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England switched to an opt-out system of consent in 2020 aiming to increase the number of organs available. Spain also operates an opt-out system yet has almost twice the organ donations per million population compared with England. We aimed to identify both differences and similarities in the consent policies, documents and procedures in deceased donation between the two countries using comparative qualitative content and discourse analysis. Spain had simpler, locally tailored documents, the time taken for families to review and process information may be shorter, there were more pathways leading to organ donation in Spain, and more robust legal protections for the decisions individuals made in life. The language in the Spanish documents was one of support and reassurance. Documents in England by comparison appeared confusing, since additions were designed to protect the NHS against risk and made to previous document versions to reflect the law change rather than being entirely recast. If England's ambition is to achieve consent rates similar to Spain this analysis has highlighted opportunities that could strengthen the English system-by giving individuals' decisions recorded on the organ donor register legal weight, alongside unifying and simplifying consent policies and procedures to support families and healthcare professionals. [ABSTRACT FROM AUTHOR]

While the division between the people and the elite created by populism is typically understood within a national framework, the aim of this article is to analyse how the understanding of the people and the elite is constructed by the use of interwoven scales. By focusing on the scalar politics of the Spanish party Vox, the discursive articulation of space through scales are analysed. By means of a qualitative discourse analysis of six Twitter (now X) accounts of the most prominent leaders, we argue that the use of political spaces is strictly connected to the party’s broader political narrative. Concretely, the analysis of the spatial imaginaries evoked by Vox on Twitter shows the importance of different scales – local, regional, national and global – to organize its populist antagonism spatially. In so doing, this paper makes a contribution to the literature on ‘scalar politics’ of radical right parties, which has recently focused on different geographical constituencies. We argue that the national scale maintains its predominance in opposition to the global scale (dominated by the cosmopolitan elites), the regional one (where separatism represents a threat against Spain's unity), the local scale which is nationalized against migrants and people who do not feel as Spaniards. [ABSTRACT FROM AUTHOR]

Fever is the most common clinical sign during infancy. Nurses deal with fever in children most directly and it is an integral aspect of their role as pediatric nurses. The objective of this study is to analyze the perceptions, knowledge and attitudes toward childhood fever of nurses in three health contexts: pediatric hospitalization, pediatric emergency and primary care. To respond this objective, a qualitative study with ethnomethodological approach has been carried out. In-depth interviews were conducted and theoretical clinical cases were presented to nurses working in pediatrics in the three settings studied. After the analysis of the discourses, the codes were classified into three categories: static and number-centric knowledge, dependent nursing attitude, and unconscious model nurses. On the one hand, when we analyze and compare the perceptions, attitudes and knowledge of the nurses between the different contexts, we find differences that consist mainly of what the context requires of them. On the other hand, in general and regardless of the context, the nurses interviewed place themselves in a traditional framework when faced with the phenomenon of fever in children. [ABSTRACT FROM AUTHOR]

The latest sporting milestones in women's football and the struggles of the Spanish national team's players to receive better treatment from the Spanish Football Federation have resulted in the media spotlight being placed on them. This study seeks to understand the discursive reception that has been given to the struggle of the female football players by the users of Marca.com, the largest sports forum in Spain, in terms of diffusion. The aim is to examine whether user comments constitute discourses close to the manosphere, digital spaces characterised by hosting and disseminating hate speech towards women. To this end, topics and representations are analysed in the comments that Marca users publish in response to two news items about the refusal of the players to be selected until they receive treatment in accordance with their professional status (the 'fifteen case' and the '#Seacabó case'). The results show that the national team players, football players or women in general are represented negatively in more than two thirds of the messages. Furthermore, almost half of the comments have been identified as potential discourses of the manosphere, as they draw on themes such as female infantilism, the deification of the masculinity or the discrimination against heterosexual men. The spread of digital misogyny in the most far-reaching sports forum in Spain should be of interest and concern for the field of communication from the perspective of sex. [ABSTRACT FROM AUTHOR]

In recent years we have witnessed a resurgence of populism, which has relied on the virality of social networks to deepen its roots in society and spread its ideas. This paper analyses the populist strategies used by all parties to viralise their messages in the online environment, regardless of ideology. The present research has also examined the possible existence of complementary strategies used by the parties' organisational profiles and those of their leaders. To this end, a content analysis has been carried out regarding the publications made on Twitter during the 2019 election campaign. The posts have been delimited to those made by the parties and candidates that attained the highest percentage of representation in the Congress of Deputies, which include the PSOE, PP, Vox, and Unidas Podemos. The findings show that all the parties under study resorted to this type of strategy. The parties closest to centre of the political spectrum, both right and left, used mostly a populist strategy aimed predominantly at attacking their adversaries, while Vox and Unidas Podemos articulated their discourse beyond this argument, with Vox appealing to the emotions of the nation and Podemos positioning itself as the peoples' advocate. Furthermore, a complementary strategy used by both the parties and their leaders has been identified, which fosters the expansion of these kinds of populist ideas. [ABSTRACT FROM AUTHOR]

Background: The population with severe mental disorders (SMD) is a frequent user of emergency services. Situations of psychiatric decompensation can have devastating consequence and can cause problems in getting urgent medical care. The objective was to study the experiences and needs of these patients and their caregivers regarding the demand for emergency care in Spain. Methods: Qualitative methodology involving patients with SMD and their informal caregivers. Purposive sampling by key informants in urban and rural areas. Paired interviews were carried out until data saturation. A discourse analysis was conducted, obtaining a codification in categories by means of triangulation. Results: Forty-two participants in twenty-one paired interviews (19 ± 7.2 min as mean duration). Three categories were identified. 1º Reasons for urgent care: poor self-care and lack of social support, as well as difficulties in accessibility and continuity of care in other healthcare settings. 2º Urgent care provision: trust in the healthcare professional and the information patients receive from the healthcare system is crucial, telephone assistance can be a very useful resource. 3º Satisfaction with the urgent care received: they request priority care without delays and in areas separated from the other patients, as well as the genuine interest of the professional who attends them. Conclusions: The request for urgent care in patients with SMD depends on different psychosocial determinants and not only on the severity of the symptoms. There is a demand for care that is differentiated from the other patients in the emergency department. The increase in social networks and alternative systems of care would avoid overuse of the emergency departments. [ABSTRACT FROM AUTHOR]

