To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
There are an exceptional number of publications on the transition from elementary (primary) school to middle school, also known as secondary school, junior high school or lower-middle school. The major reason is that the transition to middle school is an event that has multiple and harmful implications. Several reasons contribute to the difficulty of secondary school adjustment, including misleading advertisement of the schools, a significant change in the teachers’ behavior and academic demands, and, especially, the developmental transitions to adolescence and the associated difficulties in managing parent-adolescent relationships. Relying on the P–E Fit Model, it is commonly agreed that the characteristics and demands that secondary schools impose on newcomers do not fit the needs of adolescents. In line with their developmental needs, secondary school are more oriented to their peers’ expectations than to those of their teachers and parents, and are more engaged in matters related to their self-esteem and social life, rather than learning “boring materials” or staying at school while their out-of-school life seems to be more exciting. Interventions to foster adjustment to secondary school are presented and discussed.
This chapter considers the various means and methods for the peaceful settlement of international disputes as envisaged under the UN Charter and associated mechanisms. The key provisions of the UN Charter are considered, followed by an assessment of various methods of dispute settlement: negotiation, enquiry, mediation and conciliation, arbitration and adjudication. Given its significance to international law, particular attention is given to the ICJ and its jurisdiction in contentious cases and to deliver advisory opinions. The relationship between the ICJ and the Security Council is assessed, as are trends in dispute settlement.
The essay examines the lessons from the international intervention in Afghanistan, highlighting the failures of externally imposed state building, including neglect of local governance structures and prioritizing donor interests over Afghan ownership. The international peace- and state-building intervention in Afghanistan, which spanned two decades, culminated in the abrupt withdrawal of U.S. troops in 2021, leading to the Taliban’s swift resurgence. This event has sparked a critical examination of the strategies employed by NATO and allied nations during their engagement in Afghanistan. This essay aims to distill seven key lessons from this intervention, emphasizing the need for future peacebuilders to adapt their approaches to better align with local contexts and realities. The analysis highlights the failures of liberal peacebuilding, the importance of local ownership, the necessity of effective and legitimate institutions, and the detrimental impact of corruption. Furthermore, it underscores the significance of coherence among international actors and the need for a nuanced understanding of regional dynamics. By reflecting on these lessons, the essay seeks to provide actionable insights for future international interventions in fragile and conflict-affected states.
This chapter examines the War Department’s role in the formation of US policy toward the European war and the growing crisis in the Pacific between the Fall of France in June 1940 and the Pearl Harbor attacks in December 1941. This chapter argues that the War Department played a pivotal role in shaping American policy and actions in both the Atlantic and the Pacific, but in different ways. In the Atlantic, the War Department was a primary impetus within the Roosevelt administration for increasingly interventionist policies. It consistently pushed President Roosevelt to act and influenced the politics of his decision-making at several crucial junctures. The War Department provided the crucial nexus between the executive branch, Congress, and outside pressure groups as the US moved toward war. In the Pacific, the War Department pressed for a firm stand against Japan but helped muddle Far Eastern policy by working to undermine the State Department’s more cautious stance. This bureaucratic warfare made it difficult to foster consensus around US deterrence actions and contributed to worsening relations between Washington and Tokyo, setting the stage for the Pacific War.
This chapter examines the crucial seven-year period between Stimson’s resignation as secretary of state in March 1933 and his return to the War Department in June 1940. Although Stimson did not anticipate he would ever return to Washington to serve in the federal government, some of his most important public service occurred when he was a private citizen in this period. Particularly, this chapter advances two critical arguments. The first is that Stimson had both a much wider definition of national security than most of his contemporaries did and came to those conclusions before nearly any other American leader or opinion maker. The second argument is that attempting to neatly define Stimson’s internationalism is difficult. Stimson borrowed ideas from the legalistic, moralistic, and New Deal-style categories of internationalism and repackaged them into his own fusion that called for US leadership to manage the world.
Bipolar disorders are a major cause of disability worldwide, with most of the disease burden attributed to those in low- and middle-income countries, including Nigeria. There is limited evidence on culturally appropriate interventions for bipolar disorders in Nigeria.
Aims
The study aims to examine the feasibility, and acceptability of culturally adapted psychoeducation (CaPE) for treating bipolar disorders.
