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Survivors of critical illness are at increased risk for the development of functional impairments, including difficulties performing activities of daily living and instrumental activities of daily living. This chapter explores the role of occupational therapy (OT) in the rehabilitation of patients impacted by post intensive care syndrome (PICS). Specific evaluation tools used by occupational therapists that can be assess PICS patients to identify their impairments in the key areas of physical, cognitive, and mental health are described. Thereafter, interventions used by occupational therapists to remediate identified impairments and maximize independence are described, derived from a combination of evidence-informed practice in similar patient populations and current empirical evidence for PICS rehabilitation.
This chapter considers the potential of neurorehabilitation to interfere with a person’s identity, and hence its potential to infringe human rights that protect (different aspects of) personal identity. It builds upon previous arguments and suggestions in the literature that some forms of interference with the brain, such as the use of brain stimulation techniques, can cause psychological changes that disrupt a person’s identity. Until now, this debate has focused strongly on the side effects of brain stimulation for therapeutic purposes, such as DBS in the treatment of Parkinson’s disease. We extrapolate this discussion to the context of criminal justice. In addition to earlier ethical evaluations of brain stimulation vis-à-vis personal identity, scholars are now considering the legal protection that should be offered to personal identity in this context, particularly through human rights. Some have argued for the introduction of a specific human right for this purpose: a right to psychological continuity.
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.
Over the past thirty years, the anti-corruption agenda has been integrated into dominant discourses of development, good governance, and democracy, reshaping political practices and knowledge production. This involved redefining concepts, operationalizing measures, and legitimizing policies. While academics have renewed focus on corruption, emphasizing global convergences and institutional designs, limited attention is given to how anti-corruption expertise is constituted and mobilized. Gaps remain in understanding the approaches shaping anti-corruption knowledge and how inequalities in knowledge production influence public policy. Recognizing its embeddedness requires examining historical roots, key actors, methods, and mobilization channels. This chapter uncovers the historical origins of anti-corruption conceptions, identifies experts by epistemological and methodological approaches, and interprets their positions. The study identifies three dominant poles of power: American academics, quantitative economists, and media-exposed practitioners. These poles reflect disparities in professional stability, autonomy, and proximity to international financial institutions. Using a historic, reflexive, and relational perspective, the investigation maps the social forces and structures shaping the field, offering insights into the production and mobilization of anti-corruption knowledge.
This chapter argues that those present at the Europe-America conference played a crucial role in developing a public campaign to restore respect" for America in the world. The conversation begun at Amsterdam would carry on in subsequent transatlantic meetings between American and European "hardliners" seeking to reaffirm the bonds of the western Alliance. The Committee on the Present Danger (CPD) believed that a new arms budget combined with an unapologetically aggressive foreign policy would reverse the perceived decline in American power
The book begins by situating my key phrase ‘making-good-again’ through contrasting the history of the terms Wiedergutmachung and restitution. I give a brief history of understandings of responsibility and introduce my argument regarding material practice. Part two gives a brief overview of the methods used in the book, situating my approach in relation to jurisprudence and current approaches in law, humanities and their intersections.
Arturo González was a thirty-eight-year-old man who presented to our hospital during the Delta variant surge with COVID-related pneumonia that badly damaged his lungs. He was cannulated for extracorporeal membrane oxygenation (ECMO) upon admission; he had been on ECMO for seventy days and was awake and alert when Ethics was consulted. Due to multiple marginalized identities—he was an undocumented immigrant, uninsured, and had limited social support—Arturo did not have access to a lung transplant and was dependent on ECMO for survival. In the face of mounting critical care resource scarcity, Arturo’s intensivists disagreed about whether to continue ECMO indefinitely or to explore discussions about withdrawing support. In this book chapter, we discuss our role as ethics consultants balancing the organizational duty to justly steward scarce resources with the professional duty to this vulnerable patient: setting treatment boundaries while collaborating with Arturo on a treatment plan within these boundaries. We also discuss our role in addressing the care team’s moral distress at the most haunting aspect of this case: that Arturo’s social position limited his access to a lifesaving transplant.
Kant is often read as being committed to the idea that morality is within our control, leading him to develop an ethical theory in which there is no room for moral luck. Kant’s political and legal philosophy, by contrast, is taken to be concerned with external actions, in particular with their effects on the freedom of others, and thus seems to be far from immune to luck. From this perspective a significant chasm opens up between ethics and right, making it hard to see how right could be derived from ethics and how both of them could be integrated into a unified theory based on a single supreme principle. This chapter argues that the role of luck in Kant’s practical philosophy needs to be reconceived and that considerations of luck do not stand in the way of a unification of ethics and right.
The Schumanns’ marriage linked two visions of the Romantic era, that of a self-referential love, and that of an artistic alliance (Künstlerbund). Clara achieved fame across Europe. She had her own cultural network and out-earned her spouse. Robert’s income from composing remained modest until the 1850s. Both wanted to start a family. According to the contemporary legal framework, understood as the law of nature, women were subordinate. Legally and culturally, a man’s work took precedence. Daily reality followed its own rules. A large brood, and Robert’s struggles with illness, as well as social, economic, and political crises tested the couple. Compromises had to be found. The Schumanns prevailed: they were able to start a family and realise careers as professional artists. Robert’s music continues to be performed. Clara was one of the most important pianists of the epoch whose full legacy is still being explored.
This chapter explores how judicial mechanisms employed by apex courts have migrated across South Asia and Southeast Asia, using India, Pakistan, and Malaysia as examples. The chapter focuses on two case studies – Pakistan and Malaysia – to examine how judicial mechanisms, like the basic structure doctrine articulated by the Indian Supreme Court, have been strategically adapted by courts in Pakistan and Malaysia to strengthen their institutional power. This chapter considers the use of judicial rhetoric and constitutional comparativism in crafting opinions of popular salience by examining the distinct ways in which these Asian courts have engaged with foreign and comparative case law.
Elections in Central Asia unfold against a backdrop of digital repression, characterized by network throttling, online content blocking to suppress dissent and targeted online harassment of political opposition and journalists. State-imposed limits on online information availability are compounded by cyber foreign interference, including espionage, information campaigns, and disruptive incidents that have increasingly played a geopolitical role. These multifaceted cyber threats underscore the urgent need for a rapid, concerted policy response aimed at bolstering the integrity of electoral systems and procedures, reducing censorship and enhancing cybersecurity culture and resilience. This chapter explores trends in influencing elections and threatening electoral integrity through cyber means, focusing on both the informational and technical domains, and proposes action-oriented recommendations for cross-sectoral cooperation toward securing elections and the broader digital ecosystem in the region.
Abstract: This chapter explores the procedural and substantive dimensions of compliance disputes before international courts (ICs), focusing on jurisdiction, admissibility, and available remedies. It considers consent to adjudication at the compliance stage and examines the legal bases for ICs to address claims of non-compliance with previous judgments. The chapter analyses objections to admissibility, including challenges based on res judicata, the absence of a meaningful dispute, and the lack of concrete legal effects, then discusses how ICs navigate these objections, employing procedural techniques and remedy escalation to address persistent non-compliance. This inquiry demonstrates the dual role of compliance adjudication: deterring breaches through authoritative declarations and enabling new remedies where prior rulings fail to lead to compliance. These mechanisms underscore the potential of compliance adjudication to enhance the enforceability of international obligations despite ICs’ inability to order the deployment of coercion against recalcitrant states.