Advance care planning (ACP) is a process in which the patient expresses their wishes regarding future medical care in the presence of their family and health care provider. ACP is generally...Show moreAdvance care planning (ACP) is a process in which the patient expresses their wishes regarding future medical care in the presence of their family and health care provider. ACP is generally accepted in Western countries and has a positive effect on end-of-life care for people with dementia. However, culture affects expectations and preferences regarding end-of-life care and decision making. This study compared the acceptability of and preference for two types of ACP interventions for patients with dementia in health care providers from the Netherlands, the US and Japan. One intervention focused on concrete treatment orders in which the patient makes specific decisions. The other focused on what the patient finds important in life, resulting in global goals of care. A total of 125 participants were assessed by means of a structured interview and a questionnaire. Participants found both types of ACP acceptable, in general and per country. A multinomial logistic regression analysis indicated no significant difference in acceptability of the concrete or the global ACP approach between countries when adjusted for age and gender. However, age was a significant predictor of acceptability of the concrete ACP approach (2 (2, 123) = 6.32, p = .042), with older participants being less likely to find it acceptable compared to not finding it acceptable (W(8) = 5.50, p = 0.019). Participants preferred the global ACP approach for patients with dementia. A multinomial logistic regression analysis indicated no significant differences in preference between countries when adjusted for age and gender in general. However, Dutch participants were less likely to prefer the global ACP approach (W(8) = 5.18, p = .023). The relationship between country and preference was not influenced by whether participants most strongly considered what the patient with dementia wants for themselves, what the patient’s family wants or what they as the health care provider want for their patient when making medical decisions. ACP is generally regarded as an acceptable form of care for patients with dementia by health care providers across countries. Future research could more specifically determine which cultural or demographic aspects affect health care providers’ views on different ACP approaches.Show less
Self-reliance has been an aspirational long-term goal for China due to the country's easy access to foreign technology and knowledge, but its national semiconductor development over the last decade...Show moreSelf-reliance has been an aspirational long-term goal for China due to the country's easy access to foreign technology and knowledge, but its national semiconductor development over the last decade has been directly challenged by a U.S.-led multilateral export control regime. Consequently, the situation calls for an examination of China's path choices concerning these tensions in the semiconductor industry. So far, contributions by International Relations (IR) theories lack consideration of China's fluctuating strategic priorities in response to global shifts. This thesis therefore uses the analytical concepts of historical institutionalism to explore China’s economic policy development in the semiconductor industry from 2014 to 2024 and structures the research around the critical juncture of the U.S.-led sanction regime towards China that commenced on October 7, 2022. To provide a foundation of knowledge on China’s current economic strategies in the microchip tech war, a scoping review was conducted to systematically map recent studies (March 2023–March 2024) and trace the dynamic process of China’s strategic path choices, which may aid EU Member States and policy practitioners in framing China in their international agenda on semiconductors. The findings suggest that China 1) has demonstrated a deliberate commitment to caution in its foreign policy to maximize strategic advantages over technology, 2) aims to deter future U.S. action by reinforcing its techno-economic statecraft and domestic economic competitiveness, and 3) has increased efforts to enhance worldwide reliance on China through its comparative advantages and technological standards for critical technologies, including AI and 5G.Show less
Bachelor thesis | Cultural Anthropology and Development Sociology (BSc)
closed access
After discussing the racial discrimination in the United States throughout history to provide historical and societal context, I turn my attention to the people central in this thesis, i.e. African...Show moreAfter discussing the racial discrimination in the United States throughout history to provide historical and societal context, I turn my attention to the people central in this thesis, i.e. African-American women. By highlighting the intersectional discrimination faced by black women, I have shown that their unique experiences offer additional and worthwhile information for understanding African-American experiences in general. After this, I turn my attention to the topic of resilience. By contrasting general African-American resilience and the unique features of African-American female resilience, I show again how female African-American experiences are important to consider when one wants to represent African-Americans. In this thesis, I stress the value of considering specific subgroups of a particular group of people to create more complete representations, because they offer information that would otherwise be ignored.Show less
Taiwan’s flourishing economy together with its values, such as human rights and democracy, increase Taiwan’s international visibility and question Taiwan’s inability to join the UN, especially...Show moreTaiwan’s flourishing economy together with its values, such as human rights and democracy, increase Taiwan’s international visibility and question Taiwan’s inability to join the UN, especially since they share the same values. The PRC’s open disapproval of Taiwan’s independence as well as its power and influence hinders the UN from accepting Taiwan as a new member state. This thesis aims to research how the dynamics between the US and China within the structure of the UN affect Taiwan’s bid to become an internationally recognised state as well as how Taiwan tries to influence this process from outside the UN. Qualitative research together with a historical case study analysis and a conducted interview display that both the US and China use soft power as political strategies to gain more influence within the UN for their objectives, such as the support or opposition of Taiwan’s entry into the international community. Similarly, Taiwan also uses soft power to gain more allies and to increase its eligibility to enter the UN. Moreover, this thesis finds that divergent understandings of human rights divide the UN regarding their position on Taiwan’s official status and affect the decision-making process regarding Taiwan’s independence.Show less
In my thesis, I argue that the end of the Cold War affected Israel’s role in the U.S. Middle East strategy. During the Cold War, this role was predominantly military. However, the end of the Cold...Show moreIn my thesis, I argue that the end of the Cold War affected Israel’s role in the U.S. Middle East strategy. During the Cold War, this role was predominantly military. However, the end of the Cold War changed this and as a result, this role was predominantly political and economic after the Cold War. I base my research on a combination of two theories: constructivism, an approach of International Relations (IR), and Historical Sociology (HS).Show less
Under international law, states assume obligations to respect, protect, and to fulfil human rights (OHCHR). This thesis will demonstrate that the state can fail to carry out these tasks, and that...Show moreUnder international law, states assume obligations to respect, protect, and to fulfil human rights (OHCHR). This thesis will demonstrate that the state can fail to carry out these tasks, and that in these situations businesses can step up to enforce human rights, thus filling regulatory gaps. This topic will be approached by first providing a definition of CSR, and explaining the relevance of the concept. Following this, the thesis will discuss different eras in the history of state versus business power, proposing that there has been a shift from an era of extensive state power towards a relative erosion of state capacities, accompanied by an increase in the power of corporations. While it will be proposed that this erosion of state capacities has opened up new possibilities for companies to adopt political responsibilities (Schrempf-Stirling 2), the thesis will also seek to understand why companies would make use of these possibilities. In order to analyze firms’ motivations to expand their influence to the political sphere to promote human rights, the thesis will introduce a theoretical framework which will identify three different CSR theories. To examine the applicability of these theories, the thesis will perform three case studies in the context of the United States: 1) Open Carry, 2) Public Facilities Privacy & Security Act or the ‘House Bill 2’, also known as the ‘bathroom bill’, and 3) Executive Order 13769 or the so-called ‘Muslim ban’ or ‘travel ban’. Through these steps, the objective of the thesis is to determine 1) whether businesses have indeed expanded their capacities to the political realm in the context of human rights promotion, thus filling regulatory gaps as suggested by CSR scholarship, 2) how they have done so, and 3) what the underlying motivations behind companies’ CSR practices are. The findings are expected to support the twofold hypothesis that 1) businesses can become the key enforcers of human rights by expanding their power to the political arena, and 2) businesses have philanthropic and ethical responsibilities besides their economic responsibility of profit-maximization, which contribute to explaining their CSR activities.Show less
