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In an article in this issue of BJPsych Advances a courageous psychiatrist describes judicial criticism of his expert testimony in a case before the UK's Upper Tribunal (Immigration and Asylum Chamber). This commentary reflects on the value of criticism and feedback on expert witness work, contrasting the psychiatrist's positive response to the judge's words with the reaction of an expert witness in clinical negligence case, who rejected criticism of his evidence.
This chapter explores the cultivation of the value of unity in a secondary school history textbook in China by examining the chapters on the founding of the Yuan dynasty in the thirteenth century by the Mongols. The study draws on the system of FIELD in register and APPRAISAL in discourse semantics. As for FIELD, in establishing static relations, the textbook applies shifts in the assigned temporal properties, which affords the reading of a continuous development of history made possible by geo-political unity. In construing dynamic relations, the historical activities are presented as linear, culminating in the unification of the Mongolian steppe and the whole country. In addition, activities are organised in linear series to construe assimilation of the various ethnic groups. As for APPRAISAL, the textbook positively appreciates the activity of unifying the Mongolian steppe and the country, and negatively appreciates wars and disunity. The analyses presented in this chapter show the crucial role of ideational resources (i.e. FIELD), as well as interpersonal resources (i.e. APPRAISAL) in aligning textbook readers into a community of shared values, which is an important aspect of representing minority history in a multi-ethnic country like China.
‘What do they know of cricket who only cricket know?’ In using this phrase (a reappropriation of one written by Kipling), the pioneering postcolonial historian C. L. R. James synthesised his interpretation of the vital significance of cricket for the growing West Indian nationalism of the twentieth century (James, 1963). Yet for those not familiar with this work, the phrase likely gives little of this meaning or reveals any of its significance. This chapter explores how particular terminology, ways of speaking, and phrases such as this come to be imbued with deep uncommon-sense and values-based meaning in history. Through analysis using a developing model of tenor in Systemic Functional Linguistics, the chapter argues that such axiologically charged rhetoric functions in the humanities in ways like that of technicality in science. Using texts from James’ memoir Beyond a Boundary, it explores how a range of rhetorical strategies draw on the discourse semantic resources of CONNEXION that links stretches of text and APPRAISAL that evaluates and positions meanings in order to synthesise meaning and help transport it to other texts across contexts.
This chapter explores how emoji can function as a resource operating in the service of ambient affiliation, which unlike the dialogic affiliation explored in the previous chapter, does not rely on direct interaction. The chapter analyses the role of emoji in finessing and promoting the social bonds that are tabled to ambient audiences in social media posts. It also investigates their role in calling together, or convoking, ambient communities to align around shared values or alternatively contest those values. A specialised corpus of tweets about the NSW state government’s COVID-19 pandemic response in Australia is used to show how emoji both interact with their co-text as well as support the tabling of bonds to potential audiences or interactants. The analysis reveals how emoji tended to both buttress and boost negative judgement by adding additional layers of negative assessment as well as to muster communities around the critical bonds which they had helped to enact.
This chapter explores the interpersonal function of emoji as they resonate with the linguistic attitude and negotiation of solidarity expressed in social media posts. We have introduced a system network for describing the ways in which this resonance can occur, making a distinction between emoji which imbue the co-text with interpersonal meaning (usually through attitudinally targeting particular ideation) and emoji which enmesh with the interpersonal meanings made in the co-text (usually through coordinating with linguistic attitude). We then explain the more delicate options in this resonance network where emoji can harmonise with the co-text by either echoing or coalescing interpersonal meaning, or can rebound from the co-text, either complicating, subverting or positioning interpersonal meaning. Following this traversal of the resonance network we considered two important dimensions of interpersonal meaning noted in the corpus: the role of emoji in modulating attendant interpersonal meanings in the co-text by upscaling graduation and emoji’s capacity to radiate interpersonal meaning through emblematic usage as bonding icons.