There has been growing concern about the increase in gender-based violence (GBV) among young people. The aim of this study was to explore the grey zones in GBV alongside gender (masculinities and femininities) discourses in young adults. We used the concept of a "grey zone" as an analytical tool to identify possible contradictory discursive positions where the notions of victims and perpetrators of GBV converge and become ambiguous. We performed a qualitative study based on 20 semi-structured interviews and 4 focus groups (October 2019 to February 2020) in Spain with a sample of 49 cisgender women and men, aged between 18 and 24, some involved in feminist activism and some not. We conducted a sociological analysis of the discourse system. Study findings show how culturally constructed gender norms intervene in the ways in which young people understand and deal with GBV. When asked general questions about GBV, this concept was problematized along with gender assumptions and two discursive positions were identified: the discourse of "men as authors of GBV" and the discourse of "GBV as an individual genderless issue." When vignettes of everyday GBV situations were shown, grey zones became visible when discussing subtle forms of GBV influenced by the myths of romantic love, victim-blaming around sexual violence, digital GBV and bystander men intervention on GBV. In those grey zones, discourses on GBV were articulated around unequal notions of gender that, in turn, served as its justification, reproduction, and normalization. The grey zones identified represent contexts of oppression that illustrate how GBV is systematically reproduced, as well as the ways in which young people can be involved in it, perpetuating power and health inequalities. Our findings provide information as a guide to design GBV interventions and prevention actions that incorporate a focus on gender configurations. [ABSTRACT FROM AUTHOR]

Connectives have been shown to confirm or reverse the prediction of upcoming discourse content. Whether the non-conceptual meaning of other types of discourse markers can further constraint the upcoming discourse remains mostly unexplored. This study evaluates the predicting effect of two scalar focus operators, Spanish hasta (even) and nada más (only). In a visual-world paradigm experiment, participants heard sentences that included either one of the scalar focus operators that guided the prediction of one of four simultaneously displayed images. Results showed that the utterance of the focus operators triggered anticipation of the corresponding visual element according to a higher or lower position of the scale. Also, looking times suggest different processing demands for each of the focus operators. These results shed light on the way non-conceptual meaning contributes to building expectations about upcoming discourse, and provide evidence of the scalar organisation of elements in the shared discourse knowledge. [ABSTRACT FROM AUTHOR]

A positive experience of sexuality during youth is key to good sexual health later in life. Addressing young people's sexual health needs and sexual and reproductive rights is thus essential. This study aimed to identify unmet sexual health needs among youth in the city of Barcelona (Spain) through mixed methods research. We analysed the narratives of young people (n = 50) aged 14–24 years with different genders, origins, sexualities and socioeconomic backgrounds, collected from January to April 2019. A descriptive statistical analysis was also conducted on the records of visits to sexual health services and reasons for consultation. We found that 21% (n = 32,161) of young people aged 14–24 years had used sexual healthcare services in Barcelona between 2015 and 2017, while the reasons for consultation differed across sex, gender and socioeconomic background. Young people declared that they needed more information to enjoy their sexuality, to know where to go in case of an unexpected situation and to learn how to combat gender-based violence. They stated that the sexuality education they had received was sparse and focused on risks. We found that formal sex education is scarce, with informal sex education thus acquiring a major role. Current services can be improved by expanding coverage, training professionals and reducing acceptability and accessibility barriers. Sexism is ubiquitous in young people's sexual, dating and personal relationships. We recommend planning sexual health care services and formal sexual education, in which a strong gender strategy is embedded, as part of the same strategy. [ABSTRACT FROM AUTHOR]

According to the sociology of public problems, the construction, visibility, and stabilization of a public problem require the mobilization of collectives of citizens interested in the issue, which act as an active entity in demanding actions and policies. One such issue is the depopulation of rural areas in Spain, which has shifted from a geographically localized problem to a matter of state policy. This article investigates the influence of framing in this process, analyzing a corpus of 5,980 headlines from newspapers in the Aragon, Castile-La Mancha, and Castile and Leon regions of Spain as well as from two national media outlets, corresponding to the period 2012-2021. Through the application of statistical analyses of lexical frequency in stages, the most significant terms in the evolution of the media's coverage of the issue have been identified, which has made it possible to observe the appearance and displacement of concepts and their relationship to the most important milestones of social and political mobilization. In addition, its power to stir up sentiment in socio-political discourse has been explored. The consolidation of depopulation as a stable element in the Spanish media agenda, going beyond the regional sphere and having a presence dissociated from specific events through time, in contrast to what occurred some years ago, stands out. Finding a media-friendly frame -empty Spain [España vacía] and emptied Spain [España vaciada]-may have been a key element in this. [ABSTRACT FROM AUTHOR]

The study of contemporary youth gender cultures within an educational context illustrates the emergence of new possibilities of self-expression as well as more favourable attitudes towards diversity, at a time when stereotypical gender mandates still persist. This study aimed to deepen understanding of gender identity construction by analysing conversations with 14 students in a secondary school on the southern outskirts of the Community of Madrid. The selected students stood out among the rest due to a combination of high social status and an understanding of gender categories as less stereotyped and rigid. Analysis showed how monoglossic meanings may be confronted by experience within one's close environment – that contradicts or reaffirms the norm, as well as by personal beliefs and desires. The result is a complex process of adjustment, which swings between believing in individual choice, personal experiences of inequality, and the need to feel part of the group. [ABSTRACT FROM AUTHOR]

