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This chapter considers James Joyce’s paradigmatic modernist epic, Ulysses (1922), reading its meticulous reconstruction of 1904 Dublin as a nostalgic return to the author’s homeland and childhood. While scholars have recently recognized the role of nostalgia in Joyce’s work, they have overlooked its significance to the form and content of Ulysses. The text privileges personal experience of a place and culture over linear ideas of national heritage; in so doing, it disrupts xenophobic accounts of Irish identity founded on racial purity. Its juxtaposition of everyday experience with ancient epic sidesteps an exclusionary idea of heritage while retaining the literary resonance of mythic parallels. In other words, it rejects an unhealthy obsession with the past through its use of nostalgia.
This introductory chapter provides a brief overview of the book layout. It contextualises the topic historically and defines the key terms of the debate. It also illustrates key issues, with illustrative examples of how nationalism permeates different spheres of social, political, economic, and cultural life.
Surveying a range of literary texts written in the vernacular languages of medieval Britain, this chapter is concerned with the ways in which the peoples of Ireland, Scotland, and Wales defined themselves in opposition to the dominant state power of England. Countering the Latin historical tradition which positioned British history as English history, writers working in Irish, Scots, Scottish Gaelic, and Welsh constructed origin myths and literary traditions that worked to build local communities and regional identities. Though the territories clustered around England were far from united in their political structures, they came together as peoples to resist the imperial ambitions of the English state.
The burden of cancer worldwide is rising, with 20 million new cases diagnosed in 2022. In Europe, 1.2 million women are diagnosed with cancer annually and an estimated 600,000 women die from cancer each year. International research and data from Ireland demonstrate that women with cancer face a particular set of challenges, including increased psychological distress compared to men. As a result, Ireland’s Model of Care for Psycho-Oncology could usefully place greater emphasis on gender-specific provisions which address the increased psychological needs of women. To date, Ireland has made some progress in recognising the physical and mental healthcare needs of women and developing gender-informed policies. It is essential that such policies are implemented fully so as to reduce and eliminate disparities in care. A more tailored, gender-informed approach would also help ensure the provision of gender-aware psycho-oncological care for all women and men as they navigate their cancer journeys.
What does 'Irish romanticism' mean and when did Ireland become romantic? How does Irish romanticism differ from the literary culture of late eighteenth- and nineteenth-century Britain, and what qualities do they share? Claire Connolly proposes an understanding of romanticism as a temporally and aesthetically distinct period in Irish culture, during which literature flourished in new forms and styles, evidenced in the lives and writings of such authors as Thomas Dermody, Mary Tighe, Maria Edgeworth, Lady Morgan, Thomas Moore, Charles Maturin, John Banim, Gerald Griffin, William Carleton and James Clarence Mangan. Their books were written, sold, circulated and read in Ireland, Britain and America and as such were caught up in the shifting dramas of a changing print culture, itself shaped by asymmetries of language, power and population. Connolly meets that culture on its own terms and charts its history.
In an era steeped in national stereotypes that bled into slanders and hatred, the English were notorious in later medieval Europe for three things: drunkenness, bearing a tail and killing their kings. But it is with the implications of another alleged propensity – for waging wars of conquest that sought to turn neighbours into subjects – that this chapter is largely concerned. By the later Middle Ages, the bellicose reputation of England’s kings reverberated across Christendom. Jean Froissart (d. c. 1405), the chronicler of chivalry who visited the court of Edward III, noted that, because of their great conquests, the English were ‘always more inclined to war than peace’.
Following the identification of more than 600 suspected house platforms on aerial survey data from Brusselstown Ring hillfort, four test excavations revealed evidence of Late Bronze Age and Early Iron Age occupation, positioning the site as the largest nucleated settlement so far identified in prehistoric Ireland and Britain.