Method
A randomised controlled trial (RCT) compared CaPE plus treatment as usual (TAU) with TAU alone among 34 persons with bipolar disorders in Jos, Nigeria. CaPE comprised 12 group sessions of in-person psychoeducation lasting approximately 90 min each, delivered on a weekly basis by clinical researchers supervised by clinical psychologists and consultant psychiatrists. The primary outcome was feasibility, measured by participants’ recruitment and retention rates. Other outcomes included acceptability as measured by the Service Satisfaction Scale (SSS), Brief Bipolar Disorder Symptom Scale (BBDSS), Patient Health Questionnaire (PHQ-9) and Quality-of-Life scale (EQ5D). Outcomes were assessed at baseline and weeks 12 and 24. Focus group (n = 10) and individual interviews (n = 5) were conducted with the CaPE + TAU group, recorded, transcribed verbatim and analysed using interpretative phenomenological analysis.
Results
The CaPE+TAU group (n = 17) recorded a high participant recruitment and retention rate of 86% across 12 sessions, and also recorded a higher level of satisfaction with SSS compared with the TAU alone group; 87.5% indicated very satisfied compared with 66.7% indicated not sure in the TAU group. In terms of clinical outcomes, for PHQ-9 scores the intervention group showed a reduction from baseline to end of intervention (EOI) and follow-up, with differences of −12.01 and −7.39, respectively (both P < 0.001). The EQ5D index showed a notable improvement in the intervention group at both EOI and follow-up (P < 0.001). Lastly, BBDS scores decreased significantly in the CaPE+TAU group at both EOI and follow-up, with differences of −21.45 and −15.76 (both P < 0.001).
Conclusions
The RCT of CaPE is a feasible, acceptable and culturally appropriate treatment option for bipolar disorders in Nigeria. Further adequately powered RCTs evaluating the intervention’s clinical and cost-effectiveness are warranted.
This chapter examines the history of international law in the Americas at the time of the League of Nations. It focuses on the pioneering role of the Americas in international organisation through the Pan American Union and the pan-Americanisation of the Monroe Doctrine, the golden years of the US-led tradition of American international law associated with the American Institute of International Law (AIIL) and its codification projects in the 1920s. It also explores the debates over intervention provoked by the codification projects advanced by the AIIL and the tensions that emerged between the continental tradition of American international law linked to the AIIL and a regional and anti-interventionist one associated with the notion of Latin American international law. This latter tradition gained wider popularity in the 1920s and began to adopt a more radical and anti-imperialist posture. These two hemispheric and regional approaches to international law declined in the 1940s and 1950s across the Americas right at the time when the United States adopted a geopolitical and globalist strategy, departing from continentalist approaches to international law.
Binge-eating disorder (BED) is characterized by highly distressing episodes of loss-of-control over-eating. We have examined the use of repetitive transcranial magnetic stimulation (rTMS) for the treatment of people with BED and associated obesity. Such non-invasive brain stimulation (NIBS) techniques are used therapeutically in several psychiatric conditions and there is an associated scientific rationale.
Methods
Sixty participants were randomly allocated to receive 20 sessions of neuronavigated 10 Hz rTMS administered to the left dorsolateral prefrontal cortex (dlPFC) or sham treatment. Primary outcomes were the frequency of binge eating episodes (BEE) and the ‘urge to eat’ (craving) evaluated at baseline and end-of-treatment (8 weeks post-randomization). Secondary outcomes included body mass index (BMI), hunger, general and specific eating disorder psychopathology. Follow-up analyses were conducted for most outcomes at 16 weeks post-randomization. Multilevel models were used to evaluate group, time, and group-by-time interactions for the association between rTMS exposure and outcomes.
Results
The real rTMS group (compared with sham treatment), showed a significantly greater decrease in the number of BEE at the end of treatment (Estimated Mean [EM]: 2.41 95% CI: 1.84–3.15 versus EM: 1.45 95% CI: 1.05–1.99, p = 0.02), and at follow-up (EM: 3.79 95% CI: 3–4.78 versus EM: 2.45 95% CI: 1.88–3.17, p = 0.02; group × time interaction analysis p = 0.02). No group differences were found for other comparisons.
Conclusion
rTMS was associated with reduced BEE during and after treatment: it suggests rTMS is a promising intervention for BED.
To evaluate and synthesize research that has investigated interventions to train registered health professionals to effectively communicate with patients in acute settings who are establishing their goals of care, to develop an understanding of current practices and their effectiveness.
