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This chapter examines Elizabeth Bowen’s relationship to audiovisual art forms. Given Bowen’s own relative lack of interest in film, one may wonder why adaptation should be included in an overall analysis of her work and its impact. One argument is largely commercial: be it through television, film, or radio, dramatisations of Bowen’s works contribute to increased public scrutiny of her fiction. For those already familiar with Bowen’s fiction, adaptations revitalise readings of her fiction. How her texts correspond to traditions and tropes of other media tells us much about the interplay of genres – from novel of manners and social satire to spy story or historical fiction – as they manifest themselves in the traditions of those media. Ultimately, an adaptation is also an interpretation and analysis of its source text. This examination of adaptations focuses on The Last September and The Heat of the Day, two of Bowen’s most-read works. These adaptations are the best known and most accessible audiovisual adaptations of her fiction.
While living in exile in a divided Berlin after the 1973 military coup and Pablo Neruda’s death twelve days later, Antonio Skármeta created his own version of Neruda in Ardiente paciencia (Burning Patience), a humane image of the poet that contrasted with the one-dimensional communist martyr projected after his death. Skármeta wrote the base story for four different media under the same title: a radio drama, a play, a film, and a novel. The story has since been freely adapted by others, such as Michael Radford’s film Il Postino (The Postman), Daniel Catán’s opera, with Plácido Domingo as Neruda, and Rodrigo Sepúlveda’s recent film released by Netflix. Aside from clarifying the confusion in the critical bibliography regarding these multiple stories, this chapter focuses on Skármeta’s two media versions of Ardiente paciencia, the play and the film, to show how a single artistic creation can captivate audiences worldwide.
This Element examines Tian Qinxin (1969– ), one of the most prominent theatre directors in contemporary China, and her significant contribution to the development of mainstream Chinese theatre in the 21st century. Since her debut productions in the late 1990s, Tian has cultivated a distinctive directorial style, marked by a syncretic fusion of Western and traditional Chinese theatrical elements. While she has worked across a variety of genres, her primary focus has been on stage adaptations. Adaptation is not only a defining feature of her theatrical practice but also a central aspect of her professional life, where shifting political and cultural contexts necessitate her “performance” of various expressions of both femininity and masculinity. Tian's remarkable adaptability enables her to skillfully navigate the evolving landscape of Chinese theatre, the demands of state cultural policy, and the requirements of the commercial theatre sector.
This study examined resilience to flooding in Hoi An Ancient Town, a historical World Heritage Site in Vietnam. The town has been affected by flooding since at least the 17th century, and floods have recently increased in frequency and severity under the impacts of climate change and urban development. This study used the Adversity Acceptance as Resilience framework, which focuses on people’s abilities to comprehend, acknowledge, and adapt to challenges, to analyse the results of empirical research comprising on-site observations, examinations of historical and contemporary documents, and semi-structured interviews with stakeholders. The long experience that Hoi An residents have with flooding has informed a community understanding that is closely tied to different stages of predicting, preparing for, coping with, and recovering from floods. Residents have learned to predict the onset and retreat of floods by observing changes in the natural environment, adapted the layout and architecture of the town to flooding, and developed comprehensive measures to prepare for flooding each year. This proactive and holistic approach to flood management is deeply rooted in transgenerational knowledge, as exemplified by the flood marks provided on buildings to serve as both symbolic reminders of previous floods and indicators of possible flooding scenarios. Advances in modern technology have allowed weather forecasts and social media to play significant roles in flood management strategies as well. Finally, floods have even been incorporated into the tourism experiences offered by the town. Indeed, floods are woven into Hoi An’s identity, illustrating how environmental challenges can be transformed into opportunities for cultural sustainability.
