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Whilst many people try to make healthy food choices to improve their health, for others the focus on healthy eating can become obsessive and lead to maladaptive eating behaviours and poorer health. Orthorexia nervosa is a preoccupation with the quality of healthy food, where a refusal of certain foods is driven by the desire to be healthy. Orthorexia Nervosa: Current Understanding and Perspectives is the first clinical book that systematically explores this condition. The book contains in-depth information, with chapters highlighting diagnostic criteria, assessment, prevalence, multidimensional characteristics, future directions and treatment. Additional expert commentary delivers valuable insights to further provide readers with a better understanding of this condition. This informative and engaging book is a valuable resource for academics, researchers, health professionals and students interested in eating behaviour. It is an essential read for anyone wanting a better understanding of orthorexia nervosa and its impact on individuals' health.
The dominant economic, political and sociocultural system is leading the Earth towards climate and ecological breakdown (IPCC, 2023) as well as causing adverse mental, physical and social health consequences (Eisenberg-Guyot and Prins, 2022). To address these inter-related crises there is an urgent need for cultural evolution to life-sustaining ways of living and organising human life (Brooks et al., 2018). This requires concurrent psychological and ideological shifts and psychological contexts of support, in which people can explore their relationship with, and response to, the planetary predicament and the roles they would like to play in its transformation. The Work That Reconnects (WTR) (Macy and Brown, 2014) is a groupwork methodology developed to address this need. It consists of a set of philosophical and psychological teachings and experiential practices drawn from deep ecology, living systems thinking, Buddhism, and indigenous, spiritual and other wisdom traditions. It originated outside the field of CBT and psychotherapy, within activist movements, within which it is an increasingly well-known methodology for psychological support. The WTR has many characteristics which align with cognitive behavioural approaches with regard to processes, techniques and mechanisms of change. The WTR has, as yet, received minimal scientific research attention. The aim of this paper is to raise awareness of the methodology within the cognitive behavioural field, introducing philosophies, concepts, and techniques that may be of utility to CBT practitioners and stimulate research and evaluation of a methodology with potential to address psychological needs at this time.
Key learning aims
(1) To learn about a groupwork methodology, the Work That Reconnects (WTR), for developing adaptive resilience, motivation, agency and wellbeing when facing concerns about the world.
(2) To learn about the four stages of the spiral of practices of the Work That Reconnects: gratitude, honouring our pain for the world, seeing with new and ancient eyes, and going forth.
(3) To understand the key concepts of the model including cultural schemas such as ‘the three stories of our time’ and application of living systems thinking to create cognitive and behavioural shifts towards adaptive action.
(4) To explore the parallels with cognitive behavioural approaches, review the evidence base, highlight the need for further research, and outline areas for investigation.
(5) To suggest ways in which the WTR can inform individual therapy for climate and ecological concerns.
Frailty is a common but complex phenomenon that is approached from theoretical and professional perspectives but rarely from the perspectives of older people and their essential stakeholders. Different or opposing perspectives on frailty at personal, organisational, and community levels can negatively affect care for frail older people. This systematic integrative review synthesises the perspectives on frailty of older people, health/social care professionals, informal caregivers, managers and policymakers, using thematic analysis. We use the Joanna Briggs Institute–Critical Appraisal Checklist to appraise the quality of 52 qualitative and mixed-method studies drawn from the PubMed/MEDLINE, CINAHL, PsycINFO, Embase, and Web of Science databases (inception–December 2023). Of these, 33 include the perspectives of older people, 27 of health/social care professionals, four of managers, and six of informal caregivers. Structuring the perspectives along six themes – ‘the multi-dimensional nature of frailty’, ‘the dynamics of frailty’, ‘the complexity of frailty’, ‘frailty in relation to age’, ‘frailty in relation to health’ and ‘frailty in relation to dependence’ – revealed substantive similarities in the conceptualisation of frailty between older people and professionals, e.g. regarding frailty’s dynamic and multi-dimensional nature. However, older people and professionals differ in their interpretations of frailty: older people take a personal view, while professionals take a more practical view. The identified discrepancies in perspectives may affect care relationships and care for frail older people. Therefore, we advocate a systems approach that incorporates multiple perspectives to form a comprehensive view of frailty and allows for a situation-specific shared understanding of frailty in older people.