This chapter explores the role of emoji in the negotiation of meaning in exchanges in TikTok comment feeds. It draws on a model of affiliation, together with the emoji text relations of concurrence, resonance, and synchronicity developed in the three previous chapters, to undertake detailed analysis of the social bonds at stake in these exchanges. Affiliation is a framework developed within social semiotics for describing how language and other semiotic resources support both social connection and disconnection, and aid in the construction of social relations more generally. The corpus used for the analysis undertaken in the chapter is a specialised dataset of TikTok comment threads made on a video series reviewing the food delivered during hotel quarantine in New Zealand in 2021. The TikTok comment exchanges featured users negotiating social bonds about food, daily life, and the pandemic. Most exchanges involved convivial alignments around shared values, with the occasional heated discussion about whether quarantine was a justifiable approach to the pandemic.
The ICC expert, especially the court lawyer, combines their everyday international legal work with the managerial work of having their performance appraised, committing to the court’s core competencies, and assisting with audit exercises. Indeed, the very process of applying for and getting a job at the court is guided by management ideas and practices. Throughout their ‘career’, from the moment they begin to apply for an ICC vacancy until their departure from the court, the ICC expert is mediated by a range of human resource management techniques. This chapter traces that professional journey into, through, and up the court organisation and the consequences of such identity work for the professional imagination of the international criminal lawyer. By engaging with management’s principles, models, meetings, forms, and reports, the ICC expert makes court, and self-optimisation, a lodestar of global justice.
This brief chapter examines how narratives are useful in work psychology. Narratives can be used for everything from career planning to worker relations and ideas around job identity. People often want to identify with the organisation they work for, and successful identification can be positive in terms of satisfaction and productivity. If there is a shared narrative between workers and managers, then the organisation is likely to be more successful. Narrative is a useful device for examining the nature and progress of careers, and activities such as appraisal can enhance these narratives.
This chapter focuses on the use of clichés for negotiating interpersonal relationships in organisational spoken discourse. The chapter conceptualises clichés as im/politeness strategies in the expression and management of evaluative meanings regarding an interactant either directly or indirectly. The study of clichés as interpersonal devices as explored in this chapter encompasses a multidimensional investigation co-deploying two complementary approaches: a systemic functional approach, utilising the appraisal framework, and socio-pragmatic approaches, namely im/politeness and face theory. These are applied to spoken data collected in an organisational setting. The findings demonstrate that, given their reliance on socially shared knowledge as carried by their formulaic nature, clichés allow the conveyance of evaluation of people or situations whilst also enhancing or mitigating the impact of such evaluation on facework.
This chapter conceptualises clichés as socio-cognitive representations in advertising and branding discourse. It draws on social cognition and argues that clichés are useful resources for the construction of brand identity. Two current UK print advertisements and a corpus of UK corporate mission statements are analysed combining corpus linguistics tools and textual analysis of cliches and their collocates using tools from SFL’s transitivity system, social actor theory, appraisal theory and conceptual metaphor theory. The findings demonstrate that, ideationally, cliches are used to construe an ideal self for the brand evoking models of superiority, difference and wholeness and interpersonally building a relationship of trust with the customer or stakeholder who is the ultimate addressee of the mission statements.
We will present experience developing a system for monitoring training placements in psychiatry and community paediatrics, and how this was expanded to provide an automated anonymised MSF for trainers for annual appraisal and will identify trainers in need of additional support and other post/training programme issues. The session will be of interest to educators and medical education leads with practical tips and lessons learnt over the last 8 years since the system was first developed.
Objectives
The system was also used to identify trainers in need of additional support and other post/training programme issues.
Methods
We used an electronic system to gain the infromation as stated in the introduction.
Results
Over the last 8 years we have collected data using this system. the results for our trust will be displayed annoymously but the system is the ficus of this presenation.
Conclusions
The advantages of the system are that it runs throughout the year (so covers each post and placement), has high trainee response rates, has no selection bias (compared with some other MSF systems) and the results are embedded within local quality systems and individual consultant appraisals. The data that the system collects can help provide robust evidence when investigating concerns that might only arise periodically (for example through the annual GMC trainee survey in the UK). We believe that this system will be applicable for doctors providing training in other countries and empowers the improvement of psychiatric training for the profession.
Even where willingness-to-pay as a measure of welfare impact is adjusted for diminishing marginal utility, welfare economics is shown to favour policies that add to the life expectancy or that enhance the quality of life of persons who are already better-off. I propose an alternative, Equal Respect methodology, under an axiomatic claim that at the point of decision the prospective life years of all individuals are of equal intrinsic social value. This justifies equal valuation of risk mitigation across all persons; similarly, all appraised impacts should be scaled to accord equal respect to difficult but no-less-valuable lives.
