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Abstract Ocean sustainability initiatives – in research, policy, management and development – will be more effective in delivering comprehensive benefits when they proactively engage with, invest in and use social knowledge. We synthesize five intervention areas for social engagement and collaboration with marine social scientists, and in doing so we appeal to all ocean science disciplines and non-academics working in ocean initiatives in industry, government, funding agencies and civil society. The five social intervention areas are: (1) Using ethics to guide decision-making, (2) Improving governance, (3) Aligning human behavior with goals and values, (4) Addressing impacts on people, and (5) Building transdisciplinary partnerships and co-producing sustainability transformation pathways. These focal areas can guide the four phases of most ocean sustainability initiatives (Intention, Design, Implementation, Evaluation) to improve social benefits and avoid harm. Early integration of social knowledge from the five areas during intention setting and design phases offers the deepest potential for delivering benefits. Later stage collaborations can leverage opportunities in existing projects to reflect and learn while improving impact assessments, transparency and reporting for future activities.

Abstract Background European countries are increasingly harmonising their organ donation and transplantation policies. Although a growing number of nations are moving to presumed consent to deceased organ donation, no attempts have been made to harmonise policies on individual consent and the role of the family in the decision-making process. Little is known about public awareness of and attitudes towards the role of the family in their own country and European harmonisation on these health policy dimensions. To improve understanding of these issues, we examined what university students think about the role of the family in decision-making in deceased organ donation and about harmonising consent policies within Europe. Methods Using LimeSurvey© software, we conducted a comparative cross-sectional international survey of 2193 university students of health sciences and humanities/social sciences from Austria (339), Belgium (439), Denmark (230), Germany (424), Greece (159), Romania (190), Slovenia (190), and Spain (222). Results Participants from opt-in countries may have a better awareness of the family’s legal role than those from opt-out countries. Most respondents opposed the family veto, but they were more ambivalent towards the role of the family as a surrogate decision-maker. The majority of participants were satisfied with the family’s legal role. However, those who were unsatisfied preferred to limit family involvement. Overall, participants were opposed to the idea of national sovereignty over consent policies. They favoured an opt-out policy harmonisation and were divided over opt-in. Their views on harmonisation of family involvement were consistent with their personal preferences. Conclusions There is overall division on whether families should have a surrogate role, and substantial opposition to granting them sole authority over decision-making. If European countries were to harmonise their policies on consent for organ donation, an opt-out system that grants families a surrogate decision-making role may enjoy the widest public support.

Qualitative research often involves the collection of data from multiple sources, inclusive of the embodied and multisensorial. These differing data sources, that are not language based, pose difficulties for researchers. Often this multimodal data is collected alongside interviews, field notes and other language-based data and then translated into language. In the process of this translation, the embodied, relational, and multisensorial aspects of this data is often lost. To address this issue, we created E mbodied Mapping/s (EM) as an approach for collecting, analyzing and becoming-with non-language-based data. This doing of embodied mapping/s is not about fixing lines and encounters in order to produce a two-dimensional cartography, plan or model; on the contrary it is about exploring differing embodiments and material relations among people and things to create a new inquiry in embodied and multisensorial research and methodologies. Embodied mapping/s suggests a need for a more holistic exploration of qualitative methodologies beyond language and visual communication. Through centralising embodiment, not only as an analytical method but also as something that informs innovative methodologies and methods, these doings of embodied mapping/s offer something novel to qualitative inquiry and embodied methodologies. To evidence the doing of embodied mapping/s, two multi-sited case studies in Canada will be explored—the Canadian War Museum in Ottawa; and the Canadian Museum for Human Rights in Winnipeg, to advance methodological insights in relation to multimodal and multisensorial research.

