This study was conducted with two congregations from two different joining denominations within the United Reformed Church in two post-industrial towns. I spent two years with each congregation as a participant observer, taking part in congregational life and interviewing members for a total of four years. My interest is in the activity that members of these congregations undertake to sustain and change their congregation’s identity. What particularly interested me was how a Reformed cultural identity was sustained, as there is no central body preserving the tradition. In tackling these issues, I explore the interplay of identity with location, community and worship. The recurring tensions drew my attention to the ways identity is renegotiated, which I explore further by engaging with the dynamic metaphor of flow and turbulence. I formulate a concept of belonging by modifying Foucault’s understanding of technology. I go on to explore the way that this technology of belonging is a driver of members’ interaction with the congregational identity. I therefore argue that congregational identity is a recapitulatory process, which engages the members’ understanding of themselves as belonging to the congregation. In doing this I demonstrate the unsettled, contraplex nature of members’ engagement with the congregation’s identity.

Intangible heritage is a growing concept of emphasis in international communities. This study will define intangible heritage and focus on the performing arts in Taiwan. Inasmuch as Taiwanese Opera and Hand Puppetry are two of the most significant manifestations among others, research methods of qualitative interviews and non-participant observations will be used to gain an insight into their practices through investigating certain practitioners. This study will in particular explore organisational management and training approaches that ensure their artistry and skills are transmitted, contributing to the dissemination of intangible heritage. Furthermore, this study will inspect how the competent authorities determine the designation and registration of intangible heritage. Governmental schemes and their implementation for the safeguarding intangible heritage will be thoroughly examined, revealing the integrity and effectiveness of administrative systems, especially as the competent authorities are confronted by certain problems in the interpretation of intangible heritage, interaction with practitioners and controversy. These are inter-related, inter-influencing, and restrictive. In responding to these existing predicaments, coping strategies will be proposed as research outcomes.

This thesis seeks to examine the interrelationships between gender, migration and rural livelihoods in Ghana. The central argument of the study is that policy making on migration and livelihood, tends to ignore gender as a critical issue in development planning. The study suggests that effective development policy interventions should take into consideration the dynamics of gender relations because men and women experience migration differently. Employing primary and secondary data, the study demonstrates that when men and/or women migrate, there are consequences for households. For those migrating, this can result in either empowerment or increased vulnerability. And for the agricultural households in the sending areas, the departure of men and/or women affects their livelihood and division of labour. Our investigation shows that migrants are predominantly males, with a relatively smaller but increasing number of women. Drawing on earlier studies, the thesis argues for a more systematic examination of the consequences of migration on rural households, particularly on the economic livelihood and household responsibilities of women. By understanding the conditions of rural households, development practitioners are in a better position to design gender appropriate policies and projects. This approach will significantly improve the economic situation of rural communities and maximize their development dividends. The study has practical significance as it sheds light on the options faced by rural women, and the adjustments they make, when confronted with male out-migration.

The World Health Organization describes over 80% of the world's population as living without adequate access to treatment for pain. Improvement initiatives focus largely on the field of palliative care and on increasing access to opioid medications. Predominantly, they are led from the global North while targeting healthcare provision in the global South. I propose that the limited improvement seen from these programmes is in part, attributable to their narrow clinical focus and to a lack of understanding of practice at the local level. Using India as a single case of study, the aim of this research project is to assess critically how medical practitioners, working within and outwith palliative care, treat patients in pain. My research questions address the practice of pain management and clinicians' evaluations of this care, from the perspective that pain as a medical problem, is a professionally constructed phenomenon. In this cross-disciplinary research, I use mixed methods, combining qualitative and quantitative data, from interviews and surveys administered to clinicians, field observations in India and secondary analysis of a pre-existing oral history archive. I draw on theories of the policy process, postcolonialism and social constructionism. Through critically evaluating practice, I move beyond more familiar descriptions of care delivery and barriers to improvement, to understand how these issues are framed, formed and contested. The study demonstrates salient features of the Indian healthcare system: scarce resources, multiple providers, weak regulation, and the dominant role of the private sector. The availability of treatments, including opioids and non-pharmacological therapies, is low and variable. The framing of pain as a problem requiring medical treatment is ubiquitous and there is consensus regarding the need to improve the delivery of clinical care. There is variation, however, in opinions about how this should be achieved, particularly with respect to the choice of treatment modality. Power is wielded by clinicians in the form of knowledge, and is negotiated with other medical professionals, politicians and patients. In conclusion, although Indian clinicians' descriptions of individual practice recognise the unique local factors that impact on the delivery of pain management, their proposed strategies for improvement emphasise increasing the provision of medical treatments developed in the global North. There is, however, little acknowledgment of the assumptions and limitations of this western medical model when used to treat pain in India.