Drylands account for a disproportionate share of the world’s armed conflicts, a pattern frequently interpreted through the lens of resource scarcity – where climate change and water stress are seen as primary drivers of violence. While this framing underscores critical environmental pressures, it risks simplifying the complex social, ecological and political realities of these regions. This article critically examines the climate-conflict narrative surrounding Syria, which posits that drought-induced agricultural collapse and rural outmigration significantly contributed to the onset of civil war. Building on this critique, the paper advocates for a broader conceptual shift – viewing drylands not solely as zones of vulnerability, but as landscapes of endurance. In these regions, communities often navigate both extreme climatic conditions and chronic insecurity, which together constrain agricultural productivity and perpetuate poverty. This perspective highlights the adaptive capacities of dryland populations and the lessons they offer for understanding survival under compound stress. It also challenges dominant narratives and opens space for interdisciplinary approaches that integrate quantitative and qualitative perspectives. The article calls for a more nuanced research agenda that centers lived experience, long-term adaptation and the interplay between environmental and political pressures.
Suicide is a serious global health problem with ~73% deaths by suicide occurring in low- or middle-income countries (LMICs), many of which are among people experiencing humanitarian emergencies. Few guidelines outline specific steps and strategies to tackle suicide risk and manage post-attempt consequences in these settings, leaving program implementers with limited information to translate guidance to practice. This article describes the implementation of the Common Elements Treatment Approach (CETA) suicide safety protocol as part of a randomized controlled trial in northern Thailand for displaced adults from Myanmar with chronic physical health conditions. The CETA safety protocol has been used in many trials and programs to screen for and manage suicide risk, including in a prior CETA effectiveness trial with Myanmar adults. In this article, we describe how this safety protocol was adapted for the study setting, and utilized to effectively screen, assess suicidal thoughts and behaviors, develop and manage action plans for study participants with active suicidal ideation. We present three illustrative case descriptions of individuals with whom we implemented the safety protocol to highlight how suicide risk intersects with physical illness, psychosocial stressors and structural vulnerability. Reflections on feasibility, acceptability and adaptations – such as language translation, culturally grounded referral pathways and training for nonspecialist providers – are shared to inform future implementation. Our findings support the implementation of suicide safety protocols within humanitarian programming and offer practical insights for global health practitioners and policymakers working in similarly complex settings.
This chapter examines the evolution of scholarship devoted to medieval Arthurian literature, concentrating on that in Old French, with occasional reference to Arthuriana in other languages. It begins with the rise of Romance philology and the publication of the first scholarly editions in the latter part of the nineteenth century, and traces trends in Arthurian studies down to the present day. The development of Arthurian scholarship mirrors that in other disciplines. While certain major scholars can be seen to guide and influence particular types of study, others produce work ‘outside of the box’ which contributes to the basis on which modern scholarship builds. The chapter also underlines the danger of reinventing the wheel if earlier studies are not taken into account. The study of medieval Arthurian literature at the end of the first quarter of the twenty-first century is now seeking direction.
Women’s mental health is commonly regarded as worse than that of men across most cultures and countries, although the pronounced female disparity for affective disorders, particularly depression and anxiety, is reversed for other mental conditions such as addiction, alcoholism, or autism. Here we probe this puzzle within a life-history adaptationist framework, focusing on the high prevalence of mood disorders among women with the goal to evaluate their adaptive rather than pathological qualities. First, we characterize gender disparities in mental health, particularly mood disorders among women, and review their phenomenology. Then we survey known risks for mood disorder on cultural, ecological, experiential, and physical/physiological dimensions. Next we consider adaptationist explanations for depression, and map women’s life history in non-industrial societies, plotting resources, demands, and selection pressures. Thence we turn to how life-course selection pressures and female adaptive responses to them operate and intersect, illustrated by an example of low birthweight effects. Affective disorders vary in phenotype and prevalence within and across societies and through time, arising from an array of context-sensitive cost–benefit trade-offs for females that operate from birth onwards. Available evidence suggests that the general preponderance of mood disorder among females is adaptive overall albeit via multiple pathways.