The ninth chapter expands the analysis to Scotland and Ireland; in both kingdoms, wardship was instrumental in the disintegration of royal power. In Scotland, Charles I’s efforts to re-write the land law and extend his rights to wardships via an Act of Revocation (1633) was considered to be ‘the ground stone of all the mischeiffe that folloued after’ (sic), an arch reference to the rebellion that began in Scotland in 1638. In Ireland, wardship and the entire land law were deployed as a means of religious conversion. Wardship was thus an integral component of the bitter religious conflict that erupted in 1641. It was these rebellions which ultimately precipitated the English Civil War, that offered Parliament the opportunity to finally abolish the feudal tenures in 1646, an abolition confirmed at the Restoration of the Crown in 1660.
The chapter explores contrasting approaches to population policy and family planning in Yugoslavia, the Republic of Ireland, the United States, and India, focusing on the period from the 1950s to the 1980s. It discusses how Yugoslavia shifted toward supporting global population control policies in stark contrast to other Communist countries, while Ireland, a predominantly Catholic country, maintained strict anti-contraception laws. The United States evolved from reluctance to active involvement in global birth control programs to widespread financial support, and India transitioned to coercive sterilization policies during the state of emergency that was declared by Indira Gandhi in the mid-1970s. The chapter argues that UN resolutions around family planning and human rights played a key role for these policies despite the fact that these resolutions were not binding. How the resolutions were interpreted depended strongly on regional and local power configurations. The relationship among human rights frameworks, political decisions, and societal attitudes shaped the divergent paths taken by these countries in addressing demographic and family planning issues.
Sir John Ross was appointed Lord Chancellor of Ireland in 1921, being the last to hold that office with its abolition in 1922. Ross was born and raised in Londonderry, before proceeding to Trinity College, Dublin. Briefly an MP in the 1890s, Ross was chiefly interested in the law. Called to the Irish Bar in 1880, he took silk in 1891. His career as a Chancery barrister, and later a judge, led him to the Irish woolsack. As a result of the Government of Ireland Act 1920, his role as Lord Chancellor was very different to that of his predecessors. However, as Lord Chancellor he took no back-seat role, hearing cases in the newly established High Court of Appeal for Ireland up until his office was abolished. Ross also served as Speaker of the short-lived Senate of Southern Ireland. He retired to Northern Ireland, where he died in 1935.
Two years on from the implementation of the Assisted Decision-Making (Capacity) Act (ADMCA) 2015, significant legal uncertainty persists in Ireland’s acute hospitals for the care of people who lack capacity to consent to treatment. Consultation-liaison psychiatrists must navigate a legal landscape where clear lacunae have emerged in the regulation of frequently encountered clinical scenarios. We identify three of these – eating disorders requiring refeeding, refusal of life-saving treatment, and unsafe discharges – where neither the ADMCA nor the Mental Health Act 2001 provide legal authority to intervene. In such cases, the Inherent Jurisdiction of the High Court has become the default mechanism for authorising treatment or deprivation of liberty, raising serious concerns about proportionality, clinical delays and uncertainty, cost, and consistency. We also consider a fourth category of patients who require immediate life-saving treatment, and the legal status of Advance Healthcare Directives in this context. Many of the patients who fall into these categories will have an established or suspected mental illness requiring the clinical input of a consultation-liaison psychiatry team.
We contrast Ireland’s evolving capacity legislation with developments in England and Wales. Reflecting on these comparisons, we consider the proposed Protection of Liberty Safeguards may provide some clarification but also contain potential risks of becoming unwieldy and bureaucratic and still fail to provide a workable statutory basis for authorising medical treatment in acute hospital settings. A proportionate, patient-centred, and clinically usable legal framework remains urgently needed.
Travel is a prominent feature of every cycle of medieval Irish literary tales with roots in the pre-Christian narrative tradition, as well as in the majority of stories that originated in the Christian era, including lives of saints and legends about historical figures that took shape in this period. Underlying early Irish society and culture was a tension between competing movements, one attracted by the conceit of centripetal stability and the other fueled by a centrifugal dynamic. A reassuring ideology of cultural and linguistic unity, cultivated by tradition-bearers such as poets and clerics, sought to balance out the instabilities of a volatile social order that frequently experienced realignment, fission, and reconfiguration. Related to this underlying tension was the paradox that, even though the typical person’s status, sphere of activity, and safety were circumscribed within the same social space from birth to death, medieval Irish storytelling and even Christian Ireland’s religious culture glorified travel—that is, the heroic going-forth well beyond the realm of the familiar, and the leaving-behind of one’s safety zone.