A common feature of glomerular disease is a protein leak into the urine. Proteinuria occurs in kidney disease and is an important risk factor for cardiovascular disease (CVD). ET‐1 is a potent vasoconstrictor/pressor peptide that is up‐regulated in CVD and many forms of inflammatory renal diseases. The actions of ET‐1 are mediated via two G‐protein coupled receptors, the ETAR which serves primarily in the pro‐hypertensive actions of ET‐1 and is often considered as the main pathological receptor subtype, with the ETBR serving to clear circulating ET‐1. Antagonism of one or both of receptors has been shown to be of clinical benefit in the treatment of hypertension. This research demonstrated a beneficial effect of selective ETAR antagonism using Sitaxsentan in a rat model of GN. ETAR blockade reduced blood pressure and importantly reduced glomerular inflammation as assessed by glomerular macrophage (Mϕ) infiltration. Further, we aimed to demonstrate that Mϕ, key mediators of inflammation are activated by ET‐1 to adopt a pro‐inflammatoy phenotype. However, early studies demonstrated that ET‐1 does not activate Mϕ as hypothesised. Mϕ were more phagocytic, and ET‐1 was chemokinetic for macrophages, an ETBR medicated event. ET‐1 was also removed by Mϕ, suggesting a potential regulatory role of Mϕ in the ET system. This phenomenon led to inclusion of additional in vivo studies to investigate the role of Mϕ in the regulation of ET‐1 and its pressor effects. These effects were investigated in a murine model of Mϕ ablation using CD11b‐DTR mice. These experiments determined in vivo that Mϕ ablation augments pressor responses to ET‐1, suggesting that Mϕ are required to regulate ET‐1. In vitro, Mϕ remove ET‐1 by several mechanisms involving proteolytic degradation of the peptide and ETBR mediated clearance, demonstrating a potential mechanism for the in vivo observation. Furthermore, proteinuria is believed to be due to damage or effacement of specialized visceral glomerular epithelial cells or podocytes. We identified in vitro that the ETAR mediates ET‐1 induced human podocyte cell effacement by actin cytoskeleton aberrations and slit‐diaphragm protein down-regulation, ET‐1 and pro‐inflammatory cytokine production. This thesis provides evidence to support our initial hypotheses that selective ETAR antagonism ameliorates proteinuric renal disease via its effects on podocytes and macrophages. Continued studies both in vitro and in vivo will strengthen the body of evidence to promote the therapeutic use of ETR antagonists in inflammatory renal disease.

This thesis examines the relationship between Amazonian Dark Earths (ADE) and Caboclo subsistence on the Middle Madeira River, Brazil. ADE are fertile anthropogenic (man-made) soils formed through practices of burning and waste disposal by pre-Columbian Amerindian populations. “Caboclo” is a social category that refers to the people of diverse origins that form the majority of the contemporary rural population of Brazilian Amazonia. Bitter manioc fields (roças) and homegardens (sítios) are the principal forms of Caboclo subsistence cultivation on ADE on the Middle Madeira River. Multi-sited ethnography shows that differences in historical ecology at both local and regional scales either enable or constrain Caboclo subsistence cultivation on ADE. At communities located on long-term landholdings with a history of egalitarian land-tenure and multi-generational kinship there is a rich body of local knowledge and practice relating to the cultivation of ADE. Interviews with 249 farmers in six localities demonstrate that bitter manioc cultivation in fertile soils (floodplain and ADE) tends to be characterised by intensive swidden systems with smaller fields, shorter fallows, and a predominance of what locals refer to as “weak” (low starch fast maturing) landraces. Bitter manioc cultivation in infertile soils (Oxisols and Ultisols) is characterised by more extensive shifting cultivation systems with larger fields, longer fallows and a predominance of what locals refer to as “strong” (high starch slow maturing) landraces. Interviews with 63 households at 16 communities show that homegardens on ADE combine the most common species of homegardens on Oxisols and in the Floodplain, with other species that occur most frequently on ADE. Homegardens on ADE exhibit significantly higher culturally salient species diversity when compared to homegardens on the other types of soil. Collectively, bitter manioc fields and homegardens constitute cultivated landscapes that show diverging agrobiodiversity on different soils, the outcome of an interplay between soil affordances, Caboclo agency and plant responses over time. These findings provide a springboard for some conclusions concerning the relationship between ADE and agriculture in the pre-Columbian period, drawing on what is known from the historical and archaeological record.

