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In Chapter 3, the author introduces the concepts of context, purpose, and impact. The chapter begins with a discussion of sociopolitical, cultural, and educational contextual influences on language assessments. The author uses well-known language assessment examples of these effects, including Norton and Stein’s Monkey Passage and how sociopolitical factors affected a group of Black African high school students when they took a reading assessment. The author uses Hall’s framework that considers people’s tendencies to act in certain ways depending on their cultural backgrounds and considers how these tendencies are important when designing and using an assessment for a particular purpose. The author also discusses levels of impact that an assessment can have on individuals, including its effect on test takers and their families, people who have a close relationship with test takers, and even people who do not have a close relationship with test takers.
Often regarded as the oldest surviving work on strategy, the Sun Tzu text has influence in many quarters today. This study organizes Sun Tzu’s ideas under fourteen thematic headings. It also clarifies Sun Tzu’s limitations and blind spots. Building on Brigadier General Samuel B. Griffith, USMC (Ret.)’s translation, this study analyzes Sun Tzu from three standpoints: Sun Tzu (1), Sun Tzu’s ideas in their original Warring States Chinese context; Sun Tzu (2), Sun Tzu’s ideas applied to warfare in a military sense in other times and places; Sun Tzu (3), generalizations of those ideas, including to cyber warfare and other twenty-first-century strategic competitions. Whereas Sun Tzu (1) analysis addresses ways in which the text is a product of its times, intertwined with traditional Chinese cultural milieux, Sun Tzu (2) and (3) analyses, often building on analogical thinking, map universalistic aspects of Sun Tzu’s insights into war and conflict, strategy, logistics, information, intelligence, and espionage. Those analyses also identify ways in which Sun Tzu’s thinking has relevance to gaining strategic advantage in twenty-first-century conflicts.
Often regarded as the oldest surviving work on strategy, the Sun Tzu text has influence in many quarters today. This study organizes Sun Tzu’s ideas under fourteen thematic headings. It also clarifies Sun Tzu’s limitations and blind spots. Building on Brigadier General Samuel B. Griffith, USMC (Ret.)’s translation, this study analyzes Sun Tzu from three standpoints: Sun Tzu (1), Sun Tzu’s ideas in their original Warring States Chinese context; Sun Tzu (2), Sun Tzu’s ideas applied to warfare in a military sense in other times and places; Sun Tzu (3), generalizations of those ideas, including to cyber warfare and other twenty-first-century strategic competitions. Whereas Sun Tzu (1) analysis addresses ways in which the text is a product of its times, intertwined with traditional Chinese cultural milieux, Sun Tzu (2) and (3) analyses, often building on analogical thinking, map universalistic aspects of Sun Tzu’s insights into war and conflict, strategy, logistics, information, intelligence, and espionage. Those analyses also identify ways in which Sun Tzu’s thinking has relevance to gaining strategic advantage in twenty-first-century conflicts.
This chapter guides therapists to examine their social and cultural identities and their power and privilege as an essential part of becoming culturally competent therapists. This chapter emphasizes the importance of therapist cultural self-awareness as the basis for creating meaningful relationships with clients of all social and cultural backgrounds. We suggest concrete strategies to respect and validate the social identities of the self and clients to demonstrate comfort and readiness to work.
As our understanding of the process of resilience has become more culturally and contextually grounded, researchers have had to seek innovative ways to account for the complex, reciprocal relationship between the many systems that influence young people’s capacity to thrive. This paper briefly traces the history of a more contextualized understanding of resilience and then reviews a social–ecological model to explain multisystemic resilience. A case study is then used to show how a multisystemic understanding of resilience can influence the design and implementation of resilience research. The Resilient Youth in Stressed Environments study is a longitudinal mixed methods investigation of adolescents and emerging adults in communities that depend on oil and gas industries in Canada and South Africa. These communities routinely experience stress at individual, family, and institutional levels from macroeconomic factors related to boom-and-bust economic cycles. Building on the project’s methods and findings, we discuss how to create better studies of resilience which are able to capture both emic and etic accounts of positive developmental processes in ways that avoid the tendency to homogenize children’s experience. Limitations to doing multisystemic resilience research are also highlighted, with special attention to the need for further innovation.
