The Hurricane Exposure, Adversity, and Recovery Tool (HEART): Developing and Validating a Risk Screening Instrument for Youth Exposed to Hurricane Harvey

Given the increasing regularity with which severe (named) hurricanes arise, there is a need for valid, practically useful measures that facilitate child-centered post-hurricane situation analysis and needs assessment. Measures that accurately assess the most potent hurricane-related risk factors are essential to identifying youth at risk for developing posttraumatic stress reactions and providing them with effective post-disaster support. With feedback from community stakeholders (e.g., school personnel, physicians and hospital staff, community clinicians), we developed the Hurricane Exposure, Adversity, and Recovery Tool (HEART), a 29-item self-report measure of hurricane risk factors. Test development procedures included: (1) Reviewing the literature regarding hurricane exposure-related risk factors in youth; (2) Generating a developmentally-informed test item pool; (3) Conducting interviews with clinicians, as well as youth impacted by Hurricane Harvey, to evaluate the comprehensibility and acceptability of candidate items; and (4) evaluating endorsement rates for hurricane exposure-related risk factors among (N = 107) youth in an outpatient clinic specializing in the treatment of childhood trauma and loss. Disaster-related exposure, pre-existing indicators of risk, and ongoing post-disaster adversities were correlated with posttraumatic stress and depressive symptoms. These results provide support for an integrative approach to post-hurricane screening for both hurricane-specific (e.g., witnessing injuries) and non-specific (e.g., prior trauma) factors

Out of the Mouths of Babes: Links Between Linguistic Structure of Loss Narratives and Psychosocial Functioning in Parentally Bereaved Children

