The political and economic narrative has shifted from developmentalism to the homegrown economy in post-2018 Ethiopia, but maintains the hegemony of the developmental state project of nation-building. This article investigates the shift to homegrown economic narratives, assesses the alignment with macroeconomic data and various sources and their implications. The narrative seeks an endogenous growth model and emphasizes macroeconomic stability, industrialization, private-sector growth, and contributions of key sectors for economic transformation. In some respect of industrialization and macro-financial stability, the macroeconomic data align with the reform narratives. However, agricultural productivity, export diversification, and dependency on imports remain critical challenges of the economy and implicate structural issues of the reform. Several factors, mainly civil war, Covid-19 and climate change, complicate this economic landscape. The article underlines a sustainable and inclusive growth in Ethiopia requires greater transparency and revisiting the assumptions and implications of the homegrown economic narratives.

We often form beliefs about others based on narratives they tell about their own moral actions. When constructing such moral narratives, narrators balance multiple goals, such as conveying accurate information about what happened (\'informational goals\') and swaying audiences\' impressions about their moral characters (\'reputational goals\'). Here, we ask to what extent audiences\' detection of narrators\' reputational goals guide or prevent them from making moral character judgments intended by narrators. Across two pre-registered experiments, audiences read narratives written by real narrators about their own moral actions. Each narrator was incentivized to write about the same action twice while trying to appear like a morally good or bad person (positive and negative reputational goals). Audiences detected narrators\' reputational goals with high accuracy and made judgments about moral character that aligned with narrators\' goals. However, audiences were more suspicious toward positive than negative reputational goals, requiring more evidence of high informational goals. These results demonstrate how audiences\' inferences of reputational goals can both support and hinder narrators: accurate goal recognition increases the chance that audiences will make judgments intended by narrators, but inferred positive reputational goals can lead to doubts about accuracy. More generally, this provides a novel approach to studying how moral information about people is transmitted through naturalistic narratives.

Child life specialists are clinically trained and educated healthcare professionals who work in both healthcare environments and the community to address the needs of ill children and their families. However, child life specialists have previously reported potential for their role, responsibilities, and scope of practice to be misunderstood by their clinical colleagues. Using a narrative methodology, this paper presents the composite narrative of Diane, whose story encompasses the stories of the four child life specialists working in adult oncology environments in Ontario, Canada. Diane\'s narrative is a counter-story, which counters common assumptions, beliefs, and attitudes about child life specialists. Through spending significant time narrating the multitude of tasks that are encompassed within her scope of care, Diane reaffirms her identity as a valuable member of an interprofessional adult oncology team and counters infantilizing assumptions that she is merely a babysitter or child entertainer. Her story highlights how, while the introduction of child life specialists to adult healthcare environments is new, the work they do is of great benefit to families and their children. The lack of understanding from clinical colleagues of the role of child life specialists, however, hinders not only the development of relationships between colleagues, but also the care for these families.

BACKGROUND: Locked-in syndrome (LIS) is characterized by tetraplegia, anarthria, paralysis of cranial nerves, and facial musculature, with the preservation of consciousness and cognitive abilities, as well as vertical eye movements and eyelid movements, hearing, and breathing. Three types of LIS are distinguished: classic, incomplete, and total. The aim of the present study was to describe the life history of a person with LIS, as well as the wife\'s experience and perspective of this life history.
METHODS: A qualitative life history study was conducted with two participants: a 54-year-old man diagnosed with LIS and his 50-year-old wife. Data were collected through interviews and autobiographical documents submitted by the participants and analyzed following Braun and Clarke\'s method of inductive thematic analysis.
RESULTS: Five main themes were identified: (1) how to understand and overcome the new situation; (2) the process of care and rehabilitation; (3) communication; (4) writing as a way of helping oneself and others; and (5) personal autonomy and social participation.
CONCLUSIONS: The participants valued the support of their friends and family in the acceptance stage of the new situation, giving special importance to the communication skills and medical attention received after diagnosis.

Black Americans are less likely than White Americans to have advance directives, die while receiving hospice services, or have their end-of life wishes honored. The root causes of disparities include imbalance of resources, lack of trust in health care institutions, lack of adequate education regarding end-of-life options, communication differences of health care providers with black vs white patients, variable access to hospice services in different communities, and poorer pain management for Black patients compared to White patients. Because root causes are numerous, comprehensive solutions are required. When advance care planning is in place, people are more likely to choose care focused on priorities and comfort than on seeking aggressive, sometimes futile, interventions in the last weeks of life. One important component of the solution should include listening to narrative stories of Black people as they encounter life-limiting diagnoses. Gathering the stories about life events and how strength was found through adversities can be a tool for growing trusting relationships and engaging in shared decision-making. Health care professionals should invite Black patients with serious illnesses to explore the sources of their strengths and identify their core values to work toward developing directives for the nature and place of their end-of-life and help to mitigate disparities in high quality end-of-life care.

