25 research outputs found
Impeachment: An Online Discussion of its use in the United States and its British Origins
No full textJoin us for a thought-provoking discussion on the use of impeachment in the United States and its British Origins. The speakers are leading experts on impeachment, politics, and history. The speakers have all contributed to British Origins and American Practice of Impeachment (which was published by Routledge in 2024.
The speakers are:
Professor Jack Rakove, Coe Professor of History and American Studies and Professor of Political Science, Emeritus, Stanford University. He is the author of six books, including Original Meanings: Politics and Ideas in the Making of the Constitution (1996), which won the Pulitzer Prize in History, and Revolutionaries: A New History of the Invention of America (2010), which was a finalist for the George Washington Prize, and the editor of seven others, including The Unfinished Election of 2000 (2001).
Dr Clodagh Harrington is a Lecturer in American politics in the Departments of History and Government and Politics at University College Cork. Previously, she was Associate Professor of Politics at De Montfort University in Leicester where she taught American Politics and History since 2006.
Professor Daniel Plesch is Professor of Diplomacy and Strategy at SOAS University of London and is a 'door tenant' at the legal chambers of 9 Bedford Row, in London. His most recent research Women and the UN: a new history of women’s international human rights with Professor Rebecca Adami is published in 2021. He is the author of Human Rights After Hitler - featured on Netflix, reported on US National Public Radio and in other international media. His previous books include: America Hitler and the UN, Wartime Origins and the Future UN (with Prof. Weiss) and the Beauty Queen's Guide to World Peace.
Dr Chris Monaghan is a Principal Lecturer in Law at the University of Worcester. He co-edited British Origins and American Practice of Impeachment (with Matthew Flinders) which was published by Routledge in 2024. He also wrote Accountability, Impeachment and the Constitution: The Case for a Modernised Process in the United Kingdom which was published by Routledge in 2022
Chronic kidney disease and severe mental illness: addressing disparities in access to health care and health outcomes
No full textIndividuals with severe mental illness, including conditions such as schizophrenia and bipolar disorder, are at a higher risk of developing CKD. Higher incidences of CKD in this population can be partially explained by known risk factors, such as the use of lithium treatment and higher rates of cardiovascular disease. However, this does not fully explain the higher proportion of CKD in individuals with severe mental illness, and further research investigating the factors influencing disease onset and progression is needed. Similarly, although it is well documented that mental health difficulties, such as depression and anxiety, are highly prevalent among individuals with CKD, there is a lack of published data regarding the rates of severe mental illness in individuals with CKD. Furthermore, for individuals with CKD, having severe mental illness is associated with poor health outcomes, including higher mortality rates and higher rates of hospitalizations. Evidence also suggests that individuals with severe mental illness receive suboptimal kidney care, have fewer appointments with nephrologists, and are less likely to receive a kidney transplant. Limited research suggests that care might be improved through educating kidney health care staff regarding the needs of patients with severe mental illness and by facilitating closer collaboration with psychiatry. Further research investigating the rates of severe mental illness in patients with CKD, as well as the barriers and facilitators to effective care for this population, is clearly required to inform the provision of appropriate supports and to improve health outcomes for individuals with CKD and co-occurring severe mental illness. <br/
The information needs of patients with traumatic spinal cord injury and their family members before admission to rehabilitation hospital: A qualitative study
No full textChronic kidney disease and severe mental illness: a scoping review
No full textBackgroundPeople who have severe mental illness experience higher rates of long-term conditions and die on average 15–20 years earlier than people who do not have severe mental illness, a phenomenon known as the mortality gap. Long-term conditions, such as diabetes, impact health outcomes for people who have severe mental illness, however there is limited recognition of the relationship between chronic kidney disease and severe mental illness. Therefore, the aim of this scoping review was to explore the available evidence on the relationship between chronic kidney disease and severe mental illness.MethodsElectronic databases, including MEDLINE, Embase, CINAHL, and PsycINFO were searched. The database searches were limited to articles published between January 2000–January 2022, due to significant progress that has been made in the detection, diagnosis and treatment of both SMI and CKD. Articles were eligible for inclusion if they explored the relationship between SMI and CKD (Stages 1–5) in terms of prevalence, risk factors, clinical outcomes, and access to treatment and services. Severe mental illness was defined as conditions that can present with psychosis, including schizophrenia, schizoaffective disorder, bipolar disorder, and other psychotic disorders. Thirty articles were included in the review.ResultsThe included studies illustrated that there is an increased risk of chronic kidney disease amongst people who have severe mental illness, compared to those who do not. However, people who have severe mental illness and chronic kidney disease are less likely to receive specialist nephrology care, are less likely to be evaluated for a transplant, and have higher rates of mortality.ConclusionIn conclusion, there is a dearth of literature in this area, but the available literature suggests there are significant health inequalities in kidney care amongst people who have severe mental illness. Further research is needed to understand the factors that contribute to this relationship, and to develop strategies to improve both clinical outcomes and access to kidney care.<br/
Evoking the Possibility of Presence:Textual and Ideological Effects of Linguistic Negation in Written Discourse