In the field of violence against women (VAW) prevention, one of the current questions at stake is how to address men’s role and masculinities, but it is still an emerging field in Spain. The aim of this study was to analyze the up-to-date discourses on masculinity among stakeholders in the field of VAW prevention and gender equity in Spain. We used a qualitative methodology with semi-structured interviews, conducted between October 2019 and February 2020 in Madrid and Alicante (Spain), with 23 key stakeholders from different areas: in governmental (public health and VAW prevention/intervention, and institutional and policy positioning) and nongovernmental organizations (anti-violence masculinities workers, youth education workers, and feminist and LGBT associations). A discourse analysis was performed with the data collected. Our findings showed that discourses around masculinities among Spanish stakeholders in VAW prevention and gender equity were diverse and presented different layers of critique. Despite a general agreement on the importance of transforming sexist men’s practices toward more gender equitable relations, three main interpretive repertoires were identified: “Constructing positive/new masculinities” discourse, focused on promoting men’s engagement and egalitarian practices; “Deconstructing hegemonic masculinity” discourse, intended to critically identify and question harmful masculinities norms; and “Abolishing gender” discourse, which aims at dismantling masculinity, and gender in general, as a social structure that generates oppression in itself, advocating for its abolition. Those interpretive repertoires were not mutually exclusive and sometimes stakeholders incorporate in their work more than one approach. The study findings shed light on this current emerging and urgent debate and contributes more broadly to the critical assessment of the concepts used and their implications for VAW prevention. [ABSTRACT FROM AUTHOR]

The goal of the following text is to analyze the changes in television advertising in the banking and automobile sectors, according to the social context. The hypothesis is that communication is significantly influenced by the situational context, causing differences between the advertising of the two sectors. A multimodal discourse analysis is used, comparing twenty commercials from the banking and automobile sectors in 2019 and 2020, the period during which the lockdown due to COVID-19 took place. Based on a qualitative and quantitative analysis tables were developed with which to analyze general data such as the value proposition or target audience of the advert, or other special data like the text (verb tenses, rhetorical figures...), the image and the sound used. The fact that context is decisive in communication is made evident, and since this is different in every sector, the communication strategy is clearly different as well. However, the points that the two sectors have in common are remarkable: these range from talking about brands and products, to speaking for and about people. [ABSTRACT FROM AUTHOR]

This article presents an analysis of the main discourses that appear in a sample of Spanish newspapers before and after the arrival of the Aquarius at the port of Valencia in June 2018, in order to observe if there is a solidarity discourse or one that rejects the arrival of the rescued immigrants in Spain. The corpus consists of all the news published from June 10 to July 10, 2018 in the electronic version of the Spanish newspapers ABC, El Mundo, El País and La Vanguardia. The methodology is mainly qualitative-descriptive. Critical discourse analysis (CDA) was chosen to observe the main linguistic characteristics of the collected news items and the topics that appear in the articles. The analysis shows that the testimonies of politicians and members of non-governmental organizations (NGOs) predominate, but there are few testimonies of immigrants. The solidarity and acceptance of Spain are strengthened, as well as the defense of human rights. This contrasts with the discourses that the press presents after the arrival of the ship in Valencia. A discourse related to the health of immigrants and their need for help and resources predominates, a fact that contributes to the alarm of the majority group. [ABSTRACT FROM AUTHOR]

This paper aims at describing the eating experience of people diagnosed with and treated for laryngeal cancer. Going beyond the mere conceptualization of "after-effect" or the quantification of the disease's impact on the basis of standardized questionnaires, we present a qualitative analysis of the narratives of such experiences. Ethnographic study. Data is obtained from conversations, semi-structured interviews, participant observation, and written documents. A discourse analysis of the narrative information was conducted, with process coding and using the constant comparative method, inductive content analysis, category analysis, units of meaning associated with each other, and triangulation. The impact of cancer on eating processes is not limited to nutrition, but also affects the social and cultural value of food, which is put into question. The symbolic and social values which accompany the traditional way of eating are modified, which is connected with impaired quality of life. The impact on the eating process and its relationship with quality-of-life impairment are clear and connect with the importance of eating ways in culture and social organization. Greater attention should be paid to these contexts in clinical practice, which can affect even more than the impact on communicative processes. [ABSTRACT FROM AUTHOR]

This article explores the ways that fertility clinics in the Czech Republic and Spain attract international fertility clients for fertility treatment involving egg donation. I draw upon a content analysis of 18 fertility clinics' advertising materials and 31 in‐depth interviews with fertility professionals in the Czech Republic and Spain, and Canadian fertility travellers to show how clinics use cultural health capital (CHC) to persist as popular destination sites for fertility travellers. I argue that the use of evidence‐based medicine and patient‐centred care combined with bioracial discourses are strategies by which clinics create a culture of fertility care that is legible to white, middle‐class, hetero travellers. My interviews with fertility patients who travelled to these sites show the ways in which CHC is interactional—I document how fertility travellers desire these specific practices that are both created for and marketed to them. By expanding the definition of CHC to show how fertility clinics market and fertility travellers expect a particular culture of fertility medicine, I elucidate the interactions between clinics and professionals that reinforce ideals of white motherhood and the stratification of reproduction. [ABSTRACT FROM AUTHOR]

