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Cognitive assessment is used to detect, characterize, and monitor the degree of cognitive impairment in dementia and its earlier stages. Brief cognitive assessments are frequently used across diverse clinical settings and offer scalability as a frontline marker aimed at enhancing the clinical efficiency of diagnostic work-up. These tools have a potential to facilitate early detection and diagnosis of symptomatic cognitive impairment, which is a crucial first step to providing medical and supportive care that benefits people with cognitive impairment and their care partners and for identifying pre-surgical or hospitalized patients who may benefit from delirium prevention interventions. This chapter provides an overview of the most commonly used brief cognitive measures in clinical practice, recent developments and novel measures, and future directions for use of brief cognitive tools across clinical settings including primary, dementia specialist, preoperative, and inpatient care. Recommendations for cultural considerations and optimal implementation paradigms are also discussed.
This chapter examines specifically oriented poetry anthologies of the twenty-first century, observing their interstitial and multivalent nature. It argues that they fall into two kinds. one is deployed towards institutional consolidation; the other, which is the principal focus of the chapter, is a strategic gathering around a cultural identity, or a thematic, aesthetic, formal or dialogical imperative. The chapter discerns that many such anthologies extend recuperative, topical or other discursive trajectories established in the late twentieth century. Many exceed national-historical formations, track evolving conceptual frames of literary and cultural studies, and map material changes in, and significant structures of feeling around, social, political, intellectual and artistic life. It also includes a discussion of the challenges and significance of translation.
Belgium follows global standards in psychological assessments, and great attention is paid to issues concerning bias and fairness by legal authorities, test developers, and researchers. Anti-discrimination laws cover around nineteen protected grounds and align with European Union directives, but hiring discrimination persists. This chapter illustrates the tension between the law, test developers and researchers who promote proper test use, and practitioners who continue to rely on tools that can perpetuate bias, such as unstructured interviews and intuition-based decision-making. Despite comprehensive anti-discrimination regulations and affirmative action measures such as gender quotas, there are no legal requirements for the use of valid selection procedures in Belgium. Balancing validity and diversity is emphasized more in the public sector than the private sector. Although professional bodies offer guidelines for appropriate test use, they mainly target clinical settings rather than employment settings.
Selection processes in France are governed by a comprehensive legal and regulatory framework that prioritizes fairness, non-discrimination, and equal opportunity. French labor laws explicitly prohibit discrimination based on twenty-five criteria, including sex/gender, ethnicity, disability, and age. Despite these protections, disparities persist, fueling ongoing policy debates and legislative refinements. Regulatory bodies such as the Defender of Rights oversee compliance and promote unbiased hiring practices. However, implicit biases and structural barriers continue to influence employment decisions, challenging efforts to achieve true workplace equality. Employers must balance legal obligations, diversity objectives, and test validity while adapting to evolving EU regulations, such as the AI Act (2024). The introduction of diversity labels and corporate social responsibility initiatives reflects a proactive commitment to fostering inclusive workplaces. Yet enforcement challenges remain, as rising reports of workplace discrimination highlight persistent gaps. Several recommendations have been proposed to mitigate discrimination without compromising the quality and effectiveness of selection methods.
Nigeria’s diverse history and ethnic diversity have shaped the country’s current understanding of bias and fairness, including issues relating to employment. This chapter focuses on employment testing bias and fairness in Nigeria. When making employment decisions, it is a common occurrence, albeit not a legally permissible one, to have factors such as age, sex, political beliefs, religion, ethnicity, and disability taken into account. Nigeria’s discrimination laws cover all employers, third parties, and licensure. However, Nigerian discrimination adjudication has a narrow purview. For instance, there are no clear standards for validity evidence, no rules for demonstrating disparate impact, no shifting of the burden of proof, and no recognition of disproportionate impact. The limited use of professionally designed selection processes also means that bias-related concerns receive little attention. Information about the impact of the legal environment on industrial and organizational psychology is similarly lacking. Nonetheless, there are initiatives aimed at professionalizing psychology in the nation, which should increase the reliability and validity of selection procedures.
