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The Society of Antiquaries of London holds, under ms 86, an unconventional manuscript described in its catalogue as ‘brief notes on the Kings of Portugal’. The manuscript is in a mid-sixteenth-century hand and has personal annotations by William Cecil (1520–98), better known as Lord Burghley. It recounts the history of Portugal by reigns and belonged to Cecil’s personal library. Until now, no other extant example of a history of Portugal written in English in the sixteenth century was known. This article publishes the first transcription of this unique document, while analysing its contents and explaining its importance. The first section will discuss the history of the manuscript itself, explaining its owners, its likely date of composition and the problems relating to authorship. The second part will deal with the raft of reasons why we believe William Cecil ordered its composition. The third section will detail the major contents of the manuscript, discussing its most interesting details. Finally, the conclusion will reflect on why this manuscript is important for British history.
The Tailored Activity Program (TAP) is an evidence-based occupational therapist-led intervention for people living with dementia and their care partners at home, developed in the USA. This study sought to understand its acceptability to people living with dementia, their care partners, and health professionals, and factors that might influence willingness to participate prior to its implementation in Australia.
Methods:
This study used qualitative descriptive methods. Semi-structured interviews were conducted with people living with dementia in the community (n = 4), their care partners (n = 13), and health professionals (n = 12). People living with dementia were asked about health professionals coming to their home to help them engage in activities they enjoy, whereas care partners’ and health professionals’ perspectives of TAP were sought, after it was described to them. Interviews were conducted face-to-face or via telephone. All interviews were recorded and transcribed. Framework analysis was used to identify key themes.
Results:
Analysis identified four key themes labelled: (i) TAP sounds like a good idea; (ii) the importance of enjoyable activities; (iii) benefits for care partners; and (iv) weighing things up. Findings suggest the broad, conditional acceptability of TAP from care partners and health professionals, who also recognised challenges to its use. People living with dementia expressed willingness to receive help to continue engaging in enjoyable activities, if offered.
Discussion:
While TAP appeared generally acceptable, a number of barriers were identified that must be considered prior to, and during its implementation. This study may inform implementation of non-pharmacological interventions more broadly.
Narrative as a component of personality has a long history in the field, but it is only within the last two decades that it has been fully accepted into contemporary approaches to personality (e.g., McAdams & Pals, 2006). One part of the flourishing of the field of narrative psychology has been the attention paid to the social and cultural contexts of narrative production. Yet this work has been somewhat outside the reach of personality psychology, occurring more often within the fields of developmental, cognitive and social psychology (e.g., Fivush, Haden & Reese, 2006). One of the reasons for this separation is the attention to how social and cultural contexts change narration, and a focus on malleability in psychological phenomena has not traditionally been under the purview of personality psychology. We aim to merge these areas of study – personality and social and cultural contexts of narration – by focusing on the role that those contexts play in the stability of narrative as a component of personality.
Prescribed Disengagement® is the description of the post-diagnostic advice given to people after a diagnosis of dementia, which explicitly or implicitly suggests that the person should be slowing down or pulling back from activities. This results in isolation, loss of hope, self-esteem and self-identity, and threatens social health. This study aims to review whether Prescribed Disengagement® can be identified in the literature on subjective experiences of people living with early dementia.
Methods:
A systematic search was performed. Inclusion criteria were original empirical qualitative studies published in English that addressed the subjective experiences of living with a diagnosis of objectively defined early dementia. Thematic synthesis was undertaken.
Results:
Thirty-five papers involving 373 participants were included. Following a diagnosis, people with dementia struggled with self-identity, independence, control and status, activities, stigma, and how to view the future. Reactions in these areas ranged from active and positive to negative and passive. Many studies reported participants’ dissatisfaction with the way the diagnosis was communicated. There was insufficient information provided about dementia and limited treatments and support offered. The diagnosis process and post-diagnostic support may have contributed to disempowerment of the person with dementia, made it more difficult to accept the diagnosis, and exacerbated negative views and self-stigma around dementia.
Conclusions:
These results do not support the idea of Prescribed Disengagement®. However disengagement may have been implied during the diagnosis process and post-diagnostic support. Research is needed on how to improve the communication of dementia diagnosis and support people to live well post-diagnosis.
This article contributes to the study of the early sub-Saharan African diaspora in Europe by analyzing both visual and documentary evidence relating to black gondoliers in Renaissance Venice. Gondolas and gondoliers were iconic features in fifteenth-century Venice, yet most gondoliers were not Venetian. Although black Africans were highly visible in a predominantly white society, naming practices and linguistic usages rendered them virtually invisible in the documentary sources. It is now possible not only to investigate representations of black gondoliers in paintings, but also to identify black gondoliers in the lists of gondoliers’ associations and in criminal records. Slavery was an accepted institution in late medieval Italy, and nearly all black Africans arrived in Venice as slaves, yet usually ended their lives free. Being a gondolier gave a few black Africans a niche occupation that allowed them to manage their transition to freedom, and to integrate successfully into Venetian society.