Progress is defined as change towards the better. This definition, comprising both a descriptive and a normative element, can be applied in the organic domain to the history of living organisms. If evolutionary biologists struggle to live with organic progress, they also seem unable to live without it. Are there any theoretical arguments for using the normative terms 'good' and 'better' within evolutionary theory? How do we clarify the idea that some 'change towards the better' is conceptually implied by evolutionary theory? The author argues that there are specific kinds of value, that is, organic value, that allow us to speak meaningfully about improvements in living beings. A large part of this Element is devoted to showing how this applies to the concept of adaptation at a local scale. The final section broadens the investigation to a global scale, tentatively suggesting evolvability as a promising candidate for global progress.
Mental health literacy (MHL) strategies are crucial for mental health promotion and prevention. This study aimed to determine the acceptability, feasibility, appropriateness and initial efficacy of an adapted MHL program in a community sample of adults in Kenya. This was a quasi-experimental pre-post study conducted from July 2023 through July 2024. The MHL program contained nine modules delivered over 3 days. Participants were assessed at baseline and immediately after the program. The primary outcomes were mental health knowledge and participants’ attitudes on mental health/illness. Secondary outcomes included depressive symptoms, anxiety symptoms, self-perceived social support, self-perceived wellbeing, MHL program acceptability, feasibility and appropriateness. Relative to baseline, we observed statistically significant improvement in mental health knowledge and attitude on mental health/illness postintervention. We also observed significant improvements in all secondary outcomes. The MHL program also emerged as contextually appropriate, acceptable and feasible. The adapted MHL program is acceptable and appropriate and can feasibly be delivered by trained non-specialist facilitators. Also, the MHL program has the potential to increase participants’ MHL and attitudes and reduce symptoms of common mental disorders and promote self-perceived wellbeing. Future research should explore how improvements can be sustained over the long term.
The paintpot cuttlefish Ascarosepion tullbergi (Appellöf, 1886) exhibits a distinctly benthic lifestyle, in contrast to the typical ontogenetic shift from benthic to nekto-benthic modes observed in most cuttlefish species. While many cuttlefish initially attach to substrates using arms IV and the ventral mantle, they generally transition to swimming-based locomotion as they mature. A. tullbergi, however, remains benthic throughout its life, relying on arms IV and the lateral edges of the ventral mantle for attachment and using an ambling gait for locomotion from hatching to adulthood. Despite the ecological significance of benthic specialisation, embryonic development in fully benthic cuttlefish remains poorly studied, as previous research has primarily focused on nekto-benthic species. To address this gap, we described the embryonic development of A. tullbergi and compared it with that of other sepiid species. Although the overall developmental pattern of A. tullbergi is broadly similar to that of other nekto-benthic cuttlefish, this species exhibits a pronounced early investment in benthic traits, particularly in the development of arms IV and the lateral edges of the mantle. Specifically, arms IV in A. tullbergi develop earlier and more prominently than in other Sepiidae species that undergo ontogenetic shifts in life mode. This early specialisation underscores the unique ecological strategy of A. tullbergi and reflects its adaptation to a lifelong benthic niche. The present study provides a description of embryonic development in A. tullbergi and contributes to a deeper understanding of cephalopod diversity.
The CPC presides over a large state-owned economy, which is a key pillar of China’s state capitalist model and a critical source of Party power. The party has adapted its governing strategies of the state-owned sector to maintain its economic dominance without stifling growth and innovation – largely by learning from outside. We highlight the importance of the international system as a source of both policy inputs and pressures to change. We find that in the early phases of China’s marketization process during the 1980s, Chinese policymakers looked to Japan and the World Bank as they restructured state-owned enterprises. In the 1990s, American, European, and Japanese policymakers’ pressure on China to downsize its state sector as a condition of WTO accession was a key consideration in Chinese policymakers’ efforts to build “national champions” capable of competing with foreign multinationals in domestic and international markets. We analyze Chinese leaders’ responses to successive challenges in the state-owned economy, and the resilience of state capitalism which buttresses party rule.
