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Before we can talk about how we learn, use, and lose language, we need to define what it is, and what it isn’t. Over the centuries, many people have attempted to describe language. In this chapter was ask: what is language? This is a simple enough question although the answer is much more complicated, and intriguing, than it seems at first. The question of “what is language?” isn’t something we can just sum up in a single pithy sentence. Language is a system of communication, but it’s so much more than that. Language is multi-faceted. It involves signs and symbols, smaller and bigger segments, dialects and accents, and also writing and signing. This chapter serves as a primer to introduce us to the basic underlying principles of language sceince, so we can now talk the talk.
An introduction to the general properties of communication and the differences between language and communcation. Includes discussion of medium of communication, purpose, arbitrariness, discreteness, displacement, etc.
What is language, really? Where did it come from, and how did we figure it out? How do babies go from babbling to full sentences? Why can some people juggle multiple languages, while others wrestle with one? How does language work, and what happens when it doesn't? With sharp insight and a sense of humor, Stollznow dives into the strange and endlessly fascinating world of language and the mind. From animal communication to AI, wild children to word slips, and first words to last, this book takes you deep into the science of psycholinguistics, where nothing is ever simple, and everything speaks volumes. Packed with pop culture, real-life cases, and eye-opening experiments, Beyond Words reveals how we learn, use, and lose language, and what it all says about being human. If you've ever fumbled for a word or feared forgetting your own name, this thoughtful, surprising book is for you.
The forces of history have weighed on the Framers’ constitutional design. Their extended republic has grown geographically but shrunk in terms of transportation and communication. Representation as a filter of popular passions and the extended republic as a protection against majority faction have been less effective than the Framers anticipated. Significant changes to the Framers’ design by amendment, interpretation, and practice have also created openings for the influence of political factions.
This chapter explores environmental communication in more detail, with a particular focus on communication and linguistics aspects. It argues that successful environmental communication is not simply about transmitting facts but about fostering understanding, engagement and enabling informed decisions that can drive positive change. The chapter starts by discussing the communication process, highlighting key components and the roles of various constituent parts in this process. It also takes a critical look at traditional communication models and their applicability in an era of extensive digital communication. The chapter then discusses the significance of metaphors and frames in shaping perceptions and fostering understanding of complex environmental issues. Within this context, cultural differences in metaphor use are also examined. This is followed by a discussion of the concepts of symbolic competence and symbolic capital and their relevance to decoding and creating effective environmental messages. The final section introduces the role of visual elements, such as infographics and data visualisation, and their impact on audience perception and engagement.
To identify, describe and analytically interpret relational recurrent patterns shaping interactions in PC settings, and to offer practical guidance to haelth care professionals navicating complex end-of-life-scenarios.
Background
This study explores the dynamics influencing relational interactions in palliative care (PC) settings. Building upon 1 author’s extensive clinical experience, reflection, and prior research, we aim to further illuminate the clinical and cultural factors that shape relational interactions and scenarios within PC. By integrating personal observations with scholarly literature and describing specific recurring global patterns of interaction, this article seeks to deepen understanding of PC culture and to provide healthcare professionals with practical strategies to improve engagement with patients and families.
Methods
This study aimed to explore and analytically describe recurrent relational patterns shaping interactions in PC settings through an analytic autoethnographic lens. Short evocative phrases were used to define the identified patterns as clinical vignettes. Based on recurrent clinical observations and reflexive positioning, and through an iterative analytic process, patterns were progressively identified, named, and situated within a theoretical framework. Ethical standards were upheld.
Results
Three end-of-life scenarios – “The Palliative Honeymoon,” “The Cousin of France,” and “Do Everything!” – emerged and were analyzed. The findings emphasize the importance of understanding these behavioral patterns in order to educate health professionals and enhance care provision.
Significance of results
This original Portuguese analytic autoethnographic study is grounded in extensive experiential knowledge and addresses a gap in the literature regarding interactional patterns in PC. By integrating long-standing personal clinical experience with scholarly evidence, this autoethnographic study renders explicit what is often tacit in PC practice – the hidden cultural elements that shape clinical interactions. It is part of a continuum of research that willcontinue and be relate to elements of PC identity. By describing clinically relevant phenomena and integrating them with existing literature, this work offers strong practical implications and contributes to better preparing clinicians for the complex realities of PC practice.
