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Replies to Peter Hofschroer's review of the book "Letters from the Battle of Waterloo: The Unpublished Correspondence by Allied Officers From the Siborne Papers." Historical errors in the review; Faults of a national history written after a great war; Falsification of records.

Research on the electoral personalization of politics has stressed a trend towards a greater role of top prominent political figures (party leaders and ministers). This trend was described as centralized electoral personalization. Yet, this trend is merely one side of a more complex story. No leader attracts all voters' support, and other candidates manage to stand out despite lower resources and visibility. Using a unique dataset of 47,239 actual ballot papers cast for the 2018 Belgian local elections, we show that candidate-level, list-level and district-level factors result in distinct preference voting behaviour. While these factors lead to unmistakable forms of (de-)centralized personalized forms of elections, we furthermore, show that intermediary situations distinctively emerge. A significant number of 'subtop' candidates stand out among candidates, by attracting support from voters who do not support the mere leader of the list. This 'oligarchized personalization' would deserve greater attention in the literature. [ABSTRACT FROM AUTHOR]

In Western societies, human existence and illness are mostly constructed from the perspective of mind-body dualism: body and mind are considered to function independently, and the body/the physical as primary and more real. Research shows, however, that mind-body dualism is no longer tenable, especially in healthcare contexts. This led to the rise the biopsychosocial model, in which bodily experiences, including illness, are seen an interplay of the physical and the psychological, and the social. This model is the current gold standard for treating chronic pain. As these perspectives on the body and illness are potentially conflicting, and discursively constructed, this paper examines whether they are a source of misalignment in interactions between chronic pain patients and their doctors in a pain clinic. The analysis shows these perspectives indeed lead to misalignment, for instance when discussing the relevance of psychotherapy, and lead to intricate uses of argumentative resources to account for the differing perspectives on (the treatment of) pain. [ABSTRACT FROM AUTHOR]

Aims: Multilingual families are often challenged with the transmission of their heritage language (HL) to future generations. Departing from this observation, this study aims to investigate which factors correlate with multilingual families' HL maintenance efforts. The variables taken into account are the families' language policy (FLP), advice from both Early Childhood Care and Education (ECCE) professionals and other (informal) sources, the parents' linguistic and educational resources, as well as their migration generation. Methodology: Exclusively quantitative in nature, the data for this study involve 776 multilingual families in the Flemish community of Belgium. Analysis: These data have subsequentially been subjected to two inferential analyses: a bivariate correlational analysis followed by a logistic regression for a more detailed understanding of the relations at play. Findings: The results indicate a positive correlation between families' policies and their HL maintenance efforts, in addition to confirming the independence of FLP's three components (beliefs, practices, and management). Furthermore, contrary to advice from ECCE professionals, advice from other sources is positively and significantly associated with HL maintenance efforts. Finally, families comprised of parents with access to higher linguistic and educational resources are less likely to try and pass on the HL to their children, probably favouring the acquisition of the institutional language (IL). Originality: This paper quantitatively explores factors that correlate with parental HL maintenance efforts using a large and language-diverse sample. This quantitative approach facilitates generalizations for future (qualitative) research and advice-giving bodies to build on. Significance: Our findings bring about greater insights into the motivation of parents concerning HL maintenance and could contribute to the advice given to multilingual families. [ABSTRACT FROM AUTHOR]

This paper investigates the relationships consumers cultivate with mass-market commodities while caring for their authenticity. Drawing on a six-year ethnography of classic Mustang owners communities in France, Switzerland and Belgium, the authors show that, far from being a symbolic value only, or a resource into which people can "invest" in a mechanism of social distinction, authenticity can also appear as a burden that weighs constantly on the relationship between people and things. Indeed, throughout their uses and maintenance, the material integrity of classic Mustangs is of great concern for their owners, who apprehend every breakdown or maintenance intervention as threats that could jeopardize their car's authenticity. For the sake of security, comfort or health, because new regulations come up, or because some original parts are not available anymore, classic Mustangs owners compose with heterogeneous elements, constantly reshaping both their cars and their concerns for authenticity. The authors draw on Hennion's notion of "attachement" to describe the intimate relationship that grows through these arrangements. The notion particularly helps to grasp the ambivalence of the bonds between people and things: while they get more and more attached to their classic Mustang, owners are getting more and more worried. Moreover, throughout this growing relationship and the recurrent material interventions it draws on, the car does not remain passive. It progressively reveals itself, sometimes surprising its owner. Therefore, not only is authenticity "in the making" in this process, the contours of the thing itself evolve, as well as the knowledge of its owner. [ABSTRACT FROM AUTHOR]

Means-tested transfer schemes in Europe and elsewhere tend to include not only income tests but also asset tests of various sorts. The role of asset tests in minimum income protection provisions has been extensively researched in the Anglo-Saxon context. Far fewer authors have assessed the role of asset tests on social policy in a continental European context. Although asset tests may be useful in singling out the more deserving of the poor, we know relatively little of their actual impact on eligibility and social outcomes in European welfare states. This paper looks at the prevalence and design of asset tests in European minimum income protection schemes. We distinguish between two main types of asset tests: outright disqualification when assets reach a certain value, versus a more gradual tapering at a fictional rate of return. We then analyse in greater detail how asset tests in Belgium and Germany, as representatives of these two types, affect minimum income protection eligibility and poverty outcomes. We use the EUROMOD microsimulation model on the Household Finance and Consumption Survey data in order to assess the effects of asset tests. This survey was explicitly designed to more realistically reflect assets and capital incomes. [ABSTRACT FROM AUTHOR]

The prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses and medication use has increased over time around the world, but significant regional differences remain. This paper aims to determine and explain disparities in ADHD prevalence and medication use among school-aged children in two distinct school systems, in Flanders (Belgium) and Québec (Canada). We present detailed descriptive and comparative analyses of data from 35 schools, 114 teachers, and 1046 parents (children) that were collected as part of a comparative international project. The data concern teacher and parent suspicions, teachers' ratings of ADHD-related behaviors in children, teachers' views of medication use, and teachers' beliefs about ADHD. The results show that, compared with Flanders, Québec had significantly more children diagnosed with ADHD and more frequent suspicions of ADHD in children by teachers and parents. We refer to the conceptual, institutional, and interactional levels of medicalization to interpret our findings and conclude that social and cultural readings of children's behaviors differ greatly between regions. Medicalization of children's behaviors is more common in Québec than in Flanders. [ABSTRACT FROM AUTHOR]

This research project focuses on the problem of organic (or food waste) waste recycling in Flanders, Belgium. Here, the total amount of organic waste produced annually by restaurants is estimated at 166,000 tonnes. Despite being in the evolution towards a circular economy, more than 61% of the restaurants do not collect organic waste separately from residual waste. Within the research, this problem was explored from a human-centred perspective by analysing existing food-waste collection and processing equipment, and by observing the kitchen workflow and interior design of different urban located restaurants. The aim of the research was to identify design opportunities to integrate and optimize the collecting and recycling of food waste in restaurants. In sum, it was possible to distinguish different elements, variables and constraints across the various restaurants related to the disposal and handling of food waste in the kitchen and in the clearing area during the shift. The paper concludes with design requirements for the optimization of food-waste recycling systems, which are related to the cost of the system, the effort that is needed, the lack of space, potential bad odour, hygiene matters, integration in the workflow, organization of the workspace and use of additional resources and energy. [ABSTRACT FROM AUTHOR]

Information on several papers discussed at the Ninth International Conference on Climbing and Walking Robots (CLAWAR) which was held at the Royal Military Academy in Brussels, Belgium, in September 2006 is presented. Topics included problems related to walking and running robots and their supporting technologies. Moreover, the event was purposely organized to continue the goals of the CLAWAR Network and to respond to the future needs of the robotics community.

This paper addresses the adoption and non-adoption of communication methods such as social media and explores the implementation of Web 2.0 technologies and their use in academic libraries. I interviewed 16 library employees from six academic university libraries in the Flanders region of Belgium and in South Africa. I explored five academic university libraries in the urban regions of Flanders and South Africa and one situated in a rural region of South Africa. This article discusses the benefits of using social media as a communication tool to engage with students. The results demonstrate that 'ease of use' was portrayed as a beneficial construct and has a positive influence on behavioural intention and use of Web 2.0 technologies. A comparison on the adoption of social media between the two countries indicate that financial resources, infrastructure and management support are crucial determining factors in service delivery. [ABSTRACT FROM AUTHOR]

Aims: Insufficient physical activity (PA) is one of the largest public health challenges of our time and requires a multisectoral public-health response. PA recommendations state that all children and adolescents should accumulate at least 60 minutes of moderate-to-vigorous PA (MVPA) daily and carry out vigorous PA (VPA) three times weekly. While participation in sports club activities is known to enhance the probability of reaching the recommended overall PA level, less is known about the contribution of sports club participation to VPA, and few cross-national comparisons have been carried out. The purpose of this paper is to study whether participation in sports club activities is associated with meeting the overall PA and VPA recommendations among children and adolescents across six European countries, namely Belgium (Flanders), Czech Republic, Finland, France, Ireland and Sweden. Methods: Analyses were carried out on existing self-reported national data sets using descriptive statistics and logistic regression. Results: Results indicate that approximately two-thirds of children and adolescents take part in sports club activities in the given countries. Sports club participants were more likely to meet the overall PA recommendations (OR 2.4–6.4) and VPA recommendation (OR 2.8–5.0) than non-participants. Conclusions: The extent to which overall PA and/or VPA is gained through sports club participation versus other settings needs to be further studied. Nonetheless, it can be argued that sports clubs have an important position in PA promotion for younger populations. [ABSTRACT FROM AUTHOR]

Fear of the 'Fifth Column' was one of the most important aspects of the defeat suffered by the British army in France and Belgium during May and June 1940, but it has so far been largely overlooked in most accounts of the campaign. There was widespread paranoia throughout the British Expeditionary Force that its efforts were being undermined by spies, traitors and saboteurs, all working behind the lines to deliver a fatal 'stab in the back' to British forces. This paper suggests that this feature of the experience of retreat is a fundamental issue. It argues that many of the other notable facets of the retreat – the strained relationship with allies, the problems in dealing with civilians, the deterioration of morale – can be better understood within the context of the widespread fear of the 'Fifth Column'. Furthermore, it argues that there was a disintegration and brutalization of relationships with civilians, refugees and allies as a direct result of 'Fifth Column' paranoia. It concludes that although the actual influence of any Fifth Column was probably insignificant, the British army suffered far greater damage from the phantom menace of its imaginary 'Fifth Column'. [ABSTRACT FROM AUTHOR]

