and will continue to be largely reactionary. Even in an otherwise post-scarcity society, intellectual property law will be used, as it is already being used, to preserve ‘social scarcity’ and regulate signs of social distinction.
The account of extraction using only generalized context free phrase structure (put forth in a series of papers by Gazdar in the late 1970s and early 1980s and then codified in Generalized Phrase Structure Grammar) used, slash as a feature to indicate that there was something missing in wh-extraction constructions. Although this was (deliberately) reminiscent of the slash of Categorial Grammar (CG) (which encodes argument selection), they treated it as distinct from the CG slash. Subsequent work by Steedman proposed to unite them. This paper argues first, that Gazdar et al. were correct to treat the two differently. Second, I advocate a natural view of syntactic categories under the CG world view. Thus, we take the function categories of CG to correspond to functions on strings, and with this we preclude what I call S-crossing composition, used in many CG analyses. With this in mind, we suggest that rightward extraction as in Right Node Raising really is function composition, while wh-extraction should be handled by something much closer to the account in Gazdar et al. The two behave differently under coordination chains involving a silent and or or. This behavior provides evidence that the two should be kept distinct (see also work by Oehrle for this poit), while providing striking evidence for the view of syntactic categories advocated here.
In South Africa, community health workers (CHWs) provide home-based care and health promotion for patients with chronic conditions like hypertension. However, their views on patients’ poor blood pressure control remain unclear. Understanding CHWs’ perspectives could inform future community-level strategies for improving blood pressure management.
Objectives:
To explore CHWs’ experiences about factors contributing to uncontrolled hypertension among adults living in a South African District.
Methods:
A qualitative exploratory design, based on 22 face-to-face, semi-structured interviews with CHW. Data was transcribed and analysed manually using thematic analysis.
Findings:
Four themes emerged: (1) adequate knowledge about blood pressure and hypertension. However, lack of comprehension about the physiological concept of blood pressure and hypertension, (2) interventions used for hypertension control were contextualized and very simple, (3) contextual barriers to hypertension control included financial, personal, systemic, medication as well as cultural and traditional factors, (4) strategies to improve hypertension control included improved team work, awareness creation, holistic healthcare, improved access to clinic facilities, system-related improvements and patient initiatives.
Conclusion:
Community health workers (CHWs) demonstrated sufficient knowledge of hypertension, highlighting the need to strengthen and standardize their training, supervision, and support. Their patient advice was practical and context-specific. To address barriers and stigma around hypertension, CHWs should lead awareness campaigns and engage in community-based exercise and support groups, with help from rehabilitation teams. Collaborating with local police and community leaders to address violence, alcohol, and crime, along with initiatives like community gardens, multidisciplinary teamwork, and more frequent home visits, could further improve hypertension control.
As digital connectivity expands and more services become tradable online, international trade is increasingly transitioning into the digital realm. Consequently, the regulatory environment facilitating digital trade has emerged as a central aspect of trade policy. Empirical research plays a vital role in informing the design, implementation, and reform of regulatory policies to facilitate trade in the digital era. However, such research heavily relies on the availability of up-to-date regulatory information across various countries. This paper introduces the Digital Trade Integration (DTI) database, which provides an overview of regulatory policies and practices expected to impact digital trade integration across 146 countries. These measures are organized into 65 indicators and 12 policy pillars covering restrictive and enabling policies. This paper highlights global and regional trends that are considered the four main components of digital trade integration: regulating (Information and Communication Technology) ICT goods, online services, investment in sectors relevant to digital trade, and data. The findings underscore the necessity for ongoing research and policy development to foster an equitable and integrated global digital economy.
This chapter examines the economic resources to which local priests had access, drawing in particular from evidence from the region around Trier in the Moselle valley and Freising in Bavaria. It traces the sources of income available to these priests, including tithes and oblations, and investigates how these revenues changed in the course of the tenth and early eleventh centuries. On the one hand, the scope for action that priests themselves had at their disposal becomes clear; at the same time, however, the chapter also shows how the various sources of income that existed at a local church were formalised during the period under investigation and could become the subject of increasingly complex transactions.
As private actors turn to international courts (ICs), we argue that judges can adopt pro-individual rights agendas to promote their own legitimacy. By leveling the odds for disempowered individuals and spotlighting their rights claims, ICs rebut charges that they are playthings of the powerful and cultivate support networks in civil society. We assess our theory by scrutinizing the first IC with private access: the European Court of Justice (ECJ). Established as an economic court and alleged to conceal a pro-business bias, we leverage original data demonstrating that the ECJ publicizes itself as protector of individuals and matches words with deeds. The ECJ ‘levels’, favoring individuals’ rights claims over claims raised by businesses boasting better legal teams. The ECJ then ‘spotlights’ pro-individual rights rulings via press releases that lawyers amplify in law journals. These findings challenge claims that ICs build legitimacy by stealth and the ‘haves’ come out ahead in litigation.
