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Chapter 3 focuses on the Gothic novels of Ann Radcliffe and episodes where a character anxiously navigates the gloomy and elaborate gothic castle. Drawing on Andrew Elfenbein’s description of the complicated mental operations involved even in “easy reading,” the chapter argues that these passages subtly convey the many cognitive activities that reading Gothic fiction coordinates. These episodes therefore invite the reader to become impressed by her competency to do such things as inhibit distractions, integrate events into a larger model of the plot, and track the character’s emotional shifts. This sense of competence could have been particularly important for nineteenth-century women readers, whose sense of capability acquired from Gothic reading could feed into their sense of competence to face the unknown and potentially perilous world outside their immediate acquaintance.
Globalization leads to the emergence of new factors that threaten security and the rule of law in Kazakhstan, which necessitates the constant improvement of the personnel qualifications in internal affairs bodies. The purpose of this study was to cover the vectors of updating the legal support for the professional training of law enforcement officers in Kazakhstan. The following methods of scientific research were employed in this study: analysis; synthesis; comparison; deduction; generalization; and formal–legal. It was found that a major part of the future development of the Republic of Kazakhstan is to uphold the principles of justice, protection of society and the rule of law. The effectiveness of ensuring these indicators depends on the level of competence of law enforcement officers, whose activities are aimed at preventing the commission of crimes, their investigation and protection of public safety in general. The study proved that changes in legal, political and socio-economic relations contribute to the emergence of new threats facing society. Thus, the complexity of law enforcement operations is increasing, which demonstrates the need to constantly update the knowledge and skills of internal affairs personnel in Kazakhstan. As a result, the study highlighted the priority of improving the curricula and standards by which police education and training are delivered. It was established that the improvement of legal support of professional training of personnel of internal affairs bodies should be provided based on several approaches, namely legislative, educational, scientific and personal. The results should be used to develop and update the educational policies in the field of professional development of police officers in the Republic of Kazakhstan.
Clozapine is the only licensed medication for treatment-resistant schizophrenia, although it is underused. Healthcare professionals (medical and non-medical professionals) play a crucial role in the management of clozapine. Consultant psychiatrists are accountable for the initiation of clozapine, whereas non-medical professionals are often responsible for the monitoring, the management of side effects and patient education. It appears that healthcare professionals' (HCPs) competence and confidence may have an effect on clozapine underutilisation.
Aim:
To synthesise the most pertinent literature examining the factors influencing HCPs competence and confidence in the management of clozapine and how these factors influence variation in prescribing practice.
Methods:
A review of the literature focusing on these elements was conducted. The Population, Context, Outcome (PCO) framework was adopted to support the literature search. The databases Medline, Psychinfo, Scopus, Cinahl, Pubmed, Embase, British Library, Ethos e-thesis, Google Scholar, Dart Europe e-thesis were consulted; the search was completed in January 2025. Screening, selection, data extraction and quality assessment were conducted independently by two researchers. Thematic analysis was used to investigate and compare the data emerging from the studies.
Results:
Thirty-four articles were included in the review. Six themes were identified: attitude toward and knowledge about clozapine, misconceptions (regarding side effects, monitoring and co-morbidities), guidelines, education, training and experience. HCPs self-reported as competent with guidelines (local and national), yet they expressed less confidence in their ability to adhere to them and were uncertain about managing side effects. Lack of education, training and insufficient exposure to clozapine management were significant factors impacting competence and confidence, resulting in clozapine underuse and variance in prescribing practice. The review highlighted a gap in the literature, as only a few studies involving non-medical professionals were found.
Conclusions:
A general lack of education and training related to clozapine use was identified amongst all professionals.
The impact of educational programmes on improving competence and enhancing confidence was considered positive, however when integrated with clinical practice.
The studies identified in this review were lacking in the involvement of non-medical professionals. Given their crucial role in managing side effects and educating patients and carers, it is evident that their inclusion in future research is imperative.
“Competence” is defined as “doing well,” and “resilience” is defined as “doing well in the face of adversity.” Without a developmental approach, based in meaning, these terms are merely labels for what is observed, and the definitions are circular. How do you know some children are resilient? They are doing well in adverse circumstances. Why are they doing well? Because they are resilient. Research shows that competence and resilience are in fact developmental constructions, built up age by age. Children who do well in high stress families, or who rebound from a period of difficulty, do so because they have a history of earlier positive support and/or changes in current circumstances. They maintain or reclaim positive expectations based on experience. This work paved the way for studies showing that early experience is not erased by developmental change and that adaptation is a product of the entire, cumulated history of experience, as well as current circumstances.