UNASSIGNED: To provide an in-depth examination of whether pragmatic, expressive, receptive, and narrative language are associated with the social and academic functioning of children with ADHD.
UNASSIGNED: Children with ADHD (n = 46) and neurotypical comparison (NC) children (n = 40) aged 7 to 11 years completed tasks measuring expressive, receptive, and narrative language, while parents rated pragmatic language and social- and academic functioning.
UNASSIGNED: Children with ADHD differed significantly from NC children on pragmatic language, expressive language, receptive language, and narrative coherence. An examination of indirect effects revealed that a significant proportion of the association between ADHD and social functioning was shared with pragmatic language, while a significant proportion of the association between ADHD and academic difficulties was shared with pragmatic language as well as with expressive language.
UNASSIGNED: This preliminary study supports the clinical relevance of language in relation to the academic- and social functioning of children with ADHD.

Stories have been shown to be engaging and aid the comprehension and retention of information. However, the persuasive power of storytelling is well-recognized. Is this an inherent property? Can a narrative be constructed that helps people engage with information but does not persuade them? We presented participants (n = 1309) with information about a fictional new drug and asked them whether they would license it on the basis of this. All saw the same information, in either a bullet-pointed list or as a \'process narrative\'-a journalist\'s \'journey of discovery\', designed to avoid persuasive language. Participants rated the narrative format a little more engaging than the non-narrative (p = 0.033, d = 0.12) and remembered the information in it slightly better (p = 0.040, d = 0.11). They did not rate the narrative version as more persuasive, but those reading it were on average more opposed to licensing the drug than those reading the non-narrative (p < 0.001, d = 0.18). Based on participants\' responses to other questions, we speculate this may be owing to the increased salience of risks of the drug, arising from subtle differences in wording. Thus, while narratives may have useful properties, they must be carefully constructed to avoid unintentional effects.

Older adults with bipolar disorder experience distinct challenges compared to younger age groups with bipolar disorder. They potentially require adaptations to the care they receive. This study aimed to explore experiences of care and changing care needs in older adults with bipolar disorder. People with bipolar disorder (aged ≥60) were recruited through three NHS Trusts in the North West of England, charity organisations, a confidential university participant database, and social media. Participants completed single time-point biographical narrative interviews, which were analysed using narrative analysis. Sixteen participants\' accounts led to the creation of four themes: (1) \'Navigating the disruption caused by diagnosis\'; (2) \'The removal of services that provided hope\'; (3) \'Later life: We are on our own now\'; and (4) \'Changing care needs in later life: We still need support\'. The care needs of older adults with bipolar disorder appear to change over time, and services often fail to offer adequate, tailored care for this group at present. Current support requires adaptation to be effective and appropriate and to enable this group to age well in later life.

Narrative is an important communication skill for sharing personal experiences and connecting with others. Narrative skills are often impacted in autism spectrum disorder (ASD) and have important consequences for social interactions and relationships. Subtle differences in narrative have also been reported among first-degree relatives of autistic individuals, suggesting that narrative may also be an etiologically important language-related skill that is influenced by genes associated with ASD. This study examined narrative ability and related visual attention during narration in ASD and first-degree relatives of individuals with ASD (siblings and parents) to understand how narrative and related attentional styles may be variably impacted across the spectrum of ASD genetic influence. Participants included 56 autistic individuals, 42 siblings of autistic individuals, 49 controls, 161 parents of autistic individuals, and 61 parent controls. Narratives were elicited using a wordless picture book presented on an eye tracker to record concurrent gaze. Findings revealed parallel patterns of narrative differences among ASD and sibling groups in the use of causal language to connect story elements and the use of cognitive and affective language. More subtle differences within the domain of causal language were evident in ASD parents. Parallel patterns in the ASD and sibling groups were also found for gaze during narration. Findings implicate causal language as a critical narrative skill that is impacted in ASD and may be reflective of ASD genetic influence in relatives. Gaze patterns during narration suggest similar attentional mechanisms associated with narrative among ASD families.

BACKGROUND: There is increasing awareness of the need to analyse symptoms of mental ill-health among early school leavers. Dropping out of compulsory education limits access to the labour market and education and could be related to deteriorating mental health over the course of a lifetime. The aim of this longitudinal study is to explore how early school leavers not in education, employment or training (NEET) narrate their working life trajectories linked to health, agency and gender relations.
METHODS: Twelve early school leavers in the Swedish Northern Cohort (six women and six men) were interviewed over 40 years about their working life and health. Their life stories were analysed using structural narrative analysis to examine the evolution of their working life paths and to identify commonalities, variations and gendered patterns.
RESULTS: All the participants started in the same position of \"an unhealthy gendered working life in youth due to NEET status\". Subsequently, three distinct working life paths evolved: \"a precarious gendered working life with negative health implications\", \"a stable gendered working life in health challenging jobs\" and \"a self-realising gendered working life with improved health\". Agency was negotiated through struggle narratives, survival narratives, coping narratives and redemption narratives.
CONCLUSIONS: Even in a welfare regime like Sweden\'s in the early 1980s, early school leavers not in education, employment or training experienced class-related and gendered working and living conditions, which created unequal conditions for health. Despite Sweden\'s active labour market policies and their own practices of agency, the participants still ended up NEET and with precarious working life paths. Labour market policies should prioritise reducing unemployment, combating precarious employment, creating job opportunities, providing training and subsidised employment in healthy environments, and offering grants to re-enter further education. Our study highlights the need for further analyses of the contextual and gendered expressions of health among early school leavers throughout their lifetime, and of individual agency in various contexts for overcoming adversities.