This study examined links between the language bereaved children use to describe the death of their caregiver and children’s psychological/behavioral functioning and coping strategies. Participants included 44 children (54.5% male) aged 7 to 12 (M = 9.05) years who were bereaved by the death of a caregiver. Children were assessed via self‐ and caregiver‐report measures and an in‐person interview regarding the loss of their caregiver. Children’s loss narratives gathered through in‐person interviews were transcribed and subjected to textual analysis. Linguistic categories included pronouns and verb tense. Drawing from linguistic and self‐distancing theories, we hypothesized that children’s use of language reflecting self‐distancing (third‐person pronouns and past tense) or social connectedness (first‐person plural pronouns) would be negatively associated with psychological/behavioral distress and avoidant coping. Similarly, we expected that children’s use of self‐focused language (first‐person singular pronouns and present tense) would be positively associated with psychological/behavioral distress and avoidant coping. As hypothesized, preliminary findings suggest that children who employed more self‐distancing language and used more social connectedness words reported less avoidant coping, rs = .40–.42. Also as hypothesized, children who employed more self‐focused language had higher levels of self‐reported posttraumatic stress symptoms, r = .54, and avoidant coping, r = .54, and higher parent‐reported psychological/behavioral distress, r = .43. Implications for theory‐building, risk screening, and directions for future research with bereaved youth are discussed.ResumenSpanish Abstracts by the Asociación Chilena de Estrés Traumático (ACET)Fuera de la boca de los bebes: vínculos entre la estructura lingüística de las narrativas de pérdida y el funcionamiento psicosocial en los niños con duelo parentalNARRATIVAS DE PÉRDIDA Y FUNCIONAMIENTO EN NIÑOSEste estudio examinó los vínculos entre el lenguaje usado por los niños en duelo para describir la muerte de su cuidador y el funcionamiento psicológico / conductual y las estrategias de afrontamiento de los niños. Los participantes incluyeron 44 niños (54,5% hombres) de 7 a 12 años (M = 9,05) en duelo por la muerte de un cuidador. Los niños fueron evaluados a través de medidas de autoreporte y reporte del cuidador y una entrevista en persona con respecto a la pérdida de su cuidador. Las narrativas de pérdida de los niños recopiladas a través de entrevistas en persona fueron transcritas y se sometieron a un análisis textual. Las categorías lingüísticas incluyen pronombres y tiempo verbal. Partiendo de teorías lingüísticas y de autodistanciamiento, hipotetizamos que el uso de lenguaje por parte de los niños que refleje autodistanciamiento (pronombres en tercera persona y tiempo pasado) o conectividad social (pronombres en primera persona en plural) estaría negativamente asociado con angustia psicológica o conductual y el afrontamiento evitativo. De manera similar, esperábamos que el uso de lenguaje enfocado en sí mismo (pronombres en primera persona singular y tiempo presente) se asociara positivamente con la angustia psicológica / conductual y el afrontamiento evitativo. Como se hipotetizó, los hallazgos preliminares sugieren que los niños que emplearon más lenguaje autodistanciado y un mayor uso de palabras de conectividad social reportaron menos afrontamiento evitativo, rs = .40‐.42. También según la hipótesis, los niños que empleaban más lenguaje enfocado en sí mismos tenían niveles más altos de síntomas de estrés postraumático autoreportados, r = .54, afrontamiento evitativo, r = .54 y mayor angustia psicológica / conductual informada por los padres, r = . 43. Se discuten las implicaciones para el desarrollo de la teoría, el tamizaje de riesgos y direcciones para futuras investigaciones con jóvenes en duelo.抽象Traditional and Simplified Chinese Abstracts by AsianSTSSOut of the Mouths of Babes: Links between Linguistic Structure of Loss Narratives and Psychosocial Functioning in Parentally‐Bereaved ChildrenTraditional Chinese標題: 喪失監護人的兒童其喪親敘述的語言結構與心理社會運作的關連撮要: 本研究檢視喪親兒童用以描述監護人去世的語言、兒童的心理/行為運作及應對策略。樣本為44名經歷了監護人去世的兒童(54.5%男性), 年齡介乎7 至 12歲 (M = 9.05)。自評報告和監護人報告用以測量兒童的狀況, 並有親身面談評估監護人過身的經歷。我們從親身面談取得兒童對喪親的敘述記錄, 並進行文本分析, 檢視的語言學範疇包括代名詞和動詞時態。我們基於語言學和自我疏遠理論, 假設兒童反映自我疏遠(第三人稱代名詞及過去式)或社交連繫(第一人稱複數代名詞)的語言, 會跟心理/行為悲痛及迴避式的應對方法有負向關連;而反映專注於自我的語言(第一人稱單數代名詞及現在式), 會跟心理/行為悲痛及迴避式的應對方法有正向關連。初步結果反映, 一如假設, 用較多自我疏遠和社交連繫語言的兒童, 有較低水平的迴避式應對(rs = .40–.42);而用較多專注於自我語言的兒童, 有較高水平的自評創傷後壓力症狀(r = .54)、迴避式應對(r = .54), 及根據家長評核有較高水平的心理/行為悲痛(r = .43)。我們亦討論到是次有關喪親青少年的發現, 對建立理論和風險篩查的幫助, 及日後的研究方向。Simplified Chinese标题: 丧失监护人的儿童其丧亲叙述的语言结构与心理社会运作的关连撮要: 本研究检视丧亲儿童用以描述监护人去世的语言、儿童的心理/行为运作及应对策略。样本为44名经历了监护人去世的儿童(54.5%男性), 年龄介乎7 至 12岁 (M = 9.05)。自评报告和监护人报告用以测量儿童的状况, 并有亲身面谈评估监护人过身的经历。我们从亲身面谈取得儿童对丧亲的叙述记录, 并进行文本分析, 检视的语言学范畴包括代名词和动词时态。我们基于语言学和自我疏远理论, 假设儿童反映自我疏远(第三人称代名词及过去式)或社交连系(第一人称复数代名词)的语言, 会跟心理/行为悲痛及回避式的应对方法有负向关连;而反映专注于自我的语言(第一人称单数代名词及现在式), 会跟心理/行为悲痛及回避式的应对方法有正向关连。初步结果反映, 一如假设, 用较多自我疏远和社交连系语言的儿童, 有较低水平的回避式应对(rs = .40–.42);而用较多专注于自我语言的儿童, 有较高水平的自评创伤后压力症状(r = .54)、回避式应对(r = .54), 及根据家长评核有较高水平的心理/行为悲痛(r = .43)。我们亦讨论到是次有关丧亲青少年的发现, 对建立理论和风险筛查的帮助, 及日后的研究方向。Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144623/1/jts22293.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144623/2/jts22293_am.pd