The movement toward increasing maternal age comes with many new challenges. As reproductive physicians now see increasingly older patients, they are also confronted with complex ethical questions regarding the medical, psychological, and psychosocial implications of providing services to this population. It is well established that increased maternal age is associated with many obstetric complications. These complications may have both short and long-term effects on the mother as well as the fetus and child. In addition to medical complications, many providers are concerned about psychosocial ramifications of pregnancies at the extremes of maternal age. These concerns largely pertain to the well-being of children born to older parents, and are often subject to societal and cultural norms. These factors combined have led many to question the ethics of providing ART to patients in their 40s and beyond, however most ethical scrutiny has been aimed at post-menopausal mothers and those greater than 50 years of age. This chapter explores the ethical issues and available guidance in relation to this group of patients and the practical application of medical ethics and the core ethical principles.
Suicide results from a complex interaction between biological, genetic, psychological, sociological, cultural and environmental factors. The frequency of suicide among psychiatric pathologies is quite variable, with depression accounting for 45% to 70% of suicides. The association of suicide with the existence of mental illness is not consensual, with reports of rational suicides in 2% to 9% of suicide cases. It is unquestionable that the awareness of the lived experience limits the person’s condition to what it is.
Objectives
To describe a clinical case on the subject and discuss the influence of cultural context in suicide.
Methods
The authors describe a case of a patient hospitalized in Psychiatry, after a suicide attempt and a consummated suicide by his wife.
Results
The patient and his wife lived their entire lives as hermits. Although no acute psychopathology was found in the patient to justify the act, such as psychotic or depressive symptoms, dysfunctional personality traits were found, which translated into an attitude of superiority, requirement of subservience, hostility when contradicted and breaches of basic rules.
Conclusions
Taking into account what has been described, the authors discuss the influence of personality on the patient’s life choices and on the decision that led to the suicide attempt, as well as the suicide of his wife. A reflection is made on whether suicide can be completely independent of mental illness or whether, even in cases where rationality seems to be the causal factor, personality dysfunctionality and a profound influence of the cultural context, are present or not.
The word couvade originated from the French verb couver, meaning to hatch, nest, or brood. Custom of Couvade or Couvade Syndrome (CS) is a poorly understood phenomenon observed since ancient times, in which the expectant father experiences somatic and psychological symptoms of pregnancy.
Objectives
Defining what is CS. Identifying possible origin. Hypothesizing causes. Identifying CS frequency.
Methods
PubMed database search, with “Couvade syndrome” keyword expression. Seven articles were selected among the best matches. Reference lists of articles were reviewed to identify additional articles.
Results
Currently, there are several views on this phenomenon, including religious, cultural, medical, psychoanalytic, and psychological. CS is used in Psychiatry to describe somatic symptoms resembling pregnancy and/or childbirth in expecting fathers, such as weight gain, diarrhea or constipation, toothache, and headache. Lipkin and Lamb (1982) studied 300 couples from New York: they diagnosed Couvade Syndrome in 22,5% of fathers. Nevertheless, Brennan et al. (2007) found different incidence rates of CS diagnose in different areas of the world: 20% in Sweden; 25–97% in United States; 61% in Thailand; 68% in China; 35% in Russia.
Conclusions
Whether CS constitutes a disease entity, or it should be considered a ritual or custom remains a matter of debate. Different rates of CS around the globe may indicate that culture plays an important role. It may be a way for fathers-to-be to cope with changes imposed by pregnancy in the mother and in the couple. Overall, it is a fascinating intersection between the physiological and psychological realms.
Culture is used to refer to the aspects of thinking, feeling, and behaviour related to nation, heritage, place of birth and ethnicity. I look at how the cultural context of mental disorders and the cultural context of mental disorders and the challenges of addressing ethnic diversity in psychiatric services because there is an over-representation of black people detained under the MHA.
Objectives
My aim is to understand what current data shows and use this to find a way forward which identify issues with culture and independently and challenge policies, services systems and address culture in clinical practice to provide culture complement care.
Methods
. research on rates of detention
Results
The MHA acts tells us POC are 4 times more likely to be detained, arrested under 136 twice as much, and are 8 times as likely to be put on CTOS. 40% of black people will more likely asses care through the police system. (mind.org, Uk) This further shows us just how unrepresented POCs are when it comes to their diagnosis, treatment, and care, especially compared to their white counterparts.
Conclusions
In conclusion regulatory bodies and clinicians have to work towards understanding and identifying the reasons for these disparities and then implementing measures to address this. Such as putting people of color in higher positions in mental health positions in mental health positions to add diversities, also teaching the staff members and other people in high positions of power how much culture really impacts mental health, culturally appropriate advocacy, and improving research done.
