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This Element surveys contemporary philosophical and psychological work on various forms of irrationality: akrasia, strange beliefs, and implicit bias. It takes up several questions in an effort to better illuminate these more maligned aspects of human behaviour and cognition: what is rationality? Why is it irrational to act against one's better judgement? Could it ever be rational to do so? What's going wrong with beliefs in conspiracy theories, those arising from self-deception, or those which are classed as delusional? Might some of them in fact be appropriate responses to evidence? Are implicit biases irrational when they conflict with our avowed beliefs? Or might they be rational insofar as they track social realities?
Narrative creativity is a new, neuroscience-based approach to innovation, problem solving, and resilience that has proved effective in business executives, scientists, engineers, doctors, and students as young as eight. This Element offers a concise introduction to narrative creativity's theory and practice. It distinguishes narrative creativity from ideation, divergent thinking, design thinking, brainstorming, and other current approaches to cultivating creativity. It traces the biological origins of narrative creativity and explains why narrative creativity will always be mechanically impossible for computer artificial intelligences. It provides practical exercises, developed and tested in hundreds of classrooms and businesses, and validated independently by the US Army, for improving narrative creativity. It explains how narrative creativity contributes to technological innovation, scientific progress, cultural growth, and psychological well-being, and it describes how narrative creativity can be assessed. This title is also available as Open Access on Cambridge Core.
The main principles underpinning measurement for healthcare improvement are outlined in this Element. Although there is no single formula for achieving optimal measurement to support improvement, a fundamental principle is the importance of using multiple measures and approaches to gathering data. Using a single measure falls short in capturing the multifaceted aspects of care across diverse patient populations, as well as all the intended and unintended consequences of improvement interventions within various quality domains. Even within a single domain, improvement efforts can succeed in several ways and go wrong in others. Therefore, a family of measures is usually necessary. Clearly communicating a plausible theory outlining how an intervention will lead to desired outcomes informs decisions about the scope and types of measurement used. Improvement teams must tread carefully to avoid imposing undue burdens on patients, clinicians, or organisations. This title is also available as Open Access on Cambridge Core.
This study explores the relationship between crime fiction and adoption. A primary goal of this study is to investigate how the adoption trope reveals current cultural fears and fascination with kinship formations and essentialist notions of belonging, DNA and ancestry searches, and the controversial practice of adoption. Popular fiction, namely crime/detective fiction and the subgenre of adoption crime fiction, reflect scholarly debates within the field of Critical Adoption Studies, including but not limited to the ethics behind the adoption industrial complex and calls for its demise, struggles for reproductive justice, and redefinitions of parenting and kinship formations evidenced by LGBTQ and racialized identities. Another goal of this study is to highlight adoptee and birthparent voices and perspectives, illustrating how genre fiction can help to agitate for more inclusive representation. By intersecting elements of crime into the adoption story, these narratives illuminate the human cost and condition of current adoption practices.
Mental health disorders are common in pregnancy and after childbirth with over 10% of women manifesting some form of mental illness during this time. Maternity services will encounter women with symptoms that vary in severity from mild self-limiting to potentially life-threatening. These conditions carry risks for both the woman and the fetus/newborn. Detecting women with, or at risk of, a serious mental health disorder and enabling them to access appropriate care in a timely fashion is a shared responsibility. However, given the frequency of contact they have with women through this period, maternity services have a pivotal role. From a mental health perspective, high-risk pregnancies are those primarily associated with serious mental illness (psychotic illnesses, bipolar disorder and severe depressive episodes). Healthcare professionals caring for pregnant women should have the appropriate skills to detect serious mental illness and identify women at risk and how to access specialist mental health care.
Good communication is necessary for good clinical care, but defining good communication has been surprisingly difficult and controversial. Many current ideas that identify good communication with certain communication behaviours, or 'skills', were ethically inspired to help doctors see beyond disease to the whole patient. However, promoting specific behaviours is problematic because communication is contextually dependent. In recent decades, observational research into practitioner-patient relationships has begun to provide a scientific basis for the field, identifying patients' vulnerability and practitioners' authority as defining features of fundamentally asymmetric clinical relationships. Future educators can learn from research that explores the judgments that experienced practitioners make when they manage communication dilemmas arising from this asymmetry. In future, instead of the current emphasis on teaching communication behaviours, educators could provide practitioners with knowledge about relationships to inform those judgments, while addressing the attitudes and values that motivate and guide their communication.
The British women booksellers who built and ran successful businesses before, during, and after the Second World War have largely been forgotten. This Element seeks to reclaim some of these histories from where they lie hidden or obscured in archives, accounts of the book trade of the time, and other sources. Though they were often called 'formidable', this research reveals astonishing impact at local, national, and international levels. Divided into four main sections, the Element first gives a literature review of materials about booksellers, before giving a short context to bookselling, the book trade, and book buyers and readers of the early twentieth century. A third section examines the position of women in society at that time, including how they were viewed as part of the book trade; the final section provides histories of nine women booksellers. This title is also available as Open Access on Cambridge Core.