Validation of the Persistent Complex Bereavement Disorder (PCBD) Checklist: A Developmentally Informed Assessment Tool for Bereaved Youth

The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSMâ 5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCBD Checklist, a 39â item measure designed to assess PCBD criteria in youth aged 8 to18 years. Test construction procedures involved: (a) reviewing the literature regarding developmental manifestations of proposed criteria, (b) creating a developmentally informed item pool, (c) surveying an expert panel to evaluate the clarity and developmental appropriateness of candidate items, (d) conducting focus groups to evaluate the comprehensibility and acceptability of items, and (e) evaluating psychometric properties in 367 bereaved youth (Mage = 13.49, 55.0% female). The panel, clinicians, and youth provided favorable content validity and comprehensibility ratings for candidate items. As hypothesized, youth who met full PCBD criteria, Criterion B (e.g., preoccupation with the deceased and/or circumstances of the death), or Criterion C (e.g., reactive distress and/or social/identity disruption) reported higher posttraumatic stress and depressive symptoms than youth who did not meet these criteria, ηp2 = .07â .16. Youth who met Criterion C reported greater functional impairment than youth who did not, ηp2 = .08â .12. Youth who qualified for the â traumatic bereavement specifierâ reported more frequent posttraumatic stress symptoms than youth who did not, ηp2 = .04. Findings support the convergent, discriminant, and discriminantâ groups validity, developmental appropriateness, and clinical utility of the PCBD Checklist.ResumenValidación de Lista de verificación del Trastorno por Duelo Complejo Persistente (TDCP): Un informe del desarrollo de herramientas de medición para duelo en jóvenesLISTA DE CHEQUEO DE TRASTORNO DE DUELO COMPLEJO PERSISTENTELa inclusión del trastorno de duelo complejo persistente (TDCP en su sigla en español; PCBD en sus siglas en inglés) en el apéndice del DSMâ 5 significa un llamado para investigar en relación a las características distintivas y la utilidad clínica de los criterios propuestos para el TDCP. Se carece de herramientas rigurosamente construidas para evaluar TDCP, especialmente para jóvenes. Este estudio evalúa la validez y utilidad clínica de la lista de verificación de TPCP, una medida con 39 ítems diseñada para