In recent decades, disappointing poverty trends and welfare state limitations in many European countries – including constraints on minimum income benefits – have paved the way for a larger role of the third sector. An interesting but controversial form of third-sector in-kind support is food aid provision. In Europe, food aid is, so far, a non-rights-based practice displaying worrisome discretionary and stigmatizing characteristics. Yet, the phenomenon of food aid in Europe has spread, professionalized, and penetrated the institutions of the welfare state. This raises the question if, how and to what extent food aid plays a role in bypassing structural constraints on minimum income protection. This article applies an exploratory case study approach to estimate the monetary value of food aid in relation to statutory minimum incomes in four EU-countries. We use cross-nationally comparable food reference budgets to price food aid packages in Belgium, Finland, Hungary and Spain. The results show that food aid, although not sufficient to close the at-risk-of-poverty gap, is non-trivial for some European households. In Spain and Belgium food aid packages can reach up to €100 a month (expressing 7% to 11% of respective minimum income benefit levels). Importantly, we perceive (formalized) cooperation and interaction between local welfare agencies and food charities in all countries, suggesting that welfare state actors use non-rights-based food aid for filling gaps in the social safety net. The large between- and within-country variation of the monetary values of food aid packages points, however, to food aid as a problematic discretionary practice. [ABSTRACT FROM AUTHOR]

This article adopts an interpretive approach to investigate how local policy-makers portray and justify their own visions of digital governance initiatives at the municipal level. Our investigation focuses on smart city projects submitted by various Belgian municipalities in the framework of the 'Intelligent Territory' call for proposals initiated in 2019 by the Walloon Region. We use Boltanski and Thévenot's theory of orders of worth and combine quantitative and qualitative content analysis to categorize the different justifications elaborated by municipal governments. The empirical results point to the polysemic nature of the smart city concept and highlight the diversity of opportunities offered by smart city policies according to municipal policy-makers. Overall, our study contributes to the understanding of the varieties of interpretations underpinning the construction of digital governance initiatives. It therefore supports the argument according to which there is no one-size-fits-all approach to smart city policies as local policy-makers may attribute different meanings to them and may formulate place-based ICTs solutions to what they perceive as the most pressing problems of their territories. Points for practitioners: Smart city projects can be used by governing authorities as instruments to achieve a variety of policy goals Examples of policy goals are to boost local economic development, to improve the effectiveness of municipal service provision, to strengthen social bonds across local community members, to promote the ecological preservation of urban environments and to improve the collaboration between citizens and public administrations Local governments can adaptively use smart technologies as instruments to overcome multiple place-based environmental, social and economic problems Local governments should frame smart urban technologies as means to solve different societal problems and achieve different policy goals – rather than an end per se [ABSTRACT FROM AUTHOR]

What makes politically dissatisfied citizens enthusiastic about deliberation? And what makes them hate it instead? Based on a picture task embedded in a series of focus groups conducted in Belgium, we argue that differences in sense-making help to explain why dissatisfied citizens (do not) support deliberation. We focus on two groups of dissatisfied citizens: non-partisan activists and politically disadvantaged citizens. For both groups, we find that when they thought of deliberation as low-key, informal discussion, they linked it to respectful communication and beneficial outcomes; when they thought of it as formalized, structured discussion, their appraisals became much more negative. For researchers of deliberation, our results make clear that we should be careful in asking citizens what they think about 'deliberation' without inquiring into the way they interpret it. For deliberation practitioners, our findings underline the relevance of integrating informal interactions into the design of deliberative institutions. [ABSTRACT FROM AUTHOR]

Given that integrated care includes many different aspects, this paper seeks to design a comprehensive research approach and explains how this approach is applied in the CORTEXS research project on integrated care in the Flemish Community in Belgium. A systemic view on integrated care is translated into a multi-level, multi-disciplinary, multi-method and multi-stakeholder research design. A phased approach of taxonomy development and literature review, comparative case studies, social lab activities and valorisation initiatives is devised in order to link fundamental research with strategic valorisation of the research results. While this innovative comprehensiveness is seen as a major strength, it is acknowledged that the research design comes with certain risks that need to be tackled. [ABSTRACT FROM AUTHOR]

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This paper investigates speech rate in two standard national varieties of Dutch on the basis of 160 15 mins conversations with native speakers who belong to four different regions in the Netherlands and four in the Dutch-speaking part of Belgium (Flanders). Speech rate was quantified as articulation rate and speaking rate, both expressed as the number of syllables per second (syll/s). The results show a significant effect of speakers' country of origin: subjects in the Netherlands speak 16% faster than subjects in Belgium (articulation: 5.05 vs. 4.23 syll/s, speaking: 4.23 vs. 4.00 syll/s). In addition, the independent variable sex was also found to be significant: on average, men speak 6% faster than women (articulation: 4.79 vs. 4.50 syll/s, speaking: 4.23 vs. 4.01 syll/s). The independent variable age was significant too: younger subjects speak 5% faster than older ones (articulation: 4.78 vs. 4.52 syll/s, speaking: 4.23 vs. 4.01 syll/s). The findings of this study confirm the traditional view that speech rate is determined by extralinguistic variables, but also suggest that there may be intrinsic tempo differences between language varieties. [ABSTRACT FROM AUTHOR]