Generative artificial intelligence (AI) is becoming an integral part of children's lives, ranging from voice assistants and social robots to AI-generated storybooks. As children increasingly interact with these technologies, it is essential to consider their implications for developmental outcomes. This Element examines these implications across three interconnected domains: interaction, perception, and learning. A recurring theme across these domains is that children's engagement with AI both mirrors and diverges from their engagement with humans, positioning AI as a distinct yet potentially complementary source of experience, enrichment, and knowledge. Ultimately, the Element advances a framework for understanding the complex interplay among technology, children, and the social contexts that shape their development. This title is also available as Open Access on Cambridge Core.
Intonation units (IUs) are a fundamental prosodic unit of all known human languages, and as such they likely constitute an absolute universal property of language. IUs are chunks defined by a specific pattern of syllable delivery, together with resets in pitch and articulatory force. In this chapter we discuss IUs from four different perspectives and introduce them within the context of rhythms of speech, language, and the brain. First, we provide a detailed description of how IUs are defined. Second, we review linguistic research on the roles of IUs in communication, including their cross-linguistic applicability. This body of research suggests that IUs provide a universal structural cue for the cognitive dynamics of speech production and comprehension at a timescale of ~1 Hz. Third, we synthesize the linguistic perspective with findings from the study of brain rhythms and cognition. Finally, we review the existing algorithmic tools for IU identification from speech acoustics, to facilitate the incorporation of IUs in experimental and quantitative research.
Mass casualty incidents (MCIs) continue to pose significant operational challenges for health care facilities, particularly when compounded by electronic health record (EHR) downtime or cyberattacks. Despite advancements in technology, providers may consider using simple, paper-based patient triage and tracking methods during an MCI. This study describes the implementation of a paper-based triage and patient tracking tool, integrated into a broader MCI Toolkit, to support operational continuity.
Methods
Developed by NYU Langone Hospital—Brooklyn Emergency Department in collaboration with Emergency Management, the tool was deployed in 6 full-scale exercises (2021–2025) and 2 real-world MCIs across trauma and non-trauma ED settings. The tool follows a 3-step process: rapid triage using Simple Triage and Rapid Treatment (START), documentation of acuity and location, and post-triage identity reconciliation. The MCI Toolkit includes operational resources such as contact lists, patient placement maps, and job action sheets. After each event, feedback was gathered from clinical staff and senior leadership.
Results
In the feedback sessions, the tool was noted to be intuitive and required minimal training. It enabled rapid triage, patient placement, and real-time situational awareness for Incident Command. During a downtime simulation, it supported a seamless transition from electronic to manual processes. Across incidents, it improved patient throughput, ensured appropriate team assignment, and supported role flexibility when leadership was unavailable.
Conclusions
Our experience using the paper-based Triage Tracker showed it reliably maintained patient tracking without electronic systems. Its ease of use and integrated resources supported coordination, patient flow, and operational continuity during MCIs and EHR disruptions.
The goal of this chapter is to provide the reader with broad guidance on the many points of intersection between child abuse, diagnostic imaging, the legal system and the radiologist.
The radiologist’s involvement begins before the report in setting up department protocols and supervising the acquisition of images. Communication of important and unexpected findings should occur before finalization of a report. The radiology report is a medicolegal document – the report should be correct, complete, conclusive, cogent and clean. Issues related to reporting are addressed in detail.
Radiologists have a duty to educate other members of the healthcare team and trainees about the diagnostic imaging of child abuse and its differential diagnoses.
Child abuse cases produce an uncomfortable intersection of medicine and the law for the involved radiologist. This chapter provides guidance on all aspects of preparation for possible court testimony. The importance of preparation cannot be understated. In court, the role of testifying radiologists is to provide reputable information and to educate the court.
Sincerity is essential to communication: without a norm of sincerity, we could hardly trust what other people tell us. But what does it take to be sincere, exactly? And why is sincerity so important? Sincerity and Insincerity offers a comprehensive review of existing philosophical work on the nature of sincerity and its epistemic value. It puts forward a novel, fine-grained account of what sincerity and insincerity are, and dives into the grey area between the two, identifying various ways in which speakers can be partially sincere. Integrating ideas from different philosophical subfields and traditions, it offers an updated perspective on what makes sincerity epistemically valuable, giving serious consideration to the idea that sincerity is the norm of assertion. Overall, this Element provides a novel, informed perspective on what sincerity is, how it works, and why it matters.
