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This chapter explores safeguarding as a duty on tennis sport governing bodies (SGBs) and tennis academies in respect of their athletes, whether junior or senior. The chapter considers safeguarding as a duty of care, the violation of which gives rise to tort-based liability. It looks at the various instruments and codes adopted by tennis SGBs, as well as by national tennis federations, including also their monitoring processes. The chapter explores how these processes are enforced with a view to limiting exposure to risks present or future. The chapter also considers health and safety as part of the duty of safeguarding and goes on to point out legal consequences for failure to meet safeguarding obligations.
Eileen Carey’s books are rarely read; her acting career was forgotten during her lifetime; and her presence in literary culture has always remained in the shadow of her husband. But she provided important support for Sean O’Casey throughout the second half of his life, and there is also great prescience in her own writing. This chapter presents a new assessment of Eileen Carey’s professional career in the wake of the #MeToo (2006–) and #WakingTheFeminists (2015–16) movements, showing how she experienced and wrote about male abuse in the entertainment industry, and how she inspired her husband to write about some of those themes in his own writing.
Adverse childhood experiences (ACEs) are associated with poor mental health outcomes, which are increasingly conceptualized from a transdiagnostic perspective. We examined the impact of ACEs on transdiagnostic mental health outcomes in young adulthood and explored potential effect modification. We included participants from the Avon Longitudinal Study of Parents and Children with prospectively measured data on ACEs from infancy till age 16 as well as mental health outcomes at ages 18 and 24. Exposures included emotional neglect, bullying, and physical, sexual or emotional abuse. The outcome was a pooled transdiagnostic Stage of 1b (subthreshold but clinically significant symptoms) or greater level (Stage 1b+) of depression, anxiety, or psychosis – a clinical stage typically associated with first need for mental health care. We conducted multivariable logistic regressions, with multiple imputation for missing data. We explored effect modification by sex at birth, first-degree family history of mental disorder, childhood neurocognition, and adolescent personality traits. Stage 1b + outcome was associated with any ACE (OR = 2.66, 95% CI = 1.68–4.22), any abuse (OR = 2.08, 95% CI = 1.38–3.14), bullying (OR = 2.15, 95% CI = 1.43–3.24), and emotional neglect (OR = 1.68, 95% CI = 1.06–2.67). Emotional neglect had a weaker association with the outcome among females (OR = 1.14, 95% CI = 0.61–2.14) than males (OR = 3.49, 95% CI = 1.64–7.42) and among those with higher extraversion (OR = 0.91, 95% CI = 0.85–0.97), in unweighted (n = 2,126) and weighted analyses (n = 7,815), with an openness–neglect interaction observed in the unweighted sample. Sex at birth, openness, and extraversion could modify the effects of adverse experiences, particularly emotional neglect, on the development of poorer transdiagnostic mental health outcomes.
Edited by
James Ip, Great Ormond Street Hospital for Children, London,Grant Stuart, Great Ormond Street Hospital for Children, London,Isabeau Walker, Great Ormond Street Hospital for Children, London,Ian James, Great Ormond Street Hospital for Children, London
This chapter explains principles of safeguarding, the relevant law and statutory framework, the role of the anaesthetist in safeguarding, specific forms of abuse, the safeguarding process for children when concerns arise and the investigation process when a child dies.
This chapter explores what we know about violence against young people with cognitive disability. It looks at what can make it more likely that young people with cognitive disability are abused. It’s hard to really know how many young people with cognitive disability have experienced violence. Young people with cognitive disability can be harmed by workers, family, or friends who are meant to help them. Abuse can happen in many places. Services and society need to learn how to keep young people with cognitive disability safe. We need to make sure young people can make decisions for themselves.
Young people with cognitive disability, families, and practitioners reported many acts of violence against young people. The violence included physical abuse, sexual assault/abuse, neglect, exploitation, emotional and psychological abuse, and domestic and family violence. Young people were abused by other young people with disability, family members, partners, practitioners, and services. Young people in this book found the strength to speak up and tell their stories of violence.
This chapter tells Amethyst’s story. Amethyst is an Aboriginal and South Sea Islander young woman with cognitive disability. Amethyst is not her real name. Amethyst was abused many times as a child and a young adult. Her story can tell us a lot about what needs to change for young people with cognitive disability. We need to understand that abuse affects a person’s whole life, their family, and their world.