Based on a detailed study of the return of national-level planning in Argentina as embodied by COFEPLAN, the national planning council, we develop a conceptual framework to analyse the possibilities and limits of steering in governance. We lean on the theoretical apparatus of evolutionary governance theory and use the concepts of goal dependency, interdependency, path dependency and material dependency (effects in governance) to analyse the reality effects of strategy (effects of governance). Methodologically, our study relies on archival work and semi-structured interviews with planning scholars and public officials from different levels of government. We show that, although material and discursive reality effects were abundant in the evolution of Argentine planning policies, dependencies and discontinuities undermined both the central steering ambitions of the government and the innovative potential of the new planning schemes. The dramatic history of the Argentine planning system allows us to grasp the nature of dependencies in a new way. Shocks in general undermine long-term perspectives and higher-level planning, but they can also create windows of opportunity. The internal complexity and the persistence of Peronist ideology in Argentina can account for the revivals of national-level planning, in very different ideological contexts, but the recurring shocks, the stubborn difference between rhetoric and reality, the reliance on informality, created a landscape of fragmented governance and often weak institutional capacity. In that landscape, steering through national-level planning becomes a tall order.

We develop a perspective on steering in governance which understands steering as intended path creation. Inspired by evolutionary governance theory, critical management studies and social systems theory, we argue that steering is shaped and limited by co-evolutions, disallowing for any formulaic approach. In order to illuminate the space for steering in governance, we analyze the interplay between different dependencies. Those dependencies are not just obstacles to path creation, they can also be pointers and assets. The steering discussion is further complicated by always unique sets of couplings between a governance system and its environment. After introducing the ideas of reality effects and governance strategy, we further develop our concept of steering and present it as the management of dependencies (in governance) and reality effects (outside governance) towards path creation. This management is ideally strategic in nature and requires leadership in a new role.

Steering has negative connotations nowadays in many discussions on governance, policy, politics and planning. The associations with the modernist state project linger on. At the same time, a rethinking of what is possible by means of policy and planning, what is possible through governance, which forms of change and which pursuits of common goods still make sense, in an era of cynicism about steering yet also high steering expectations, seems eminently useful. Between laissez faire and blue-print planning are many paths which can be walked. In this thematic issue, we highlight the value of evolutionary understandings of governance and of governance in society, in order to grasp which self-transformations of governance systems are more likely than others and which governance tools and ideas stand a better chance than others in a particular context. We pay particular attention to Evolutionary Governance Theory (EGT) as a perspective on governance which delineates steering options as stemming from a set of co-evolutions in governance. Understanding steering options requires, for EGT, path mapping of unique governance paths, as well as context mapping, the external contexts relevant for the mode of reproduction of the governance system in case. A rethinking of steering in governance, through the lens of EGT, can shed a light on governance for innovation, sustainability transitions, new forms of participation and self-organization. For EGT, co-evolutions and dependencies, not only limit but also shape possibilities of steering, per path and per domain of governance and policy.

BackgroundBelgium is one of very few countries that legally allow euthanasia for suffering caused by psychiatric illness. In the first criminal trial in Belgium of physicians involved in euthanasia, three physicians recently faced the accusation of “murder by poisoning,” for allegedly having failed to comply with several requirements of the Belgian Euthanasia Law in granting the euthanasia request a woman suffering from psychiatric illness. Although all three physicians were acquitted, the case generated much debate among policy makers, medical professionals, and the general public.MethodWe use this trial as the starting point for a critical analysis of the adequacy of the three-level control system established in the Euthanasia Law, as it is applied in the evaluation of euthanasia requests from persons who suffer unbearably from a psychiatric illness. This analysis is based on information presented during the criminal trial as well as information on the euthanasia that was published in the press.ResultsOur analysis highlights substantial problems in the assessment and granting of the euthanasia request. The patient was euthanized without it having been substantiated that her psychiatric illness had no prospect of improvement and that her suffering could not be alleviated. The three-step control system enshrined in the Law and promoted by the Federal Control and Evaluation Commission for Euthanasia appears to have failed at each level.ConclusionTo evaluate requests for euthanasia for mental suffering caused by psychiatric illness, the requirements of the Belgian Euthanasia Law should be complemented by mandating the advice of two psychiatrists, and face-to-face discussions between all physicians involved. In parallel with the process of evaluating the euthanasia request, a treatment track should be guaranteed where reasonable evidence-based treatments and recovery-oriented options are tried.

