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.
Emotional prototypicality (EmoPro) refers to the degree of emotional representativeness of a word and influences emotional content extraction at the lexical level. However, its effect on more complex semantic structures, such as sentences, remains unclear. This study employed eye-tracking to examine the EmoPro effect during Chinese sentence reading. EmoPro (high vs. low) was manipulated in two experiments, with sentences containing either a positive or negative valence target word. The lexical frequency of these target words was also manipulated to assess its influence on emotional semantics activation during reading. The results show that high EmoPro words consistently evoke greater engagement during both early and late word processing, demonstrating a significant advantage in emotional information retrieval. Word frequency influenced this processing advantage differently for words with a positive or negative valence. For positive valence, high-frequency words facilitated emotional extraction for high EmoPro words; for negative valence, low-frequency words enhanced their salience, leading to faster emotional retrieval. These findings provide the first evidence that EmoPro significantly impacts the processing of words in natural reading. The findings also highlight a complex interplay between affective and linguistic information in emotional semantics embodiment, with word frequency playing a pivotal role in shaping its depth during reading.
Schizophrenia is associated with premature mortality, but most evidence comes from high-income regions.
Aims
This study aimed to estimate the excess mortality associated with schizophrenia in southern China.
Method
We linked register data from a nationwide information system for psychosis to death registers. Individuals diagnosed with schizophrenia and residing in Guangzhou between 2014 and 2021 were included. Standardised mortality ratios (SMRs) were calculated to compare the mortality of people with schizophrenia with that of the general population. Life expectancy, potential years of life lost (PYLL) and years of life lost (YLL) were estimated for all-cause mortality and specific causes of death. Gender difference in these metrics was examined.
Results
There were 3684 deaths (11.3%) during the study period. The leading causes of death were circulatory, neoplastic and respiratory diseases. The mortality rate among people with schizophrenia was twofold greater than in the general population, with a greater risk associated with unnatural causes than natural causes. The risk of mortality due to suicide was 15-fold higher than that of the general population. The life expectancy in schizophrenia was around 60 years, which is 21 years shorter than that for the general population. Schizophrenia was associated with substantial premature mortality burden, showing greater impact in men than women.
Conclusions
Schizophrenia is associated with increased premature mortality, reduced life expectancy and substantial PYLL. The enduring disparity in mortality underscores an imminent call for targeted interventions aimed at suicide prevention and enhancement of the physical well-being of people with schizophrenia.
This paper assesses the effectiveness of current legal standards in resolving rights-based disputes arising from compulsory curricula in schools, an issue of growing significance as such teaching expands in the areas of sexuality, relationship and religious education. Focusing on Article 2 of Protocol 1 (P1-2) of the European Convention on Human Rights (ECHR), it critiques the current reliance on the ‘objective, critical, and pluralistic’ (OCP) standard, examining its alignment with the core purpose of P1-2: preventing state monopolisation in education through safeguarding qualified parental choice. The analysis identifies shortcomings in P1-2 case law, particularly the subjective nature of determining when teaching is OCP, the negation of parental objections and the neglect of children’s rights in the assessment process. To address these issues, the paper proposes a revised review framework which prioritises a justification test that recognises parental concerns, reduces reliance on public interest justifications and acknowledges the legitimacy of children’s rights as grounds for limiting parental objections. The paper argues that this refined approach better aligns with the article’s foundational purpose whilst fostering an enlarged space for the balanced consideration of competing interests and rights in educational controversies.
Off-licence psychotropic use in people with intellectual disability and/or autism, in the absence of psychiatric illness, is a major public health concern in England.
Aims
To ascertain and compare views of psychiatrists and non-psychiatrists working with people with intellectual disability and/or autism on psychotropic medication optimisation for this population.
Method
A cross-sectional survey of 13 questions was disseminated online among psychiatrists and other health professionals working with people with intellectual disability and/or autism across England, using a non-discriminatory exponential snowballing technique leading to non-probability sampling. The questionnaire covered demographic characteristics, perceived barriers/benefits of psychotropic optimisation (including ethnicity) and views on implementation of a national medicine optimisation programme. Quantitative analysis used chi-squared, Mann–Whitney and unpaired t-tests, with significance taken as P < 0.05. Thematic analysis of free-text responses was undertaken with Braun and Clarke’s methodology.
Results
Of 219 respondents, significant differences in attitudes to most issues emerged between psychiatrists (n = 66) and non-psychiatrists (n = 149). Psychiatrists had less optimism of a successful national medication optimisation programme if commissioned, or achieving 50% reduction in psychotropic overprescribing and inappropriate psychotropic prescribing generally. Perceived barriers to reducing overmedication differed significantly between the psychiatrists and non-psychiatrists, Thematic analysis identified five themes (system issues, resources, medication challenges, family and carers, and training and alternatives/structure).
Conclusions
This is the first study to highlight important differences between psychiatrists and non-psychiatrists’ attitudes to psychotropic optimisation despite respondents overall being broadly supportive of its need. A major finding is the hitherto unquantified concerns of patient ethnicity and its impact on psychotropic optimisation principles.