Compassion and empathy are considered to be elements of paramount importance in professionals working with individuals in need. However, the term 'compassion' generates controversy among social workers, while the term 'empathy' seems to be more universally accepted among these professionals. This qualitative study used a hermeneutic approach and aimed to explore and understand social workers' experiences with empathy and compassion in the community setting. Between January and June 2019, nine in‐depth interviews and two focus group sessions were conducted with social workers from community social centres and primary healthcare centres in the province of Almería (Spain), with a total of 23 participants. The software Atlas.ti 8.0 was used for discourse analysis. Professionals reported that it was necessary for them to have an empathic attitude towards service users, and claimed that being empathic towards individuals in need was a moral obligation. They also reported that, although being empathic is a trait of these professionals, they have to avoid being affected by it, and that there are situations that block empathy. With respect to their perception of compassion, different interpretations of the concept were found: some professionals understand compassion as pity; other professionals have difficulty understanding the term and other professionals understand compassion as help. It has become necessary to change and develop the very conceptualisation of compassion and to create compassion promotion programmes, as this is fundamental for the protection and satisfaction of social workers themselves and for the sustainability of the support they provide to individuals who are in great distress. [ABSTRACT FROM AUTHOR]

This paper analyses the participation processes displayed by women with physical functional diversity in Spain, from the perspective of feminism and human rights. Responses from 18 participants with physical functional diversity allowed us to describe the female participants, as well as to explain their participation histories and plans, including any enabling or obstructing elements. This feedback also allowed us to interpret the participation models of women in positions or situations of influence. This paper, using qualitative methodology, combines grounded theory, intersectionality, and discourse narration to analyse the life contexts and elements that impede access to social participation on a level playing field for these women. The results present emancipatory tools for women and arguments for political decision-making that can help women overcome oppression and violence, thereby facilitating their integration into society. The defence of people's rights is a professional endeavour grounded in social work theory and involves drawing attention to inequalities, in this case, those faced by women with functional diversity. Social work training should prepare social workers for advocacy based on human rights and be led by people with disabilities themselves. Research into disability in social work yields advances in strategies for social and civic participation, particularly for women with functional diversity. [ABSTRACT FROM AUTHOR]

This article provides an empirical exploration of the relation between nationalism and populism on the left of the political spectrum. The Spanish party Podemos is a key case study for such an analysis, as it is a left‐populist actor that has made extensive use of nationalist rhetoric in its discourse. Through a discourse analysis on a corpus that includes speeches by Podemos leadership and primary data such as interviews and original unpublished material, this article studies the nationalist dimension of Podemos and its relation with the party's much‐discussed populism. The analysis shows that the Podemos leadership deliberately embeds nationalism in its populist strategy: Nationalism is a central element of the party's populist project and serves to advance an alternative form of national identification that challenges that of the right wing. Through a resignification of national pride and belonging, Podemos constructs an image of Spain that refers to an inclusive welfare state, to people's mobilization, and to a moral community that is not delimited by lingual or ethnic particularisms. [ABSTRACT FROM AUTHOR]

Spanish universities must guarantee optimum accessibility to facilitate the teaching-learning process of students with disabilities. The objective of this study was to investigate how Spanish students with disabilities perceive access to Higher Education and the day-to-day of their academic life. A qualitative design was performed, using sequential discourse analysis adapted to the area of studies with people with disabilities. Two focus groups and sixteen interviews with university students with disabilities were analyzed. The discursive strategies of the students presented an asymmetry between the normative and the factual, although within a framework of inclusion and integration into university life. Six types of barriers were identified: computer, bureaucratic, and architectural -more intense in the traditional universities-, and learning, personal, and social barriers -stronger in online universities. To ensure the inclusion of students with disabilities, there is a need to increase information and training and to establish common procedures across Higher Education institutions. Despite the legislative measures regarding inclusion in Higher Education, the representativeness of students with disabilities in Spain is low. Students with disabilities found six different types of barriers in accessing university studies in Spain. Research shows that Spanish university students with disabilities consider dropping out of Higher Education due to the difficulties they encounter on a day-to-day basis. Spanish university students with disabilities detect barriers that are specific to society, in general, and to the university system, in particular, that prevent a real equality beyond the deficits of their disabilities. Improvements should be oriented towards the training and awareness of the entire university community and its standards of practice. [ABSTRACT FROM AUTHOR]

This work is based on the mediatisation of society theory, which establishes more attached importance and the presence of the mass media as mediators in various social processes, as well as on Production Studies, that analyse creative skills to draw an audience, to apply these theories to the media representation of the COVID-19 pandemic. The objective is to analyse how the generalist media have represented male/female scientists, who have become social benchmarks during the first COVID-19 wave in Spain. Our initial hypothesis considers that the purpose of the mediatisation of scientific discourse was to contribute answers to, and to keep society calm, in an uncertainty context. By content and discourse analyses with a sample formed by 172 pieces of work published between 25 January and 5 July 2020 in four Spanish digital newspapers, we observed how these specialists not only became the usual sources of journalistic information but were also the main leading figures in them. The mass media pay attention to their statements, but also to their aesthetics and communication style, which are singular compared to conventional power to date. Science enters the national section with its own image and explanatory intentionality. Nonetheless, constant overexposure and its link with governments making controversial decisions influence the image held by the public opinion of scientists with time, which dissociates them from its knowledge and identifies them with political power. [ABSTRACT FROM AUTHOR]

