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This chapter considers the overlaps and divergences between cults and terrorist movements. It begins by considering whether terrorism has entered a new era that increasingly overlaps with apocalyptic religious cults. It then takes into account the historical tension between defining groups that engage in extremist violence for ideological purposes as terrorist groups, as cults, or as a combination of the two. Following this, an analysis of the Islamic State of Iraq and Syria provides a vehicle for drawing out the commonalities and dissimilarities between the two concepts. Finally, the chapter concludes by considering any need to differentiate between terrorism and cults when engaging in risk assessment for individuals at risk of violence, along with strategies for intervention.
Patients with psychosis face an elevated risk of cardiovascular mortality and are more likely to disengage from care. While antipsychotics are essential for treatment, they further increase this risk. Despite this, Ghana lacks a national policy for monitoring cardiovascular risk factors in individuals on antipsychotics.
Aims
To evaluate disengagement in care and weight changes among newly diagnosed psychotic patients at Accra Psychiatric Hospital, and to inform clinical practice.
Method
A retrospective review of medical records was conducted for patients newly diagnosed with non-affective psychotic disorders between June 2022 and May 2023. Patients were reviewed for 6 months, with assessments at baseline, 3 months and 6 months. Outcomes included antipsychotic prescription patterns, dropout rates, cardiovascular disease monitoring and weight changes. Descriptive statistics, multinomial logistic regression and linear mixed-effects models were used for analysis.
Results
The number of patients disengaged from care within the first month was 53.1%, and within 6 months 75.5%; 62.8% received olanzapine at baseline. Weight gain was exponential, with 40% experiencing clinically significant weight gain at 3 months, increasing to 58% at 6 months. Less than 50% of patients had their blood sugar and lipid profiles checked before starting antipsychotics. Higher baseline weight was associated with increased weight over time (β = 0.96, t = 80, P < 0.001, 95% CI 0.93, 0.98).
Conclusions
High disengagement rates, low cardiovascular disease monitoring and exponential weight gain were observed. Targeted interventions, robust monitoring protocols and further research are needed to improve patient outcomes.
Recent years have seen many cases where the moral transgressions of public figures have led to widespread disengagement from their work, such as no longer watching their shows or reading their books. In the academic context, this can manifest as not inviting an academic to speak, no longer citing or teaching their work, or even ending professional relationships. This paper aims to explore the question of whether there could be purely epistemic reasons that could underwrite such practices of disengagement; bracketing social, moral, or political concerns. In doing so, it addresses a common criticism: an academic’s moral transgression need not give us epistemic reasons to doubt the quality of their work, making disengaging unjustified. The main part of the paper investigates whether this criticism can be countered by viewing an academic’s moral transgressions as a defeater. After dismissing the option of undercutting defeat, it proposes a template argument for when there could be purely epistemic reasons for disengaging, namely if it takes place in areas where the moral transgression that motivates disengagement also functions as a higher order defeater.
Chapter 7 acknowledges that, despite the best planning for positive engagement, students will still exhibit disengaged and disruptive behaviours. It examines the research to discuss which behaviours are the most common and the most difficult to manage in a classroom environment. It makes the distinction between frequent disengaged behaviour and rare ‘challenging’ behaviour discussed in Chapters 9 and 10.
Building on previous chapters, this chapter also discusses the best ways to prevent disengaged behaviours through implementing consistent classroom routines, structures and expectations, including the explicit teaching of expected behaviour. Ongoing strategies such as social-emotional learning to build strong relationships, low-key techniques to remind and redirect behaviours, class meetings to support student voice and engaging lessons are explored.
This chapter will focus on one type of ‘alternative education’ that has been specifically designed for students who have been disengaged from schooling. As disengagement is the breakdown of the relationship between the student and education, a reengagement program’s job is to provide a context where that relationship can be rebuilt. It provides an opportunity to rethink the pedagogical and structural way we ‘do’ school and challenges us to think that perhaps there may be other ways to include the needs and views of students, as well as the support of the wider community.
There are over 400 schools and programs for disengaged students around Australia, providing education for at least 70 000 young people. This might be the type of teaching that you are interested in, where engagement itself is the main purpose. Working in reengagement programs provides an array of challenges but can present enormous rewards for the young people who get a second chance at education and for the staff who can see that they can make a life-changing difference.
