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This exploratory study aimed to empower people with serious mental illness to create and implement supported decision-making plans and study the impact on their decision-making process. We found that study participants were able to: (1) use supported decision-making once empowered to do so; (2) decide when and how to use supported decision-making; and (3) develop individualized decision-making strategies based upon their unique characteristics and situations. The adoption of supported decision-making in clinical practice, research, and policy is essential to ensure the rights and well-being of adults with decisional incapacity. In particular, integrating supported decision-making into clinical research protocols can enhance informed consent processes and promote meaningful participation of individuals with serious mental illness, balancing respect for their autonomy with appropriate protections.
This chapter addresses the issues of identity, cosmopolitan multiculturalism, democracy, the reconceptualization of the nation-state, development and the ways in which potentially divisive and destructive forces might be transformed into powers for the public good. It draws on recent developments in South Africa. It concludes that the intellectual projects of our age are peace, justice and development, within and beyond states.
Vincent Twomey’s thought-provoking essay sees reasons for hope in the midst of all the problems currently besetting Irish Catholicism. He opines that people’s faith has withstood the turmoil within and without the Church and argues that there are signs of the kind of renewal that was recommended by some of the documents of Vatican II. Detecting these signs is important in revealing the newly opened up possibilities (and risks) for a more humble Church that seeks to fulfil its God-given mission to bring joy to the world of today. The re-evangelizing of Ireland will not happen easily: it requires placing more emphasis on the beauty of lived Christianity and, by extension, of everyday sanctity.
Medical misadventure was frequently a matter of public record, but some forms of career turbulence were more readily acknowledged than others. Medical suicide was the most problematic phenomenon for shaping professional conduct. Practitioners who served in India, for example, and who were later thought to suffer from unsoundness of mind, were in effect exonerated from personal culpability. Medical professionalism and masculinity would have been more gently guided by an acceptance of inadequacy or limitation, to 'counsel the adoption of what might be termed a "modest" approach to the affairs of life'. Medical misadventure is inevitable, but if the experience of nineteenth-century practitioners is at all illustrative, its deployment for setting professional boundaries has been misconceived. Medical reputations were further complicated by the Contagious Diseases Acts, which first appeared to endorse medical intervention for the good of public health but then attracted outspoken opposition to compulsory examination.
Northern Ireland had a significant and developing publicly provided mental health service that served the general and more specialist needs of the population. The trauma team focus on the community and personal health consequences of the bombing formed part of a raft of responses by key sectors in the Omagh community. This included the Christian churches and other faith communities, which were coordinated largely by the local Churches' Forum. The links between the schools and the Community Trauma and Recovery Team were very important, especially in the first 12-18 months when many referrals were received in respect of children, young people and families. Understanding the needs of people affected by the bombing was central to the development of therapeutic services by the Team. The bomb scares also interfered with help-seeking and engagement in therapy, undermining the confidence of individuals to engage in or continue with therapy.
This paper argues that research ethics for individuals with intellectual and developmental disabilities must attend to the value of non-domination. First, we highlight the role of domination in the history of abusive research practices against individuals with intellectual and developmental disabilities, practices which directly led to existing protections for this vulnerable population. Second, we argue that existing protections do not adequately safeguard potential participants from domination in decision-making about whether to participate. This is a distinct concern from the well-established criticisms that existing protections may wrongfully exclude potential participants. Finally, we outline and defend an account of supported decision-making grounded in the value of non-domination in order to safeguard potential participants from domination. Our account nonetheless preserves supported decision-making’s possibilities for greater inclusion of individuals with intellectual and developmental disabilities in research participation.
Campaigning for human rights, Edmund Dene Morel created the Congo Reform Association in 1904 following a British House of Commons Resolution condemning Leopold's actions. The British diplomat Roger Casement was dispatched to verify Morel's claims, which he did in a 1904 report that compounded Morel's story with accounts of similar humanitarian abuses. In the case of the Congo, the discourse was led by Morel's Congo Reform Association with the aim of activating a sense of international consciousness and responsibility to end Leopold's destructive regime. The Congo became one of the first cases in which human rights and native rights were articulated in the context of colonial governance. The impression of the architecture of US Congo policy gives an important insight into the role and influence of private interests in shaping approaches towards the execution of modernisation strategies.