From Marxist revolution and the rejection of Chinese cultural tradition through market reforms and the embrace of Chinese cultural traditions, the party has repeatedly reinvented itself and maintained its monopoly of political power. Four decades after it abandoned communes and centrally planned economics, the party now sits atop a system of state capitalism and steers the world’s second largest economy. Confident in its success, the party now promises it will lead the great rejuvenation of the Chinese nation – the restoration of China to advanced economy and great power status. This chapter reviews the multiple sources of the party’s strength and resilience in the second decade of the twenty-first century. It argues that the party’s strength lies in its adaptiveness and inventiveness across three dimensions: ideology, organization, and public policymaking. In doing so, the chapter provides a conceptual framework for the book and a launchpad for subsequent chapters which examine the multiple sources of CPC strength in greater depth.
The chapter discusses concepts in plasticity that go beyond memory. Several examples are discussed starting with the complexity of dendritic structure in biological neurons, nonlinear summation of signals from synapses by neurons and the vast range of plasticity that has been discovered in biological brain circuits. Learning and memory are commonly assigned to synapses; however, non-synaptic changes are important to consider for neuromorphic hardware and algorithms. The distinction between bioinspired and bio-realistic designs of hardware for AI is discussed. While synaptic connections can undergo both functional and structural plasticity, emulating such concepts in neuromorphic computing will require adaptive algorithms and semiconductors that can be dynamically reprogrammed. The necessity for close collaboration between neuroscience and neuromorphic engineering community is highlighted. Methods to implement lifelong learning in algorithms and hardware are discussed. Gaps in the field and directions for future research and development are discussed. The prospects for energy-efficient neuromorphic computing with disruptive brain-inspired algorithms and emerging semiconductors are discussed.
This study aims to adapt and validate a Spanish (Argentina) version of the Caregiver Indirect and Informal Care Cost Assessment Questionnaire (CIIQ) to enable the measurement of informal care-related costs in the Argentine context, addressing the current lack of Spanish-language tools for assessing indirect costs.
Method
The CIIQ was translated, cross-culturally adapted, and validated for the Spanish–Argentine language and culture. Psychometric properties were evaluated in a purposive sample of relatives of patients with advanced chronic disease and limited life expectancy in Argentina. Missing data and internal consistency (Cronbach’s α) were assessed, along with discriminant capacity, content, and construct validity. Construct validity was examined through principal component analysis (PCA) and confirmatory factor analysis (CFA).
Results
The translation and cultural adaptation process was completed without major difficulties. A total of 154 caregivers completed the baseline questionnaire and 90 completed the follow-up assessment, with missing data remaining below 10% across items. Internal consistency was high for the overall instrument (α = 0.802) and for the unpaid care cost domain (α = 0.866). The productivity loss domain showed moderate reliability (α = 0.362). Low correlations with unrelated domains (ρ < 0.2) supported adequate discriminant validity. PCA identified 2 components – informal care costs (51.5% of explained variance) and productivity loss costs (20.3%) – which were further supported by CFA.
Significance of results
The Spanish–Argentine version of the CIIQ is a reliable and culturally appropriate instrument for assessing the economic burden of informal care in Argentina. While the unpaid care items demonstrated strong psychometric performance, productivity-related items may require refinement to improve reliability in future applications.
To understand the challenges of climate change in a specific setting, it is essential to examine the social, cultural, environmental, economic and other national contexts. This paper provides an overview of Bhutan, highlighting the current climate change trends and their potential impacts on both the environment and society. Special attention is given to the impending implications for Bhutan’s education system, particularly how changing climatic conditions may affect learners’ well-being, learning and education. Additionally, the paper discusses the concept of Gross National Happiness (GNH) — the national development philosophy of Bhutan — and how climate change may challenge this aspiration while also presenting opportunities to advance sustainability. Finally, the prospects for further exploration and the role school communities may have in climate actions are underlined.