This chapter discusses stimulus evaluation theories (SETs), which foreground a process of stimulus evaluation (or appraisal). A first brand, called evaluation-first SETs, include appraisal theories in psychology and (quasi-)judgmental and perceptual theories in philosophy. Theories in this brand differ in the role they confer to stimulus evaluation (constituent-only, causal-only, constituent-causal), the granularity of the output of this process (molar, molecular, molar-molecular), and the system required to produce it (in terms of representational format and Attitude, operations, and operating conditions or automaticity). The transition from stimulus evaluation to the other components is accounted for by evaluation-response links that are innate—in the biological version—or learned—in the non-biological version. The latter version splits again in a summary and elemental sub-version. A second brand, called embodied SETs, postulate that stimulus evaluation acquires its heat after bodily responses set in, or they assume an indivisible evaluation-response connection. SETs outperform the previous theories in their capacity to account for the (world-directed) Intentionality of emotions. Most of them can also account for ontogenetic and phylogenetic continuity (except judgmental theories), phenomenality, bodily aspect, heat, control precedence, and irrationality. Molar SETs deliver discrete emotions, purely molecular SETs do not. Empirical research that tests SETs is discussed.
This chapter covers three areas of research of interest to those in assessment: the accuracy and usefulness of others’/observers’ reports, namely references and testimonials; appraisals and reports by people at work who know the individual (boss, colleagues, reports, customers); and the electronic surveillance at work and home. Each method relies on observer reports which are often considered to be superior to self-reports, though they are highly reliant on both the observer’s actual ‘data’ on the individual, as well as the extent to which they are honest. One of the oldest, most established but least validated of methods is the use of personal references/testimonials by supposedly a person who knows a candidate well and is prepared to be honest. The second which comes from the USA more than 70 years ago remains very popular as much for development and training as assessment: similar ratings from different people at work on the same individual on various different aspects. The third area is perhaps the most controversial: the monitoring of individual through a variety (mostly electronic) means on all sorts of their behaviour at as well as to and from work. The newest method, namely wearables, is also discussed.
Conventional appraisal and reimbursement processes are being challenged by the increasing number of rare disease treatments (RDTs) with a small evidence base and often a high price. Processes to appraise RDTs vary across countries; some use standard processes, others have separate processes or adapted processes that explicitly deal with rare disease specificities. The objective of this study was to examine the impacts of different appraisal processes for two RDTs.
Methods
A case study analysis was conducted using countries with different forms of appraisal processes for RDTs for which public health technology assessment (HTA) reports were available. Two contrasting RDTs were chosen according to the criteria: rare versus ultra-rare treatment, affecting child versus adult, life-threatening versus disabling. Information from public HTA reports for each country's RDT appraisal was extracted into templates, allowing a systematic comparison of the appraisals across countries and identification of the impact of the different processes in practice.
Results
Reports from Belgium, England, France, Germany, Italy, Netherlands, Norway, Scotland, Sweden, and the USA were selected for nusinersen (for spinal muscular atrophy) and voretigene neparvovec (for inherited retinal disorders). Countries with separate or adapted processes had more consistent approaches for managing RDT-related issues during appraisal, such as stakeholder involvement and criteria to address the specificities of RDTs, creating more transparency in decision-making.
Conclusions
Findings suggest that separate or adapted approaches for RDT appraisal may facilitate more structured, consistent decision-making and better management of RDT specificities.
After discussing normal initial responses, real-life cases (Charles, Katie, and Martin), and core concepts, the chapters offer several practical suggestions to help new authors publish better and more review articles: write a good-quality review article as the first effort toward journal article publication; studying the 27 items specified in the PRISMA statement; selecting one of the 14 types of literature review based on our own specific research needs; searching and reviewing whether reviews have been published and how these reviews contribute to the literature synthesis; making sure to specify and justify new and substantial contributions that your review will make; writing a strong Method section to demonstrate the rigor and thoughtfulness of your review efforts; developing and presenting insights on future research directions, reading more good review articles and using these as guiding examples, and knowing good journals that publish reviews frequently or exclusively (e.g., Annual Review of Psychology, Psychological Bulletin, and Review of Educational Research).