This study treats the selection of land conservation and intensive use model counties as a quasi-natural experiment. Using Chinese county-level panel data, we evaluate the multidimensional impacts of the land conservation and intensive use policy (LCIUP). We find that LCIUP reduced PM2.5 concentrations in counties while simultaneously lowering per capita GDP, exerting a positive effect on environmental quality but a negative inhibitory effect on economic growth, showing a distinct environment–economy asymmetry. LCIUP restricts industrial land supply and curbs the entry of polluting enterprises, but fails to facilitate industrial transformation and upgrading. Counties reliant on secondary industries face significant industrial transformation lock-in challenges, while those with substantial market potential can achieve dual economic and environmental goals. Green finance policies effectively complement LCIUP to promote industrial transformation and upgrading, whereas technological innovation and talent attraction policies currently lack such synergy. Cost–benefit analysis confirms that LCIUP’s marginal environmental benefits outweigh economic losses.
This article investigates whether state efforts to combat violence against women (VAW) shape personally held stigmatizing attitudes toward victims of intimate partner violence (IPV) and views of the stigma society attributes to them. Drawing on the policy feedback effect and source cues literature, we argue that credible sources delivering messages about anti-VAW laws can reduce stigmatizing attitudes toward IPV victims and persuade people that society is more welcoming to victims, thereby reducing public stigma. Using survey experiments collected from Mexico and Guatemala, we find that credible sources matter in predicting a host of attitudes related to personally held and public stigma toward victims, but these effects are conditional on gender and hostile sexism. This article demonstrates that even in contexts of impunity, state efforts can positively shape social norms on VAW.
Psittacidae birds are heavily targeted by the illegal pet trade worldwide. Understanding local patterns of such exploitation will help decision-makers elaborate effective conservation strategies. Thus, here we analysed admissions data for 2016–2024 from Brazilian governmental agencies for Tangara Wildlife Rescue Centre in Pernambuco, Northeast Brazil to elucidate the patterns of entry of poached Blue-fronted Parrots Amazona aestiva. In addition to Blue-fronted Parrots, six other parrot species also entered the centre. Nevertheless, 78% were Blue-fronted Parrots seized in 95 municipalities distributed across 11 states in Brazil. There are four main categories of arrival at the rescue centre – seizures, voluntary surrender, rescue, and transfers – of which the first two are the most frequent. Mortality rates correlated with rates of arrival from voluntary surrender and seizures. The number of adults entering the centre varied annually, while the number of chicks changed between months, with peak arrivals in October. Species preference seems to drive the parrot trade in the region. Recommendations include implementing environmental education and media campaigns, enhancing inspection efforts, improving data management in rescue centres, and establishing protected areas to reduce the number of poached animals and enhance the effectiveness of the Blue-fronted Parrot reintroduction programme in the region.
The formal condemnation of American, British and Belgian actions during the Stanleyville intervention represented the zenith of the influence of the Afro-Asian bloc at the UN. By instrumentalising the organisation and enhancing its agency and potential in a variety of ways, the Afro-Asian bloc enhanced the role of the UN in accelerating decolonisation across Africa. In the General Assembly and its associated committees, not only did the Afro-Asians have a vehicle for their objectives but they also had an opportunity to maximise the benefits of their numerically dominant position. The Congo crisis had served to subtly shift the dynamic of Anglo-American relations on colonial issues, as reflected in the State Department's report of 1965. The Afro-Asian bloc had consistently used the Congo crisis as a way to demonstrate a wider critique of British colonial policies, which increased the oversight role of the UN in managing the decolonisation process in Africa.
The classical Prats problem of flow instability in a horizontal porous channel saturated by a fluid subject to a buoyancy force is reconsidered. In the original formulation, the driving buoyancy force results from thermal diffusion. This study, however, substitutes thermal diffusion with mass diffusion. Furthermore, the usual scheme of mass diffusion is extended to comprehend also the anomalous phenomena of superdiffusion and subdiffusion. Such phenomena are modelled via a time-dependent mass diffusivity which yields a significant change in the formulation of the stability eigenvalue problem. In particular, the ordinary differential equations governing the time evolution of the perturbations acting on the base throughflow become non-autonomous. This makes a significant difference in the discussion of the conditions leading to instability, with a marked effect of the anomaly in the mass diffusion process. The transition from convective to absolute instability for subdiffusion processes is also addressed.
This chapter reviews the transformation of Europe through the free will of free, sovereign, independent peoples. It addresses the enlargement of the European Union, and the potential for new members. It argues that Europe is a force for transformation and creative reconciliation in the world.