Background: Research on the impact of post-migration experiences on the mental health of migrant populations has shown a predictive link between post-migration living difficulties and psychological distress. While many studies have focussed on refugees and asylum seekers, there is a considerable gap in the literature concerning undocumented migrants. Aims: The aim of this study was to assess the differences in mental health between documented and undocumented migrants in Belgium. It identified the post-migration difficulties encountered by these two groups and measured their impact on their levels of trauma, resilience, anxiety, depression and their assumptive world. Method: This study involved 69 participants, aged 18 to 68 years, who were either documented or undocumented resident in Belgium. Our data collection included the Post-Migration Living Difficulties Checklist for the measurement of post-migration difficulties, the Posttraumatic Stress Disorder Checklist – DSM-V version for the measurement of trauma, the World Assumptions Questionnaire for the measurement of the assumptive world, the Hopkins Symptom Checklist-25 for the measurement of depressive and anxiety disorders and the Adult Resilience Measure – Revised for the measurement of resilience. Results: Our analyses showed that the mental health of undocumented migrants was poorer than that of documented migrants, with higher levels of trauma, anxiety and depression, a more negative assumptive world, a lower sense of control and lower total and personal resilience. Our results also revealed that post-migration living difficulties were more severe and more numerous for undocumented migrants, and that they were associated to different themes in both groups. Conclusions: The fact that post-migration experience plays such an important role in the mental health of migrant populations raises significant clinical, political and societal considerations. Furthermore, it would appear that undocumented migrants represent a distinct migratory group with their own specificities in terms of migration journey and mental health. [ABSTRACT FROM AUTHOR]

Union representatives were surveyed throughout Belgium between August and December 2021 through an online questionnaire (N = 469) to assess the relationship between trade union representatives' perception of social dialogue quality and change in workers' physical and mental health during the COVID-19 pandemic. We use a modified Poisson regression for binary outcomes controlling for company characteristics, pre-pandemic self-reported health and pandemic-related measures. A total of 30.1% of the sample reported the social dialogue quality has deteriorated during the pandemic. Relative risks (RRs) of poor physical and mental health when social dialogue has worsened are 1.49 (95%CI (95% confidence interval) = 1.03; 2.15) and 1.38 (95%CI = 1.09; 1.74). Controlling for pandemic-related measures slightly reduces the risk of both poor mental (RR = 1.25; 95%CI = 0.84; 1.87) and physical health (RR = 1.18; 95%CI = 0.94; 1.49). Although based on self-reported variables, the study shows an association between poor social dialogue quality and health and underlines the need to look at company-level collective negotiation. [ABSTRACT FROM AUTHOR]

Personalization refers to a shift over time in attention and/or power from collective actors to individuals. I focus on personalization in voting behavior, measured by the use of preference voting in flexible list-PR systems. I will argue that in a multi-level context this kind of personalization can take place at different policy levels, which could influence each other. In local elections, voters can be attracted by the mayor and/or other local figureheads, but also by the national party leader and/or national politicians figuring on the local list. Therefore, scholars should not only focus on the number and importance of people to which personalization applies ('person level' of personalization), but also on how processes at one policy level impact on other policy levels ('territorial level' of personalization). By combining literature on intra-party competition and personalization on the one hand, and on electoral patterns in multi-level states on the other, I engage in a conceptual discussion about the nature of personalization. I add empirical evidence to this conceptual discussion by analyzing preference voting patterns in local elections in Flanders (Belgium). As such, we gain more insights in the remarkable decline of preference voting that took place there. [ABSTRACT FROM AUTHOR]

Ministerial cabinets hold a central place in the Belgian politico-administrative system, carrying out the bulk of policy formulation. However, they do not operate in isolation and rely on other actors of the policy advisory system for information supply and advice. They request, receive and use various advisory inputs. This article investigates how ministerial advisers utilize policy advice when they formulate policies. Based on a unique survey targeting ministerial cabinet members, it shows that policy advice utilization varies according to the source and its location in the policy advisory system. The sample consists of ministerial advisers from 11 ministerial cabinets in the two Belgian federated entities' governments of Wallonia and the Wallonia-Brussels Federation. Ministerial advisers still predominantly use advice from the civil service, which points to the continued importance of advice provision from internal, in-house sources. However, advice from external actors – such as trade unions, civil society or consulting firms – have been observed to have rather high repercussions on policy formulation activities too. Advisory bodies appear to be very much active in supplying advice, but this same advice does not yield comparatively higher utilization scores. Points for practitioners: This study focuses on policy advice utilization by members of ministerial cabinets in Belgium, especially when they formulate policies. It shows that internal, in-house sources remain important advice-providers and their advisory inputs still abundantly feed into the policy work carried out at the level of government. However, this article provides evidence that external sources might also supply advice that directly finds its way to decision-makers working in ministerial cabinets and that have considerable repercussions at that level too. This is the case for advice from trade unions, (organized) civil society or consulting firms, among others. Quite importantly for practitioners, our results suggest that ministerial advisers sometimes prefer controlling advisory exchanges and running separate consultations with one stakeholder at a time, instead of having to deal with collective, internal institutions that represent multiple interests, like advisory bodies. We did not observe striking differences in the degree of utilization between solicited and unsolicited advice, which means that for civil servants or stakeholders, sending policy advice previously unrequested by ministerial cabinets is not necessarily a fruitless strategy to follow. [ABSTRACT FROM AUTHOR]

Objective: The impact of various psychosocial factors (sense of coherence, illness perception, patient enablement, self-efficacy, health literacy, personality) is not fully understood across a wide range of chronic diseases, and in particular in patients with multimorbidity. As such, this study assessed the key psychosocial factors associated with impaired health-related quality of life (HRQoL) in patients with one or more chronic diseases based on cross-sectional data collected in Flanders (Belgium). Methods: Cross-sectional data on 544 chronically ill patients were analysed. Multiple linear regression models were built to analyze the key psychosocial factors associated with HRQoL (EQ-5D-5Lindex as dependent factor). Results: Overall, the strongest independently associated factor with HRQoL was illness perceptions (β = −0.52, P < 0.001). In addition, sense of coherence (β = 0.14, P = < 0.05) was independently positively associated with HRQoL. Moreover, after stratification for multimorbidity, the negative association of illness perceptions with HRQoL was stronger when multimorbidity is present compared to when it is absent (β = −0.62, P < 0.001 vs β = −0.38, P < 0.001). Conclusions: This study revealed interesting associations of the modifiable psychosocial factors of illness perceptions and sense of coherence with HRQoL in a population of chronically ill persons. Given that the burden of chronic diseases will rise in the next decades, designing and implementing interventions that enhance these psychosocial abilities of patients, especially illness perceptions in multimorbid patients, is needed in order to reduce the burden of chronic diseases in terms of impaired HRQoL. [ABSTRACT FROM AUTHOR]