Dimitri van den MeersscheThis chapter traces the many entanglements between international organizations and private actors in the space of global security governance. By analysing the controversies surrounding the mandate of Europol and the contribution of private actors in countering terrorism online, it describes three modalities of entanglement: (i) private actors as sites of data collection and providers of sources of information that are increasingly relied upon by international institutions, (ii) enrolment of private platforms in the implementation of governance projects by international organizations, and (iii) alignment of such governance projects to the logic of tech companies and platforms – what Johns has described as a ‘lean start up’ mentality. Having traced these multiple points of influence, interaction and interdependence, the chapter proposes an infrastructural approach to the study of such public–private cooperation. This implies a recognition of how law and materiality are entangled in the production of social order and attentiveness to the role of digital infrastructures and socio-technical protocols in redrawing the public–private divide and constituting, mediating and materializing the exercise of international institutional authority. These observations crystalize in an urgent call to direct our thinking on rights and regulation towards these infrastructural formations and the political affordances that they entail.
Following Russia’s annexation of Crimea in 2014, the recent conflicts in Ukraine and the Middle East signal the return of geopolitics. This book challenges conventional approaches that ignore border change, arguing that geopolitics is driven by nationalism and focusing on how nationalism transforms the state. Using geocoded historical maps covering state borders and ethnic groups in Europe, the authors’ spatial approach shows how, since the French Revolution, nationalism has caused increasing congruence between state and national borders and how a lack of congruence increased the risk of armed conflict. This macro process is traced from early modern Europe and widens the geographic scope to the entire world in the mid twentieth century. The analysis shows that the risk of conflict may be increased by how nationalists, seeking to revive past golden ages and restore their nations’ prestige, respond to incongruent borders. This title is also available as Open Access on Cambridge Core.
We summarize some basics on quantum mechanics and relativity theory as needed in order to understand the physical content and context of the theory of causal fermion systems.
Following Russia’s annexation of Crimea in 2014, the recent conflicts in Ukraine and the Middle East signal the return of geopolitics. This book challenges conventional approaches that ignore border change, arguing that geopolitics is driven by nationalism and focusing on how nationalism transforms the state. Using geocoded historical maps covering state borders and ethnic groups in Europe, the authors’ spatial approach shows how, since the French Revolution, nationalism has caused increasing congruence between state and national borders and how a lack of congruence increased the risk of armed conflict. This macro process is traced from early modern Europe and widens the geographic scope to the entire world in the mid twentieth century. The analysis shows that the risk of conflict may be increased by how nationalists, seeking to revive past golden ages and restore their nations’ prestige, respond to incongruent borders. This title is also available as Open Access on Cambridge Core.
The cataclysm of World War I shook European academic culture: How could European culture have produced such barbarity? The greatest scientific culture the world had ever seen had used science and technology for catastrophically inhumane purposes. Cultural pessimism and nihilism were options that many took. Other academically inclined Europeans responded by rethinking the place of history and philosophy of science in academic and social life. Some of these new projects, such as George Sarton’s New Humanism, explicitly linked them to humanism. In others, such as the logical empiricism that developed in Vienna and Berlin, the connections to humanism were more implicit but no less real. This chapter considers some of the main themes of Sarton’s New Humanist history of science and Rudolf Carnap’s and Hans Reichenbach’s logical empiricism as they relate to questions of the unity of knowledge, the unity of humanity, and the responsible use of scientific knowledge.
Sebastián MachadoThe activities of international organizations have been traditionally analysed through categories which rely on classical notions of subjectivity and contractual relativity. International organizations, however, routinely engage the world beyond their own internal structure through a variety of actions. This presents a choice for their theorization, as we can characterize the relationship in ways that go beyond conventional legal types and can include broader themes such as markets, effects or costs and benefits. Within this context, this chapter takes the World Health Organization’s handling of the A1H1 Pandemic as a case-study for a (re)conceptualization that can account for the political economy of international institutional decision-making. While this opens up some research possibilities and brings the cost-and-benefit redistribution to the forefront, the reality is that international organizations have a powerful capacity to affect third parties even through non-conventional and unpredictable ways. The organization’s officials regularly engage in a balancing act where institutional activity must be seen to fit within their mission. Considering the sensibility of the different external and relevant markets, this chapter concludes by suggesting that international organizations and their officials must remain highly aware of their redistributive potential.
Chapter 4 traces the development of states in early modern Europe by revisiting Charles Tilly’s bellicist theory of how war and state formation interacted to reduce the number of states in Europe through persistent warfare. Focusing on state formation before the French Revolution, the chapter sets up a historical baseline that prepares the ground for our analysis of how nationalism affects state borders. Analyzing the external aspects of Tilly’s theory, we reformulate it as observable propositions that are tested systematically with geocoded data on state borders and interstate wars from 1490 through 1790. Proceeding at the systemic, state, and dyadic levels, our analysis confirms that warfare played a crucial role in the territorial expansion of European states, with power differentials increasing the chance of war, which let large states grow ever larger through conquest. Small states disappeared in the process, which in turn increased the average size of states.
