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Does Madness Really Exist? An autobiographical analysis of psychosis as a response to trauma and not a ‘mad’ state of mind
The relatively new method of autoethnography as valid research is used in this paper. The method combines a personal and introspective approach with the academic research method. By reflecting on her experience of psychosis, the first author (LF) attempts to show how psychotic symptoms, such as delusions or paranoid perceptions, have a symbolic meaning and could relate to previous traumatic experiences. She uses Winnicott’s concept of the ‘true’ and the ‘false’ self and applies it to psychotic illness. Using auto-ethnographic details of her experiences, she indicates how trauma, and associated falsification of its understanding, led to distortion, i.e., a false reality, a symptom typically associated with psychosis. A brief comparison is then made of her experience to two other published auto-biographical cases. In light of this self-analysis and careful reading of key psychoanalytic texts, the author explores and explains what, in her experience, may lead people to act in a manner not typical of their true being and how this might explain the rare dangerous behaviour that can occur in some psychotic cases. The understanding of psychosis as ‘madness’ (i.e., to be without reason) is revealed to be due to lack of understanding of its possible underlying causes
Hydro-hegemony and transboundary conflict resolution: the case of Kyrgyzstan and Uzbekistan
Uzbekistan, which has been traditionally viewed as the hydro-hegemon in the Amu Darya and Syr Darya river basins, has been historically opposed to the construction of dams by its neighbors Kyrgyzstan and Tajikistan on these rivers. Following the death of President Islam Karimov in 2016, Uzbekistan’s policy changed, and the country started to redesign its policy framework with Kyrgyzstan, signing a historic border demarcation deal and an agreement on the joint construction of the Kambar-Ata 1 Hydroelectric Power Plant. Several developments, including changes in Uzbekistan’s bargaining power against Kyrgyzstan, pushed the former to redefine its hydro-hegemony. Based on an analysis of bilateral accords, official press releases, commentary by officials coupled with quantitative data collected from secondary sources, I attempt to demonstrate that hydro-hegemony can effectively explain transboundary relations between the two countries both before and after 2016. More broadly, I argue that as the power asymmetry changes, hydro-hegemons are forced to revise their discourses
Gender Politics in the European Union in the Context of the Russo-Ukrainian War since 2022
Politicians in Hungary, Poland, Romania, and Russia have long used anti-LGBTQ+ rhetoric and policies to distance themselves from the West and posit themselves as defenders of traditional family values against Western “degeneracy.” In 2022, amid Ukraine—EU rapprochement, Volodymyr Zelenskyy announced the potential legalization of same-sex partnerships in Ukraine, where homophobia remains commonplace. The EU, however, has yet to recognize that institutionalizing minority rights at the structural and legislative levels alone is insufficient to prevent discrimination against national minorities. This study concerns the way in which Putin and Patriarch Cyril’s have in the recent past invoked gender politics to justify Russia’s 2022 invasion of Ukraine. This research equally addresses the impact of Russian shows of solidarity with European critics of such “moral decay,” namely that the Kremlin has used moral opposition to the West to polarize, confuse, and destabilize countries where state, national church, and national identity are intertwined. Finally, this study suggests that Ukraine is an opportunity for the EU to recognize the insufficiency of legal change on its own to resolve discrimination against sexual minorities. Rather, the EU must commit to adapting its conditionality to the individual circumstances of prospective member states
A Survey on the Attitudes Towards and Perception of Reproducibility and Replicability in Sports and Exercise Science
There are formal calls for increased reproducibility and replicability in sports and exercise science, yet there is minimal information on the overall knowledge of these concepts at a field-wide level. Therefore, we conducted a survey on the attitudes and perceptions of sports and exercise science researchers towards reproducibility and replicability. Descriptive statistics (e.g., proportion of responses), and thematic analysis, were utilized to characterize the responses. Of the 511 respondents, 42% (n = 217) believe there is a significant crisis of reproducibility or replicability in sports and exercise science while 36% (n = 182) believe there is a slight crisis. 3% (n = 15) of respondents believe there is no crisis while 19% (n = 95) did not know. Four themes were generated in the thematic analysis: the research and publishing culture, educational barriers to research integrity, research responsibility to ensure reproducibility and replicability, and current practices facilitating reproducibility and replicability. Researchers believe that engaging in open science can be detrimental to career opportunities due to lack of incentives. They also feel journals are a barrier to reproducible and replicable research due to high publication charges and a focus on novelty. Statistical expertise was identified as a key factor for improving reproducibility and replicability in the future, particularly, a better understanding of study design and different statistical techniques. Statistical education should be prioritised for early career researchers which could positively affect publication and peer review. Researchers must accept responsibility for reproducibility and replicability with thorough project design, appropriate planning of analyses, and transparent reporting practices
Assessing Self-Reported Readiness of Medical Students transitioning to Clinical Clerkship at the University of Ottawa
Introduction: The transition from pre-clerkship to clinical clerkship is a pivotal moment for medical students. Curricular improvements can be made to better prepare students for clerkship. We collected student feedback to generate recommendations for improvement with regard to clerkship preparedness at the University of Ottawa Faculty of Medicine.
Methods: We created a pre- and post-clerkship transition survey for medical students at the University of Ottawa Faculty of Medicine. The groups assessed were from different cohorts. Likert-type and open ended questions were used. The survey was open from October 10 to October 31, 2020. Microsoft Excel 2016 was used for data analysis.
Results: We obtained 176 respondents (37% response rate), of which 158 provided consent and completed the survey. Students in the post-transition group were less anxious about the transition to clerkship, compared to their pre-transition colleagues, with the most significant difference being completing a thorough history and physical examination (2.9/5.0 vs. 3.3/5.0, p<0.05). The two main stressors for incoming clerks were inadequate clinical skills training in pre-clerkship and lack of clarity around clerkship roles, responsibilities, and expectations.
Conclusion: Improvements can be made in pre-clerkship through the integration of small-group orientation sessions, formative OSCEs, accelerated review of pre-clerkship material, and clerkship simulation sessions to facilitate a seamless transition to clerkship at the University of Ottawa
La Araucana: imaginario literario y vivencia del territorio
This article examines the description of South American nature and landscape in La Araucana, with the aim of revealing the relevance – for the configuration of the poem – of the author\u27s life experience and view of nature during the eighteen months he spent in southern Chile. It examines what critics have pointed out in this regard, concluding that, in general, it overweighs the classical resonances and the literary imaginary and minimizes the role of the experience of the territory that Ercilla lived through. The article provides geographical background of the different sectors of the territory that Ercilla traveled during his stay, (Quiriquina, Nahuelbuta mountain range and trip and return "to the edge of the world"), The article shows that the poet did have eyes for local landscape, and that nature influenced the events that are narrated and how they are narrated.Este artículo examina la descripción de la naturaleza y el paisaje americano en La Araucana, con la intención de mostrar la relevancia – para la configuración del poema – de la experiencia vital del autor durante los dieciocho meses de su estadía en el sur de Chile. Examina lo que ha señalado la crítica al respecto, concluyendo que, en general, ésta pondera en exceso las resonancias clásicas y el imaginario literario y minimiza el rol de la experiencia del territorio que vivió Ercilla. El artículo entrega antecedentes geográficos de los distintos sectores del territorio que Ercilla recorrió durante su estadía (Quiriquina, cordillera de Nahuelbuta, viaje de ida y regreso “al confín del mundo”), y muestra que el poeta sí tuvo ojos para el paisaje local, y que la naturaleza influyó en los acontecimientos que se narran y en cómo estos son narrados