In this article, the authors develop a perspective on the value of, and methodologies for, comparative planning research. Through comparative research, similarities and differences between planning cases and experiences can be disentangled. This opens up possibilities for learning across planning systems, and possibly even the transfer of best planning and policy practices across systems, places, or countries. Learning in governance systems is always constrained; learning in planning systems is further constrained by the characteristics of the wider governance system in which planning is embedded. Moreover, self-transformation of planning systems always takes place, not always driven by intentional learning activities of individuals and organizations, or of the system as a whole. One can strive to increase the reflexivity in planning systems though, so that the system becomes more aware of its own features, driving forces, and modes of self-transformation. This can, in turn, increase the space for intentional learning. One important source of such learning is the comparison of systems at different scales and learning from successes and failures. We place this comparative learning in the context of other forms of learning and argue that there is always space for comparative learning, despite the rigidities that characterize planning and governance. Dialectical learning is presented as the pinnacle of governance learning, into which comparative learning, as well as other forms of learning, feed.

In this thematic issue we pursue the idea that comparative studies of planning systems are utterly useful for gaining a deeper understanding of learning processes and learning capacity in spatial planning systems. In contemporary planning systems the pressures towards learning and continuous self-transformation are high. On the one hand more and more planning is needed in terms of integration of expertise, policy, local knowledge, and response to long term environmental challenges, while on the other hand the value of planning systems is increasingly questioned and many places witness an erosion of planning institutions. The issue brings together a diversity of contributions that explore different forms of comparative learning and their value for any attempt at reorganization, adaptation and improvement of planning systems.

The authors reflect on recent experiences at UN-Habitat and other international organizations to rethink the roles of planning towards larger development goals and to reform planning systems in places most in need of them. They consider the difficulties but ultimate necessity to learn from a variety of contexts and experiences to articulate general orientations for planning and planning reform which can partly transcend context. Within the variety of planning experiences, and the experiences of lack of planning, one can discern principles which can be applied in many contexts, yet those include principles of contextualization and learning. Comparative learning underpins the attempts at finding general principles, and the local application of those principles further triggers processes of learning, including comparative learning. Local and grassroots planning capacity building is vital to locally apply and contextualize international planning guidelines.

Background: Increasing clinical evidence suggests that people with severe mental illness (SMI), including schizophrenia spectrum disorders, bipolar disorder (BD), and major depressive disorder (MDD), are at higher risk of dying from COVID-19. Several systematic reviews examining the association between psychiatric disorders and COVID-19-related mortality have recently been published. Although these reviews have been conducted thoroughly, certain methodological limitations may hinder the accuracy of their research findings.Methods: A systematic literature search, using the PubMed, Embase, Web of Science, and Scopus databases (from inception to July 23, 2021), was conducted for observational studies assessing the risk of death associated with COVID-19 infection in adult patients with pre-existing schizophrenia spectrum disorders, BD, or MDD. Methodological quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS).Results: Of 1,446 records screened, 13 articles investigating the rates of death in patients with pre-existing SMI were included in this systematic review. Quality assessment scores of the included studies ranged from moderate to high. Most results seem to indicate that patients with SMI, particularly patients with schizophrenia spectrum disorders, are at significantly higher risk of COVID-19-related mortality, as compared to patients without SMI. However, the extent of the variation in COVID-19-related mortality rates between studies including people with schizophrenia spectrum disorders was large because of a low level of precision of the estimated mortality outcome(s) in certain studies. Most studies on MDD and BD did not include specific information on the mood state or disease severity of patients. Due to a lack of data, it remains unknown to what extent patients with BD are at increased risk of COVID-19-related mortality. A variety of factors are likely to contribute to the increased mortality risk of COVID-19 in these patients. These include male sex, older age, somatic comorbidities (particularly cardiovascular diseases), as well as disease-specific characteristics.Conclusion: Methodological limitations hamper the accuracy of COVID-19-related mortality estimates for the main categories of SMIs. Nevertheless, evidence suggests that SMI is associated with excess COVID-19 mortality. Policy makers therefore must consider these vulnerable individuals as a high-risk group that should be given particular attention. This means that targeted interventions to maximize vaccination uptake among these patients are required to address the higher burden of COVID-19 infection in this already disadvantaged group.