The management of surplus dairy calves in Australia has traditionally been influenced by the economic viability of different practices. When beef prices are favourable, more surplus calves are raised for beef, and when beef prices are low, more calves are killed in the first few days of life. Early life killing of surplus calves may however threaten the dairy industry’s social licence to operate. The aim of this study was to describe the views of value chain stakeholders regarding the management of surplus calves. Representatives from seven post-farm gate organisations participated in semi-structured interviews and were asked about their views on current practices, alternatives to early life killing and how best to implement change. Responses were analysed using inductive thematic analysis and were organised into three themes: (1) ethics of surplus calf management; (2) economics of surplus calf management; and (3) moving towards solutions including approaches to affecting change. We conclude that stakeholders widely recognised early life killing of surplus calves as a threat to the industry’s social licence. Whilst technical solutions such as beef on dairy breeding programmes were cited as important, participants emphasised that implementing sustainable solutions will require collaboration, leadership, and commitment by all stakeholders along the value chain.
We rely on other people’s ideas because they often know more than we do about many aspects of the world. A negative consequence of shared beliefs occurs when people focus too much on information that originates from people who hold the same opinions. A group is particularly vulnerable to groupthink when its members have similar backgrounds, the group is insulated from outside opinions, and there are no clear rules for decision making. Shared beliefs can nonetheless contribute to group cohesion, coordination of ideas, and shared mental models. The flipside of shared beliefs are unshared beliefs that can cause conflicts. Advice for resolving conflicts includes engaging in persuasive listening, acknowledging common ground, and discussing reasons for a lack of progress. Considering alternative perspectives also broadens views. High levels of task discourse enable team members to resolve ambiguities, refine their ideas, and discuss the potential innovation of those ideas. Training should therefore emphasize a diversity of perspectives, the open exchanges of ideas, the reduction of biases, and an increased motivation for accuracy.
One method for teaching creativity is to encourage students to adopt broader perspectives. Taking different perspectives provides access to a wide range of knowledge, including social categories, stereotypes, interactions, roles, and events. Prospective thinking has also proven effective by asking students to judge how probable it would be for various future events to happen to them. Examples of creative methods (cartoon captions, gestures, incongruent contexts, novel uses of parts) and types of thinking (prospective, perspective) can serve as guidelines for instructional interventions when developing curricula for improving creativity. For example, an undergraduate creative thinking course at a large Midwestern university focused on strategies to help students develop different perspectives, identify unique opportunities, generate multiple ideas to solve problems, and evaluate those ideas. One of the themes that emerged from six international studies was the role of the teacher in managing discomfort from the uncertainty of open-ended tasks.
This volume offers perspectives on examples of key ingredients in Plato’s writing: particularly of argument, allegory, images, and myth, of intertextuality, and of paradox, but also his characterization of speakers he portrays in dialogue, now through narration, now direct dramatic presentation, and his assumed readerships. All the essays included were prompted by perception of something problematic: either in a passage within a dialogue itself, or in the way scholarship had tackled or failed to tackle a topic. First come three approaching the corpus as a whole, three different vantage points. The next group of three focus on arguments and disputants within the overall argumentative structure of three very different dialogues: Gorgias, Cratylus, and Parmenides. A third group contains two studies of celebrated imaginative fictions – the Noble Lie and the Cave – that perform key but unstraightforward roles in the philosophical strategy of the Republic. The final six chapters discuss the Laws. They explore further literary and philosophical dimensions of Plato’s writing in the last and longest of his dialogues, nowadays yielding up more philosophical rewards than was once the case.
Building upon issues identified in the preceding chapter, Chapter 2 delves into tensions stemming from divergent political ideologies, economic objectives and legal methods that come into play in the interpretation and implementation of international investment agreements. Tensions between different actors and their perspectives on these issues are also considered. The aim is to provide reflection on different issues that occupy the current debate on international investment regulation and challenges encountered when addressing them.
Effective doctor–patient communication is a core competency for healthcare professionals. With the pivot to online clinical education and assessment due to the COVID-19 pandemic, there was a need to explore the views of psychiatric trainees and examiners on assessment of communication skills during online high stakes postgraduate examinations.
Methods:
The study was designed as descriptive qualitative research. All candidates and examiners of the September and November 2020 sitting of online Basic Specialist Training exam (a clinical Objective Structured Clinical Examination exam completed in the first 4 years of psychiatry training) were invited to participate. The respondents were interviewed by Zoom which was transcribed verbatim. Data were analyzed by NVivo20 pro and various themes and subthemes were drawn using Braun and Clarke thematic analysis.
Results:
A total of seven candidates and seven examiners were interviewed with an average duration of 30 minutes and 25 minutes, respectively. Four main themes emerged: Communication, Screen optimization, Continuation postpandemic and Overall experience. All candidates preferred to continue an online format post pandemic for practical reasons e.g., avoiding travel and overnight stay, while all examiners preferred to go back to in-person Objective Structured Clinical Examination. However, continuation of online Clinical Formulation and Management Examination was agreed by both groups.