Misinformation can be broadly defined as information that is inaccurate or false according to the best available evidence, or information whose validity cannot be verified. It is created and spread with or without clear intent to cause harm. There is well-documented evidence that misinformation persists despite fact-checking and the presentation of corrective information, often traveling faster and deeper than facts in the online environment. Drawing on the frameworks of social judgment theory, cognitive dissonance theory, and motivated information processing, the authors conceptualize corrective information as a generic type of counter-attitudinal message and misinformation as attitude-congruent messages. They then examine the persistence of misinformation through the lens of biased responses to attitude-inconsistent versus -consistent information. Psychological inoculation is proposed as a strategy to mitigate misinformation.
Place has been central to sociolinguistic research from the beginning. How speakers conceptualize and orient to place can influence linguistic productions. Additionally, places can and do have myriad meanings – some strongly contested. Further, place is not static, as people move and the ideologies regarding certain places evolve over time. This Element probes these themes. It begins by reviewing the existing work on language and place within sociolinguistics according to key themes in the literature – place orientation, gentrification, globalization, and commodification, amongst others. Then it introduces key concepts and frameworks for studying place within allied fields such as geography, sociology, architecture, and psychology. Each author then presents a case study of language and place within their respective field sites: rural Appalachia and Greater New Orleans. The authors end by identifying areas for future development of place theory within sociolinguistics. This title is also available as Open Access on Cambridge Core.
This Element provides a transregional overview of Pride in Asia, exploring the multifaceted nature of Pride in contemporary LGBTQIA+ events in Thailand, the Philippines, Taiwan, and Hong Kong. This collaborative research that combines individual studies draws on linguistic landscapes as an analytical and methodological approach. Each section examines the different manifestations of Pride as a discourse and the affordances and limitations of this discourse in facilitating the social, political, and cultural projects of LGBTQIA+ people in Asia, illustrating both commonalities and specificities in Asian Pride movements. Analyzing a variety of materials such as protest signs, t-shirts, and media reports, each section illustrates how modes of semiosis, through practice, intersect notions of gender and sexuality with broader social and political formations. The authors thus emphasize the need to view Pride not as a uniform global phenomenon but as a dynamic, locally shaped expression of LGBTQIA+ solidarity.
Emergency management of intracranial haemorrhage due to AVMs, DAVFs, and cavernomas involves addressing both the haemorrhage consequences and the underlying vascular lesion. Clinical evaluation and diagnostic workup identify factors necessitating urgent intervention and define the vascular lesion. Urgent intervention may involve ICH management with increased ICP or CSF drainage for acute hydrocephalus. Definitive intervention for the vascular lesion may coincide with or follow evacuation of the intracranial haematoma. Careful considerations and precautions are taken independently or concurrently with the vascular lesion. Indications and timing for AVM intervention involve determining the bleeding source, evaluating mass effect, and assessing the utility of existing ICH for microsurgical AVM resection. Modified microsurgical techniques ensure safety. DAVF intervention with ICH or ASDH requires urgent endovascular treatment and surgical nuances. Cavernoma intervention follows straightforward indications and timing, while brainstem cavernomas require careful consideration of early intervention. Aftercare and a team approach are vital.
This Element's focus is Kant's history of human reason: his teleological vision of the past development of our rational capacities from their very emergence until Kant's own 'age of Enlightenment.' One of the goals is to connect Kant's speculative account of the very beginning of rationality – a topic that has thus far been largely neglected in Kantian scholarship – to his well-known theory of humankind's progress. The Element elucidates Kant's hopes with regard to reason's future progress and his guidelines for how to achieve this progress by unifying them with his vision of reason's past. Another goal is to bring more attention to Kant's essay 'Conjectural Beginning of Human History,' where this account is presented, and to show that this unusual text does not stand in conflict with Kant's philosophy and is not merely tangentially related to it, but illuminates and complements certain aspects of his critical philosophy.
This Element examines performance in postmillennial China through the lens of postsocialism. The fragmented ontology of Chinese postsocialism captures the structural contradictions of a political system that supports a neoliberal economy while continuing to promote socialist values. This study explores how the ideological ambivalence and cultural paradoxes that characterise the postsocialist condition are embodied and represented in performance. Focusing on independent practitioners and postdramatic practices, it builds on theorisations of postsocialism as a state of temporal disjunction to propose a tripartite taxonomy structured around past, present, and future temporal regimes. The categories of postsocialist hauntologies, postsocialist realisms, and postsocialist futurities are introduced to investigate performance works that respectively revisit the socialist past, document present realities, and envision future imaginations. The intersection of competing temporalities and their performative manifestations reflects the disjunctive constitution of contemporary China, where past socialist legacies and futurological ambitions coexist within a fractured postsocialist present.