The literature on cognitive behavioural therapy (CBT) practitioner development suggests that extensive training that monitors adherence and reinforces skilfulness produces increased therapist competence, which is related to better patient outcomes. However, little is still known about how trainees perceive their training and its impact on what they understand to be competent CBT practice. Fifteen trainee and recently qualified CBT practitioners who were taking or had taken a UK BABCP Level 2 CBT training course were recruited and asked to complete a photo elicitation task followed by a semi-structured individual interview. Reflexive thematic analysis resulted in an over-arching theme of training as a personal odyssey, consisting of four main themes: (1) an opportunity to work in a meaningful and interesting profession; (2) a reflective learning process, (3) a well-rounded practitioner, and (4) a worthwhile outcome. The multi-faceted nature of each theme is described and related to existing theory and to author reflexivity. Recommendations are made for ways these findings might be applied to help make CBT training more effective and less demanding, and for future research. Limitations of the study include the preponderance of participants drawn from the NHS Talking Therapies for Anxiety and Depression programme in England and the lack of gender and ethnic diversity.
Key learning aims
(1) To understand better the motivation to train, and the experience of training and its outcomes for trainee and recently qualified UK CBT practitioners.
(2) To explore what competence in CBT means to participants, and how they evaluate their competence.
(3) To describe participants’ perceptions of how training has influenced their own development of competence including the role of the personal and professional selves.
(4) To consider practical implications for CBT training.
It is widely agreed that politicians are prone to hyperbole, proposing platforms that no one expects them to fully accomplish. We develop a theory of electoral competition focusing on politicians who differ in terms of both ideological preferences and in their capability to “get things done.” An imperfect ability to implement platforms introduces a novel role for status quo policies. We first show that the traditional left-right orientation of political competition arises only when the status quo is relatively moderate. Otherwise, an extreme status quo becomes the dominant dimension of electoral competition, providing a novel rationale for “populist” campaigns. Our second set of results address when campaign platforms can serve as effective empirical proxies for policies. We show that when there is a shock to voter preferences, the effect on platforms and policies is qualitatively the same, hence platforms are good qualitative proxies for policy implications. But when shocks are to the platform-policy linkage, platforms and policies respond in qualitatively different ways.
This chapter discusses the conditions required for the jurisdiction of international human rights bodies. It covers territorial, personal, temporal, and material jurisdiction, providing an overview of how these conditions are applied and interpreted in international human rights litigation. The chapter examines the challenges in establishing jurisdiction, the principles governing jurisdictional determinations, and the implications for the enforcement of human rights norms. It also highlights the role of jurisdictional conditions in ensuring access to justice and accountability for human rights violations.
Research shows that meritocratic recruitment (MR) in public administration is positively related to improved government performance and developmental outcomes. However, the mechanisms behind these improvements remain understudied theoretically and empirically. This paper addresses this gap by theorising and testing two simultaneous pathways through which MR influences development outcomes. First, by prioritising competence over nepotism or political expedience, MR enhances the epistemic quality of bureaucratic personnel (the competence mechanism). Second, by creating incentive misalignment between bureaucrats and politicians, it enables bureaucrats to resist undue political influence, prioritise public interests in governance, and ultimately contribute to development (the impartiality mechanism). Applying mediation analysis to fourteen years of cross-national data, we examine whether changes in recruitment systems are associated with competence- and impartiality-laden indicators of government performance and developmental outcomes. The findings provide robust empirical support for these mechanisms, advancing theoretical understanding and empirical insights into the effects of MR.
Recent years have seen many cases where the moral transgressions of public figures have led to widespread disengagement from their work, such as no longer watching their shows or reading their books. In the academic context, this can manifest as not inviting an academic to speak, no longer citing or teaching their work, or even ending professional relationships. This paper aims to explore the question of whether there could be purely epistemic reasons that could underwrite such practices of disengagement; bracketing social, moral, or political concerns. In doing so, it addresses a common criticism: an academic’s moral transgression need not give us epistemic reasons to doubt the quality of their work, making disengaging unjustified. The main part of the paper investigates whether this criticism can be countered by viewing an academic’s moral transgressions as a defeater. After dismissing the option of undercutting defeat, it proposes a template argument for when there could be purely epistemic reasons for disengaging, namely if it takes place in areas where the moral transgression that motivates disengagement also functions as a higher order defeater.
Generative artificial intelligence (AI) systems, notably ChatGPT, have emerged in legal practice, facilitating the completion of tasks, ranging from electronic communications to the drafting of documents. The generative capabilities of these systems underscore the duty of lawyers to competently represent their clients by keeping abreast of technological developments that can enhance the efficiency and effectiveness of their work. At the same time, the processing of clients’ information through generative AI systems threatens to compromise their confidentiality if disclosed to third parties, including the systems’ providers. The present paper aims to determine the impact of the use of generative AI systems by lawyers on the duties of competence and confidentiality. The findings derive from the application of doctrinal and empirical research on the legal practice and its digitalisation in Luxembourg. The paper finally reflects on the integration of generative AI systems in legal practice to raise the quality of legal services for clients.