In this paper, we explore the complex entanglements between ongoing land conflicts and climate shocks, and their implications for risk governance paths and evolution. We focus on ways in which concepts of shock and conflict can be incorporated into social–ecological systems thinking and applied to risk governance practice in a southern cities context. Through a qualitative inquiry of two slum redevelopment projects in Bhubaneswar city in India, we trace the origin and evolution of conflict around land tenure and eviction in informal settlements, as well as its interaction with local manifestations of climate shocks. Climate policies, as responses to climate shock and intended to mitigate climate risk, are observed as constructed, interpreted, framed, and used strategically by formal actors to further urban development objectives, while the local knowledge systems, risk perceptions, and adaptations are ignored in practice. This study helps to re-think the complexities of climate risk governance in southern urban spaces where multiple risks overlap and interact within the diverse realities of informality and vulnerability. A singular focus on one type of risk, on the formal order to manage that risk, is likely to overlook other risks and opportunities. Hence, shocks are likely to produce more unanticipated effects, conflicts function as the unobserved middle term, and the formal policies and plans to mitigate climate risk contribute to the creation of new risk.

We consider the case of the Flemish city of Ypres and its reconstruction after World War I to analyze the legacies of war, as a violent shock to social- ecological systems for the meaning and organization of land. We argue that these legacies can only be understood when considering the multiple meanings of land, including its association with identity, and when distinguishing between the effects on the land itself, on the community inhabiting that land and the governance system in that community. We demonstrate that war, in its diversity of effects reinforces some path dependencies while erasing others and creates space for reinvention. If a city and its countryside are entirely devastated, as with Ypres, actors in governance come and go, old institutions lose their binding powers, some stories and forms of knowledge remain persuasive and locally rooted, while others whither. The necessity to decide on the future, in a landscape that requires rebuilding, triggers debate, discursive production and options for reinvention. We reflect on the lessons of Ypres for other communities forced to contemplate reconstruction.

The purpose of the article is to define the material, institutional, and intellectual infrastructure of a region and identify the innovative processes that determine its creation. Our main research hypothesis is that the processes that influence the creation of a region’s infrastructure determine a region’s competitiveness as well. To verify these premises, we conducted a study among the residents and employees of a municipality. The research employed deductive and inductive methods and a qualitative analysis was performed. Pearson’s linear correlation coefficient and factor analysis (inference based on the modal and median values) were used in the study. The research verified the hypothesis that innovative processes influence the creation of a region’s infrastructure and that innovative processes in the studied region exhibit low dynamics, which is caused by financial and psychosocial barriers. The important role of social leaders in municipalities was identified as well, above all as regards building civic society and social activity. The added value of the article is threefold: the developed model of infrastructure construction in the material, institutional, and intellectual dimensions of a region; recommendations for the investigated municipality; and a structured questionnaire that, together with the model, can be used for research in municipalities.

Abstract. The 2018 Edition of the Declaration of Istanbul on Organ Trafficking and Transplant Tourism (DoI) provides an updated set of principles and definitions to guide policymakers and health professionals working in organ donation and transplantation. A draft of the new edition was circulated to the public and transplant professionals through an online consultation process, which also sought feedback on a draft explanatory article that explained the principles and discussed some of their practical implications. Both drafts were revised in response to feedback from participants in the consultation. We present here the discussion article, which is intended to assist stakeholders in applying the principles of the DoI by providing more detailed information about the meaning and potential implications of implementing the DoI in various contexts.