This chapter has been written from the stance of a patient and public contributor to mental health research. It examines the role of patient and public involvement in mental health research which has evolved since the mid 1960s and continues to do so. Examining the people, roles and research and providing a definition for the different stages of Patient and Public Involvement, the chapter looks at how these roles interact, the ethics and rationale for involvement, the power relations between the various parties, whether involvement is moving the research agenda closer to preventative health care, and the subject of equality, diversity and inclusion. The difficulties of working with people with serious mental health issues are addressed. Case studies are given to illustrate various points. Subjects such as training and language are included. The complex subject of evaluation and impact and how they can be resolved are raised. Finally, the chapter concludes by inviting the reader to consider what ‘good PPI’ is, and how it is done.
This chapter presents an overview of the goals of universal biology. It is noted that biological systems are generally hierarchical as molecules-cells-organisms, where the components of each level are quite diverse. How such diversity arises and is maintained is discussed. We then discuss the possibility of understanding such biological systems with diverse components, and explore the possibility of macroscopic theory to reveal and formulate universal properties in living states, noting that robustness, plasticity, and activity are essential to life. Recalling the spirit (not the formulation) of thermodynamics, we explore the possibility of formulating a theory for characterizing universal properties in life, emphasizing macroscopic robustness at each level of the hierarchy and the importance of macro-micro consistency.
This textbook provides students with basic literacy on key issues related to Justice, Equity, Diversity, and Inclusion in the United States. Over twelve chapters, it employs critical race theory and intersectionality to promote critical thinking and civic engagement on issues such as American culture, gendered racism, and Black reparations. Each chapter employs interactive and engaging opportunities to learn, making it the ideal introductory resource for undergraduate students. The text is structured around real-world stories, which exemplify the humanity of each person and the complexity of these issues. Causadias presents questions for further discussion or to enhance comprehension, defines key concepts, debunks popular myths, summarizes evidence from trusted sources that challenge misinformation and disinformation, and proposes in-class exercises. Curated reading lists can be found at the end of every chapter for readers to expand their understanding of different topics. This book is also available as Open Access on Cambridge Core.
This Perspective article addresses the issue of recovery in mental health research, policy and practice from a service user/survivor perspective. In doing so, it brings to bear a fundamentally different viewpoint to that which has dominated psychiatric history, one based on lived experience rather than the ideological allegiances of its founders. The article addresses the modern history of Western mental health provision, its over dependence on medicalised individual understandings of wellbeing, the limitations this has imposed and the challenges it has been subjected to. The issue of recovery is examined in its historical context, exploring its strengths and weaknesses. The latter weaknesses have been magnified by the association of recovery by different governments, nationally and internationally, with pressing mental health service users and others experiencing distress into employment; this is often poor quality and unsupported employment. The article puts this in the broader context of a number of values and principles underpinning both the developing psychiatric system survivor movement and the emerging international interest in Mad Studies. In doing so, the article offers a basis for the radical reform of both understandings of madness and mental distress, recognition of their holistic relations and more helpful routes to offering support and engaging with the lived experience and experiential knowledge of mental health service users.
The recovery concept has been widely integrated into mental health policy, services, and research. However, its applicability across diverse contexts and populations remains a subject of ongoing critique. This paper discusses key issues pertaining to the suitability of implementing the recovery approach in child and youth mental health services, including adult-centric foundations of the recovery concept; limited multi-stakeholder participatory research; privileging individualistic ideologies; differences in developmental stages; differences in illness trajectory, mental health experiences, and service provider interactions; and different systems of care and social environments. The paper concludes with recommendations for future research.
This chapter offers a definition of a local priest. It explores the normative framework inherited from Late Antiquity that defined their status and regulated their behaviour, but also stresses that the label designates a social fact rather than a specific grade within the Church. To illustrate the diversity that the term encompasses and the methodological challenges that studying these people involves, the chapter offers four case studies of particular local priests in different parts of the former Carolingian empire, from Saxony through to southern France.
