How moderates make boundaries after protracted conflict. Everyday universalists, agonists, transformists and cosmopolitans in contemporary Northern Ireland.

This article explores how boundary making proceeds after protracted conflict has ended. Drawing on an interview and focus group study in two local areas in Northern Ireland, we identify the diverse forms of everyday boundary work amongst moderates who distance from the ethno-political blocs: everyday universalism, agonism, transformation and cosmopolitanism. Each overcomes closed exclusivist boundaries and identity oppositions, thus providing a clear contrast with the overt political contention and polarization that has followed Brexit in Northern Ireland. Our research shows the internal shape and diversity of the moderate constituency who support peace-building and a less-polarized politics. It also offers an answer to the question how such everyday openness coexists with continued political polarization. We trace the different political perspectives associated with each form of boundary making and argue that this hinders political cohesion amongst moderates.

Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.

BACKGROUND: Diagnostic error incurs enormous human and economic costs. The dual-process model reasoning provides a framework for understanding the diagnostic process and attributes certain errors to faulty cognitive shortcuts (heuristics). The literature contains many suggestions to counteract these and to enhance analytical and non-analytical modes of reasoning. AIMS: To identify, describe and appraise studies that have empirically investigated interventions to enhance analytical and non-analytical reasoning among medical trainees and doctors, and to assess their effectiveness. METHODS: Systematic searches of five databases were carried out (Medline, PsycInfo, Embase, Education Resource Information Centre (ERIC) and Cochrane Database of Controlled Trials), supplemented with searches of bibliographies and relevant journals. Included studies evaluated an intervention to enhance analytical and/or non-analytical reasoning among medical trainees or doctors. FINDINGS: Twenty-eight studies were included under five categories: educational interventions, checklists, cognitive forcing strategies, guided reflection, instructions at test and other interventions. While many of the studies found some effect of interventions, guided reflection interventions emerged as the most consistently successful across five studies, and cognitive forcing strategies improved accuracy and confidence judgements. Significant heterogeneity of measurement approaches was observed, and existing studies are largely limited to early-career doctors. CONCLUSIONS: Results to date are promising and this relatively young field is now close to a point where these kinds of cognitive interventions can be recommended to educators. Further research with refined methodology and more diverse samples is required before firm recommendations may be made for medical education and policy; however, these results suggest that such interventions hold promise, with much current enthusiasm for new research.