Niall Crumlish (1974 – 2025) was a profoundly compassionate psychiatrist, uniquely gifted music journalist, and cherished husband, father, son, brother, and friend. He embodied humility, kindness, and compassion in all he did. Niall qualified in medicine from University College Dublin (UCD) in 1997; obtained membership of the Royal College of Psychiatrists in 2002; graduated with a Masters degree (MSc) in Transcultural Mental Healthcare from Queen Mary University of London in 2009; and obtained the degree of Doctor of Medicine (MD) from UCD in 2014. During his clinical training, Niall spent 18 months at St John of God Mental Health Services in Mzuzu, Malawi, a country which left a deep impression on him. In 2010, Niall was appointed as Consultant General Adult Psychiatrist at St James’s Hospital, Dublin with the Camac sector where his sense of humour and generosity left a lasting impression on all who worked with him. Niall was an especially gifted writer about music with an unrivalled depth of knowledge and sensibility. He wrote voraciously for Hot Press magazine from 1993 onwards, where his contributions were widely acclaimed. Through his writings in various publications and on his blog ‘Psychiatry and Songs’, Niall created a body of work that is elegant and intelligent, eloquent and heartfelt, intimate and universal.
Joyce’s repudiation of Catholic Ireland and his countering declaration of artistic independence are well-known and integral features of his life-long dedication to writing. The most important of Joyce’s Irish predecessors was the poet James Clarence Mangan (1803–1849), whose tragic life was represented by Joyce as an emblem of the fate of the Irish artist, betrayed through identification of himself with his country. Joyce’s obsession with betrayal manifests itself in the lectures he delivered on Mangan, in Dublin in 1902 and in Trieste in 1907. Wherever he looked, in Irish political or literary history, he found betrayal. The great political crisis that dominated his early life – the fall of Parnell – governed this reading of his country’s past and helped him define the nature of the embattled relationship between him and his Irish audience. Parnell was, in Joyce’s view, a heroic spirit brought low by his own people, who listened to Parnell’s plea that they should not throw him to the English wolves.
Joyce’s life spans a period when material conditions, political structures, and intellectual life throughout the world were profoundly shaped by the growth and decline of European empires and the flourishing of various nationalisms, both imperialist and anti-imperialist. When Joyce was born in 1882 the ‘scramble for Africa’ and the era that one influential historian has called the ‘age of empire’ had just begun. When he died in 1941 the world was engulfed in WWII, a conflict that would fundamentally alter the balance of global power, and the age of decolonization was under way. A good deal of influential Joyce scholarship has explored Joyce’s relation to this historical trajectory. Much of it has been informed by postcolonial studies, committed to examining the complex set of issues and questions we can group under the general headings of ‘colonialism’ and ‘nationalism’. Ireland’s double status as both centre and periphery, agent and victim of colonialism is important to any investigation of how Joyce’s works engage with such issues and questions.
The story of how Joyce moved from an apparently unassuming strain of naturalism in his early fiction to the kaleidoscopic deconstruction of language and form in his final work, is one of the great arcs of world literature. Joyce produced landmark publications that would disrupt and re-imagine the writing of fiction across the globe, while remaining centered on the social conditions of early twentieth-century Dublin. His achievement is staggering: he re-wrote the terms of engagement for modern short fiction, the Bildungsroman, and the novel; he made a critical intervention in the Irish Literary Revival and became a touchstone of modernism; he invented new modes of naturalism and narration; he re-mapped classical and mythical influence on literary form; and, finally, he created his own riotous subversion of the English language. Associated with the heyday of European modernism, rooted in Irish history and culture, engaging in anti-imperial politics, with frank and challenging depictions of bodies and sex, Joyce’s oeuvre, despite censorship and snubbing, has had colossal influence over the past century and more.