Persisting high poverty and social exclusion rates remain a key challenge of European welfare states. The socio-economic consequences following the COVID-19 crisis are challenging the protection of social citizenship and social rights of the most vulnerable. We examine the role of the European Union (EU) in supporting the most vulnerable citizens by focusing on the Fund for European Aid to the Most Deprived (FEAD). Our key question is, if and in which ways the EU strengthens social citizenship and social rights through FEAD. We base our analysis on a document analysis of the Regulation, Member States' operational programmes and results of a survey with food aid organizations in Belgium, Lithuania and Portugal. Our findings suggest that FEAD represents a contradictory case of European action in the field of social citizenship and social rights. On the one hand, FEAD is a highly targeted social policy instrument. On the other hand, food aid, as the main provided instrument, is based on charity and not on social rights. Accompanying social inclusion measures could support beneficiaries in the take-up of social rights, but these measures lack clear rules for implementation and monitoring. We conclude that FEAD seems to contribute to the institutionalization of charitable food aid within national welfare systems. [ABSTRACT FROM AUTHOR]

The vast majority of research and efforts towards greater care coordination have taken place at the level of single, sovereign organizations, or at the level of networks formed to address the need for cross-organizational collaboration. The recently emerging ecosystem level of analysis and intervention is still under-researched, with few if any available innovation practices that match the complexity experienced at the level of care ecosystems. Beginning with the challenge of care coordination, we discuss what care ecosystems are and how they can be defined and describe the possibilities and opportunities that come when viewing care coordination through an ecosystem lens. We underpin our plea for an ecosystem approach to health and social care coordination with seven lessons, which we draw from an extensive study of 15 care ecosystem cases from seven different countries. We end the paper with an appeal for further research in this promising field. [ABSTRACT FROM AUTHOR]

In health care, managers become aware of the importance of providing good-quality care. To deal with the changing circumstances, 'new public management' is introduced in mental health care. One example is the growing popularity of the SWOT (strengths, weaknesses, opportunities and threats) analysis. In this paper, the use of a SWOT analysis as a strategic management tool in mental health care is studied. Qualitative research, using a SWOT document for questioning employees about the care programmes in a regional psychiatric hospital, is presented. In total, 186 SWOT documents were distributed; 168 were completed by 28 participants. For child and youth psychiatry a total SWOT was made for eight pathology groups; for adult psychiatry eight groups; and for elderly psychiatry seven pathology groups. This resulted in some interesting findings about the different care programmes the hospital offers for their patients. But this does not mean that the methodology is impeccable. For instance, because of the absence of clinical pathways it was harder to interpret the results. A critical discussion about the methodology is presented, as well as a SWOT analysis about the use of a SWOT analysis in mental health-care organizations. A SWOT analysis can be a very useful strategic management instrument if one takes into account the methodology and the mostly uncertain environmental factors. [ABSTRACT FROM AUTHOR]

Following the Dutroux case in 1996, the Belgian parole system was thoroughly reformed in 1998 and 2006. Decision-making was transferred from the Minister of Justice to multidisciplinary “Sentence Implementation Courts”, supervision and follow up of conditionally released prisoners was tightened and the proportion of recalls increased. Recall of conditional release hence results from the interaction between three main parties: the offender, the supervising probation officer (“justice assistant” in Belgium) and the Sentence Implementation Court who takes the final decision. This paper looks into the consequences of these reforms for two of these parties: the justice assistants, who struggle to keep their professional discretion in the decision to recall, and prisoners, who increasingly turn away from conditional release, thus avoiding recall to prison altogether. [ABSTRACT FROM AUTHOR]

This article examines how income poverty is affected by changes to the scale of tax-benefit policies and which are the most cost-effective policies in reducing poverty or limiting its increase in seven diverse EU countries. We do that by measuring the implications of increasing/reducing the scale of each policy instrument, using microsimulation methods while holding constant the policy design and national context. We consider commonly applied policy instruments with a direct effect on household income: child benefits, social assistance, income tax lower thresholds and a benchmark case of rescaling the whole tax-benefit system. We find that the assessment of the most cost-effective instrument may depend on the measure of poverty used and the direction and scale of the change. Nevertheless, our results indicate that the options that reduce poverty most cost-effectively in most countries are increasing child benefits and social assistance, while reducing the former is a particularly poverty-increasing way of making budgetary cuts. [ABSTRACT FROM AUTHOR]

In this paper, the authors show how the implementation of a care pathway can streamline the care for chronic fatigue syndrome (CFS). The methodology of seven phases is used as a guide to develop, implement and evaluate the CFS care pathway. Some patients have already completed the care pathway. With the help of these case studies, a few strengths and weaknesses of the care process can be formulated. The development and implementation of the care pathway result in a structured process. Patients are diagnosed and treated based on an evidence-based method. The care path also leads to an enhancement of the interdisciplinary cooperation. Nevertheless, the criteria for inclusion and exclusion of patients are taken into account insufficiently. Moreover, family doctors should be involved more often. In the future, it is also important to pay more attention to the role of the family members during the treatment. The entire steering group now needs to engage in a discussion about the test pathway and then subsequently put it to use in daily practice. Additional challenges for the steering group include the objective evaluation and the continuous follow-up of the care pathway. [ABSTRACT FROM AUTHOR]