Edited by
Liz McDonald, East London NHS Foundation Trust,Roch Cantwell, Perinatal Mental Health Service and West of Scotland Mother & Baby Unit,Ian Jones, Cardiff University
Talking with women in the pre-conception or perinatal periods about psychotropic medication is an essential, sometimes difficult, part of the work of the perinatal psychiatrist. Understanding the current evidence base; knowing how and when to acknowledge the uncertainty inherent in current knowledge and how that translates to the individual woman; balancing risks of medication with risks of not treating and benefits of treating; sharing decision-making while not putting all of the responsibility on the woman; communicating with the woman, her partner, other professionals, services and agencies; and knowing when and how to seek further help or advice, are all essential components of good practice when prescribing in pregnancy and breastfeeding.
Early integration of pediatric palliative care (PPC) offers significant benefits for children with cancer, yet referrals often occur late in the child’s cancer trajectory.
Objectives
As part of a larger project looking at barriers and facilitators to early integration of PPC, this study explored the perspectives of healthcare providers (HCPs) on the pros and cons of a universal referral system where all children with cancer are referred to PPC at diagnosis.
Methods
Using the grounded theory method, semi-structured interviews were conducted with 66 oncology and PPC providers across 4 tertiary cancer centers in Canada. Interviews were coded line-by-line to explore patterns and themes across the dataset.
Results
Three key benefits emerged that included: reducing stigma and normalizing PPC as standard care, fostering early relationship building with patients and families, and minimizing HCP subjectivity in making PPC referrals. Cons included the idea that universal referral was a poor use of resources, particularly for children with curable cancers, and that this system lacked usefulness for patients and families.
Significance of results
Universal referral can promote equitable, timely, and family-centered integration of PPC in pediatric oncology. However, these types of referral systems face substantial challenges, particularly around resources. There was also wide variation of opinions and acceptability of universal referral among providers. The adoption of standardized or tiered referral criteria, guided by disease risk, prognosis, or symptom burden, may represent a practical middle ground. Future work should evaluate the impact of such criteria-based referral models on patient and family outcomes, provider experiences, and healthcare resource use.
Joshua Lowe, San Antonio Military Medical Center,Rachel Bridwell, Uniformed Services University of Health Sciences,John Patrick, San Antonio Military Medical Center,Alec Pawlukiewicz, Carl R. Darnall Army Medical Center,Gillian Schmitz, Uniformed Services University of Health Sciences,Michael Yoo, University of Texas Health San Antonio
This clinical vignette guides learners through the emotionally complex task of delivering bad news in the emergency department. After stabilizing a critically ill patient with a life-threatening variceal GI bleed, the physician must update the patient’s spouse with honesty, empathy, and professionalism. This case models how to initiate these conversations using the SPIKES framework and demonstrates the importance of setting, pacing, and word choice when conveying grave prognoses. Learners are introduced to the emotional “residue” left behind by such encounters and are encouraged to process it using Dr. Cline’s DR5 model for reflective practice. By observing and emulating this structured, compassionate approach, trainees develop the communication tools necessary to lead with clarity and kindness; skills that define maturity in emergency medicine and build trust in times of crisis.
This contribution to understanding friendship as a distinct social relationship examines the distinction between friendship dyads and groups of friends by focusing on the communicative dynamics of intimacy and discretion. Drawing on the work of Simmel and Luhmann, I argue that dyadic friendship supports intimate communication characterized by immediacy, mutual disclosure, and the suspension of self-consciousness. The addition of a third party, however, shifts interaction into public mode, requiring increased discretion and greater communicative management. I offer a formal account of how the number of participants alters the quality of interaction and suggest that while intimacy is not a constant feature of friendship, it nevertheless remains a constitutive potential. To conclude, I argue that groups of friends can be intimate social formations only insofar as endogenous, “private” dyadic bonds are formed.