Conclusion:
The participants were largely satisfied with the online examination but did not consider it equal to face-to-face for picking up nonverbal cues. Overall minimal technical issues were reported. These findings may be helpful to modify current psychiatry membership examinations or similar assessments in other countries and specialties.
Pictures are two-dimensional depictive representations. They include static pictures and animations. The latter are defined as pictorial displays that change their structure or other features over time and trigger perception of a continuous change. Static and animated pictures can display static as well as dynamic content. Both can have an envisioning, explanatory, orientation, organizing, and argumentative function. Picture comprehension entails sub-semantic perceptual processing, semantic perceptual processing, and conceptual processing. Sub-semantic perceptual processing is primarily pre-attentive and data-driven. It results in viewer-cantered and object-cantered visual representations. Semantic perceptual processing is attentive and data- as well as knowledge-driven. It results in object or event recognition. Conceptual processing is attentive and primarily knowledge-driven. It creates complex propositional structures and mental models in working memory. Picture comprehension is based on analog structure mapping under the guidance of perceptual and conceptual representations.
Susanne Staschen-Dielmann’s history episode is designed to offer learners deep understanding and command of a specific historical genre. Criteria-centred evaluation is one of the most challenging text types to master in history. It requires the ability to analyse and evaluate historical events from different perspectives in a nuanced way through a set of criteria. A series of tasks leads to students creating instructional videos for other students. In those videos, students explore aspects of society in the German Empire guided by the research question: ‘After unifying the German Reich with “blood and iron” in 1871, did Bismarck manage to unify German society as a nation?’ After sharing their findings on different social and political factions and analysing similarities and differences according to social, political, economic and ideological positions, learners collaboratively assess the degree of national unity or disunity in Germany under Bismarck, following the principles of criteria-centred evaluation.
A single perspective cannot explain the entirety of serial murder. In psychology, we promote a biopsychosocial model of understanding any behavior or mental process. The author provides a summary of various perspectives, starting with behavioral neuroscience (i.e., biopsychology). She summarizes direct evidence from case studies showing neural issues in serial murderers, implied evidence of brain dysfunction of serial murders, and evidence of no neural issues in serial murderers. She then discusses the biological correlates of violence in general. The case of MSK Joseph DeAngelo highlights crime solved through forensic genetic genealogy.
You've heard of Ted Bundy and John Wayne Gacy. But have you heard of Amy Archer-Gilligan? Or Belle Gunness? Or Nannie Doss? Women have committed some of the most disturbing serial killings ever seen in the United States. Yet scientific inquiry, criminal profiling, and public interest have focused more on their better-known male counterparts. As a result, female serial killers have been misunderstood, overlooked, and underestimated. In this riveting account, Dr. Marissa A. Harrison draws on original scientific research, various psychological perspectives, and richly detailed case studies to illuminate the stark differences between female and male serial killers' backgrounds, motives, and crimes. She also emphasizes the countless victims of this grisly phenomenon to capture the complexity and tragedy of serial murder. Meticulously weaving data-based evidence and insight with intimate storytelling, Just as Deadly reveals how and why these women murder—and why they often get away with it.
This contribution will present the observational method, whose main goal is the in-depth analysis of the criminal situation concerning both the dynamics that are triggered within the relationship – therefore interpreting them through the eyes of the individuals involved – and the dynamics faced by those who observe the relationship from the outside and then have to represent or judge it. The method is the result of the encounter between two approaches, narrative criminology and visual criminology, from which it borrows the concepts of narrative and image. Narrative, in this case, means the stories produced by individuals, who describe the events through their point of observation, and the arguments produced by criminologists and operators based on the perspective they adopted in observing the story; therefore, the narrative plays a central role. The observational method defines the relationship metaphorically as if it were a room within which the protagonists act and perceive themselves according to where they are placed and what they see subjectively. Those who observe the room from the outside will describe it as if it were a photograph. Here the concept of image borrowed from visual criminology returns. Starting with the first activities that are carried out talking about criminal acts (fact-crimes) and then the inspection activities (technical–judicial and psycho-criminological), we will highlight the role of the criminologist and the narrative approach that distinguishes his or her work.
This chapter summarized the theoretical and empirical relationships between wisdom and morality. Wise individuals are able to think carefully and rationally about moral dilemmas, recognizing their own intuitive impulses but not necessarily following them in making decisions. As they think about complex moral dilemmas, they aim to balance the different perspectives, interests, and needs optimally. Their value orientations are focused on a greater good that does not just include members of their own family or group but humanity and the world at large. Because they are good at thinking about moral issues and at dealing with the emotional and social aspects of complex situations, they are likely to also act ethically in difficult situations. Many of the great wisdom exemplars in history stood up for a just cause and accomplished major societal changes by peaceful means. We believe that the ethical aspect of wisdom is particularly important in a time where the world needs good decisions that do not focus on the needs of any particular nation or group. If we want to overcome serious world problems, such as climate change, global pandemics, and rising inequality, we need ethical and wise leaders.