The scientific debate regarding populism has been renewed by the rise of extreme right-wing parties in Western Europe. Spain was an exception to the European situation until Vox stormed onto the scene in the Andalusian regional elections in December 2018. By taking into account the definition of populism from Jaager & Walgrave (2007), Mudde (2007), Hawkins (2010), Charaudeau's populist discourse analysis (2009), and the idea of "contamination" by Hernández Carr, 2011 and Van Spanje, 2010, this article presents the results of an analysis regarding the discourse of the tweets published by the candidates of the three right-wing national parties during the electoral campaign in Spain prior to the day of the elections on 28 April 2019. The aim of the study is to reveal whether Abascal's discourse conforms to the parameters of the populist style, and whether there was contamination by Abascal (Vox) of the issues and rhetoric of Pablo Casado (Partido Popular-PP) and Albert Rivera (Ciudadanos-Cs). Firstly, the quantitative analysis shows that Abascal's political discourse on this social network is in line with the discursive strategies of populism; Secondly, the Vox leader behaves differently from the candidates of the PP and Cs. Finally, the influence of Vox's discourse on the other two parties with which he competes on the right-wing ideological spectrum is lower than expected. [ABSTRACT FROM AUTHOR]

Fibromyalgia, chronic fatigue syndrome/myalgic encephalomyelitis, and multiple chemical sensitivity can be considered contested illnesses. The questioning of the status of these conditions as real diseases reduces feelings of legitimacy in those affected. The purpose of this study was to analyze subjectivity construction processes in people with these diseases. A qualitative exploratory study was conducted from the perspective of hermeneutic phenomenology and ethnosociology. We used life stories for compiling data (13 informants were interviewed face-to-face), and sociological discourse analysis was developed. Three main categories were identified: (a) self and grieving; (b) images and practices relating to fibromyalgia, chronic fatigue syndrome/myalgic encephalomyelitis, and multiple chemical sensitivity; and (c) relationships with health professionals. This study shows that daily experiences of people living with these diseases are marked by stigmatization processes. The ultimate purpose of nursing care for people with these conditions should be to reduce their vulnerability and exclusion. [ABSTRACT FROM AUTHOR]

This study describes the relations between the press and political power, during the Spanish transition to democracy in the late 1970s, focusing on discursive relations between political actors with power or challenging power and the media which interpreted their developments. It analyses how the main media, in the discourse of their news stories and editorials, framed events to construct a 'reality' for the public, aiding or impeding the construction of a democratic public sphere. The study is based on an analysis of journalistic discourse in ABC, La Vanguardia, El País (daily newspapers) and Triunfo (a weekly political magazine) in their coverage of key events in the period between the death of Franco (November 1975) and the approval of the Basque and Catalan statutes (November 1979). [ABSTRACT FROM AUTHOR]

This paper has carried out the analysis of a Guidelines Proposal for Intervention with Women Victims of Gender Based Violence promoted by the Government Delegation of Spain for Gender Based Violence and aimed at professionals. From a Critical Discourse Analysis, the work has as objective to visualize the revictimizing framework from which the intervention against gender based violence is addressed. It also aims to evidence a lack of rigour extended to key processes that constitute what should be a profesional care and that inevitably impacts on the sensitive people who may need such care. Consequently, it can be seen the simplistic and reductionist conception that underlies the Social Intervention, and that devalues both the latter and its professionals (women mostly). Understanding this document as an institutional discursive production, it serves as an example of the current state of the issue. This paper points out the neccesity to improve the Intervention against Gender Based Violence, and also some of those invisible mechanisms that sustain the structural and systemic character of inequality, such as the individualization of the social issues or the perspective of scientific-professional devaluation of Social Intervention and, with that, of the involved disciplines. [ABSTRACT FROM AUTHOR]

This article explores what happens when the term "austerity" becomes a global catchword. Specifically, we study how this term has been used in national policy making in the Portuguese and Spanish parliaments from the 1970s until recently. We show that although Portugal and Spain were in a somewhat different situation regarding the 2008 economic crisis, the increased popularity of the term austerity occurred practically simultaneously in the Portuguese and Spanish parliaments. This suggests that the term's popularity in political debates is not solely determined by a nation's political or fiscal situation. Rather, our contention is that employing the term austerity to discuss government policies became a global fashion after the fiscal crisis of 2008. The study also shows why austerity became an increasingly popular concept: the term changed from being mainly used in fiscal policy to being commonly used in other policy areas too. Related Articles: Exadaktylos, Theofanis, and Nikolaos Zahariadis. 2014. "Quid pro Quo: Political Trust and Policy Implementation in Greece during the Age of Austerity." Politics & Policy 42 (1): 160‐183. https://doi.org/10.1111/polp.12058 Monza, Sabina, and Eva Anduiza. 2016. "The Visibility of the EU in the National Public Spheres in Times of Crisis and Austerity." Politics & Policy 44 (3): 499‐524. https://doi.org/10.1111/polp.12163 Sager, Fritz, and Markus Hinterleitner. 2016. "How do Credit Rating Agencies Rate? An Implementation Perspective on the Assessment of Austerity Programs during the European Debt Crisis." Politics & Policy 44 (4): 783‐815. https://doi.org/10.1111/polp.12165 [ABSTRACT FROM AUTHOR]

The Spanish far-right party Vox has undergone, together with other similar forces in Europe, an "ecological turn". To analyze this case, the article starts from the premise of the need to understand better the far-right parties' discursive mechanisms and their engagement with environmental issues. Theoretically, we criticize the ideological and ontological approaches to the current wave of national populism; instead, we argue that the dominant form of authoritarian national populism is more usefully analyzed in terms of embodied narratives, metaphorical imagination, mythmaking, and affective intensification. Empirically, using discourse analysis (Laclau, 2005) and drawing on the affective turn in political ecology, first, we argue that Vox's eco-narrative is interpretable as a combination of national populism and biopolitical imaginary pitting a "culture of death" against the "culture of life". Vox's key rhetorical mechanisms, we intimate, are hyperbolical metaphorization and rhetorical inversion, have an intensifying effect at two interconnected levels: fear and indignation concerning the degeneration of Spain, pride and hope regarding Vox's and its male hero's promise of salvation and the Reconquista of the Spanish way of life. Second, by looking into key policy areas (energy and water), we argue that Vox has systematically chosen the former in conflicts between capitalist interests and environmental issues. [ABSTRACT FROM AUTHOR]