According to conventional wisdom, a great power engaging in international retrenchment regularly incurs tremendous costs. Following its withdrawal from a commitment abroad, the argument goes, windows of opportunity emerge that rivals exploit to their benefit, thus imposing significant costs on the retrenching great power. I argue that pundits and policymakers consistently overestimate the dangers associated with strategic withdrawals: great powers can – and in the past frequently have – successfully engaged in international retrenchment without creating opportunities for their rivals to gain significant strategic benefits. To make this case, I develop a new typology of international retrenchment strategies based on the kind and degree of disengagement they entail and demonstrate that most types do not regularly pave the way for rival gains. I support my argument through a series of plausibility probes: the Soviet retrenchment from Romania in the 1950s; the US retrenchment from Korea in the 1970s; and the US retrenchment from Western Europe in the 1990s.
Being left out by others is a painful experience that threatens basic needs. When people are excluded, they may merely distance themselves from those who have wronged them to avoid further rejection. However, some individuals may engage in compensatory actions to defend their self, their group, or the interplay between them in a way that could be a first step for radicalization leading to violence. How and when people opt for each strategy might vary depending on psychosocial mechanisms as well was macro-level cultural differences. Here, we focus on a mechanism useful for capturing who is more willing to fight or flee under social exclusion – identity fusion, a profound alignment between the personal self and a group, individual, value, or ideological conviction – and on a global cultural factor of relevance for the link between exclusion and extremism, as it is the distinction between WEIRD and non-WEIRD populations.
This paper aims to un-suture common-sense assumptions based on Westphalian International Relations (IR) from South Korea’s non-essentialist and situated perspective, in the context of decolonising IR. Towards this end, the paper methodologically investigates a South Korean novel, A Grey Man, published in 1963 during South Korea’s early post-colonial period at the height of the Cold War. Using a non-Western novel to conduct a contrapuntal reading of Westphalian IR, this paper constructs a different type of worlding, conceptualising ‘the international’ through ‘the cultural’. It explores the following questions: How do ‘yellow negroes’ (the subject race) make sense of themselves and their roles and life-modes in a world defined for them by the white West (the master race)? How do yellow negroes understand and respond to the white West, which is hegemonic in world politics and history? In what ways does the protagonist of A Grey Man resist, engage with, and relate to the hegemonic West, which he has already internalised? In addressing these questions, the paper attempts to access different IR words to think with, such as race, white supremacy, intimacy without equality, sarcastic empathy, and disengagement. These provide an arena in which we can think otherwise, while un-suturing dominant Westphalian IR thinking.
Chapter 8 discusses dynamics of engagement and disengagement. Drury and Reicher suggests that protest participation generates a “positive social-psychological transformation,” arguing that participation strengthens identification and induces collective empowerment. The emergence of an inclusive self-categorization as “oppositional” leads to feelings of unity and expectations of support. This empowers people to oppose authorities. Such action creates collective self-objectification (i.e., it defines the participant’s identity opposite the dominant outgroup). As such, taking it onto the streets strengthens empowerment and politicization, paving the way to sustained participation. Sustained participation is nearly absent in the social movement literature. Surprisingly, because long-term participants keep movements going. The other side of the coin is disengagement. Again, compared to the abundant literature on why people join movements, literature on why they exit is almost non-existent. Research has centered on the determinants of disengagement, or the future of ex-activists, but rarely on the disengagement process. Indeed, the process of disengagement is highly likely to vary as a function of what provokes it, the costs of disengagement, the manner in which it takes place, and therefore what becomes of those who leave. Chapter 8 will elaborate the social psychological correlates of sustained participation and disengagement.
The emotions of frontline responders are traditionally viewed as problematic, because emotions are seen as distractive and impediments to an efficient pursuit of optimal crisis response outcomes. In addition, personal involvement in the situation might result in trauma since responders are often unable to prevent tragedy and suffering. Dissociation from the response, instead, might best enable responders to cope with traumatic experiences and avoid negative psychological consequences. Yet, compassion and altruism give meaning to their work for many responders and can improve their customized care to those in need. Detachment, moreover, is rarely fully effective. The emotional attitude of crisis responders, therefore, poses a dilemma. It is useful to note that emotions are diverse in nature and intensity. This means that there is room to explore how to manage emotions in such a way that feelings of empathy and involvement are enabled without responders succumbing to it. In any case, it requires unwavering organizational and team support.