This article synthesizes and compares environmental governance theories. For each theory we outline its main tenets, claims, origin, and supporting literature. We then group the theories into focused versus combinatory frameworks for comparison. The analysis resonates with many types of ecosystems; however, to make it more tangible, we focus on coastal systems. First, we characterize coastal governance challenges and then later link salient research questions arising from these challenges to the theories that may be useful in answering them. Our discussion emphasizes the usefulness of having a diverse theoretical toolbox, and we argue that if governance analysts are more broadly informed about the theories available, they may more easily engage in open-minded interdisciplinary collaboration. The eight theories examined are the following: polycentricity, network governance, multilevel governance, collective action, governmentality (power / knowledge), adaptive governance, interactive governance theory (IGT), and evolutionary governance theory (EGT). Polycentricity and network governance both help examine the links or connections in governance processes. Polycentricity emphasizes structural configurations at a broader level, and network governance highlights agency and information flow within and between individuals or organizations. Collective action theory is helpful for examining community level governance, and helps analyze variables hindering or enabling self-organization and shared resource outcomes. In contrast, multilevel governance helps understand governance integration processes between localities, regions, and states across administrative, policy, or legal dimensions. Governmentality is helpful for understanding the role of discourse, power, knowledge, and narratives in governance, such as who creates them and who becomes governed by them with what effect. Adaptive governance helps analyze the links between context, change, and resilience. IGT helps examine the interdependencies between the systems being governed and the governing systems. EGT is helpful for unpacking how coevolutionary processes shape governance and the options for change.

Author(s): Petruţa Teampău and Kristof van Assche | Петрута Теампау и Кристов ван Аше Title (English): Sulina, Sulina / When There’s Water, There’s No Light. Narrative, Memory and Autobiography in a Romanian Town Title (Macedonian): Сулина, Сулина / Кога има вода, нема светлина. Нарација, сеќавања и автобиографија во романско гратче Translated by (English to Macedonian): Marina Kovačić | Марина Ковачиќ Journal Reference: Identities: Journal for Politics, Gender and Culture, Vol. 7, No. 1-2 (Summer 2008 - Winter 2009) Publisher: Research Center in Gender Studies - Skopje and Euro-Balkan Institute Page Range: 33-70 Page Count: 37 Citation (English): Petruţa Teampău and Kristof van Assche, “Sulina, Sulina / When There’s Water, There’s No Light. Narrative, Memory and Autobiography in a Romanian Town,” Identities: Journal for Politics, Gender and Culture, Vol. 7, No. 1-2 (Summer 2008 - Winter 2009): 33-70. Citation (Macedonian): Петрута Теампау и Кристов ван Аше, „Сулина, Сулина / Кога има вода, нема светлина. Нарација, сеќавања и автобиографија во романско гратче“, превод од англиски Марина Ковачиќ, Идентитети: списание за политика, род и култура, т. 7, бр. 1-2 (лето 2008 - зима 2009): 33-70.

Background: Belgium is one of very few countries that legally allow euthanasia for suffering caused by psychiatric illness. In the first criminal trial in Belgium of physicians involved in euthanasia, three physicians recently faced the accusation of "murder by poisoning," for allegedly having failed to comply with several requirements of the Belgian Euthanasia Law in granting the euthanasia request a woman suffering from psychiatric illness. Although all three physicians were acquitted, the case generated much debate among policy makers, medical professionals, and the general public. Method: We use this trial as the starting point for a critical analysis of the adequacy of the three-level control system established in the Euthanasia Law, as it is applied in the evaluation of euthanasia requests from persons who suffer unbearably from a psychiatric illness. This analysis is based on information presented during the criminal trial as well as information on the euthanasia that was published in the press. Results: Our analysis highlights substantial problems in the assessment and granting of the euthanasia request. The patient was euthanized without it having been substantiated that her psychiatric illness had no prospect of improvement and that her suffering could not be alleviated. The threestep control system enshrined in the Law and promoted by the Federal Control and Evaluation Commission for Euthanasia appears to have failed at each level. Conclusion: To evaluate requests for euthanasia for mental suffering caused by psychiatric illness, the requirements of the Belgian Euthanasia Law should be complemented by mandating the advice of two psychiatrists, and face-to-face discussions between all physicians involved. In parallel with the process of evaluating the euthanasia request, a treatment track should be guaranteed where reasonable evidence-based treatments and recovery-oriented options are tried. [ABSTRACT FROM AUTHOR]

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