This chapter dwells on the beauty of a woman’s hair and explains the cultural value attached to the head. The hair is seen as an agentive part of the body, crucial to the wholesome understanding of the entire human framework. It can distinguish gender. For example, the Kojusoko hairstyle is “forbidden” for men. Furthermore, Kojusoko (meaning “face your husband”) is not only known for distinguishing between gender, but also for describing women. The discipline and values inherent in the message being expressed are the typical moral standards of the Yoruba. Besides the gender role and message being conveyed by hairstyles, hairstyles also express spiritual connotations. For example, there is traditional importance to the loose state of the hair of a mourning woman. Other occasions include “naming, cult festivities, pageantry, and celebrations.” With pictorial evidence, the chapter emphasizes how hair shows age, identity, religion, political status, or social categorization and differences in the styles adopted at executing the patterns and drawing the lines, as well as the length used.
This chapter is a conclusion, a revisit from the beginning to recapture all that has been written. Analogously and methodically, the West had encountered Africa, witnessed its cultural practices but made the wrong, albeit demeaning, interpretation of it. Then came the “native,” attempting to walk them to the light through vast decades of experience and armed with an arsenal of cultural materials as evidence. The result is the challenge of the colonial matrix of power and resituating African literature at the center of African epistemology via autoethnography. Reemphasizing the points earlier made, the chapter discusses the position of self as an ambassador of the society it (self) comes from, having allowed its cultural ethos to manifest through self. Thus, everything about the individual manifests and reflects the “internal dynamics sustaining society.” This is further backed by the fact that the society shapes an individual through its “mores” and “institutions,” and thus makes it expedient to read a society through the character of an individual (an emissary), as opposed to an alien who cannot know beyond what is visible to the eyes.
Jameson’s writings modelled ethnoexocentrism and cultural exchange and reflected the cross-cultural freedoms and opportunities she enjoyed as a result of her interchange with Germany and Ottilie von Goethe. Her three resulting ‘German’ books advanced feminist agendas in England by way of German models. Visits and Sketches (1834) details the empowerment of Jameson as writer, cultural critic, and intellectual underwritten by solo travels and her commentaries on German women’s literature, art, intellectual exchange, and sociability. Winter Studies and Summer Rambles in Canada (1838) represents Jameson’s fullest command of contemporary German letters, often by way of writers and thinkers such as Rahel, who were underestimated or ignored by English masculine writers on German culture. Her cultural exchange with Ojibwa women including June Schoolcraft and Schoolcraft’s mother, while more limited, built in part upon the ethnoexocentrism she had learned to exercise in Germany. Social Life in Germany represents Jameson’s work as a translator but, more important, her recourse to German models for alternative marriage and divorce practices she tacitly endorsed for Britain. Her subsequent writings, while not focusing so exclusively on Germany, still drew upon the freedoms and opportunities she discovered there.
The introduction presents the key theoretical concepts of cultural exchange and Mercio P. Gomes’s theory of ethnoexocentrism; the historical parameters of 1833–1910; the ten writers on which this study focuses, who arrived in Germany in three successive waves; the varied reasons women travelled to Germany; the relation of this book to studies of cosmopolitanism; and Anna Jameson’s and Vernon Lee’s own theories of cosmopolitanism that demonstrate their understanding of what it meant and its importance. The introduction then briefly outlines chapters to come.
Shedding new light on the alternative, emancipatory Germany discovered and written about by progressive women writers during the long nineteenth century, this illuminating study uncovers a country that offered a degree of freedom and intellectual agency unheard of in England. Opening with the striking account of Anna Jameson and her friendship with Ottilie von Goethe, Linda K. Hughes shows how cultural differences spurred ten writers' advocacy of progressive ideas and provided fresh materials for publishing careers. Alongside well-known writers – Elizabeth Gaskell, George Eliot, Michael Field, Elizabeth von Arnim, and Vernon Lee – this study sheds light on the lesser-known writers Mary and Anna Mary Howitt, Jessie Fothergill, and the important Anglo-Jewish lesbian writer Amy Levy. Armed with their knowledge of the German language, each of these women championed an extraordinarily productive openness to cultural exchange and, by approaching Germany through a female lens, imported an alternative, 'other' Germany into English letters.