Becoming an adult involved lots of changes and challenges for young people with cognitive disability. Many services, and sometimes families, judged young people badly because they had a cognitive disability. Young people needed help to be independent, but this wasn’t always given to them. Some young people were lonely and found so-called friends who abused them. Aboriginal and/or Torres Strait Islander young people and young people from culturally and linguistically diverse backgrounds needed others to understand and respect their culture. LQBTIQA+ young people wanted love and acceptance as they became adults.
This book presents the lived experiences of young people with cognitive disability and their struggles as they transition to adulthood. Whether you are a young person yourself looking to transition to adulthood, a parent, or a professional supporting a young person, this book will help you understand the systemic failures which have caused abuse, exploitation, neglect and violence. But it will also outline the inner and outer resources which have enabled young people to maintain their self-belief and overcome adversity. Despite the fact society is failing these young people, the young people in this book speak of belief and have hope for the future. Drawing upon the United Nations human rights framework, this book provides a narrative for empowerment and reform. It involves the input of co-researchers with disability and includes Easy English summaries in each chapter to ensure its accessibility to young people with cognitive disability.
Speaking truth ought to be normative in churches, and yet when it does, the foundations and structures of power are often shaken to the core. This paper explores the issues of identity and integrity in ecclesiology and is concerned with the ethical paradigms and moral frameworks that need to be in place if churches are to be places where honesty and truthfulness can be normative. Churches often fail as institutions because they presume they can conduct their affairs as organizations might. Churches become anger-averse, resisting the voices and experiences of victims, in order that the flow of power and its structures are unimpeded. At that point, churches become inherently committed to re-abusing victims and are unable to hear their pain and protests, which only leads to the perpetration of further abuse.
This paper gives definitions of terms which have become critical in ensuring that Anglican churches minimize the risk of harm to all who are involved as practitioners or recipients of its ministries. This imperative is rooted in Scripture, not just the recent history or pronouncements of the Lambeth Conference 2022. The terms ‘Safeguarding’, ‘Safe Ministry’ and ‘Safe Church’ (SC) are set out with reference to the ‘Lambeth Calls’. This paper explores why such terms have come to the forefront of current theological praxis, notes historical iterations of such matters and asks why some Anglican churches or provinces may resist adopting this Lambeth Call. It offers both an apologetic for the universal adoption of SC practices and a scriptural and dominical mandate for them. The paper identifies theological and scriptural principles on which SC theory and practice might be grounded. Anglican churches and provinces are encouraged to develop a theory and practice of SC pertinent to their environment rather than adhere to abstract universal prescriptions which risk irrelevance amidst cultural and contextual particularity.
Policy and professionalism go hand in hand. When safeguarding policy is all but absent as it is in the Church of England, it leaves clergy and others ill equipped to diagnose or to respond to concerns over abuse. Complex issues such as conflict of interest, evaluation based on verifiable objectives linked to safeguarding priorities, setting a balance between confidentiality and disclosure, safe recruitment and implementing the recommendations of safeguarding reviews are in effect left dangling. Expertise and professional judgement are needed both to develop policy and to apply it in real-world cases of prospective and actual abuse. Statistics about safeguarding cases covering associated resources, expenditure and outcomes are not readily available. Safeguarding reviews, mostly about particular cases, are difficult to generalise and ‘lessons learned’ are typically left at that without evidence of how safeguarding has changed as a result. The focus of safeguarding should be on the welfare of the people concerned, including survivors and perpetrators as well as congregations and church workers. Confrontational and legalistic approaches are all too common and do more harm than good. The objective should be to restore broken relationships, not necessarily between the survivor and the perpetrator, but between everyone involved in the case and the church.
With a specific focus on violence and abuse, this chapter explores some the challenges that LGBTIQ people often experience, but also the strengths that LGBTIQ people display. The chapter reviews research on intimate partner violence experienced by LGBTIQ people (including identity-related abuse) and the violence perpetrated against animals in these contexts. Situating challenges alongside strengths is an important counter to the often negative messages and stereotypes that circulate about LGBTIQ people, as it encourages a focus on identifying sites of resistance and opportunities for change. The chapter therefore also explores the resiliencies that LGBTIQ people display in the face of adversity, including through relationships with animal companions.