This paper examines the impact of organisational change in the Belgian Houses of Justice, Department of Offender Guidance. The change that occurred in the Houses of Justice can be defined as incremental change. While Belgian probation has been managerialised in its processes and to a lesser extent its practices, it has not been subjected to the same shift in its purposes. However, one question currently remains: can the increasing emphasis on managerialism leave the social work values and aims of the Houses of Justice in place, or not? [ABSTRACT FROM AUTHOR]

The electoral and political consequences of suburbanisation recently regained interest in the Anglo-Saxon literature, pointing to a growing polarisation between city and suburban fringe. This paper analyses these processes in the Antwerp urban region and shows the development of a similar electoral divide that is supported by the political parties involved. These observations add to the existing evidence that city—suburban polarisation in Belgium cannot be simply equated with the Anglo-Saxon experience, where a complete suburban fencing off from the city is observable. Rather, because of the comparatively limited development of functions in the Belgian suburbs, a suburban discourse emerges that focuses on safe and accessible cities for the suburban user, yet without much reference to its present inhabitants. [ABSTRACT FROM PUBLISHER]

This paper shows how to model seroprevalence data using change-point fractional polynomials (FPs). The inclusion of a change point in the FP framework allows to detect distortions arising from common (often untestable) assumptions made in the estimation of the age-specific prevalence and force of infection from cross-sectional data. The method is motivated using seroprevalence data on the parvovirus B19 and the varicella zoster virus in Belgium. [ABSTRACT FROM AUTHOR]

The European Quality of Care Pathway (EQCP) study is the first, international, cluster randomized controlled trial launched to study the effect of the implementation of care pathways and to study why and under what circumstances pathways work. The study will be performed in Belgium, Italy, Ireland and Portugal and will include individual studies: a trial including chronic obstructive pulmonary disease patients, a trial including proximal femur fracture patients and a trial focusing on multidisciplinary teamwork within both populations. The study is managed by the European Pathway Association in close collaboration with a multidisciplinary team of the Catholic University Leuven (Belgium), the University of Eastern Piedmont (Italy), the National School of Public Health Lisbon (Portugal) and the Health Services Executive in Dublin (Ireland). This paper will describe the history, project management and overall approach of this international study. [ABSTRACT FROM AUTHOR]

Exploring migration dynamics associated with gentrification is particularly important in order to shed light on the nature and contested effects of such processes. Quite paradoxically, however, this aspect remains underinvestigated in the gentrification literature. This paper explores the migratory dimensions of gentrification in Brussels' historical core, hence offering a view from a city wherein current rounds of middle-class reinvestment of inner urban space operate under circumstances that partially contrast with those reported from more prominent global cities. Findings stress that educated young adults living alone and renting from private landlords are predominant among both in- and out-movers to or from Brussels' historical core, suggesting in turn that renting in a gentrifying area is for most of them associated with a transitional step in their housing career. In addition, findings indicate that displacement of vulnerable residents is a limited but actual constituent of the migration dynamics in Brussels' historical core and point to other harmful consequences of gentrification in the area. In Brussels, gentrification and its effects operate under circumstances associated with the preponderance of a poorly regulated private rental housing market in the city's inner neighbourhoods. [ABSTRACT FROM AUTHOR]

Background For some time now, integrated care has been put forward to create a more demand-driven, patient-centred and cost-effective care system. Various conceptual frameworks have been developed to shed light on the complex concept. However, they lack insight into the mechanisms driving integrated care in practice. The aim of this paper is to gain insight into how integrated care is realised in practice. Methods Six cooperation projects in Flanders were compared on five integration mechanisms. A content analysis of secondary sources on each of the cases and semi-structured interviews with representatives of these cases was conducted. The data were analysed using comparison tables. Results Six cases representing five cooperation models in the Flemish health and social care were analysed for the presence of integrated care mechanisms. Six of the 22 mechanisms are present in all case examples. Half of the identified mechanisms concern the integration of professionals. Integrated care in these Flemish cases refers mainly to organising a case meeting, appointing a case manager and dividing the tasks between care professionals. Integration of support is less developed. Conclusions The bottom-up approach to study the practical implementation of mechanisms is a fruitful approach, since it brings into light the complex realities and practicalities of the mechanisms of integration and how they are shaped by local actors in local contexts. The approach shows how Flemish and Belgian policy makers are struggling to scaling up these integration models, whilst at the same time responding to local conditions and needs. [ABSTRACT FROM AUTHOR]

The increasing burden of chronic diseases is one of the greatest challenges healthcare systems globally are facing. Across the world, compelling demands can be found for a fundamental shift in the organisation of health and social care to meet the needs of chronic patients. Integrated care has gathered momentum to overcome fragmentation of care in order to create care systems which are demand-driven, client-centred and cost-conscious. Health information technology – often referred to as eHealth – is usually considered to be an essential building brick of integrated care. Moreover, health information technology is said to hold potential for improving patient safety in chronic care settings. The current perspective paper explores the role of health information technology in integrating and safeguarding care. We argue that health information technology – which supports integrated care – may create optimal conditions to improve patient safety, but only when well-implemented, state-of-the-art technologies are used. [ABSTRACT FROM AUTHOR]

This paper deals with the postwar evolution (1945-1980) in the official discourse of the socio-cultural branches of the Catholic labor movement in Flanders, Belgium. More particularly, four organizations of the ACW (General Christian Workers' Organization) were studied: the two youth organizations that were once led by the international renowned cleric, Jozef Cardijn, the KAJ (Catholic Workers' Youth) and the VKAJ (Female Catholic Workers' Youth), and the socio-cultural organizations for adult females and males, the Catholic Workers' Wives (KAV) and the Catholic Workers' League (KWB). The research consisted of a detailed study of the official discourse of these organizations for the period 1945-1980 by analyzing the monthly publications for the members and the core members. Other relevant documents were also consulted, such as the texts of lectures and speeches given at national training courses and congresses. The study reveled three phases within the postwar public discourse of the socio-cultural organizations of the ACW. In the first part of the paper, these phases are identified and described. The second part of the paper offers a sociological interpretation by linking the evolution of discourse to the postwar process of individualization.