Psychosocial interventions are vital in treating severe mental illness, yet their use remains limited, and patients often lack adequate information about them. Patient-focused versions of clinical guidelines are designed to enhance mental health literacy and inform patients about available treatments, but these resources are underutilized. This study evaluated the impact of implementing a patient-focused psychosocial intervention guideline on empowerment, knowledge, and use of psychosocial interventions among individuals with severe mental illness.
Methods
Multicentre, cluster-randomised trial. The study population comprised adult patients with a severe mental disorder. The intervention group received a multimodal, structured, and protocol-led patient-focused guideline implementation, whereas the control group received treatment as usual. Data were analysed using hierarchical linear models. The primary outcome was the change in patients’ empowerment.
Results
There was no significant intervention effect on empowerment (effect size=0.13, p=0.605), which increased slightly in both groups. The number of psychosocial interventions familiar to patients increased significantly more in the intervention group. Exploratory analyses suggest that patient empowerment could have been influenced by COVID-19-related stress, patient age, the severity of functional impairment, and migration background. The improvement in the utilisation of psychosocial interventions did not differ significantly between the intervention group (M=1.1, SD=2.5) and the control group (M=1.3, SD=2.4).
Conclusions
The implementation of a patient-focused psychosocial intervention guideline failed to enhance empowerment among service users. However, our analyses indicate that the intervention led to an improvement in patient knowledge with respect to guideline content. The availability of psychosocial interventions may have been significantly constrained by the COVID-19 pandemic.
Older people want to live at home for as long as possible and expect a system of care to enable this. This desire is also recognized in many national policies, where ageing in place with the support of informal caregivers is increasingly seen as a viable solution to institutional care. Despite this, refusal of such care at point of delivery can create further health issues for individuals as well as organizational challenges for care providers. This study aims to explore older people’s perceptions of why homecare is, or may be, refused. It builds on a quantitative study, where 18 per cent of instances of non-delivery of homecare in one major care provider in Scotland were categorized as ‘Service Refusal’. Data from a convenience sample of 17 people, aged 65 years and older, with experience of homecare, from the Greater Glasgow and Clyde area in Scotland, underwent framework analysis. In contrast to the quantitative study, this study uncovered an unexpected propensity for service acceptance; living at home was the presiding value and the main motivating factor to accept homecare, irrespective of its quality. This study provides a deeper understanding of the complexities of homecare from those who receive it, highlighting critical insights to inform governmental initiatives and homecare service providers. Allowing people to remain at home for as long as possible with appropriate and sustainable homecare should be central to national outcomes in Scotland, with the findings of this study also providing useful insights for homecare providers internationally.
Using direct numerical simulations, we systematically investigate the inner-layer turbulence of a turbulent vertical buoyancy layer (a model for a vertical natural convection boundary layer) at a constant Prandtl number of $0.71$. Near-wall streaky structures of streamwise velocity fluctuations, synonymous with the buffer layer streaks of canonical wall turbulence, are not evident at low and moderate Reynolds numbers (${\textit{Re}}$) but manifest at high ${\textit{Re}}$. At low ${\textit{Re}}$, the turbulent production in the near-wall region is negligible; however, this increases with increasing ${\textit{Re}}$. By using domains truncated in the streamwise, spanwise and wall-normal directions, we demonstrate that the turbulence production in the near-wall region at moderate and high ${\textit{Re}}$ is largely independent of large-scale motions and outer-layer turbulence. On a fundamental level, the near-wall turbulence production is autonomous and self-sustaining, and a well-developed bulk is not needed to drive the inner-layer turbulence. Near-wall streaks are also not essential for this autonomous process. The type of thermal boundary condition only marginally influences the velocity fluctuations, revealing that the turbulence dynamics are primarily governed by the mean-shear induced by the buoyancy field and not by the thermal fluctuations, despite the current flow being solely driven by buoyancy. In the inner layer, the spanwise wavelength of the eddies responsible for positive shear production is remarkably similar to that of canonical wall turbulence at moderate and high ${\textit{Re}}$ (irrespective of near-wall streaks). Based on these findings, we propose a mechanistic model that unifies the near-wall shear production of vertical buoyancy layers and canonical wall turbulence.
We derive a mathematical model for the overflow fusion glass manufacturing process. In the limit of zero wedge angle, the model leads to a canonical fluid mechanics problem in which, under the effects of gravity and surface tension, a free-surface viscous flow transitions from lubrication flow to extensional flow. We explore the leading-order behaviour of this problem in the limit of small capillary number, and find that there are four distinct regions where different physical effects control the flow. We obtain leading-order governing equations, and determine the solution in each region using asymptotic matching. The downstream behaviour reveals appropriate far-field conditions to impose on the full problem, resulting in a simple governing equation for the film thickness that holds at leading order across the entire domain.