medir el criterio de TDCP en jóvenes de edades entre 8 a 18 años. El procedimiento de construcción del test involucró: (a) revisión de la literatura relacionada con manifestaciones desarrolladas del criterio propuesto; (b) creación de un pool de ítems informados para el desarrollo; (c) encuesta a un panel experto para evaluar la claridad y desarrollo apropiado de los ítems; (d) conducir grupos focales para evaluar la compresibilidad y aceptabilidad de los ítems; y (e) evaluación de propiedades psicométricas en 367 jóvenes en proceso de duelo (M edad = 13.49, 55.0% femenino). El panel, los clínicos y los jóvenes en proceso de duelo proveyeron una validez de contenido favorable y rangos de comprensibilidad para los ítems candidatos. Como se hipotetizó, los jóvenes que cumplieron el criterio completo de TDCP, criterio B (ej., preocupación por el fallecido y/o las circunstancias de la muerte) o el criterio C (ej., estrés reactivo y/o perturbación social/identidad) reportaron alto estrés postraumático y síntomas depresivos que los jóvenes que no cumplen este criterio, ηp2 = .07 a .16. Los jóvenes que no cumplieron el criterio C reportaron mayor deterioro funcional que los jóvenes que no lo cumplieron ηp2 = .08 a .12. Los jóvenes que calificaron para el â duelo traumático especificoâ reportaron mayor frecuencia de síntomas de estrés postraumático que jóvenes que no calificaron ηp2 = .04. Los resultados apoyan la validez convergente, discriminante y de grupos discriminante; y el apropiado desarrollo y utilidad clínica de la lista de verificación de TDCP para jóvenes con duelo.æ ½è±¡Validation of the Persistent Complex Bereavement Disorder (PCBD) Checklist: A Developmentallyâ Informed Assessment Tool for Bereaved YouthTraditional Chineseæ¨ é¡ : é© è­ ã æ çº æ §è¤ é å æ é ç¤ ç (PCBD)æª¢æ ¥è¡¨ã :ä¸ å é å° å æ é å° å¹´ã å ·ç ¼å± é ©å æ §ç è© ä¼°å·¥å ·æ ®è¦ : DSMâ 5å ¨é é 裡å å «äº æ çº æ §è¤ é å æ é ç¤ ç (PCBD), å æ  æ å æ é è¦ ç  ç©¶å ¶æ å ºç PCBDæ¨ æº ç ¨ç ¹ç ç ¹å¾µå è ¨åº æ ç ¨ã ç ¹å ¥æ ¯é å° é å° å¹´ç PCBD, æ å ç ®å ä» æ¬ ç¼ºå ´æ ¼è¨­è¨ ç è© ä¼°å·¥å ·ã æ ¬ç  ç©¶æª¢è¦ ã PCBDæª¢æ ¥è¡¨ã ç æ 度å è ¨åº æ ç ¨ã å® å ·å 39å 測é é  ç ®, ç ¨ä»¥è© ä¼°å¹´é½¡ä» ä¹ 8è ³18æ­²ç é å° å¹´ç PCBDã ç·¨å ¶è© ä¼°ç é ç¨ å æ ¬: (ä¸ ) å¯©è¦ æ æ å ºç æ¨ æº å ¨é å¾ ç  ç©¶ç ç ¼å± æ ¸æ ; (äº ) å  æ ç ¼å± æ ¸æ å»ºç« ä¸ å é  ç ®åº«; (ä¸ ) 訪å ä¸ ç¾¤å° æ¥­äººå£«, æª¢è¦ æ å å»ºç« ç è© ä¼°é  ç ®ç æ¸ æ¥ æ §å ç ¼å± é ©å æ §; (å ) ä»¥ç ¦é» å° çµ ç å½¢å¼ , æª¢è¦ è© ä¼°é  ç ®ç å ¯ç è§£æ §å å ¯æ ¥å 度; (äº ) æª¢è¦ 367å å æ é å° å¹´ (Mage = 13.49, 55.0% ç ºå¥³æ §)ç å¿ ç 測é ç ¹è³ªã å° æ¥­å é ã è ¨åº æ²»ç 師å å æª¢è¦ ç å æ é å° å¹´, é ½å° è© ä¼°é  ç ®ç å §å®¹æ 度å å ¯ç è§£æ §ä½ å ºè ¯å¥½è© å ã ä¸ å¦ å 設, å® å ¨ç¬¦å PCBDæ¨ æº , æ 符å æ¨ æº B (å¦ å° æ­»è å /æ å ¶æ­»äº¡æ æ³ é ·æ æ æ ) ã æ æ¨ æº C (å¦ å æ æ §æ ²ç å /æ 社交/èº«ä»½èª å å æ ¾) ç é å° å¹´, æ¯ ä¸ ç¬¦ç é å° å¹´æ è¼ é« æ°´å¹³ç å µå ·å¾ å£ å å æ 鬱ç ç (ηp2 = .07 è ³ .16)ã 符å æ¨ æº Cç é å° å¹´æ¯ ä¸ ç¬¦ç é å° å¹´æ è¼ é« æ°´å¹³ç å è ½å æ (ηp2 = .08 è ³ .12)ã 符å æ ã å µå ·æ §å æ ç ¹å¾µã ç é å° å¹´, æ¯ ä¸ ç¬¦ç é å° å¹´æ è¼ é »ç¹ ç å µå ·å¾ å£ å ç ç (ηp2 = .04)ã çµ æ è­ æ ç ¨ä»¥è© ä¼°å æ é å° å¹´ç ã PCBDæª¢æ ¥è¡¨ã æ å ¯è æ 度ã å ¤å ¥æ 度ã çµ å ¥å ¤å ¥æ 度, 亦æ ç ¼å± é ©å æ §å è ¨åº æ ç ¨ã Simplified Chineseæ  é¢ : éª è¯ ã æ ç»­æ §å¤ æ å æ ¸é ç¢ ç (PCBD)æ£ æ ¥è¡¨ã :ä¸ ä¸ªé 对å æ ¸é å° å¹´ã å ·å å± é å æ §ç è¯ ä¼°å·¥å ·æ ®è¦ : DSMâ 5å ¨é å½ é å å «äº æ ç»­æ §å¤ æ å æ ¸é ç¢ ç (PCBD), å æ  æ 们æ é è¦ ç  ç©¶å ¶æ å ºç PCBDæ  å ç ¬ç ¹ç ç ¹å¾ å ä¸´åº æ ç ¨ã ç ¹å «æ ¯é 对é å° å¹´ç PCBD, æ ä»¬ç ®å ä» æ¬ ç¼ºä¸¥æ ¼è®¾è®¡ç è¯ ä¼°å·¥å ·ã æ ¬ç  ç©¶æ£ è§ ã PCBDæ£ æ ¥è¡¨ã ç æ 度å ä¸´åº æ ç ¨ã å® å ·å¤ 39ä¸ªæµ é é¡¹ç ®, ç ¨ä»¥è¯ ä¼°å¹´é¾ ä» ä¹ 8è ³18å² ç é å° å¹´ç PCBDã ç¼ å ¶è¯ ä¼°ç è¿ ç¨ å æ ¬: (ä¸ ) å®¡è§ æ æ å ºç æ  å å ¨è¿ å¾ ç  ç©¶ç å å± æ °æ ®; (äº ) å  åº å å± æ °æ ®å»ºç« ä¸ ä¸ªé¡¹ç ®åº ; (ä¸ ) è®¿é ®ä¸ ç¾¤ä¸ ä¸ äººå£«, æ£ è§ æ ä»¬å»ºç« ç è¯ ä¼°é¡¹ç ®ç æ¸ æ¥ æ §å å å± é å æ §; (å ) ä»¥ç ¦ç ¹å° ç» ç å½¢å¼ , æ£ è§ è¯ ä¼°é¡¹ç ®ç å ¯ç è§£æ §å å ¯æ ¥å 度; (äº ) æ£ è§ 367å å æ ¸é å° å¹´ (Mage = 13.49, 55.0% ä¸ºå¥³æ §)ç å¿ ç æµ é ç ¹è´¨ã ä¸ ä¸ å ¢é ã ä¸´åº æ²»ç å¸ å å æ£ è§ ç å æ ¸é å° å¹´, é ½å¯¹è¯ ä¼°é¡¹ç ®ç å 容æ 度å å ¯ç è§£æ §ä½ å ºè ¯å¥½è¯ å ã ä¸ å¦ å 设, å® å ¨ç¬¦å PCBDæ  å , æ 符å æ  å B (å¦ å¯¹æ­»è å /æ å ¶æ­»äº¡æ å µé ¿æ æ 忧) ã æ æ  å C (å¦ å åº æ §æ ²ç å /æ 社交/身份认å å æ °) ç é å° å¹´, æ¯ ä¸ ç¬¦ç é å° å¹´æ è¾ é« æ°´å¹³ç å 伤å å å å æ é ç ç ¶(ηp2 = .07 è ³ .16)ã 符å æ  å Cç é å° å¹´æ¯ ä¸ ç¬¦ç é å° å¹´æ è¾ é« æ°´å¹³ç å è ½å æ (ηp2 = .08 è ³ .12)ã 符å æ ã å ä¼¤æ §å æ ¸ç ¹å¾ ã ç é å° å¹´, æ¯ ä¸ ç¬¦ç é å° å¹´æ è¾ é¢ ç¹ ç å 伤å å å ç ç ¶(ηp2 = .04)ã ç» æ è¯ æ ç ¨ä»¥è¯ ä¼°å æ ¸é å° å¹´ç ã PCBDæ£ æ ¥è¡¨ã æ æ± è æ 度ã å ¤å «æ 度ã ç» å «å ¤å «æ 度, 亦æ å å± é å æ §å ä¸´åº æ ç ¨ãPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/143677/1/jts22277.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/143677/2/jts22277_am.pd