This paper analyzes the statistics released by the Catholic Church showing the persistent demand for Catholic baptisms in Flanders, Belgium, between 1967 and 1990. There is abundant evidence that in Belgium religious (Catholic) baptisms, marriages and funerals are still in great demand while weekly church attendance has strongly declined over the last decades. The statistics clearly indicate that some people continue to run to the Catholic Church at significant moments in their lives, without any further weekly involvement. Two remarks regarding the official figures are in order in this paper. First, the percentages concerning Catholic marriages have been calculated in proportion to the total number of marriages. As a result, the drop in the relative number of church weddings can partly attributed to the rise in marriages of divorced people. Second, the inclusion of non-Catholics in the calculations distorts the statistics, especially the differences between the three regions in Belgium, but does not account for all the differences and decreases that can be observed. The author relates that the analysis of the statistics, and the resulting conclusions and questions, induced her to undertake a study of the meaning of the church rituals. In this study, the focus is on baptisms.

Seen as an alternative to precarious, informal work or no job at all, several European countries have started to use tax money to boost the demand for domestic services. This article asks whether this makes sense. We consider the case of the heavily subsidized and highly popular service voucher scheme in Belgium. Close to a quarter of households there employ domestic service workers under the scheme, making it in relative terms the largest scheme of its kind in Europe. The workers employed under the scheme enjoy extensive labour and social security rights. Does the service voucher scheme provide a model to be followed if we care about labour market exclusion and precariousness or is this a case of institutionalized second-tier work? To that end we trace workers' labour market pathways over a considerable length of time. We find that a substantial share of women find a way out of vulnerable labour market situations through the scheme. However, a very significant number enter from steady employment. This is clearly at odds with the original objective of offering a stepping stone to women with a precarious labour market position. The scheme also plays an ambivalent role in the labour market integration process of immigrant newcomers. At least in part, the Belgian scheme can be seen as a case of policy overshooting. We suggest some potential improvements. [ABSTRACT FROM AUTHOR]

This article analyses othering discourses in the news media coverage of an alleged homophobic murder in Belgium. The case study is based on a critical discourse analysis of news articles published in Dutch-speaking Belgian news media. Using the framework of homonationalism, this analysis finds that Belgium's LGBTI-friendly status is deeply anchored in the national identity. Discourses in mainstream news media following the murder appeal to a unified imagined community of Belgians based on the assumed shared value of tolerance. This LGBTI-friendly status spills over in the exclusionary discourse in right-wing alternative media towards groups that are represented as a homophobic threat outside the nation (Central and Eastern Europe) and within it (Muslims and migrants). [ABSTRACT FROM AUTHOR]

Many relationship theories assume some form of interdependence between relationship partners. Partners are thought to continuously influence each other and to be influenced by each other over time. These influences are not expected to be constant, but dynamic (sometimes partners influence each other a lot, and sometimes they do not influence each other). To investigate such changes in interpersonal dynamics, we showcase the value of using a change point detection approach, which can be used to monitor virtually any preferred quantification of interpersonal dynamics across time. Concretely, we introduce the KCP-RS method, which scans times series for changes in user-specified statistics, in interpersonal emotion dynamic research. We used KCP-RS to investigate changes in 96 couples' emotional experiences during two 10-minute conversations, which were meant to elicit a negative and a positive interaction context. Based on participants' continuous reports of the valence of their emotional experience, we looked for changes in three statistical measures, aiming to capture emotional similarity between partners (i.e., does their valence fluctuate together). Specifically, we investigated the occurrence, frequency, and direction of change in partners' linear correlations, instantaneous derivative matching (IMD), and signal matching (SM). While correlation changes were only observed in 2% of the couples, IDM changes were detected for about one third of the couples (34%), and SM changes were detected in about half of them (49%). Most couples demonstrated one change point, and the direction of the change differed depending on the specific emotional similarity measure. In a first validation of this method, we demonstrated how such change points can pinpoint to subtle but meaningful dynamic processes in couples. We end by discussing the added value of change point detection analyses for relationship research and interpersonal research in general. [ABSTRACT FROM AUTHOR]

This comparative study explores whether and how institutions can become a source of influence on accumulation dynamics in the labor process. It examines how employer strategies for the realization of value within the warehousing, parcel, and transport business divisions of a lead logistics multinational are operationalized in Germany, Belgium, and Sweden. Findings indicate within (and across) country variation in the operationalization paths we identify: compliance, avoidance, and exit. We explain the cross-country variation of each path by pointing to the strategies and negotiation processes pertaining to the usage of flexible labor at each workplace. We also illustrate that this usage relates to the mechanisms of optimization by standardization and of relational management used by employers to contain costs within the scope of each division's managerial regime. [ABSTRACT FROM AUTHOR]