Imagine that you are a researcher interested in disentangling the underlying mechanisms that motivate certain individuals to self-sacrifice for a group or an ideology. Now, visualize that you are one of a few privileged that have the possibility of interviewing people who have been involved in some of the most dramatic terrorist attacks in history. What should you do? Most investigations focused on terrorism do not include empirical data and just a handful of fortunate have made face-to-face interviews with these individuals. Therefore, we might conclude that most experts in the field have not directly met the challenge of experiencing studying violent radicalization in person. As members of a research team who have talked with individuals under risk of radicalization, current, and former terrorists, our main goal with this manuscript is to synopsize a series of ten potential barriers that those interested in the subject might find when making fieldwork, and alternatives to solve them. If all the efforts made by investigators could save the life of a potential victim, prevent an individual from becoming radicalized, or make him/her decide to abandon the violence associated with terrorism, all our work will have been worthwhile.
Disengagement from care in early psychosis is frequent. In outpatient general psychiatric services rates range from 17 % to 60 %. In early intervention programs, rates range from 14 % to 33 % at two years. In Europe, a study reported an initial drop out rate at 48 %.
Objectives
Measure intensity of care during two years after first hospitalization in a schizophrenia spectrum disorder population. Search for a difference between lost and maintained follow-up patients.
Methods
A monocentric retrospective study was conducted. All patients aged 16 to 30 with at least one hospitalization for schizophrenia spectrum disorder from January 2013 to December 2018 in CHAC were included. First hospitalization medical charts and all (social, nurse, psychologist, psychiatrist) outpatient appointments were assessed. A monthly mean of all appointments (MMA) was calculated for each patient. Lost or maintained groups at two years were compared with a Mann-Whitney test.
Results
Among 48 patients, 52,1 % (N=25) disengaged from initial follow up within 2 years. The MMA for (N=46) patients was 1,45 (SD 1,35), 0,5 (SD 0,33) for psychiatrists. For lost patients, the MMA was 1,35 (SD 1,40) compared to 1,55 (SD 1,32) for maintained. No significant difference was found : U=229,50 p=0,45.
Conclusions
At two years, care appears more intensive for maintained patients than for lost ones, but no significant difference was found.
Differentiating between autism spectrum disorder and attachment disorders such as reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) can be difficult. We comment on Davidson et al's article on this problem, note the dearth of validated assessment tools for RAD and DSED, and point to the utility of the Early Trauma-Related Disorders Questionnaire.
This chapter explores the trajectories of those activists who fail to develop attachment to their organizations. It argues that understanding disengagement from activism requires us to distinguish not simply between those who continue to participate and those who leave, but also separate individuals whose reasons for leaving are external (i.e., they face insurmountable obstacles to continued involvement), from people whose motives are internal (i.e., they do not find participation appealing enough). With that purpose, it introduces the distinction between potential dropouts (those who continue participating because they lack a better alternative), voluntary dropouts (those who choose to leave the movement for a more effective source of income), and reluctant dropouts (those who disengage forced by special circumstances). The chapter concludes by arguing that potential and voluntary dropouts have in common the fact that participation does not become an end in itself, while reluctant dropouts share with long-term participants “resistance to quitting”, a strong (but not infallible) inclination to overcome obstacles to participation.
This chapter translates the lessons learned from extremist side-switching into the context of countering violent extremism and deradicalization or disengagement work. First, I expore how far the initial decision to leave an extremist milieu among defectors to the enemy camp overlaps with the available knowledge about those exit processes leading to a life outside of extremism. It is argued that side-switching is a so far unknown type of disengagement process, which can be seen as an incomplete or failed exit process. Another important takeaway is that side-switchers retain particular ideological core elements (e.g., anti-Semitism, nationalism) and use them as ideological bridges betweenmilieus. For a majority of defectors, the continued desire to oppose the mainstream or a certain previously identified enemy, is the main inhibitor of leaving extremism altogether. The chapter includes a discussion on potential ways to improve countering violent extremism and counterterrorism methods with the insights gained from extremist side-switching.