In this thesis I put forward a new definition of anthropocentrism based on a thorough overview of use in the literature and via analogy with other centrisms, such as androcentrism. I argue that thus clarified anthropocentrism is unjustified and results in problems for nonhuman animals and that any nonhuman ethic should wish to avoid. I then demonstrate how important nonhuman ethics theories are anthropocentric on this definition, and do not address anthropocentrism, in a way that results in these problems for nonhumans. I therefore propose a nonhuman ethic that aims to be less anthropocentric. I do this by first considering morality in light of evolution and second by looking at nonhuman moral codes. I draw upon both of these to set out a less anthropocentric nonhuman ethic and show why this account is at least as viable as, and less problematic than, the current theories as well as outlining its beneficial implications for nonhuman animals and the field. I conclude that anthropocentrism and approaching nonhuman ethics in the manner I have is therefore important for considering nonhuman issues, and that the theory I have put forward is advantageous.

Essential information is often lost when in reading a piece of work the identity of an audience or the recipients is overlooked. The first hearers of the letter to the Colossians were a diverse group of people in a colonized country under the imperial rule of Rome in the first century. The writer of the letter addressed possible concerns presented to him from the evangelist, Epaphras, a native of Colossae. In identifying the audience whether they are first recipients or future readers, ideologies and theologies are discovered which add to the existing criticism genres. The process of identifying the audience allows one to reread the work through the lens of various peoples. This process also allows one to make comparisons between the various audiences. A comparison is made in this thesis between the 1st century readers and the enslaved Africans who lived on the continent of North America who were later exposed to concepts that stemmed from the letter. In viewing the identities of both groups the most damaging find was the derogatory labels placed on them. This thesis, an African American postcolonial re-reading of the letter to the Colossians, looks beyond the labels to ascertain the meaning of the Colossians letter, giving voices to each group.

Despite the heightened focus on the effects of war on girls, they are still being inappropriately grouped under the larger rubric of ‘women’ or ‘females’. Since the distinctions in girls’ and women’s war experiences are not yet well understood (McKay, 2006), this research argues that gender analysis is crucial to effective development as it relates to young soldiers. It also advocates a distinct analytical focus on girls who exit armed forces as young women (at times as a result of having children). This thesis is about formerly abducted girls in Acholi sub region, northern Uganda. As adolescents and teenagers, they were abducted by the Lord’s Resistance Army and many returned to their villages with children fathered by the fighters. This thesis systematically looks at their socio-economic reintegration process, experiences and progress over the years. Through a series of 57 in-depth and 12 group interviews, this qualitative study explores long-term reintegration from the participants’ perspectives. The study identifies and analyses the central themes in their lives, including: physical and mental scars of abduction and life in captivity, stigmatisation, marriage complexities, and economic hardships. To date, the growing body of reintegration literature has focused on the first one or two years after exiting an armed group, and long-term reintegration studies are still limited. Therefore, through these themes, the thesis contributes to the conceptualisation of reintegration and understanding of the participants’ past and current life situations.

Chapter one examines literature on the prevalence and effects of gender-based violence during war on women and men. Research indicates that physical, psychological and socio-cultural consequences of gender-based and sexual violence are fundamentally linked and have a differential impact on men and women's identities. Despite research demonstrating psychological symptoms of post traumatic stress as a result of these experiences, it is argued that applying a western medical model to survivors from non-western countries may not be the most comprehensive way of understanding their experiences. A model that accounts for the cultural context, gendered differences and identity impact is proposed. Very few studies reviewed addressed resilience and coping in survivors of gender based violence indicating a gap in the psychological literature. Chapter two explores African women's experiences of violence during conflict and seeks to identify its impact on mental health. It also provides an understanding of the roles of resilience, coping and identity in African refugee women. Results identified a complex relationship between resilience, access to rights and support and identity in African refugees living in the United Kingdom. It also recognised cultural and societal influences in Africa and experiences in the UK as influential factors. Results from the study support the move toward an holistic model of understanding refugee women's experiences. The study also reveals the importance of support services assisting women to utilise a resilience framework to assist rebuilding their identities in order to maintain resilience. Chapter three provides personal reflections on the research journey and process. Methodological and ethical issues related to conducting research with refugees are discussed. The paper also draws on emerging themes from a reflective journal, which highlights the challenges and positive experiences of the researcher whilst volunteering for a local refugee centre. It also makes suggestions about further considerations of these issues by Clinical Psychologists within research supervision processes.