Child maltreatment impacts approximately one in seven children in the United States, leading to adverse outcomes throughout life. Adolescence is a time period critical for the development of executive function, but there is little research examining how abuse and neglect may differently affect the developmental trajectories of executive function throughout adolescence and into young adulthood. In the current study, 167 adolescents participated at six time points from ages 14 to 20. At each time point, adolescents completed behavioral tasks measuring the three dimensions of executive function (working memory, inhibitory control, and cognitive flexibility). Neglect and abuse in early life (ages 1–13) were reported at ages 18–19. Unconditional growth curve models revealed age-related improvement in all three executive function dimensions. Conditional growth curve models tested the prospective effects of recalled neglect and abuse on the developmental trajectories of executive function. The results revealed that neglect was associated with developmental changes in working memory abilities, such that greater levels of neglect during ages 1–13 were associated with slower increases in working memory abilities across ages 14–20. These findings highlight the adverse consequences of early neglect experiences shown by delayed working memory development during adolescence into young adulthood.
Dextromethorphan/bupropion (DXM/BUP) received Food and Drug Administration (FDA) approval for the treatment of adults with major depressive disorder (MDD) in August 2022. This combination is not known to have abuse liability and is not currently scheduled by the Drug Enforcement Administration (DEA). Notwithstanding, dextromethorphan is a drug of abuse. Herein, we sought to determine whether DXM/BUP has alcohol and/or substance misuse liability.
Methods
We evaluated spontaneous reports of terms such as “alcohol problem, alcoholism, alcohol abuse, substance dependence, substance use disorder (SUD), substance abuse, drug dependence, drug use disorder and drug abuse” in the FDA Adverse Event Reporting System (FAERS). The FAERS is a spontaneous reporting database of adverse events submitted to the FDA.
Results
We performed a comparative assessment of the alcohol and/or substance misuse liability of DXM/BUP since its market authorization in August 2022, using acetaminophen as the control. Dextromethorphan served as the upper-bound reference point. Our findings showed that, since August 2022, dextromethorphan had a significant reporting odds ratio (ROR) for “drug abuse.” In contrast, DXM/BUP did not have a significant ROR for any of the categories of alcohol and/or substance misuse evaluated. Limitations of our findings derive largely from the limitations of the FAERS and its data capture method.
Conclusion
The absence of alcohol or substance misuse reported to the FAERS with DXM/BUP accords with the lack of evidence of abuse liability prior to FDA approval and its non-scheduling by the DEA.
This article re-reads Beckett’s play Not I (1972) in the light of the ‘Mother and Baby Homes Report’, published in January 2021. Beckett interrogates what James Smith, Clair Wills, and others have referred to as Ireland’s ‘architecture of containment’. Mouth, ‘brought up … with the other waifs’ in a mother and baby home, absorbed religious notions of sin and punishment. Through a close reading of selected passages, the article considers to what extent Not I can be read as a ‘survivor’s testimony’ such as those given to the commission of investigation into mother and baby homes.
The concept of “constitutional identity” in the context of the EU has evolved significantly over the years, leading to complex debates and challenges. This chapter explores the historical trajectory of constitutional identity in the EU, from its early emergence in response to concerns about sovereignty to its current state of political and legal contestation. The chapter highlights that while constitutional identity is a global concept, the European experience exhibits distinct characteristics. Two noteworthy factors contributing to this distinctiveness are Europe’s legal integration and the inclusion of an identity clause in EU law (Article 4(2) TEU), a unique feature in supranational constitutionalism. The chapter argues against abandoning the concept of constitutional identity due to its recent abuses, asserting that it is a legally recognized notion within EU law. Instead, the chapter claims the focus should be on identifying and addressing abuses while acknowledging the concept’s importance in balancing competing fundamental principles within the EU legal framework. It concludes by emphasizing the need to distinguish between legitimate uses of constitutional identity and its abusive applications, advocating for the protection of constitutional identities that align with EU core principles and calling for the development of a European constitutional identity as a complementary concept.
Several factors shape the neurodevelopmental trajectory. A key area of focus in neurodevelopmental research is to estimate the factors that have maximal influence on the brain and can tip the balance from typical to atypical development.