This Element examines philosophical accounts of scientific explanation, particularly those that apply to biology and the life sciences. Two main categories of scientific explanation are examined in detail –causal explanations and non-causal explanations. The first section of this Element provides a brief history and some basics on philosophical accounts of scientific explanation. Section 2 covers causal explanation, first by discussing foundational topics in the area, such as defining causation, causal selection, and reductive explanation. This is followed by an examination of distinct types of causal explanation, including those that appeal to mechanisms pathways, and cascades. The third section covers non-causal, mathematical explanations, which have received significant attention in philosophy of biology and the life sciences. Three main types of non-causal, mathematical explanation are discussed: topological and constraint-based explanation, optimality and efficiency explanations, and minimal model explanations. This title is also available as Open Access on Cambridge Core.
This book explores the intersection of data sonification (the systematic translation of data into sound) and musical composition. Section 1 engages with existing discourse and offers an original model (the sonification continuum) which provides perspectives on the practice of sonification for composers, science communicators and those interested in this rapidly emerging field. Section 2 engages with the sonification process itself, exploring techniques, models of translation, data fidelity, analogic and symbolic data mapping, temporality and the listener experience. In Section 3 these concepts and techniques are all made concrete in the context of a selection of the author's projects (2004–2023). Finally, some reasons are offered on how sonification as a practice might enrich composition, communication, collaboration, and a sense of connection.
This Element explores twenty-first century Black Gothic literature and film as it responds to American anti-Blackness and as they illustrate a mode of Black Gothic fiction termed Black Lives Matter (BLM) Gothic. The various texts express frustration, rage, and sorrow over the failures of previous civil rights fights. Intended as an introduction to a complex mode, this Element explores the three central themes in BLM Gothic texts and defines the mode's pattern of tropes. The first section reviews the depictions of American anti-Blackness, and defines the mode's pattern of tropes reveal the necropolitical mechanisms at play in US systemic racism. The second section explores the ways the fictions 'make whiteness strange' in order to destabilize white normativity and shatter the power arising from such claims. The final section examines the costs of waging war against racial oppression and the power of embracing 'monstrosity'.
Discourses about rhythmic skill and feel have often been associated with forms of non-Western, and especially African and Afro-diasporic identity and heritage. How can we rethink rhythmic skill for the contemporary world where concepts of heritage and belonging are attaining new meanings across cultural and geographical borders? This Element addresses this question through the case study of modern flamenco guitar, an instrumental practice that has achieved daunting levels of rhythmic sophistication and has been flourishing across the globe for decades, even before flamenco was inscribed into UNESCO's list of Intangible Cultural Heritage in 2010. Drawing on examples from local guitar traditions in Jerez de la Frontera and Morón de la Frontera and from an online guitar contest launched during the Covid-19 pandemic, this Element explores how rhythm can shape new ways of understanding and performing heritage in the global and digital age.
When Mikhail Gorbachev became the leader of the Soviet Union in 1985, the Warsaw Pact was a robust military alliance. It was capable of waging a large-scale war in Europe and was an instrument of Soviet hegemony in Eastern Europe, keeping orthodox Communist regimes in power. The alliance over the years had also become an effective mechanism of political coordination and consultation. In April 1985, the Warsaw Pact leaders met in Warsaw and renewed the Pact for another thirty years. Yet only six years later, the alliance was disbanded, having been rendered obsolete by the political transformation of Eastern Europe in 1989–1990. This monograph recounts what happened to the Warsaw Pact during its final years and explains why the organization ceased to exist in 1991.
What explains patterns of representation – of women and ethnic minorities – in government cabinets? The authors argue governments diversify their cabinets when (1) a minority group – and it need not be ethnic – is sizable and can mobilize (political competition); and/or (2) the general population believes in and expects the inclusion of minorities (popular norms). The authors test their argument using original cabinet data from Asia and Europe (N=93) 1960-2015 and a most-similar design of four case studies. They identify the gender and ethnicity of 91,000 country-year-minister observations – with consideration of the rank of their ministerial portfolio. They find evidence that in countries where there is political competition and/or popular norms, cabinets have fewer double-hegemons. However, this does not necessarily suggest minorities are holding portfolios of substantive prestige. This project offers a way to study intersectionality in democratic representation and political institutions.
Spontaneous preterm birth remains the leading cause of neonatal death, and the second leading cause of mortality worldwide in children below five years of age. The causes of preterm birth are multifactorial, likely contributing to why significant progress in reducing the incidence has been slow. This Element contains the most up-to-date evidence regarding the aetiology, epidemiology, and management of pregnancies at risk of, or complicated by, spontaneous preterm birth and preterm pre-labour rupture of membranes. It concentrates largely on those aspects potentially amenable to preventative intervention (i.e. cervical dysfunction and premature uterine contractility), as well as strategies to improve outcomes for infants born prematurely.