During the fifteenth and sixteenth centuries, a number of sub-Saharan envoys and ambassadors from Christian countries, predominantly Ethiopia and the Congo, were sent to Portugal and Italy. This essay shows how cultural assumptions on both sides complicated their task of ‘representing’ Africa. These African ambassadors and princes represented the interests of their rulers or their countries in a variety of ways, from forging personal relationships with the king or pope, to providing knowledge of the African continent and African societies, to acquiring knowledge of European languages and behaviours, to negotiating about war, to petitioning for religious or technological help, to carrying out fact-finding missions. But Renaissance preconceptions of Africa and Africans, reinforced by the slave trade, and Renaissance and papal assumptions about diplomatic interaction, ensured that the encounters remained unsatisfactory, as this cultural history of diplomacy makes clear. The focus of the essay is on religious and cultural exchange and the ceremonial culture of embassies.
Male to male unprotected anal sex is the main route of HIV transmission in Australia. The Australian Study of Health and Relationships, a large, representative population survey of sexual health behaviors, found that six percent of males in the general population have engaged in homosexual activity. These findings were consistent with studies in Europeand North America. Condoms have been shown to reduce the transmission of HIV in the community. Barriers to the use of condoms include access,stigma,and cost? Nevertheless, increased condom use has been reported among homosexual males, sex workers and injecting drug users although recent declines in condom use among homosexuals has presented new challenges in HIV prevention.
The prevalence of male to male sexual activity may be higher in prison than in the general population. Sexual activity in prison can be consensual and non-consensual involving both homosexual / bisexual and heterosexual men.
Ceremonies of election to abbess were occasions of great display. Election to this highest of offices was the defining moment of a successful nun's life, and thereafter self-identity became crucial. This article examines an anatomy of an election of 1509 by a nun from San Zaccaria in Venice; the illustrated chronicle of Santa Maria delle Vergini in Venice dated 1523, written by an anonymous nun; and the visual representation (in a range of media) of various abbesses from Florence, Pavia, and Venice. Success in election conferred the possibility of personality and consequently legitimated personalized representation.
To determine the preference of flexible trainees in psychiatry for consultant posts. A questionnaire survey was conducted among all flexible trainees in psychiatry in the West Midlands Region.
Results
The overall response rate was 19 out of 21 (90%). The majority 15 out of 19 (68%) hoped to gain such a post at the end of their training. Of those wanting a consultant post, 15 of the 19 (79%) would only consider working part-time. If such a parttime consultant post was not available, 12 of the15 (80%) said they would considera non-career grade post.
Clinical Implications
In the West Midlands Region there has been an exponential growth in the number of flexible trainees. Approximately a third are within psychiatry alone and most wish to continue flexible working patterns as consultants. This has major workforce planning implications for the future.
Postoperative pain in children with spastic cerebral palsy (CP) is often attributed to muscle spasm and is difficult to manage using opiates and benzodiazepines. Adductor-release surgery to treat or prevent hip dislocation in children with spastic CP is frequently performed and is often accompanied by severe postoperative pain and spasm. A double-blinded, randomized, placebo-controlled clinical trial of 16 patients (mean age 4.7 years) with a mainly spastic type of CP (either diplegic or quadriplegic in distribution) was used to test the hypothesis that a significant proportion of postoperative pain is secondary to muscle spasm and, therefore, might be reduced by a preoperative chemodenervation of the target surgical muscle by intramuscular injection of botulinum toxin A (BTX/A). Compared with the placebo, BTX/A was found to be associated with a reduction in mean pain scores of 74% (P<0.003), a reduction in mean analgesic requirements of approximately 50% (P<0.005), and a reduction in mean length of hospital admission of 33% (P<0.003). It was concluded that an important component of postoperative pain in the patient population is due to muscle spasm and this can be managed effectively by preoperative injection with BTX/A. These findings may have implications for the management of pain secondary to muscle spasm in other clinical settings.
The British phase of Hong Kong’s history started when Hong Kong was ceded to Britain on 20 January 1841. The negotiations were carried out by Captain Charles Elliott for the British and the commissioner Ch’i-shan for the Chinese. A small British contingent landed at what came to be known as Possession Point on the northwest of Hong Kong island on 25 January and drank the health of Queen Victoria; on the following day they signalled the taking of possession by hoisting the union flag. Hong Kong had been suggested as a possible British acquisition only on 11 January, when other more acceptable islands, such as Chusan off the northern coast, had been vetoed by the Chinese. Hong Kong was mainly known to sea captains as it had been used as a rendezvous for opium ships for a number of years, but most other people in the area had very little idea about its appearance, population, or potential as a colony.
This volume has a distinguished predecessor in that published in 1972 and edited by Lauro Martines: Violence and Civil Disorder in Italian Cities, 1200–1500. Although the emphasis of that book was specifically on violence and not on crime, much of that violence was criminal, and thus the overlap between the two books is considerable, even if the periods covered do not match entirely. But in the twenty-year interval between them, fundamental changes in the study of Italian crime in the Renaissance have taken place. Most immediately noticeable is the change in the body of scholars: instead of eleven English-speaking men, there is a mixture of male and female academics from Europe, America and Australia, among them several Italians. The vast bulk of research in this area is now carried out by Italians. The type of crime (or disorder) considered worthy of interest has also changed. In 1972, Martines claimed that the historian of violence was most attracted to political disorder, group crime, institutionalized violence and ‘personal or private violence of the kind that promises a view of the [historical] mainstream’. Now, a much broader range of crime and disorder is appraised.
The political geography of Italy, in the present as in the Renaissance, has resulted in the triumph of local and regional history at the expense of ‘national’ or comparative analysis. Accordingly, the chronology of crime in the peninsula as a whole lacks anything but a very basic outline.