Mechanisms of Risk and Resilience in Military Families: Theoretical and Empirical Basis of a Family-Focused Resilience Enhancement Program

Recent studies have confirmed that repeated wartime deployment of a parent exacts a toll on military children and families and that the quality and functionality of familial relations is linked to force preservation and readiness. As a result, family-centered care has increasingly become a priority across the military health system. FOCUS (Families OverComing Under Stress), a family-centered, resilience-enhancing program developed by a team at UCLA and Harvard Schools of Medicine, is a primary initiative in this movement. In a large-scale implementation project initiated by the Bureau of Navy Medicine, FOCUS has been delivered to thousands of Navy, Marine, Navy Special Warfare, Army, and Air Force families since 2008. This article describes the theoretical and empirical foundation and rationale for FOCUS, which is rooted in a broad conception of family resilience. We review the literature on family resilience, noting that an important next step in building a clinically useful theory of family resilience is to move beyond developing broad “shopping lists” of risk indicators by proposing specific mechanisms of risk and resilience. Based on the literature, we propose five primary risk mechanisms for military families and common negative “chain reaction” pathways through which they undermine the resilience of families contending with wartime deployments and parental injury. In addition, we propose specific mechanisms that mobilize and enhance resilience in military families and that comprise central features of the FOCUS Program. We describe these resilience-enhancing mechanisms in detail, followed by a discussion of the ways in which evaluation data from the program’s first 2 years of operation supports the proposed model and the specified mechanisms of action

Channel choice complications:Exploring the multiplex nature of citizens' channel choices

Part 2: E-Government Services and Open GovernmentInternational audienceIn spite of massive investment and increased adoption of digital services, citizens continue to use traditional channels to interact with public organizations. The channel choice (CC) field of research tries to understand citizens’ interactions with public authorities to make the interaction more efficient and increase citizen satisfaction. However, most studies have been conducted either as surveys of hypothetical services or in experimental settings, leading to a lack of empirical data from actual use contexts. Therefore, we present the results of a sequential mixed methods study which combines observations of citizen-caseworker interaction in a call center, contextual interviews with callers, and a survey classifying topics from 10,000 telephone calls. We contribute to the CC field and practice with rich empirical data from studies of actual channel choices. Specifically, the study explores the multiplex nature of real-life CC and demonstrate how telephone calls can be part of a process, which occurs across both traditional and digital channels. Moreover, we identify problems, which cause telephone calls related to digital services, and classify these in two groups: information related problems and action related problems

Global Patterns of Prostate Cancer Incidence, Aggressiveness, and Mortality in Men of African Descent

Prostate cancer (CaP) is the leading cancer among men of African descent in the USA, Caribbean, and Sub-Saharan Africa (SSA). The estimated number of CaP deaths in SSA during 2008 was more than five times that among African Americans and is expected to double in Africa by 2030. We summarize publicly available CaP data and collected data from the men of African descent and Carcinoma of the Prostate (MADCaP) Consortium and the African Caribbean Cancer Consortium (AC3) to evaluate CaP incidence and mortality in men of African descent worldwide. CaP incidence and mortality are highest in men of African descent in the USA and the Caribbean. Tumor stage and grade were highest in SSA. We report a higher proportion of T1 stage prostate tumors in countries with greater percent gross domestic product spent on health care and physicians per 100,000 persons. We also observed that regions with a higher proportion of advanced tumors reported lower mortality rates. This finding suggests that CaP is underdiagnosed and/or underreported in SSA men. Nonetheless, CaP incidence and mortality represent a significant public health problem in men of African descent around the world

The art of face-saving and culture-changing: sculpting Chinese football’s past, present and future

In this paper, we consider the football statues of China, whose football team has dramatically underperformed relative to its population size and economic power. Although China lacks a participative grassroots football culture and has struggled to establish a credible domestic league, recent government intervention and investment has seen football’s profile rise dramatically. China’s many football statues are largely atypical in comparison to the rest of the world, including their depiction of anonymous figures rather than national or local heroes, the incorporation of tackling scenes in their designs, and their location at training camps. Through four specific examples and reference to a global database, we illustrate how these statues reflect the tensions and difficulties inherent in China’s desire to integrate itself into global football, and achieve its stated goal of hosting and winning the FIFA World Cup, whilst simultaneously upholding national, cultural and political values such as the primacy of hard work and learning, and saving face in defeat

Contested world order: The delegitimation of international governance

This article argues that the chief challenge to international governance is an emerging political cleavage, which pits nationalists against immigration, free trade, and international authority. While those on the radical left contest international governance for its limits, nationalists reject it in principle. A wide-ranging cultural and economic reaction has reshaped political conflict in Europe and the United States and is putting into question the legitimacy of the rule of law among states