The aim of this article is to investigate the importance of family care in mental health and identify the shortcomings of the Spanish model of health care for the mentally ill. The empirical process comprised three qualitative procedures involving 37 experts from different regions of Spain. In order to guarantee the rigor of the data, a social worker discussion group was set up to create an interview script. Interviews were then carried out with 22 professionals who take care of people with mental illness in various public facilities throughout the country. A second focal group met three times to validate the categorizations analyzed in the interviews. The results of the empirical process indicate a need to remodel the mental health care system, which can be described with reference to five critical characteristics: 1) a lack of financial and human resources for mental health, 2) a lack of effective coordination among all the institutions and authorities involved, 3) a lack of quality resources aimed at rehabilitation and social reintegration as alternatives to institutionalization, 4) a lack of integrated care, and 5) a lack of a common healthcare framework for all professional workers in all the regions. A remodeling of the system is necessary to enable the rehabilitation, recovery, empowerment and development of people with SMD and thus ease the burden and improve the quality of life of family caregivers. [ABSTRACT FROM AUTHOR]

Immigrants' neighbourhood choices are key to understanding today's dominant socio-territorial dynamics, especially in urban areas. We analysed the factors involved in the housing search at the early stages of the economic migrant influx in Seville, Spain (Andalusia region, Europe's southern border) and their impact on the development of residential segregation in this city. Using a qualitative methodology approach based on focus groups, unstructured interviews and discourse analysis, the implicit and explicit social determinants that influence economic migrants' residential behaviours were examined. In line with previous studies, the results highlight the importance of socio-economic determinants and a trend towards self-segregation. Social discourse analysis reveals how the host society's ethnoracial preferences and prejudices – from the outset of the economic migrant influx – translate into barriers to accessing the housing market, which plays a crucial role in understanding economic migrant residential mobility and its impact on and consequences for the residential segregation process. [ABSTRACT FROM AUTHOR]

This paper analyses the information sources used in a large corpus of news items published in Spanish printed newspapers between 1618 and 1635. The initial aim is to determine how information credibility was constructed in both historical and rhetorical terms. To this end, the rhetorical construction of credibility in the news stories are analysed by focusing on the information sources that these reveal or conceal. And in order to determine whether or not these sources were deliberately concealed, the frequency with which 'on deep background' attribution appears is examined. The methodological approach on which this study is based is Historical News Discourse, which applies the conclusions and methods of critical discourse analysis to newspapers of the past, in addition to contextualising and explaining the results in terms of journalism history and communication approaches (Conboy, Brownlees and Broersma, among others). In this work, we contend that the discourse analysis of the first printed newspapers is essential for gaining further insights into how the journalistic profession consolidated its position in Spain thanks to a new form of auctoritas based on discourse competence. The gazetteer or journalist emerged as a new kind of writer, whose credibility and reputation depended on his ability to access, organise and reveal -according to rhetorical patterns recognisable to readers- the information sources available to him. [ABSTRACT FROM AUTHOR]

The current, unprecedented rate of human development is causing major damages to Earth's life-support systems. Therefore, the need for transitions toward sustainability in the use of natural resources and ecosystems has been extensively advocated. To be successful, such transitions must be guided by a sound understanding of the architecture of the policy and institutional designs of both the process of change and the target outcome. Here, we contribute to current research on the institutional conditions necessary for successful transitions toward sustainability in social-ecological systems, addressing two interrelated theoretic-analytical questions through an in-depth case study focused in the Doñana region (Guadalquivir estuary, southwest Spain). First, we focus on the need for enhanced historical causal explanations of social-ecological systems stuck in maladaptive rigidity traps at present. Second, we focus on the explanatory potential of several factors for shaping maladaptive outcomes, at two different levels of analysis: political-economic interests, prevailing discourses and power, at a contextual level, and institutional entrepreneurship, at an endogenous level. In particular, we address that explanatory potential when the core logic of path dependence fails to predict maladaptive outcomes in a historical, evolutionary perspective. When this occurs, such outcomes are often qualified as unexpected, hence subject to contingency, because of their divergence from purported superior, optimal alternatives. We argue that contingency can be modulated away from randomness and better characterized as unpredictability, through the systematic inclusion of the mentioned factors into analysis. This would, in turn, increase our capacity to inform future policy and institutional transitional designs toward sustainability. [ABSTRACT FROM AUTHOR]

The lexical-grammatical divide has been a widely addressed topic in aphasia. Speech parts are generally classified as either belonging to a lexical or a grammatical category based on the frequency of acquisition of new members in their paradigms (open vs. closed classes), thus neglecting heterogeneity within categories. Such an approach has led to contradictory findings. First, prepositions form closed classes, but are classically taken as lexical items. Pronouns, also belonging to a closed class, are analyzed as grammatical elements. Second, both within the group of prepositions and pronouns, forms with different syntactic and semantic properties co-exist. Following the theoretical notions granted by a usage-based theory of grammar, the ProGram theory, and taking focalizability as the classification criteria, we hypothesize that individuals with non-fluent aphasias will experience more severe problems with grammatical prepositions and pronouns, given that these elements are secondary and dependent, whereas informants in the fluent group will experience more severe trouble with lexical forms, potentially primary and independent. We focused on the performance of nine Spanish-speaking individuals with aphasia from the Rosell (2005) corpus. Samples of 300 words were transcribed and analyzed. As predicted, grammatical prepositions were found to be more severely compromised in the speech output of individuals with deficits of motor predominance, whereas lexical prepositions are more severely affected in individuals with deficits of sensory predominance. Although less conclusively, the same tendency holds in the case of pronouns. Our results, consistent with previous findings, confirm the heterogeneity of prepositions and pronouns, which should no longer be analyzed en bloc. [ABSTRACT FROM AUTHOR]