Hydraulic improvement aimed to abolish recurrent flooding in wetland commons and generate an environment capable of supporting intensive cultivation. In practice, however, the interventions of Dutch engineer Cornelius Vermuyden and his collaborators created new flooding in unfamiliar patterns and places. As communities were left more exposed to risk and less able to adapt or recover, a fraught hydro-politics rippled out of drainage in Hatfield Level, pivoting on disputes over risk and responsibility. Displacing customary methods of water management, improved hydraulic systems generated institutional as well as environmental disruption. In 1635, a new sewer commission was established to manage Hatfield Level as a hydrological unit defined by improvement. Lacking legitimacy, it struggled to control flow, contain disorderly commoners, or compel cooperation from improving landowners. Wetland communities negotiated new risks by adapting customary practices, launching petitioning campaigns, and high-profile destruction of improved infrastructure during the English civil wars. In this context, water management became highly politicised and precariously balanced.
Culturally adapted diabetes self-management education (DSME) programs are effective in improving glycemic control and diabetes outcomes among minority populations, but data on program costs and cost-effectiveness are limited. This study aimed to assess the cost and cost-effectiveness of a culturally adapted DSME (adapted DSME) compared to a standard DSME model among Marshallese adults with type 2 diabetes (T2D).
Methods:
Retrospective cost and cost-effectiveness analyses (CEA) were conducted using data from the community-based trial, conducted between May 2015 and May 2018. We applied an activity-based costing approach to quantify the implementation resources. The CEA was performed using an incremental implementation cost-effectiveness ratio (ICER) measure, expressed as costs for additional unit change in hemoglobin A1c (HbA1c) over 12 months between adapted DSME and standard DSME. We further estimated the replication costs for the adapted DSME for implementation in other settings. The analysis was conducted from a community implementation perspective with a one-year time horizon.
Results:
Total program costs were $1,227 per participant for the adapted DSME and $122 per participant for the standard DSME. The ICER was $1434 per additional unit reduction in HbA1c. Replication costs for the adapted DSME were estimated at $125,473 (range: $62,737–$188,210).
Conclusions:
The culturally adapted DSME has been shown to be effective in managing T2D and may serve as a cost-effective lifestyle intervention for Marshallese individuals beyond the trial period. Future research should assess its broader economic and health impacts.
The chapter examines the extensive parallels between the Gospel and Epistles of John, concluding that these connections result from deliberate literary borrowing. It also presents evidence that each of these works was written by a different author and that they were written in the following order: John, 1 John, 2 John, and 3 John.
Some individuals may compensate for their underlying social cognitive vulnerabilities, therefore exhibiting adaptive real-world social behavior through enhanced attentional mechanisms despite underlying social cognitive challenges. From a developmental psychopathology framework, adaptive behaviors vary dimensionally in the community and across development to promote compensation. Yet, compensation in the broader community of children without categorical clinical diagnoses has not yet been studied. Moreover, the extent to which compensation demonstrates stability versus change is unknown. This study examines childhood social compensation longitudinally in a community-ascertained sample (N = 315) of 7–17 year-old (M = 12.15, SD = 2.97) children (33% non-white, 44% female). Compared to children with equally poor emotion recognition but substantially more real-world social behavior challenges, high compensators demonstrated better attentional alerting (d = 0.81, p < 0.001) without the “cost” of internalizing symptoms. Results showed both stability and instability in compensation group membership over time, with the high compensation group more likely to have unstable classification relative to the no compensation group (OR = 0.26, p = 0.001). Taken together, this study clarifies the processes underlying social compensation in the community and suggests a developmental psychopathology perspective is valuable in understanding how compensation develops across the lifespan. Such work has the potential to inform practices and policies that support social adaptation and promote resilience.