Design
Integrative review.
Methods
Medline, Embase, PsycINFO, SCOPUS, CINAHL, and ProQuest, searched from the date each database was available to December 2023. Forty-seven (n = 47) research studies investigating interventions to train registered health professionals to effectively communicate with patients in acute settings who are establishing their goals of care were critically appraised for methodological quality using the Joanna Briggs Institute Quality Appraisal Framework. Minimum essential criteria and scores were agreed prior to appraisal.
Results
Twenty-eight studies were excluded due to methodological quality. The 19 studies included comprised quasi experimental (n = 9), qualitative (n = 4), RCT (n = 2), text and opinion (n = 1), and mixed methods (n = 3). From these included studies 4 themes with embedded sub-themes were derived: (a) delivery of training programs, (b) clinician outcomes, (c) patient outcomes, and (d) system outcomes.
Significance of the results
Communication training is essential and beneficial however its effectiveness depends on overcoming existing barriers, providing continuous learning opportunities, and embedding these into clinical practice. Addressing these factors will ensure that clinicians and healthcare organizations can improve patient and system outcomes. When clinicians and organizations prioritize regular, context-specific communication training, which promotes the use of conversation guides and available technologies, Goals of Patient Care conversations are more likely to be embedded in practice, promoting effective and patient-centered communication.
This chapter provides a theory of the ethics of revolution and the ethics of interventions in revolutions. It sets the stage for the ethical discussion by using the descriptive-explanatory theory of revolution laid out in Chapter 3 to identify the special ethical problems revolutionaries face and the consequences for intervention of the ways in which revolutionaries will typically address those problems. The chapter states and criticizes two widely accepted principles that are supposed to provide guidance to potential interveners in revolutions. The first is the principle that no intervention should be undertaken without the consent of the people in the country that is the target of the intervention. The second is the principle, advocated by John Stuart Mill, that widespread participation in a movement to overthrow the existing regime, understood as an indication of a pervading commitment to revolution, is a necessary condition for justified intervention. This chapter argues that neither principle provides useful guidance as to intervention because both ignore certain features of real-world revolutions. This conclusion confirms an important thesis of the book, namely, that normative inquiries about social change, including investigations to articulate the ethics of revolution and intervention in revolution, must be grounded in an accurate understanding of the morally relevant facts about the phenomena in question. This chapter also extends and deepens the discussions of the explanatory power of the concept of ideology first developed in Chapters 2 and 3, arguing that ideologies can serve to rationalize the use of coercion and violence that otherwise would be regarded as morally prohibited. Finally, this chapter explains how the choice is not between morality and self-interest as drives of social change but is rather a matter of understanding how self-interest can be served by the strategic employment of moral concepts and principles.
Mental illness continues to be a leading cause of illness in Australia and Aotearoa New Zealand. The effects of reduced mental health have significant consequences for individuals, families and the community. Prevention and early intervention are crucial to improve health outcomes. Much of the support and care for individuals and families experiencing mental health illness occurs within the community, and nurses are major providers of that care. This chapter focuses on the role of community mental health nurses in providing recovery-orientated care for individuals living with mental illness and their families.
Patent ductus arteriosus is a common condition in preterm neonates, often necessitating medical or surgical intervention. This report presents a case of a preterm neonate born at 27 gestational weeks and who experienced patent ductus arteriosus rupture during a device closure procedure. Patent ductus arteriosus rupturing during device closure is rare and life threatening but can be successfully managed with prompt recognition and intervention.
Healthcare workers in Africa face considerable stress due to factors like long working hours, heavy workloads and limited resources, leading to psychological distress. Generally, countries in the global north have well-established policies and employee wellness programs for mental health compared to countries in the global south. This scoping review aimed to synthesize evidence from published and grey literature on workplace mental health promotion interventions targeting African healthcare workers using Social Ecological Model (SEM) and the Job Demands-Resources (JD-R) model as an underlying theoretical framework for analysis. Arksey and O’Malley framework for scoping reviews was used. The search was conducted across multiple databases. A total of 5590 results were retrieved from Ovid MEDLINE, Ovid Embase, Ovid PsycINFO, Cochrane Library, CINAHL, Scopus and Web of Science. Seventeen (17) studies from ten (10) African countries were included after title, abstract and full text screening. Thematic analysis identified 5 key themes namely training programs, counselling services, peer support programs, relaxation techniques and informational resources. In conclusion, even though limited workplace mental health interventions for healthcare professionals were identified in Africa, individual-level interventions have been notably substantial in comparison to organizational and policy-level initiatives. Moving forward, a multi-faceted approach unique to the African context is essential.