Court-curbing legislation seeks to constrain judicial independence and create a judicial environment that aligns with the preferences of the state legislature. Much of the existing court-curbing literature focuses on court curbing at the national level and state courts of last resort. However, most cases in the United States are decided by lower state courts. This article examines the motivations to curb lower state courts. Our results suggest that as legislative professionalization increases, the legislatures are more likely to introduce legislation that curbs state trial courts. Unlike existing literature on federal courts and state courts of last resort, the ideological distance from the bill sponsor and the state lower courts does not influence court-curbing activity. Our results hold when tested at both the bill and state levels.
This article examines endangered language protection through domestic legislation, questioning reliance on international linguistic human rights frameworks. While international courts frequently decline to enforce language rights independently, national legislation proves more effective in safeguarding linguistic diversity.
Through a comparative case study of Qatar, Lebanon, and Morocco, this research identifies effective domestic approaches to protecting linguistic diversity. Qatar’s Law No. 7 of 2019 balances Arabic promotion with minority protections. Lebanon’s multilingual educational framework and Morocco’s constitutional recognition of Tamazight demonstrate how domestic mechanisms provide substantive linguistic safeguards. These cases reveal that successful preservation requires enforceable domestic legislation rather than theoretical international frameworks lacking implementation mechanisms.
The article exposes critical gaps between idealistic international instruments and enforceable protections, advocating state-centered approaches that treat language as both cultural heritage and living practice. Effective preservation emerges from coordinated national legislation combined with community initiatives within existing human rights frameworks. This shift from international idealism to domestic pragmatism offers viable pathways for protecting global linguistic diversity – particularly urgent given that approximately 3,000 languages face extinction within the coming decades. The study presents implementable alternatives to failed international strategies, demonstrating how context-specific domestic policies achieve meaningful preservation outcomes.
The prevalence of female genital schistosomiasis (FGS) and male genital schistosomiasis (MGS) remains high in many low-to-medium-income countries, and each has sex-specific disease sequelae with wider detrimental gender and health impacts. Social science research studies on the former outnumber those on the latter. Indeed, in many countries across sub-Saharan Africa (SSA), MGS (as with male reproductive and sexual health issues in general) is overlooked, underappreciated, and broadly orphaned within urogenital and intestinal schistosomiasis research and control. Similarly, in those countries where MGS has been reported formally, its psychosocial dimensions and effects remain poorly understood, especially in terms of context-specific cultural and societal factors. In this scoping review, we attempt to better contextualize MGS within men’s sexual and reproductive health and rights (SRHR) and general wellbeing, as it often draws parallels with social science research in FGS. We discuss common psychosocial determinants, highlighting why current surveillance of MGS is particularly poor and the primary health care response to mitigate it is bottlenecked and largely stalled within the wider health system, from both top-down and bottom-up perspectives. Our specific approach remains cognisant of the context of infected households where all members could be suffering from urogenital and/or intestinal schistosomiasis. Looking ahead, we develop and frame a pragmatic social science research agenda to encourage and better explore and assess the detrimental impact of MGS on infected men and boys, considering appropriate ameliorations more holistically within primary care.
This essay argues for an integrative move in the investigation of the politics of ‘green’ finance. We suggest that approaching the politics of ‘green’ finance in the form of knowledge contestations can bring out complementarities and bridge divides between different levels of analysis and theoretical traditions. Our focus is motivated by the pivotal role of knowledge and ignorance in the organisation and governance of financial markets identified in economic sociology, political economy, and neighbouring disciplines. Drawing on this scholarship, we consider knowledge both a forum for and a means of politics. We then illustrate how this conceptualisation provides insights into the politics of ‘green’ finance on different levels of analysis and following different theoretical traditions: in the context of tracing elites in their dissemination of specific ideas shaping governance regimes; when following market devices which produce partial calculative representations of the world; in problematising how financial organisations both produce and accept certain types of knowledge to further their interests; and when examining the role of ideology and imaginative capture in stabilising financial capitalism during climate crisis. We conclude by identifying the connective tissue between these different analytical and theoretical approaches made visible by the integrative concept of politics as knowledge contestations.
Tower tasks are popular tools used to measure planning skills. The sequences of moves undertaken by the respondents in solving tower tasks might provide important and useful information to shed light on their planning skills. The article focuses on the distinction between a situation where planning occurs before action (pre-planning) from one where planning and action are interlaced all along the execution of the task (interim-planning). While the model for pre-planning was already developed by Stefanutti et al. (2021), an alternative model for the interim-planning is proposed. The two models are compared with one another in an empirical study. In accordance with the literature on the development of planning skills, the pre-planning model better fits data collected on individuals aged 14 on, while the interim-planning model displays a better fit with data collected on individuals aged 4–8. This result is further corroborated by the analysis of the time performance.