A key factor in the transition to psychosis is the appraisal of anomalous experiences as threatening. Cognitive models of psychosis have identified attentional and interpretative biases underlying threat-based appraisals. While much research has been conducted into these biases within the clinical and cognitive literature, little examination has occurred at the neural level. However, neurobiological research in social cognition employing threatening stimuli mirror cognitive accounts of maladaptive appraisal in psychosis. This review attempted to integrate neuroimaging data regarding social cognition in psychosis with the concepts of attentional and interpretative threat biases. Systematic review methodology was used to identify relevant articles from Medline, PsycINFO and EMBASE, and PubMed databases. The selective review showed that attentional and interpretative threat biases relate to abnormal activation of a range of subcortical and prefrontal structures, including the amygdala, insula, hippocampus, anterior cingulate, and prefrontal cortex, as well as disrupted connectivity between these regions, when processing threatening and neutral or ambiguous stimuli. Notably, neural findings regarding the misattribution of threat to neutral or ambiguous stimuli presented a more consistent picture. Overall, however, the findings for any specific emotion were mixed, both in terms of the specific brain areas involved and the direction of effects (increased/decreased activity), possibly owing to confounds including small sample sizes, varying experimental paradigms, medication, and heterogeneous, in some cases poorly characterised, patient groups. Further neuroimaging research examining these biases by employing experimentally induced anomalous perceptual experiences and well-characterised large samples is needed for greater aetiological specificity.
Appraisal of caregiving and its relationship to family burden and experienced mental health problems in the relatives were investigated as part of a multi-centre study of the quality of mental health services in Sweden performed in 1997. The sample was drawn from relatives of involuntarily and voluntarily admitted patients to acute psychiatric wards. The instrument used was a semi-structured questionnaire, interviewing relatives about the burden, experience of mental health problems and appraisal of the caregiving situation. The results showed a high proportion of relatives engaged in caregiving activities on a daily basis the month before the patient's admission to hospital and a high proportion of relatives appraising the caregiving activities negatively. The burden was more extensive if the relative and the patient were living together, had a longer duration of their relationship, if the relative was rendering caregiving on a daily basis and if the relative appraised caregiving negatively. The relatives' psychological distress was not related to their negative appraisal of caregiving, nor was patient characteristics, such as diagnosis and level of psychosocial functioning. The only factor found to influence the relatives' psychological distress was the duration of relationship to the patient. Interventions reducing psychological distress for relatives who have known the patients for more than 20 years, who live with the patient, who give care on a daily basis and who appraise their caregiving negatively are suggested.
This commentary summarizes and critiques the main themes in Dr. Pine’s chapter, including how to approach psychiatry from a clinical neuroscientific perspective. The “two-system model” of LeDoux and Pine is the backdrop for Pine’s approach, a model that is also outlined and critiqued in this author’s main chapter in this volume. The two-system model rationalizes and facilitates a synergistic bottom-up more primitive “attentional” and top-down attentional “appraisal” methodology to clinical treatments of threat assessment and anxiety, the basic findings of which are also presented in this chapter. The activity of appraisal, however, clearly involves consciousness, which as Dr. Pine notes, is only in the early stages of being understood scientifically and even philosophically, though Pine notes that cognitive-behavioral therapy does involve consciousness. Some suggestions are offered concerning possibilities as well as difficulties of working with animal models to advance this aspect of Pine’s clinical neuroscientific approach.
This chapter reviews efforts to use neuroscience to inform clinical practice for mental disorders, discussing anxiety disorders as an exemplary foundation for work on other mental illnesses. The chapter unfolds in four stages. The first portion provides an overview, focusing on three levels of inquiry: clinical state; psychological testing; and brain function, as revealed by functional magnetic resonance imaging. Next, the chapter describes research across these three levels for one narrow area of neuroscience, related to the orienting of attention, where progress in clinically relevant domains has been steady. The third section also focuses on the three levels to summarize work on appraisal, a process closely connected to consciousness, where research has yet to profoundly impact clinical thinking.Finally, the chapter concludes by summarizing problems confronting future attempts to establish a clinical neuroscience approach to mental disorders, problems which are difficult to solve due to unique aspects of human thought.