Ireland has a long-standing voluntary private health insurance market (PHI) which is regulated to meet the public policy objective of achieving risk solidarity to promote affordability of PHI. Under the regulations underpinning the market, many features are common to those of universal mandatory health insurance markets, that have wider equity objectives of ensuring universal equitable access to care for everyone. The market acts a complete/partial alternative to the public health system, and has been criticised for leading to a two-tier system with consequent implications for equity. To improve equity, these criticisms led to the adoption of a new public health reform plan, called Sláintecare, which seeks to build towards equal access to services based on patient need and not their ability to pay. Given this context, this paper re-examines how might the current voluntary health insurance system be adapted to meet the central Sláintecare objective of increasing health coverage on an equitable basis. It does so by considering to what extent does Ireland meet the preconditions for equity and efficiency under the Enthoven managed competition model. It provides a roadmap for the use of health insurance as a tool for bring this equity.
The extraction of salt from seawater is one of the most direct ways of exploiting the marine environment. In the historic period, the production of salt formed an important component of the global economy. In temperate locations such as Ireland, archaeological evidence of extracting salt from seawater comprises a range of expressions and locations dictated by the energy resource required. This article presents the results of the first archaeological excavations of a saltworks complex in Ireland, at two sites that produced salt from the seventeenth to the nineteenth centuries. Partial excavation of a seventeenth-century complex at Ballyreagh Lower revealed a crude structure that was not capable of supplying all of the area’s needs. By contrast, the eighteenth- and nineteenth-century pan site at Broughanlea shows a step-change in scale, efficiency, and infrastructure that reflects new economic networks in a country predominantly relying on agricultural produce.
This study analyzed standardized excess mortality due to specific causes during the Covid-19 pandemic across 33 European countries, using Eurostat data (2016–2021) and Our World in Data databases. Causes included circulatory and respiratory diseases, neoplasms, transport accidents, and “other” causes (e.g., diabetes, dementia, ill-defined conditions). Additional variables such as vaccination rates, economic and health indicators, demographics, and government stringency measures were also examined. Key findings include: (1) Most European countries (excluding Central and Eastern Europe), recorded lower than expected excess mortality from circulatory and respiratory diseases, neoplasms, and transport accidents. Ireland had the lowest excess respiratory mortality in both 2020 and 2021; (2) Croatia, Cyprus, Malta, and Turkey showed significant positive excess mortality from “other” causes, potentially linked to public health restrictions, with Turkey as an exception; (3) Regression analysis found that higher human development index and vaccination rates were associated with lower excess mortality. Policy Implications are: (1) Statistically significant positive or negative cause-specific excess mortality may indicate future health trends; (2) The pandemic and government stringency measures negatively affected mortality from “other” causes; (3) Strengthening health system resilience, investing in digital medicine, directing aid to countries with weaker systems, and supporting disadvantaged groups are key recommendations.
This study aimed to evaluate the general practitioner (GP) referral pathway for adult attention deficit hyperactivity disorder (ADHD) devised by the Irish Health Service Executive’s (HSE) National Clinical Programme for Adult ADHD (NCPAA). Primary objectives were to (i) quantify GP referrals to community mental health teams (CMHTs) for adult ADHD screening, (ii) measure workload on CMHTs related to screening adult ADHD referrals without comorbid mental health problems, and (iii) quantify access to adult ADHD screening through CMHTs and subsequent assessment and treatment access through specialist adult ADHD teams.
Methods:
An observational cohort design was used to retrospectively analyse ADHD-related referral data collected by clinical staff across 11 Irish CMHTs, and three specialist adult ADHD teams from January to December 2023.
Results:
There was high variability in adult ADHD referrals to CMHTs, ranging from 14 to 122 over one year. There was also high variability in the number of referrals seen by CMHTs, ranging from 9 to 82. From 304 referrals seen across 11 CMHTs, 25.3% required initial treatment for another mental health condition. Specialist adult ADHD teams received 3–4 times more referrals than they were able to assess during this timeframe.
Conclusions:
The NCPAA has provided crucial services for adults with ADHD in Ireland. However, an increase in neurodiversity awareness and demand for services suggests that a range of referral pathways depending on complexity level may be required. Alternative models are proposed, which require allocation of resources and training through primary care, secondary mental health services and specialist teams.