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In the limited research on farming aspirations, little attention has been paid to the narratives which frame and shape them, and the ways in which the aspirations of those who farm intersect with the goals of extension services. Drawing on multimethod research conducted in Meru County, Kenya, we demonstrate how aspirations are not only situated within a consideration of personal circumstances, but are shaped in crucial ways by networks of relations and by the perceived possibilities afforded by material and cultural resources. We further highlight the accounts of state extension agents that link a lack of engagement with the desires and needs of those who farm to the failure of agricultural development initiatives. We argue that an engagement with aspirations opens up a route to understanding the obstacles and potentialities that matter to those who farm and, as such, might enable more responsive development initiatives centred on the perceptions and desires of those who farm.

Rural development is a political topic in which debate has been more focussed on externally identified needs than on demands or aspirations of the rural population and polarised between the attractions of urban income earning opportunities and the importance of rural farming communities for national food provision. The heterogeneity of local aspirations and their implications for development have barely been considered. We explore the aspirations of residents of three contrasting regions in Kenya that vary in their agricultural and off-farm potential. We argue that opportunities are a major framing influence on aspirations but there is important, and routinely overlooked, diversity within the communities which could inform future options for effective development. We outline how development initiatives could be redesigned to align more closely with aspirations. However, aspirations are a complex concept and, while our approach offered novel insights, these would be enriched when combined with household survey data.

In Makueni County, Kenya, an area experiencing intensifying migration flows, we investigate the aspired futures of rural men and women using a novel methodology combining a narrative-based survey tool, focus group discussions and semi-structured interviews. Our findings indicate that, in the absence of men and presence of norms restricting women's movement out of rural life, women are becoming increasingly engaged in farm management. Women’s aspirational narratives focused on commercialising farm activities, likely reflecting their changing agricultural opportunity space and new realities as farm managers. We highlight that only considering aspirations at the household level overlooks differing individual contributions, agency over various household income streams and individuals’ changing roles throughout life. Based on our findings, we make recommendations for further aspirations research including explicit consideration of intrahousehold heterogeneity and how individual strategies and aspirations interrelate and are negotiated at the household level to build an overall livelihood strategy.

Post-traumatic amnesia is the transient state of altered brain function that may follow a traumatic brain injury. At a practical level, an individual has emerged from post-traumatic amnesia when he or she is fully orientated and with return of continuous memory. However, the clinical manifestations are often more complex, with numerous cognitive domains commonly affected, as well as behaviour. In the acute setting, post-traumatic amnesia may easily go unrecognised; this is problematic as it has important implications for both immediate management and for longer-term prognosis. We therefore recommend its careful clinical assessment and prospective evaluation using validated tools. Patients in post-traumatic amnesia who have behavioural disturbance can be particularly challenging to manage. Behavioural and environmental measures form the mainstay of its treatment while avoiding pharmacological interventions where possible, as they may worsen agitation. Patients need assessing regularly to determine their need for further rehabilitation and to facilitate safe discharge planning.