An introduction to attachment theory while completing an undergraduate degree in South Africa opened an opportunity to study at Johns Hopkins University with the recognized mother of attachment theory, Mary Ainsworth. My tenure with her was intensive but short, as she decided to leave Hopkins for Virginia, leading me to head further north to Yale, though not until Ainsworth had introduced me to both Melvin Konner (a distinguished anthropologist) and Urie Bronfenbrenner, a doyen of developmental psychology then determined to radically transform stuffy developmental psychology into a contextually sensitive sub-discipline. With Ainsworth and Bronfenbrenner as off-site mentors, William Kessen introduced sophisticated developmental theory while Edward Zigler expounded the importance of using research to inform social policy in pursuit of a better world for children.
Interprofessional teams in the pediatric cardiac ICU consolidate their management plans in pre-family meeting huddles, a process that affects the course of family meetings but often lacks optimal communication and teamwork.
Methods:
Cardiac ICU clinicians participated in an interprofessional intervention to improve how they prepared for and conducted family meetings. We conducted a pretest–posttest study with clinicians participating in huddles before family meetings. We assessed feasibility of clinician enrollment, assessed clinician perception of acceptability of the intervention via questionnaire and semi-structured interviews, and impact on team performance using a validated tool. Wilcoxon rank sum test assessed intervention impact on team performance at meeting level comparing pre- and post-intervention data.
Results:
Totally, 24 clinicians enrolled in the intervention (92% retention) with 100% completion of training. All participants recommend cardiac ICU Teams and Loved ones Communicating to others and 96% believe it improved their participation in family meetings. We exceeded an acceptable level of protocol fidelity (>75%). Team performance was significantly (p < 0.001) higher in post-intervention huddles (n = 30) than in pre-intervention (n = 28) in all domains. Median comparisons: Team structure [2 vs. 5], Leadership [3 vs. 5], Situation Monitoring [3 vs. 5], Mutual Support [ 3 vs. 5], and Communication [3 vs. 5].
Conclusion:
Implementing an interprofessional team intervention to improve team performance in pre-family meeting huddles is feasible, acceptable, and improves team function. Future research should further assess impact on clinicians, patients, and families.
In home-based care for severely ill patients, family caregivers’ contributions are crucial. This study aimed to explore how a web-based psychoeducational intervention influences family caregivers’ experiences in addressing challenges while caring for a patient with life-threatening illnesses during specialized home care.
Methods
This qualitative study undertook semi-structured interviews with family caregivers of patients with life-threatening illness receiving specialized home care. Family caregivers participated in a randomized controlled trial evaluating a psychoeducational intervention delivered through a website. Interviews were performed with 17 family caregivers; 13 spouses, 2 adult children, 1 parent, and 1 sibling, and analyzed using qualitative content analysis.
Results
The results indicate that the intervention resonated with the family caregivers’ situation which gave them comfort and awareness. It inspired self-reflection on the caregiver role that provided new insights and encouraged communication with the patient. The intervention prepared family caregivers for the patient’s progressing illness and death. While preparing was a help for some, others did not feel ready to face this, which led them to avoid parts of the website.
Significance of results
This psychoeducational web-based intervention guided family caregivers as they addressed challenges in caregiving and prepared for the future, and they valued having access to such an intervention. In a time of decreasing healthcare resources, web-based support may be a useful alternative to in-person interventions. It is important to continue developing, evaluating, and implementing web-based interventions to meet the needs of family caregivers.
Chapter 3 presents localized peace enforcement theory. It first discusses the challenges facing individuals involved in a communal dispute. Reflecting on these obstacles to peaceful dispute resolution, the chapter outlines a formal micro-level theory of dispute escalation between two individuals from different social groups who live in the same community. It explains how international intervention shapes escalation dynamics. The chapter then shifts the focus to local perceptions of intervener impartiality, which the theory posits are a key determinant of whether a UN intervention succeeds in preventing the onset of violence. The identifies the importance of multilateralism, diversity, and the nonuse of force as critical factors shaping local perceptions and, as a result, UN peacekeeping effectiveness. Critically, the theory does not suggest that UN peacekeepers will always succeed, or that all kinds of UN peacekeepers will succeed. Indeed, perceptions of UN peacekeepers vary depending on the troop-contributing country and the identity of the civilians involved in the dispute. The chapter closes with a discussion of the most important hypotheses derived from the theory.