Across many advanced economies, changing housing dynamics have destabilized traditional adulthood transitions. This article examines how such transformations, especially in the aftermath of the economic crisis, affect fundamental societal expectations and aspirations surrounding tenure choices and home leaving. Through a series of discussion groups and interviews among young adults in Spain – a salient context of embedded homeownership culture – the study reveals how the crisis has undermined life-course transitions and upended discourses surrounding tenure norms. Homeownership has transformed from a dominant symbol of stability and security to one of dispossession and financial risk. Conversely, where pre-crisis discourses dismissed rental, the tenure is portrayed as providing more security in the face of necessary flexibility. Our research reveals that, although traditional 'homeownership culture' has not disappeared from the collective imaginary and appears nuanced by social class, it has become increasingly detached from leaving the parental home. The paper exposes the extent to which dominant housing discourses may be upended even within the context of a particularly embedded Southern European homeowner society. We contend that when housing dynamics are coupled with underlying transformations in aspirations and norms, there may be significant societal outcomes. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study was to establish the factors that induce nursing professionals to present engagement with their work environment. Method: Qualitative study, using the communicative methodology, with nursing professionals from public and private centers in the city of Huesca. The statements were collected through communicative stories and discussion groups. Result: The methodology used has allowed the establishment of a set of engagement promotion measures in the studied environment. These measures are framed in the three main categories analyzed: the systemic or structural variables, the subject-oriented variables, and those that refer to the relationships between the subjects. Conclusion: Knowledge of the situation regarding engagement among professionals, and the issues that encourage or hinder its appearance, is essential in establishing measures that contribute to its development. The use of qualitative techniques has allowed for the discovery of situations that would have gone unnoticed. After analyzing the interviews and the discussion groups, the following were present: an important lack of recognition that the participants experience, and that contribute, in their opinion, to the appearance of burnout syndrome, and, the lack of cohesion as a collective. [ABSTRACT FROM AUTHOR]

Evidence of child abduction for intercountry adoption challenges our notions of altruism. The history of illicit adoptions and child abduction is presented with specific emphasis on Guatemala as a case example. Drawing on data produced in an ethnographic research, the analysis searches to elucidate how those involved in intercountry adoption in Spain (mainly adoptive and prospective adoptive parents) deal with signs of fraud and corruption. The results point out how these discourses usually dismiss the failures of the system and revolve around the idea of rescue. The rights of birth families – and even their mere existence – are usually absent in the discussion. [ABSTRACT FROM AUTHOR]

Since the opening of the Spanish TV market in the 1990s, the development of fiction genres, formats and narratives has evolved notoriously, generating a universe of forms and narrations that has configured the history of Spanish TV. The family comedy, in this context, is postulated as one of the most relevant fiction subgenres of Spanish TV, thanks to its easy assimilation, the identification it generates with the audience, its formats and its dissemination strategy, which has contributed to the success of family comedy on television. This article combines quantitative data with documental reflection and discourse analysis to offer a taxonomy of the standards that have guided the configuration of family comedy in Spanish TV. The study is based on the analysis of 47 cases of family comedy, broadcast from 1990 to 2010 in mainstream TV channels, using three different perspectives: format, viewership and production aspects. The results offer relevant data about the family comedy genre that allow us to establish a specific approach to the configuration of a standard of form, reach and production. [ABSTRACT FROM AUTHOR]

Most current management systems of healthcare institutions correspond to a model of market ethics with its demands of competitiveness. This approach has been called managerialism and is couched in terms of much‐needed efficiencies and effective management of budgetary constraints. The aim of this study was to analyse the decision‐making of nurses through the impact of health institution management models on clinical practice. Based on Foucault's ethical theory, a qualitative study was conducted through a discourse analysis of the nursing records in a hospital unit. The results revealed that the health institution standardises health care practice, which has an impact on professional and patient autonomy as it pertains to decision‐making. The results of this research indicate that resistance strategies in the internal structures of health organisations can replace the normalisation and instrumentalisation of professional practice aimed at promoting patient self‐determination. [ABSTRACT FROM AUTHOR]

The aim of this article is to analyze the difficulties in professionalizing the long-term care system in Spain. Since 2006, the new Spanish law has recognized care as a subjective right, and regulations are being designed to create a framework for its professionalization. Nowadays, family remains the most important group of providers who care for their elders, and women remain the main informal caregivers. Why do families resist using public long-term care services and professional carers included in the new law? The hypothesis highlights sociocultural factors as an obstacle to professionalization of long-term care services in addition to political and economic factors. The results show qualitative data about expectations, preferences, and discourses that women caregivers have in relation to their responsibility. The empirical material includes 25 interviews with different profiles of caregivers and six focus groups with family caregivers. The article suggests that the Spanish ideal of care is a problem for the professionalization of services because the family remains as the main provider of care—without specific skills, knowledge, and abilities. [ABSTRACT FROM PUBLISHER]

Immigration has consistently been one of the most controversial political topics in many European countries over recent years. Much research has consequently focused on highlighting and describing negative views of immigrants which dominate political debate. This has been particularly the case in studies of Spain. Yet such studies rarely examine positive views of immigration or explain the dominance of some views over others. This article offers a distinct contribution by examining the contested framing of Romanian immigration in Madrid's politics. At the same time that Romanian immigration has increased rapidly to form the largest single nationality population in the country and public opinion has registered specific concerns regarding this nationality, political debate has declared a 'magnificent atmosphere' of coexistence. The article explores why, highlighting the stability of discursive and institutional structures which emphasise values of democracy, equality and tolerance over potentially discriminatory acts and statements. [ABSTRACT FROM AUTHOR]