This chapter focuses on role enrichment strategies designed to enhance life balance. Role enrichment strategies involve the use of skills, experiences, and resources strategies (proven successful in meeting demand in one role) to meet role demand in another role and thus increase satisfaction in that life domain.
Genetic and biochemical studies have greatly advanced our understanding of the biology of seeds in recent years. Another area of study, which could accelerate contemporary seed biology research, is phylogenomics that integrates the wealth of genome sequence data with evolutionary biology. The recent phylogenomic study of the DELAY OF GERMINATION1 family genes exemplifies how the molecular evolution of seed genes can be traced back through early diverging plants and what implications can be obtained from the analysis of seed gene diversification at ancient times. The identification of possible ancestors of seed genes in non-seed plants could illuminate the ancient roots of the molecular mechanisms driving seed maturation programmes. It is possible that the origins of molecular mechanisms associated with the induction of seed storage proteins and desiccation tolerance proteins date back to the time of, or even prior to, early diverging land plants. Abscisic acid-dependent growth arrest or dormancy mechanisms might date back to red algae, one of the oldest algal groups. Thus, understanding algal cell biology will also be an integral part of future seed biology research. Unravelling key events associated with the evolution of seed- and non-seed plants will not only advance basic research but could also contribute to applied aspects of seed science, potentially leading to technology development for agriculture.
To investigate the experiences of significant others when their loved one with a severe acquired brain injury (ABI) is being discharged from an ABI-specific rehabilitation unit.
Participants:
Significant others of loved ones with an ABI participated in interviews close to their loved ones being discharged from inpatient ABI rehabilitation.
Methods:
Semi-structured interviews were conducted, and thematic analysis applied. Additionally, the drawing method was also used which involved participants drawing what it was like for them as their loved one was going home. Image analysis was then combined with the interview data.
Results:
Eight significant others participated in interviews on discharge and completed a drawing describing their experience. Five themes were identified (Change, Mixed feelings, Support of family and friends, Journey and Staff interactions).
Conclusion:
The experience of having a loved one with a severe ABI in rehabilitation is an emotional event. Compassionate communication, consistency of information and thorough discharge planning practices were cornerstones to enhancing the experience of significant others, empowering them to undertake their new role.
Family medicine practitioners (FMP) take care of a varied range of patients with undifferentiated conditions over a lifetime. Although it was incepted in Saudi Arabia in 1980, limited data exists on FMP. This paper explores what family physicians deem relevant.
Methods:
A cross-sectional survey was conducted among FMP in Saudi Arabia in 2018–2019 who responded to an online questionnaire that listed 20 activities usually done by FMP asking them to rate their meaningfulness on a 5-point Likert Scale, and select the top 3 they would like to spend the most and the least time on. Chi-square statistics were used to compare preference for time spent on these six activities by participant characteristics
Results:
Of the 415 survey participants, the majority were male (246) and had a Bachelor’s degree (176). The management of risk conditions, follow-up of chronic illnesses and running preventive health clinics were listed as most meaningful. The majority wished to spend more time on managing health risks, handling daily common complaints and follow-up of chronic illnesses and less time on terminal care activities (46.8%), emergency care (32.3%) and addiction medicine (23.4%). Bachelor’s degree holders wished to spend more time on emergency care compared to Diploma, Board-certified and Fellowship holders (63%, 21%, 10% and 5%, respectively; P = 0.01).
Conclusions:
The activities preferred by FMP align with prevailing disease epidemiology. Variations in preferences of ‘managing emergencies’ reflect the varied format of training. Training of FMP should be standardized and further studies investigate reasons for specific preferences.
In many domains of linguistics, theoretical differences have led to entrenchment and a certain degree of fragmentation. Morphology seems to be different. Theoretical positions differ substantially, but the differences never get in the way of informing oneself about the reasons for adhering to a different framework, making use of it. In this volume, the following frameworks are discussed: a-morphous morphology (Anderson 1992), word and paradigm morphology (Blevins 2016), paradigm function morphology (Stump 2001, 2016), onomasiological approaches (Dokulil 1962, Štekauer 1998), construction morphology (Booij 2010), lexical semantic framework (Lieber 2004, 2016), and neo-constructionist approaches (Hale & Keyser 2002) such as distributed morphology (Embick 2015). This volume thus contains a wealth of theoretical approaches, methodologies, and descriptive issues: a fitting tribute to a linguist who made it his hallmark to serve the linguistic community with a broad range of textbooks, monographs, and research articles.