A primary goal of prejudice and stereotyping research is to reduce intergroup disparities arising from various forms of bias. For the last thirty years, much, perhaps most, of this research has focused on implicit bias as the crucial construct of interest. There has been, however, considerable confusion and debate about what this construct is, how to measure it, whether it predicts behavior, how much it contributes to intergroup disparities, and what would signify successful intervention against it. We argue that this confusion arises in part because much work in this area has focused narrowly on the automatic processes of implicit bias without sufficient attention to other relevant psychological constructs and processes, such as people’s values, goals, knowledge, and self-regulation (Devine, 1989). We believe that basic research on implicit bias itself is important and can contribute to reducing intergroup disparities, but those potential contributions diminish if and when the research disregards controlled processes and the personal dilemma faced by sincerely nonprejudiced people who express bias unintentionally. We advocate a renewed focus on this personal dilemma as an important avenue for progress.
Cognitive therapy for PTSD (CT-PTSD) is an efficacious treatment for children and adolescents with post-traumatic stress disorder (PTSD) following single incident trauma, but there is a lack of evidence relating to this approach for youth with PTSD following exposure to multiple traumatic experiences.
Aims:
To assess the safety, acceptability and feasibility of CT-PTSD for youth following multiple trauma, and obtain a preliminary estimate of its pre–post effect size.
Method:
Nine children and adolescents (aged 8–17 years) with multiple-trauma PTSD were recruited to a case series of CT-PTSD. Participants completed a structured interview and mental health questionnaires at baseline, post-treatment and 6-month follow-up, and measures of treatment credibility, therapeutic alliance, and mechanisms proposed to underpin treatment response. A developmentally adjusted algorithm for diagnosing PTSD was used.
Results:
No safety concerns or adverse effects were recorded. Suicidal ideation reduced following treatment. No participants withdrew from treatment or from the study. CT-PTSD was rated as highly credible. Participants reported strong working alliances with their therapists. Data completion was good at post-treatment (n=8), but modest at 6-month follow-up (n=6). Only two participants met criteria for PTSD (developmentally adjusted algorithm) at post-treatment. A large within-subjects treatment effect was observed post-treatment and at follow up for PTSD severity (using self-report questionnaire measures; ds>1.65) and general functioning (CGAS; ds<1.23). Participants showed reduced anxiety and depression symptoms at post-treatment and follow-up (RCADS-C; ds>.57).
Conclusions:
These findings suggest that CT-PTSD is a safe, acceptable and feasible treatment for children with multiple-trauma PTSD, which warrants further evaluation.
Breast cancer patients and survivors deal with physical and psychological challenges due to oncological treatments. The existing literature highlights the importance of compassion in reducing the main cancer-related effects in terms of emotions, quality of life, and dysfunctional coping skills. Over the past few years, compassion-based interventions (CBIs) have been considered an interesting approach to reduce anxiety and depression symptoms and improve quality of life and well-being. However, there have not been many studies that show the benefits of these interventions in breast cancer patients and survivors. The primary objective of this systematic review is to provide evidence of the impact of CBIs on specific variables identified in the literature as affected by this pathology. The variables that will be studied are (a) emotional issues (e.g., anxiety, stress, and depression symptoms); (b) quality of life; and (c) positive coping skills. A systematic search during the previous 10 years up to November 2023 was conducted following the PRISMA guidelines across multiple databases, such as PubMed, Web of Science, PsycINFO, and Scopus. Nine eligible randomized controlled trials were included in this article, with a total of 813 breast cancer patients and survivors. Findings show that CBIs increased compassion, mindful observation, and acting with awareness skills, leading to a significant reduction of anxiety and stress levels, depression, and negative affect. Additionally, less body image distress and greater body appreciation were reported as a consequence of the interventions. This review shows the CBI’s efficacy on emotions, positive coping skills, and quality of life in breast cancer patients and survivors. Guidelines for future studies are listed to promote CBIs as a clinically useful intervention for breast cancer patients and survivors.