Chapter 2 provides a history of the recognition of the girl child in the international legal framework, from the universalist to the qualified universalist approach, and finally to the girl child as a distinct rights holder under international law. Chapter 2 thereafter conducts an examination of the definition of girl child in the English language. It critically studies the terminology presently used to define her and explores the etymology of the expression ‘girl’ and its semiotics of inferiority and subordination throughout history. The chapter analyzes the two vectors of identity of the girl child: femalehood and childhood. It examines the conceptions of girlhood and its 1) dimensions, 2) boundaries and 3) divisions. It discusses age-based and competence-based boundaries, and parameters for the end of girlhood in the English language and in the law, including definitions concerning puberty, youth and majority. It also suggests divisions within girlhood, namely young girls and adolescent girls.
Chapter 3 explores safety and ethics in online and offline environments, particularly focused on research with adolescents. The chapter emphasises the need for a more rapid response to a very rapidly evolving field. Ethics is understood from a dynamic perspective, adapting to the individual, contextual, social and cultural contexts and needs of individuals and studies. Getting the balance right between enabling adolescent voice and safety is challenging.
This chapter of the handbook discusses the role of mind perception in the categorization of individuals as moral agents and moral patients. Moral agents are defined as individuals that can commit morally wrong actions; moral patients are defined as individuals that can be morally wronged. It is generally agreed that the attribution of moral agency and moral patiency is linked to the attribution of mental capacities and traits. The chapter surveys a variety of models of mind perception, some of which focus on the representation of mental capacities, some of which focus on the representation of mental traits. The dominant model of mind perception in moral psychology is the experience-agency model, which divides the space of mindedness into experiential capacities like sentience and self-awareness, and agentic capacities like deliberative reasoning and self-control. Reviewing the empirical literature on moral categorization, the author argues that neither the experience-agency model nor any of the major alternatives to it captures all the factors to which everyday attributions of moral agency and moral patiency are sensitive.
Edited by
James Ip, Great Ormond Street Hospital for Children, London,Grant Stuart, Great Ormond Street Hospital for Children, London,Isabeau Walker, Great Ormond Street Hospital for Children, London,Ian James, Great Ormond Street Hospital for Children, London
This chapter explains the law surrounding consent for the medical treatment of children, when children can give consent themselves, who can give consent of their behalf and when a refusal of consent should be respected. It also considers guidelines relevant for the practice of restraint in paediatric anaesthesia. Finally, it discusses the unique features of the ethics of research involving children, including the levels of risk that are deemed acceptable.
The concluding chapter of this book aims to remind the reader of the purpose of the book, which is to help BSL learners to improve their sign articulation accuracy, recognise the kinds of errors they are likely to make, and gain a better understanding of the visual nature of BSL. The importance of practice to enhance fluency is emphasised in Section 5.1, which also encourages the learner to make every effort to understand the cultural aspects of the social life and everyday lived experiences of Deaf people. Section 5.2 contains a good number of exercises that incorporate aspects of the previous three chapters so that you can continue working on the areas that you have identified for improvement. Each exercise contains a clear aim and provides activities with instructions that will help you to continue improving your sign articulation. This chapter emphasises the fact that the ability to recognise and correct your errors is an important part of the learning journey. It helps you to self-reflect and stay on track with the development of your BSL skills as you progress further on your journey to becoming a fluent BSL user.
Despite the ubiquity of guided self-help (GSH) interventions in Primary Care psychological services, there have been no previous studies of the relationship between the competence of qualified practitioners and treatment outcomes. This study compared competence-outcome associations in two types of GSH. Competence and clinical outcome measures were drawn from a clinical trial comparing the efficacy of two types of GSH for anxiety disorders, based on cognitive behaviour therapy (CBT-GSH) or cognitive analytic therapy (CAT-GSH). These interventions were delivered over the telephone by qualified and supervised practitioners. Audio-recordings of GSH sessions (n=94) were rated using a validated competence measure. Clinical outcomes were anxiety, depression and functioning. Secondary outcomes were attendance and need for further intervention after GSH. Competence ratings were highly reliable. No significant associations were found between competence and clinical outcomes, treatment engagement or need for further intervention. In this clinical trial, GSH competence ratings were not associated with clinical outcomes. Directions for future competence-outcome research are provided for GSH interventions.
Key learning aims
(1) Become familiar with the current empirical literature on therapist competence and associations with clinical outcome.
(2) Raise awareness of a recently developed alternative form of guided self-help based on the theory and principles of cognitive analytic therapy.