Living systems consist of diverse components and constitute a hierarchy, from molecules to cells to organisms, which adapt to external perturbations and reproduce stably. This book describes the statistical and physical principles governing cell growth and reproduction, and the mechanisms for adaptation through noise, kinetic memory, and robust cell differentiation through cell to cell interaction and epigenetics. The laws governing rate, direction, and constraints of phenotypic evolution are examined from the perspective of microscopic units (molecules) and macroscopic states (cells), with a focus on maintaining consistency between these length and temporal scales. By integrating theoretical, computational, and experimental approaches, this book offers novel insights into biology from a physicist's perspective and provides a detailed picture of the universal characteristics of living systems. It is indispensable for students and researchers in physics, biology and mathematics interested in understanding the nature of life and the physical principles it is based upon.
The Cambridge Handbook of School-University Partnerships offers a panoramic view of research on school-university partnerships (SUPs), laying the groundwork for further development in the field. Through different theoretical and methodological perspectives, it amplifies the voices of scholars and practitioners across various institutions. This inclusive approach provides a comprehensive resource for researchers, scholars, students, practitioners, and policymakers, that honors diversity while fostering unity and expansion within the field of SUPs. Covering topics from historical foundations to international perspectives, the handbook delves into areas such as teaching, equity, leadership, community engagement, innovation, funding, and policy. By embracing the collaborative essence of SUPs, it promotes mutual benefit and encourages continued exploration in these dynamic settings.
The goal of this chapter is to introduce the concepts of Justice, Equity, Diversity, and Inclusion. It begins with a discussion of the American Dream, the notion that the US is a land of opportunity, equality, and the rule of law, and that anyone can be successful if they work hard. This notion of the American Dream is challenged by evidence and discussed from the perspective of Naima Coster, a Black Latina award-winning author. The chapter reviews some characteristics of minoritized communities in the US, how they experience discrimination and barriers to achieve the dream, and some popular myths about racial/gender progress. The chapter defines Justice, Equity, Diversity, and Inclusion, issues at the heart of demands to make the dream true. Justice, Equity, Diversity, and Inclusion represent a growing field of research, a set of initiatives, and social movements to rethink power asymmetries, how resources and opportunities are distributed, and why social hierarchies are maintained. The chapter includes a Food for Thought section on college student debt and the cycle of poverty. It ends with a discussion of Naima Coster, tokenism, and the need for structural change.
Psychosocial treatments are central to effective delivery of Child and Adolescent Mental Health Services (CAMHS), with a strong evidence base for a range of interventions targeting many of the common and complex mental health presentations in children and young people. Practitioner knowledge of the range of psychosocial interventions offered by CAMHS is fundamental to making informed, shared decisions with children, young people and families about their care. In addition knowledge of how psychosocial interventions need to be adapted to meet the needs of diverse populations is central to ensuring equity of access.Demand for services will continue to increase, along with increasing complexity and severity for many children and young people, and services must ensure that they continue to offer a range of psychosocial interventions, tailored to individual need and choice, delivered by a well-trained workforce, with effective means to demonstrate outcomes. Transformation models such as THRIVE will be instrumental in ensuring that access to psychosocial intervention is broadened beyond existing services, supporting others in community and education settings to offer earlier intervention, greater choice and diversity and ensure that CAMHS is able to deliver specialist treatments to those who can benefit the most.
This article explores the experiences of social participation among Indigenous, migrant and older people with disabilities in Chile. While substantial evidence shows the importance of social participation in ageing policy, research on how diverse groups of older people in Latin America and the Caribbean (LAC) perceive and engage in it is limited. The article examines the participatory practices of these populations and the challenges they face in accessing and being included in their chosen spaces of engagement. Six focus groups were held with key informants from government offices and community-based organizations, and individual in-depth interviews were conducted with older people. The collected data were then analysed using an inductive content analysis approach. Findings show that several historical and structural factors influence social participation among the three studied groups, particularly their vulnerability to precarity and discrimination in the Chilean context. The dominant perspective of key informants on social participation – as a means of staying healthy, keeping busy and finding contentment – should be contrasted with the actual social, cultural and economic circumstances. Indeed, most of the older participants in this study stated that they use social participation as a means of exercising agency, as it allows them to develop significant and supportive relationships that facilitate their daily lives and provide opportunities for individual and collective empowerment. This article contributes to the development of social gerontology in the Global South by integrating diversity into research design and enhancing understanding of the conditions under which people in Chile age and participate in society.