In privacy research, much attention has been devoted to the online privacy practices of adolescents and college youth. Less is known about the privacy management of children and Muslim children in particular. In this study, we gave a voice to Muslim children in the northern Dutch-speaking region of Belgium, and how they negotiate information about their Muslim culture and identity using focus groups and interviews. The empirical studies clarify how different privacy management strategies are used to manage and hide Islam-related information. Overall, our results illustrate how besides managing boundaries around the self, Muslim children take into account the minority group they belong to as well as the representation of that particular group when sharing information. Building further on Petronio's communication privacy management theory and Cohen's perspective on privacy as critical and playful subjectivity, we argue to move beyond individual-centric conceptualizations to understand privacy of minority groups. [ABSTRACT FROM AUTHOR]

Based on an analysis of gender equality provisions in national collective agreements, this article investigates the influence of European Union (EU) gender and macro-economic policy on gender equality outcomes in Belgium since the signature of the Treaty of Rome in 1957. We show that, over time, EU gender equality policies have led to the adoption of provisions promoting formal gender equality and the integration of women in the labour market. At the same time, EU macro-economic policies have stimulated labour flexibility, promoting part-time work largely filled by women, and imposed wage moderation, which has fundamentally hampered the correction of historical indirect gender discrimination in wages. Overall, EU policies have stimulated the transformation of the conservative male breadwinner model of this coordinated market economy (CME) into a gendered 'one-and-a-half earner' model, a transformation partially enforced through the increased interference of the state transposing EU policies. Our study advances the current literature by pointing to the limitations of prevalent methodologically nationalist explanations of gender equality outcomes in CMEs. More specifically, it shows that the gender equality provisions of national collective bargaining agreements in CMEs cannot be understood independent of EU gender and macro-economic policies. [ABSTRACT FROM AUTHOR]

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Political consumerism, that is, the buying or boycotting of goods and services for political or ethical reasons, is now firmly accepted as a form of political participation increasingly adopted by the young. In this article we investigate two claims often made concerning the democratic potential of political consumerism. First, visibility bias would imply that political consumerism mainly targets visible and often symbolic goods, without real economic impact. Our results suggest that participants indeed tend to focus on goods, and neglect services, despite the growing importance of the service sector. Second, it has been argued that political consumerism is only a weapon for the 'happy few'. Our results indeed show that especially higher educated and progressive respondents tend to use political consumerism. Although our findings are based on specific samples in Belgium, and therefore cannot be generalised, we close with some observations on the broader democratic impact of political consumerism. [ABSTRACT FROM AUTHOR]

This article analyses national postal services unions' strategic capacity in Spain and Belgium in response to the effects of liberalization and changes in the postal sector. The analysis shows, first, that despite having had to operate in a hostile context, Correos and bpost unions have been able to mobilize their power resources to resist the impact of market pressures on employment and working conditions. Second, it detects the relevance of national industrial relations institutions in order to understand the strategies unions adopt. [ABSTRACT FROM AUTHOR]

This paper investigates the causal effects of the spatial organisation of Brussels on unemployment propensities. Using census data at the individual level, the unemployment probability of young adults is estimated while taking into account personal, household and neighbourhood characteristics. The endogeneity of residential locations is solved by restricting the sample to young adults residing with their parents; the potential remaining bias is evaluated by conducting a sensitivity analysis. The results suggest that the neighbourhood of residence significantly increases a youngster's probability of being unemployed, a result which is quite robust to the presence of both observed and unobserved parental covariates. [ABSTRACT FROM AUTHOR]

Young EU citizens are encouraged to enhance their 'employability' by taking advantage of intra-EU mobility, but, for many, moving to another EU country can instead generate disadvantages in the labour market. Drawing on a qualitative study on the experiences of university-educated young Nordics and southern Europeans working in precarious jobs in Brussels, we examine how their access to income support in the context of mobility shapes their access to financial independence. We argue that the variation in European welfare models regarding young peoples' social entitlements impacts this access in multiple and complex ways. The article advances a tripartite approach that looks at the regulation and enforcement of conditionality of social entitlements on the levels of EU, their country of origin and their country of destination. The analysis shows how, in Belgium, precarious EU migrant citizens are denied access to income support due to the interplay between general welfare conditionality for all claimants and recently reinforced conditionality affecting EU migrant citizens in particular. In these situations, the de-familialising Nordic welfare models showed an aptitude for shielding their young citizens. The young southern Europeans, on the other hand, often had no access to income support in any country, which forced them to choose between family dependency and unfiltered exposure to precarity. [ABSTRACT FROM AUTHOR]

In 2016, Belgium introduced legislation mandating legal assistance for juvenile suspects. However, legal assistance can only serve as an effective procedural safeguard if it is provided appropriately. The current study examined how lawyers in Belgium fulfil this role in practice. Seventeen video-recorded police interviews of juvenile suspects were observed. The juveniles were aged between 12 and 17 years, and were suspected of various less serious, volume crimes. The findings of this study show that the 'law in action' does not always reflect the 'law in the books'. The mere presence of a lawyer is insufficient: it is necessary for them to actively engage. Although police interviewers typically adopt an information-gathering approach, some interviews do require the lawyer's intervention to protect the juvenile's interests. Moreover, lawyers often restrict themselves to 'legal' assistance and offer limited (emotional) support. Because there is no 'appropriate adult' regime in Belgium, lawyers could take up this double role. The information-gathering approach also seems to enhance cooperation between lawyer and interviewer, resulting in a joint search for the truth in which neither adopts an antagonistic role when interviews are conducted properly. [ABSTRACT FROM AUTHOR]