Methods
Utilizing a dissimilarity maximization algorithm on the dynamic mode decomposition (DMD) of the resting state functional MRI data, we classified subjects from the cVEDA neurodevelopmental cohort (n = 987, aged 6–23 years) into homogeneously patterned DMD (representing typical development in 809 subjects) and heterogeneously patterned DMD (indicative of atypical development in 178 subjects).
Results
Significant DMD differences were primarily identified in the default mode network (DMN) regions across these groups (p < 0.05, Bonferroni corrected). While the groups were comparable in cognitive performance, the atypical group had more frequent exposure to adversities and faced higher abuses (p < 0.05, Bonferroni corrected). Upon evaluating brain-behavior correlations, we found that correlation patterns between adversity and DMN dynamic modes exhibited age-dependent variations for atypical subjects, hinting at differential utilization of the DMN due to chronic adversities.
Conclusion
Adversities (particularly abuse) maximally influence the DMN during neurodevelopment and lead to the failure in the development of a coherent DMN system. While DMN's integrity is preserved in typical development, the age-dependent variability in atypically developing individuals is contrasting. The flexibility of DMN might be a compensatory mechanism to protect an individual in an abusive environment. However, such adaptability might deprive the neural system of the faculties of normal functioning and may incur long-term effects on the psyche.
This article aims to analyze the characteristics of individuals who commit military property theft while their country is at war. For nearly two years, Ukraine has been at war, and for nearly nine years, the country has been living under the regime of an antiterrorist operation, later transitioning to the operation of combined forces. However, some citizens’ attitudes towards military property and its preservation have not changed.
This article examines key issues in characterizing the individual who commits military property theft and bears responsibility for their actions. Emphasis is placed on applied cognition methods and the Ukrainian researchers’ attitudes towards analyzing the typical characteristics of an individual who appropriates military property during wartime. Additionally, the normative-legal framework regulating the actions of subjects (perpetrators) of military theft crime is explored.
It is argued that the specific norm under Ukraine's criminal responsibility law is applied based on the type of crime for which the person will subsequently be held accountable. According to the general rule, only a person who has reached the age of 18 can be considered a military ‘entity’; however, the article challenges this position and suggests alternative possibilities for holding a person accountable based on age. The article also examines holding foreign military personnel accountable, which is particularly relevant for a country in a state of war.
The age and social status of individuals committing military property theft are examined using statistical indicators from the Office of the Prosecutor General from 2018 to 2021, which allowed the tracking of changes in the commissions of specific types of military property theft. These trends are also represented visually in diagrams. The article specifically delves into those individuals who commit administrative offenses involving the misappropriation or unlawful use of military property, which is the subject of special administrative liability under article 172-13 of Ukraine's Administrative Offenses Code. Following that, we present data from our survey of 1,273 respondents. Along with these aspects, the article discusses the matter of complicity between military personnel and civilians and provides court decisions as examples. Finally, the authors recommend expanding the accountability of individuals who misappropriate military property.
Childhood maltreatment is associated with internet addiction, but most evidence is from retrospective studies.
Aims
We aimed to investigate the relationship between childhood maltreatment and internet addiction through a prospective cohort design.
Method
In a prospective cohort study, self-reported data on childhood maltreatment (Childhood Trauma Questionnaire – Short Form) at baseline, and internet addiction (Revised Chinese Internet Addiction Scale) at baseline and 6-month follow-up, were collected online from 756 Chinese junior middle school students aged 11–15 years and residing in Changsha, Hunan Province. Demographic data and covariates such as depression, anxiety, stress (Depression, Anxiety, and Stress Scale 21) and insomnia (Athens Insomnia Scale) were also surveyed at baseline. Logistic regression analysis measured the association between childhood maltreatment and internet addiction, and gender-related differences.
Results
Childhood maltreatment was prevalent in Chinese junior middle school students (37.83%), and the incidence rate of internet addiction was 9.26% at the 6-month follow-up. Emotional abuse was a significant risk factor for internet addiction (adjusted odds ratio 2.618, 95% CI 1.194–5.738; P = 0.016) in both males and females.
Conclusions
This study suggests a high prevalence of childhood maltreatment in Chinese junior middle school students, and that emotional abuse plays a significant role in internet addiction. More attention should be paid to parenting style and adolescents’ mental health.