Connections that help us feel valued and add value impact our health, happiness, love, work, and society. The consequences of mattering or not mattering can be seen everywhere, at every age. The lack of mattering often results in depression, suicide, and even aggression and xenophobia. People who suffer from depression, workers who feel alienated, and citizens whose identity is threatened feel devalued. They feel that their lives, work, and identity do not matter. While some respond to this situation by internalizing feelings of despondence, others overcompensate by nurturing feelings of superiority and joining nationalistic movements headed by authoritarian leaders. Feeling devalued or overvalued, in relationships, at work, and in the world, is one of the most serious threats facing us. They derive from a failure to foster mattering. They results can be disastrous for individuals and society as a whole. When disaffected masses feel that their identity is devalued in society, they respond in one of two ways. They either turn toward nationalism and extremism, as in the case of xenophobic movements, or they protest to defend their rights.
Teaming is about creating the conditions that will enable people to feel valued at work. Teaming encompasses our behaviors, emotions, thoughts, and interactions. These four elements of teaming create a particular context. What we do, feel, and think can foster a culture of inclusion or exclusion, safety or fear. The consequences of our actions, feelings, and exchanges have short- and long-term repercussions for the health of employees and the organization as a whole. This chapter deals with the signs, significance, sources, and strategies related to feeling valued at work. It is about creating a psychological climate of safety and acceptance where people can be honest and human. These conditions are propitious for creativity, productivity, and well-being. Teaming meets the needs for belonging, dignity, and growth, and it requires effort on everyone’s part: boss, employee, peers. It is a collective responsibility. In high-performing teams, members add value and pay attention to the needs of their peers.
Flexible learning programs (FLPs) provide a place for students who have disengaged and disconnected from mainstream schools. Despite the legislative framework in Australia supporting the participation of students with disability in their local mainstream schools wherever possible, very little research focusing on whether students with disability are being excluded from, or dropping out of, mainstream schools into these FLPs has been conducted. In this paper, we report on the findings of an online cross-sectional survey of FLP leaders about their student populations, with a focus on the 10 most prevalent disabilities among Australian children. Data from the 22 participants who completed all items of the survey were analysed. The participants’ (n = 22) schools represented a total enrolment of 2,383 students in FLPs across Australia: Tasmania (n = 3), Victoria (n = 5), New South Wales (n = 5), Queensland (n = 4), Western Australia (n = 3), and South Australia (n = 2). We found that while there was an apparent overrepresentation of students with certain types of disabilities in FLPs, others were not overrepresented at all. The findings of this preliminary study are discussed, with an exploration of issues relating to why students with some disabilities may be more likely to disengage, or be excluded, from mainstream schooling while others are not, as well as recommendations for future research.
Among San communities in Botswana, the rate of student disengagement from both primary and junior secondary school is an ongoing concern for educators. San learners leave school at all levels of primary and junior secondary education. Students who leave school have tended not to provide reasons as to why they are dropping out. This study investigated some of the reasons why San learners decided to drop out at primary and junior secondary school levels in the Central District in Botswana. In-depth interviews were undertaken with 20 former students living in five cattle-posts where the participants worked as cattle herders. The results indicate that some San drop out of school for reasons of survival, both within and outside school. The findings of the study offer insights into some of the issues that impede students within San communities in achieving their educational goals. Further, the findings could assist educational authorities in their review of current educational practices in Botswana so that that all citizens can be appropriately accommodated within the education system.
Here I examine how conservation organizations responded to a crisis environment in Zimbabwe. Since c. 2000 Zimbabwe has gone through a political, social and economic crisis that has led to reduced support for, and in some cases disengagement by, international and regional conservation organizations. I explore five response types on a continuum of disengagement and propose lessons for wider conservation practice. The lessons include the need to recognize that political discourse often excludes biodiversity conservation and therefore any conservation decisions based on political expediency run the risk of impeding conservation progress. Progress in conserving biodiversity requires sustained investment regardless of changing political circumstances. Such investment should include support for institutional development, local engagement, and accountability that engenders ownership of local conservation initiatives. I conclude that conservation organizations must take a long-term view of conservation and commitment to enhance conservation outcomes. This kind of engagement must be adaptive instead of based on a wait-and-see attitude or other forms of disengagement, as has been seen in Zimbabwe. Conservation organizations that disengage do so at the risk of further loss of biodiversity in some of the most biodiverse but unstable places.