Background: Patient history-taking sequences may be repeated across medical speech events with different healthcare providers and subsequently co-constructed differently, which can lead to disparate patient history information with implications for patient care outcomes. Encounters that include language discordance between patients with limited English language proficiency and healthcare workers can also impact patient outcomes. Objectives: We examined the repetition of patient history-taking sequences in consultations in which healthcare providers used Spanish as a first and second language with monolingual Spanish-speaking patients. The aim was to understand how repetition affects patient care processes and outcomes. Methods: Conversation analysis was used. The target population was bilingual healthcare providers and monolingual Spanish-speaking patients. The accessible population was composed of healthcare providers and patients from an urban, low-income, community health clinic in Southern California. In three exemplar cases from among 50 that were studied, instances of repetition in the history-taking segment of clinical consultations were located. We identified which aspects of patient reports were repeated across intake nurse-patient consultations and nurse practitioner-patient consultations, as well as how patient reports were differently co-constructed across these events. Results: Information elicited during the intake nurse-patient history event may be elicited again when a nurse practitioner repeats the elicitation of particular aspects of the patient's complaints and health history. Repetition of patient history information was co-constructed differently by different healthcare providers, sometimes led to seamless teamwork, and sometimes led to time wasting. Healthcare provider second language use of Spanish did not substantially impact how patient history information was co-constructed. Discussion: This analysis sheds light on the effects of repetition across medical events and assessed the effects of repetition on communication among members of a healthcare team and patient care outcomes. It also informs how medical provider second language use may affect how information is conveyed. Our study has implications for understandings of medical consultations that involve nurse triage prior to consultation time in multilingual settings. [ABSTRACT FROM AUTHOR]

Safety is a key aspect for the continuity of nuclear energy as one of the most widely used energy options worldwide for producing electricity. However, previous studies have shown that the nuclear industry needs to meet social, technological, normative, environmental, economic, and organizational challenges. Due to this need, this study attempts to understand the challenges that Spain's nuclear industry faces with regard to safety. The study was conducted with 122 experts who responded to the question: “What is the main challenge that Spain's nuclear industry faces in the field of safety?” A discourse analysis was performed to identify the most important challenges and how they are characterized by experts. Findings have shown that Spain's nuclear industry must face multiple and very diverse challenges. The main social challenge is the high concern for the continuity of Spain's nuclear industry, generated in large part by the socio-political context of uncertainty and the lack of social acceptance. Technologically, lifetime extension of the nuclear facilities in operation is the main challenge. The experts do not note other challenges present within the industry, such as ensuring new technological developments or building new nuclear plants. Regarding normative challenges, integrating new requirements within the current regulatory framework and coordinating the extensive and diverse existing regulation are noteworthy. The main economic challenge lies in achieving an efficient economic management system that ensures the nuclear plants' operation and makes them profitable. Organizationally, the main challenges are the generational shift and organizational learning. It is noted that the experts do not indicate other organizational issues that have been involved in important events within Spain's nuclear industry. Finally, the experts do not indicate any environmental challenges related to safety. [ABSTRACT FROM AUTHOR]

The lengthy economic crisis that has been affecting Spain for over half a decade now has influenced the way in which Spaniards relate to consumption, not only in terms of spending but also in their very perception of the same. This article aims to explore the most recent social discourse regarding this issue in Spain, based on an empirical qualitative research study. To do so, data collected from a number of focus groups held during the first quarter of 2014 has been analyzed and discussed. Results reveal not only widespread saving practices, but also criticism of the idea that "we have lived beyond our means". [ABSTRACT FROM AUTHOR]

Although intonation has been traditionally associated with the expression of attitudes and intentions on the part of the speaker, little is known about whether sociopragmatic factors, such as power or social distance, or situational ones, like physical distance or insistence, can constrain the use and felicity of pitch contours. This article investigates the felicity conditions underlying the choice of three vocative pitch contours in Central Catalan by means of two experiments, namely a production experiment based on the Discourse Completion Task (320 vocative contours produced by 20 speakers), and an acceptability judgment task in which 72 listeners were asked to rate the appropriateness match between a set of vocative contours and a previous discourse context (3,456 responses). The results from the two experiments show that both situational and social politeness factors govern the choice of vocative intonation. Finally, the results are discussed in line with the traditional classification of politeness strategies defined by Brown and Levinson, in the sense that the three intonation contours can be linked to negative, positive, and bald on-record politeness strategies. [ABSTRACT FROM PUBLISHER]

• Spain's organ procurement organization produces national identity discourses. • Its messages highlight Spain's national unity and international legitimacy. • This points at situated nation-building in nations with conflictive histories. • These nations may rely more on unusual sources of national identity. • Reputed actors leap to new discursive fields and may carry built-in interpretations. Spain is the global leader in organ donation and transplantation since 1992, an achievement that has become a source of national pride, in a country where national symbols are heavily contested. In this article I demonstrate that Spain's organ procurement organization is an active producer of national identity discourses oriented to increasing the legitimacy of the Spanish national project and generating affective adherence to the state institutions. Through a qualitative analysis of 43 press releases, 27 media interviews, 3200 tweets, and 35 YouTube videos, I show that the organization reproduces Spain as a frame of reference, redefines the bonds and boundaries of the national community by linking them to the circulation of organs, and attributes positive moral values to Spain's citizenry. It highlights Spain's internal unity, presenting organ procurement as a national enterprise that binds together different social actors and territories in a common project. It also leverages Spain's success in this area to depict the country as a global exemplar comparable to its neighbors in Western and Northern Europe. My study contributes to a better understanding of contemporary Spanish national identity discourses and raises theoretical questions about the role of alternative sources of national identity in countries with histories of conflict around national narratives and symbols. [ABSTRACT FROM AUTHOR]