Globalization as lead to a more heterogeneous population than ever which makes intercultural communication an issue of modern times. Although this is positive in many ways, the differences in culture and beliefs, as well as a linguist barrier may impair clinical communication.
Objectives
The authors aim to shed light in the issues regarding intercultural communication.
Methods
Review of the literature including studies focusing on the the various facets of intercultural communication.
Results
People from different cultural backgrounds have less access to health care and are less referenced to specialized care. Also, these patients report less satisfaction after their appointments. Although language proficiency in pointed as one of the most determinant factors, acceptance and comprehension of the patient beliefs regarding health and disease seems to play a very important role. Different cultures express symptoms differently and have different expectations when meeting a doctor. When these factors are overlooked, the doctor-patient relationship suffers and so does the treatment adherence. Doctors tend to have an identical approach to intercultural patients and native patients and to evaluate their interview as very positive, even when the same doesn’t happen with the patients.
Conclusions
Although the difficulties regarding intercultural communication are widely known, most doctors fail adequate their interventions to the specific needs of their patients, not taking into consideration their different beliefs and expectations. This raises very important questions as patient dissatisfaction leads to failure to report symptoms and consequent misdiagnosis and non-compliance to the proposed treatment which ultimately results in a less efficient health care in these populations.
For individuals with mental disorders and their families, religion and spirituality may have a significant influence over how these conditions are understood, managed and treated. Family can act as a moderator in which psychotic patients interpret and explain internalized events. However, they can have a negative impact when discouraging diagnosis and treatment adherence.
Objectives
Explore the impact of family religious and spiritual beliefs on clinical outcomes among a schizophrenic patient. Investigate the psychiatrist’s role in addressing barriers to treatment adherence.
Methods
Data retrieved from clinical interview. Subsequent non-systematic review of the most relevant literature on the topic.
Results
We report a case of a 30-year-old single catholic woman, living with her parents. She had a past history of psychotic symptoms that were interpreted in a context of a depressive episode. After some months she fulfilled the criteria for Schizophrenia and anti-psychotic was prescribed. Family always demonstrated doubts about the disease and negatively influenced the treatment adherence. They believed she was possessed by demons and she was submitted to exorcisms and spiritual therapies. After a 2-year follow-up with erratic treatment regimens and worsening symptoms they accepted her hospitalisation. The majority of symptoms were controlled allowing complete adherence to the same treatment proposed before.
Conclusions
The disease acceptance is a complex process, influenced by multiple beliefs that play different roles in each patient and family, that can adversely influence clinical management. It is essential to understand the family sociocultural environment, by gauging the most influential elements aiming to enhance their compliance with treatment.
To endure, policies and institutions that both protect the environment and promote human security must have an architecture based on principles that lead to creation and maintenance of a rational relationship between human places and human practices.Flexibility and open texture allow meaning to change and endure over time, as both times and people change, and to remain embedded in its cultural context.In every corner of the globe, people have devised small pieces of institutional architecture that show remarkable creativity and potential for expansion.The objective should not be replicating these experiences at grander and higher scales, nor achieving greater levels of consistency or integration in governance architecture.Instead, consilience is what should be sought in our environmental governance architecture – a greater level of coherence in our knowledge.This is the level of democratic discourse, which depends on a more solid and substantive level of explanation – grounded in holistic social experimentation – for both its subject matter and its evaluative criteria.
Every government engages in budgeting and public financial management to run the affairs of state. Effective budgeting empowers states to prioritize policies, allocate resources, and discipline bureaucracies, and it contributes to efficacious fiscal and macroeconomic policies. Budgeting can be transparent, participatory, and promote democratic decision-making, or it can be opaque, hierarchical, and encourage authoritarian rule. This book compares budgetary systems around the world by examining the economic, political, cultural, and institutional contexts in which they are formulated, adopted, and executed. The second edition has been updated with new data to offer a more expansive set of national case studies, with examples of budgeting in China, India, Indonesia, Iraq, and Nigeria. Chapters also discuss Brexit and the European Union's struggle to require balances budgets during the Euro Debt Crisis. Additionally, the authors provide a deeper analysis of developments in US budgetary policies from the Revolutionary War through the Trump presidency.
Appreciating how government budgeting systems and policies vary is best understood by comparing and analyzing the political cultural, historic, economic, and institutional contexts in which they are formulated, adopted, and executed. This book argues that even similar-appearing institutions and budgetary procedures may very well differ in practice due to the influence of a government’s political cultural and historical experiences.