No full textThis thesis explores the textual and ideological effects of linguistic negation in written texts. It argues that when language users process negation, understanding its use in context is as much about the possibility of presence as it is about the actuality of absence. This gives rise to a variety of effects in texts from contributing to the construction of fictional characters to potentially influencing readers’/hearers’ view of the world they inhabit. This thesis brings together research on the theoretical aspects of how negation works to present a new approach to linguistic negation in written discourse. It also demonstrates how this approach can be applied in the analysis of the conceptual practice of negating. The approach presented is made up of three main elements; negation is presuppositional, is realised through a wide variety of linguistic forms beyond the morphosyntactic core forms (not, no, never, none, un-, in-, and so on) and includes semantic and pragmatically implied forms. These two elements combine to give rise to implied meaning in context. Having outlined this approach to negation, it is then applied in the analysis of literary and non-literary texts to explain the textual and ideological effects that arise from its use
Investigating the ‘empire of secrecy’ — three decades of reporting on the secret state
No full textThis thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University LondonIt has often been argued that journalism has been the most effective means of holding the intelligence services to account in western democracies. This thesis examines whether that proposition holds true in the United Kingdom and if so, whether such oversight has been consistent. Accountability by the news media is compared with the expanding range of UK official oversight mechanisms. The author utilises a body or work from over three decades of reporting on the intelligence services and further research on accountability to examine these questions. The author suggests this work is timely, given the controversy prompted by the former National Security Agency contractor, Edward Snowden, who leaked a substantial archive of secret intelligence documents. This thesis concludes that the news media were often effective, if not consistent, in bringing intelligence to account in the second half of the 20th century. Since the start of the 21st century monitoring the secret state has become more challenging as a result of a changing economic, global and national political environment. Government legislation and technology makes it increasingly difficult for journalists to obtain confidential sources and then undertake their Fourth Estate role. Finding new methodologies is an urgent task for journalists, as history reveals that if intelligence agencies operate without scrutiny from outside government, abuses take place. Never before has government and its intelligence services had such powers and techniques of invasive mass surveillance available, and thus the potential to control the population and particularly those who dissent
Improving kidney care for people with severe mental health difficulties: a thematic analysis of twenty-two healthcare providers’ perspectives
No full textIntroductionPeople with severe mental health difficulties (SMHDs) and concurrent kidney disease have less access to quality kidney care and worse clinical outcomes. Our research investigates the barriers and facilitators to effective kidney care for people with SMHDs, and how care might be improved for this underserved population.MethodsWe conducted semi-structured interviews with twenty-two physical (n = 14) and mental (n = 8) healthcare professionals with experience working with people with SMHDs and concurrent kidney disease. Interview data were analysed and interpreted using reflexive thematic analysis.ResultsFour themes were generated from the data: 1. “It’s about understanding their limitations and challenges, without limiting their rights” describes how some people with SMHDs need additional support when accessing kidney care due to challenges with their mental state, motivation, cognitive difficulties, or mistrust of the healthcare system. 2. “There are people falling through the cracks” describes how the separation of physical and mental healthcare, combined with under-resourcing and understaffing, results in poorer outcomes for people with SMHDs. 3. “Psychiatry is a black spot in our continuing medical education” describes how many renal healthcare providers have limited confidence in their understanding of mental health and their ability to provide care for people with SMHDs. 4. “When they present to a busy emergency department with a problem, the staff tend to go ‘…psych patient”” describes how stigma towards people with SMHDs can negatively impact quality of care.ConclusionHealthcare professionals accounts’ describe how people with SMHDs and kidney disease can have favourable outcomes if they have appropriate hospital, community and social supports. Findings indicate that effective management of kidney disease for people with SMHDs requires integrated physical and mental health care, which takes an individualised “whole person” approach to addressing the interaction between kidney disease and mental health
Non-motor features of cervical dystonia: Cognition, social cognition, psychological distress and quality of life
No full textIntroduction: Non-motor features of cervical dystonia (CD) have been identified, including depression, anxiety, and neuropsychological deficits. The aims were: to provide a clinical neuropsychological profile of CD patients with specific focus on social cognition; assess levels of psychological distress; and investigate the relationship between non-motor features of CD, including cognitive functioning, psychological distress, CD severity, pain, and health-related quality of life (HR-QoL). Methods: A multi-domain neuropsychological assessment battery was administered to 46 participants with CD, examining cognitive and social cognitive domains. Clinical data on dystonia severity, pain, psychological distress and HR-QoL were collected. Results: The majority of participants with CD performed within the average range across most tests of cognition. Scores were significantly lower than standardized norms in social cognition, processing speed, and aspects of memory. High levels of anxiety (Hospital Anxiety and Depression Scale [HADS-A] ≥ 11, 30%) and depression (HADS-D ≥ 11; 29%) were observed. Psychological distress, CD severity, pain and HR-QoL were not significantly associated with neuropsychological functioning after controlling for multiple comparisons. Low HR-QoL was associated with higher levels of pain and psychological distress, but not severity of motor symptoms. Conclusion: Results indicate that psychological distress and deficits in cognitive and social cognitive functioning are likely distinct features of CD. While motor symptoms do not appear to impact HR-QoL, pain and psychological distress were associated with low HR-QoL. Findings highlight the importance of addressing non-motor symptoms in the treatment of CD