(3) Enhance understanding of the relationship between practitioner competence and clinical outcome in guided self-help for anxiety disorders.
Chapter 12 explores the relationship between cognition and interaction. The longitudinal study, spanning over two years, utilises Conversation Analysis (CA) to investigate the cognitive and interactional abilities of a person with Alzheimer’s disease, ‘May’, through 70 audio recordings of telephone conversations with family members. The chapter acknowledges a close relationship between language and cognition by examining how memory and memory loss are displayed in verbal conduct over time. Furthermore, the chapter sets out to challenge the deficit-focused perspective pervasive in dementia literature, showcasing how May employs sophisticated communicative strategies and transacts routinised practices of interaction even with more advancing dementia. The findings suggest a nuanced understanding of cognitive abilities in dementia, questioning the binary framework of competence versus incompetence in analysing complex cognitive issues and interactional events. The findings contribute to understanding the complexities of Alzheimer’s disease, emphasising the need for tailored communication strategies to enhance the quality of interactions for individuals and their family’s facing dementia. The chapter underscores the significance of using interaction as a window to cognition, offering insights into the degenerative consequences of Alzheimer’s and paving the way for a more nuanced understanding of cognitive decline in the context of family communication.
Previous studies have shown that nurses’ spiritual care competence is related to characteristics of personal spirituality, training adequacy, and comfort, confidence, and frequency of provision of spiritual care. However, these studies assumed that all participants understood spiritual care in the same way, and used self-ratings of spiritual care competence, which are problematic. Our previous study found that spiritual care was understood in 4 qualitatively different ways that can be arranged in order of competence. This study aimed to re-examine the relationships between nurse characteristics and spiritual care competence, using spiritual care understanding as a proxy for competence.
Methods
Data was collected from a convenience sample of nurses who completed an anonymous, online survey. The survey provided qualitative data about what spiritual care means for them. The survey also provided quantitative data regarding nurse characteristics. This study created sub-groups of nurses based on their understanding of spiritual care, and used the quantitative data to construct a profile of nurse characteristics for each sub-group. Kruskal–Wallis statistical tests determined whether nurse characteristics differed across the 4 sub-groups.
Results
Spiritual care competence was not related to confidence or comfort in providing spiritual care. Relationships with spirituality, training adequacy, and frequency of provision of spiritual care were not linear; i.e., higher competence did not always correspond with higher scores of these characteristics.
Significance of results
The results raise concerns about the construct validity of using comfort and confidence as estimates of spiritual care competence. That the relationships between competence and spirituality, training adequacy, and frequency of spiritual care provision was not as linear as portrayed in extant literature, suggests that outcomes of training may depend on the type of spiritual care understanding subscribed to by training participants. The findings offer insights about how nurses could achieve high levels of spiritual care performance.
This article examines how European Union (EU) arms control measures are tailored to its constitutional foundations. EU Member States subject shipments of arms and components to controls so as to screen them for risks and potentially block them. In this context different Member States may make different geopolitical and humanitarian risk assessments. Existing EU measures have achieved only limited security screening harmonisation, and have left room for Member States to shirk their obligations under international humanitarian law. But in case of joint arms production, which the EU subsidises to become more autonomous, one Member State’s arms controls may block another State’s exports and thereby jeopardise cooperation. This article posits that any reform of EU arms controls should start by re-evaluating their present legal basis. A constitutional competence analysis shows that controls on arms shipments to non-EU states should be regulated in part through the Common Commercial Policy (CCP), and not just through the Common Foreign and Security Policy (CFSP). This would be consistent with other EU regulatory regimes for trade security. While a joint CFSP-CCP approach cannot fully prevent conflict, since this would require further foreign policy harmonisation, it could help foster security convergence and strengthen humanitarian due diligence mechanisms.
While elections are an instrument to hold politicians accountable, corrupt politicians are often re-elected. A potential explanation for this paradox is that citizens trade-off integrity for competence. Voters may forgive corruption if corrupt politicians manage to deliver desirable outcomes. While previous studies have examined whether politicians’ competence moderates the negative effect of corruption, this paper focuses on voters’ priorities and directly assesses what citizens value more: integrity or favourable outcomes. Using a survey experiment, we assess citizens’ support for politicians who violate the law in order to improve the welfare of their community and, in some cases, benefit personally from these violations. The results indicate that citizens prefer a politician who follows the law, even if this leads to a suboptimal outcome. However, voters are more likely to overlook violations of the law that benefit the community if these do not result in a personal gain for politicians (i.e., in the absence of corruption). These findings suggest that the mild electoral punishment of corruption may be due to the public’s unawareness of private gains from malfeasance, or to the delay in these private benefits becoming apparent by election day.