This concluding chapter highlights the important contributions that this volume makes in featuring the diversity of forms of leadership in the ancient world and in illustrating how ancient people were asking questions about leadership that we should be asking more often today. It further argues that future research on ancient leadership should help readers to draw connections among the different forms of leadership in the ancient world, especially those readers who are not expert in ancient studies, and also to draw lessons that can help us better lead and better select our leaders. Ancient leadership studies need to play a vital role in helping us understand contemporary leadership as a moral, creative and collaborative art that we can all learn from one another.
The LGBTQIA+ community faces pervasive discrimination, including in healthcare settings. This discrimination can be particularly detrimental during hospice and palliative care, where patients are especially vulnerable and may have distinct needs related to their sexual orientation or gender identity.
Objectives
This study aimed to identify the barriers and enablers to accessing equitable and inclusive palliative care for LGBTQIA+ individuals.
Methods
A self-administered online survey was conducted in November 2023 among LGBTQIA+ adults residing in Portugal. Thematic analysis was applied to identify barriers and enablers, mapped using an adapted socioecological framework.
Results
Fifty-five respondents participated, primarily cisgender women (49.1%) identifying as homosexual (50.9%), with most aged 18–34 (76.4%). Barriers included caregiver homophobia, lack of LGBTQIA+-specific knowledge among professionals, fear among patients, misaligned care priorities, exclusion of partners from decision-making, and limited access to care. Enablers involved professional LGBTQIA+-specific training, psychological support, integration of partners or chosen families in care, workforce diversity, dissemination of palliative care information, community engagement, and inclusive societal values.
Significance of results
Inclusive and responsive palliative care is essential to addressing the unique needs of LGBTQIA+ individuals. The findings highlight the need for systemic reforms to advance equity in care. The study calls for mandatory LGBTQIA+-focused training for healthcare providers, recognition of chosen families in care decisions, and public health campaigns that promote inclusivity. Collaboration with LGBTQIA+ organizations to improve outreach and access is vital, along with legislative measures to ensure equitable and inclusive care.
We present a synthesis of marine soft sediment macrofaunal communities from the Vestfold Hills, East Antarctica, spanning historical data (1978–1982) and recent surveys from 47 locations (2010–2021). We examined relationships between environmental conditions, such as sediment properties and sea-ice duration, and community structure and biodiversity. Macrofaunal biodiversity was high, with 148 taxa identified in recent surveys. Community composition varied significantly between locations, influenced primarily by sediment grain size. Sediments ranged from mud to coarse sands, with organic content varying from < 1% to 15%, and locations were classified into four sediment categories: muds, very fine sands, fine sands and medium/coarse sands. Significant differences in community structure were found between sediments groups, but the considerable variability within groups suggests additional influences from factors such as sea ice, depth and stochastic processes. Crustaceans, including amphipods, ostracods and tanaids, dominated communities across all locations. Macrofaunal abundance was highest in muds and very fine sands and declined significantly in coarser sediments. Species-level abundance patterns showed high heterogeneity, with some trends linked to sediment grain size. Areas with abundant large sessile epifauna were associated with higher sediment biodiversity. This study highlights the complexity of environmental factors shaping macrofaunal communities in Antarctic coastal ecosystems.
Chapter 6 turns to a cluster of broadly cosmological episodes: the events and agents of creation, the texts that tell of these events and agents, and the authors who wrote these more and less authoritative texts. It focuses on two stretches of Cyril’s Against Julian, broadly concerning the modes of divine management of the cosmos but covering topics ranging from the breadth of human diversity to the Mosaic sacrificial system to the Tower of Babel and Homer’s Aloadae giant brothers. Cyril’s consistent objective is to dislodge the characters of the gods from Julian’s Hellenic story while also demonstrating how much better sense they make within the Christian story as fallen demons. That “all the gods of the nations are demons” (LXX Ps 95:5) was, of course, a common apologetic line. But this re-narrating claim is more than a polemical trope, structuring in fact a surprising range of arguments.