In “A Nice Derangement of Epitaphs,” Donald Davidson argues against the view that conventions fix the meanings of our words and for the position that a speaker’s intentions play a fundamental role in fixing what she means by her words. However, he is clear that he still holds to the externalism, holism, and literalism argued for earlier in his career. Lepore and Stone (Philosophical Perspectives, 31, 245–265, 2017) and Camp (Inquiry, 59, 113–138, 2016) suggest that the resulting picture is contradictory. In this article, I take up Lepore, Stone, and Camp’s arguments to clarify Davidson’s position and motivate an anti-conventional literalism about meaning.
Palliative and end-of-life (EOL) care is gaining increasing importance in Saudi Arabia due to the rising burden of chronic and life-limiting illnesses. Nurses play a central role in delivering comprehensive, culturally appropriate palliative care; however, their practices are influenced by educational preparation, institutional support, and sociocultural and religious contexts. To date, evidence on palliative nursing care in Saudi Arabia remains fragmented and insufficiently synthesized.
Aim
This systematic review aimed to synthesize existing evidence on palliative and EOL nursing care in Saudi Arabia, with a focus on nursing practices, challenges, cultural and spiritual influences, and patient and family outcomes.
Methods
A systematic literature search was conducted in January 2025 using PubMed, Scopus, CINAHL, Web of Science, Google Scholar, and Saudi grey literature sources. Empirical qualitative, quantitative, and mixed-methods studies addressing palliative or EOL nursing care in Saudi Arabia were included. Study selection followed PRISMA guidelines, and methodological quality was appraised using appropriate critical appraisal tools. A narrative thematic synthesis was undertaken due to heterogeneity among studies.
Results
Fourteen studies met the inclusion criteria. Findings indicated that nurses are actively involved in symptom management, therapeutic communication, psychosocial support, spiritual care, and family-centered care. However, substantial barriers were identified, including gaps in knowledge and training, limited formal palliative education, emotional burden, ethical challenges related to nondisclosure, and inconsistent institutional policies. Cultural and religious norms strongly influenced communication practices and decision-making processes. Studies also showed that structured palliative care services, particularly home-based and multidisciplinary programs, were associated with improved patient comfort, dignity, and family satisfaction, although access to such services varied across regions.
Conclusion
Palliative and EOL nursing care in Saudi Arabia demonstrates commitment and potential but is constrained by educational, emotional, cultural, and systemic challenges. Strengthening nursing education, enhancing culturally sensitive communication and spiritual care training, expanding home-based palliative services, and providing institutional support for nurses’ emotional well-being are essential to improving the quality and equity of palliative care nationwide.
Relationship satisfaction has major implications on individuals’ health and subjective well-being, and prominent theories in relationship research have assigned relationship satisfaction an important role. In this Handbook chapter, we first introduce conceptual perspectives on relationship satisfaction, showing that relationship satisfaction is a characteristic of both the individual and the relationship. We then provide an overview of the measurement of relationship satisfaction and discuss common affordances in its assessment. Next, we report empirical evidence on how relationship satisfaction evolves over time, showing that relationship satisfaction changes both normatively and depending on the eventual outcome of the relationship. We then report how relationship satisfaction is associated with different relationship-specific facets, such as perceptions, emotion regulations strategies, and communication styles. To conclude, we discuss a series of unresolved issues in the area of relationship satisfaction research and propose an agenda for future research, such as the usage of modern technologies.
This scenario is based on the Whakaari/White Island volcanic eruption that occurred on December 9, 2019, in New Zealand. The eruption, classified as a Stage III burn disaster, overwhelmed local and regional medical systems, necessitating a national and international response. The scenario focuses on the initial receiving hospital’s experience and the on-shift medical staff’s challenges. It aims to provide a realistic training module for healthcare professionals in volcanic regions, emphasizing the importance of preparedness and skill practice. The scenario includes a fictional patient case with severe burns and other injuries, requiring comprehensive emergency care, including decontamination, airway management, fluid resuscitation, and wound care. The scenario also highlights the critical role of teamwork, communication, and resource management in handling mass casualty incidents. By reflecting on the Whakaari disaster, this scenario serves as a tribute to the victims, their families, and the responders, offering valuable insights for future emergency preparedness and response efforts.