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Addiction focuses on the emergence, nature, and persistence of addictive behavior, as well as the efforts of addicts to overcome their condition. Do addicts act of their own free will, or are they driven by forces beyond their control? Do structured treatment programs offer more hope for recovery? What causes relapses to occur? Recent scholarship has focused attention on the voluntary aspects of addiction, particularly the role played by choice. Addiction draws upon this new research and the investigations of economists, psychiatrists, philosophers, neuropharmacologists, historians, and sociologists to offer an important new approach to our understanding of addictive behavior.
The notion that addicts favor present rewards over future gains or penalties echoes throughout the chapters in Addiction. The effect of cultural values and beliefs on addicts, and on those who treat them, is also explored, particularly in chapters by Elster on alcoholism and by Acker on American heroin addicts in the 1920s and 1930s. Essays by Gardner and by Waal and Mørland discuss the neurobiological roots of addiction Among their findings are evidence that addictive drugs also have an important effect on areas of the central nervous system unrelated to euphoria or dysphoria, and that tolerance and withdrawal phenomena vary greatly from drug to drug.
The plight of addicts struggling to regain control of their lives receives important consideration in Addiction. Elster, Skog, and O'Donoghue and Rabin look at self-administered therapies ranging from behavioral modifications to cognitive techniques, and discuss conditions under which various treatment strategies work. Drug-based forms of treatment are discussed by Gardner, drawing on work that suggests that parts of the population have low levels of dopamine, inducing a tendency toward sensation-seeking.
There are many different explanations for the impulsive, self-destructive behavior that is addiction. By bringing the triple perspective of neurobiology, choice, and culture to bear on the phenomenon, Addiction offers a unique and valuable source of information and debate on a problem of world-wide proportions.
Next Generation Reform
In the modern era, political leaders and scholars have declared the rule of law to be essential to democracy, a necessity for economic growth, and a crucial tool in the fight for security at home and stability abroad. The United States has spent billions attempting to catalyze rule-of-law improvements within other countries. Yet despite the importance of the goal to core foreign policy needs, and the hard work of hundreds of practitioners on the ground, the track record of successful rule-of-law promotion has been paltry.
In Advancing the Rule of Law Abroad, Rachel Kleinfeld describes the history and current state of reform efforts and the growing movement of second-generation reformers who view the rule of law not as a collection of institutions and laws that can be built by outsiders, but as a relationship between the state and society that must be shaped by those inside the country for lasting change. Based on research in countries from Indonesia to Albania, Kleinfeld makes a compelling case for new methods of reform that can have greater chances of success.
This book offers a comprehensive overview of this growing area of policy action where diplomacy and aid meet the domestic policies of other states. Its insights into the practical methods and moral complexities of supporting reform within other countries will be useful to practitioners and students alike.
The Development of the Policy Sciences
Policy analysis, as a practical matter, is hardly new. Throughout history, rulers have sought advice from priests or sages, and monarchs have conferred with counselors. The emergence of empirical social research in the nineteenth century laid the groundwork for policy advice that was more than an idiosyncratic political exercise, but it was not until well into this century that the systematic examination of policy issues became feasible.
Advice and Consent traces the recent course of the "policy sciences," a term coined in 1951 to describe an analytic approach that draws on political science, sociology, law, economics, psychology, and operations research to examine specific social problems in context. Peter deLeon's unique contribution is to delineate two separate but related currents in the development of the policy sciences: first, the evolution of intellectual tools for analysis ("advice"); and second, the evolution of a perceived need for policy research as prompted by events such as the war on poverty ("consent").
Peter deLeon's concise and literate account of how these two trends shaped the policy sciences and affected each other clarifies the present state of policy research, explores its failure to realize fully its ideals, and frames the challenges facing the policy sciences as they struggle to complete their transformation from academic fancy to institutional fact.
The Struggle to Shape the Federal Judiciary
For better or worse, federal judges in the United States today are asked to resolve some of the nation's most important and contentious public policy issues. Although some hold onto the notion that federal judges are simply neutral arbiters of complex legal questions, the justices who serve on the Supreme Court and the judges who sit on the lower federal bench are in fact crafters of public law. In recent years, for example, the Supreme Court has bolstered the rights of immigrants, endorsed the constitutionality of school vouchers, struck down Washington D.C.'s blanket ban on handgun ownership, and most famously, determined the outcome of the 2000 presidential election. The judiciary now is an active partner in the making of public policy.
Judicial selection has been contentious at numerous junctures in American history, but seldom has it seemed more acrimonious and dysfunctional than in recent years. Fewer than half of recent appellate court nominees have been confirmed, and at times over the past few years, over ten percent of the federal bench has sat vacant. Many nominations linger in the Senate for months, even years. All the while, the judiciary's caseload grows. Advice and Dissent explores the state of the nation's federal judicial selection system a process beset by deepening partisan polarization, obstructionism, and deterioration of the practice of advice and consent.
Focusing on the selection of judges for the U.S. Courts of Appeals and the U.S. District Courts, the true workhorses of the federal bench, Sarah A. Binder and Forrest Maltzman reconstruct the history and contemporary practice of advice and consent. They identify the political and institutional causes of conflict over judicial selection over the past sixty years, as well as the consequences of such battles over court appointments. Advice and Dissent offers proposals for reforming the institutions of judicial selection, advocating pragmatic reforms that seek to harness the incentives of presidents and senators together. How well lawmakers confront the breakdown in advice and consent will have lasting consequences for the institutional capacity of the U.S. Senate and for the performance of the federal bench.
At a time when private and public institutions of higher education are reassessing their admissions policies in light of new economic conditions, Affirmative Action for the Future is a clarion call for the need to keep the door of opportunity open. In 2003, U.S. Supreme Court's Grutter and Gratz decisions vindicated the University of Michigan Law School's affirmative action program while striking down the particular affirmative action program used for undergraduates at the university. In 2006 and 2008, state referendums banned affirmative action in some states while upholding it in others. Taking these developments into account, James P. Sterba draws on his vast experience as a champion of affirmative action to mount a new moral and legal defense of the practice as a useful tool for social reform.
Sterba documents the level of racial and sexual discrimination that still exists in the United States and then, arguing that diversity is a public good, he calls for expansion of the reach of affirmative action as a mechanism for encouraging true diversity. In his view, we must include in our understanding of affirmative action the need to favor those who come from economically disadvantaged backgrounds, regardless of race and sex. Elite colleges and universities could best facilitate opportunities for students from working-class and poor families, in Sterba's view, by cutting back on legacy and athletic preferences that overwhelmingly benefit wealthy white applicants.
The Singapore Healthcare Story
This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path.
The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.
Culture, Diplomacy, and Counterinsurgency
Fernando Gentilini served nearly two years as the civilian representative of NATO in Afghanistan, running a counterinsurgency campaign in the wartorn nation. Afghan Lessons is the fascinating story of his mission, a firsthand view of Afghanistan through a kaleidoscope. He explores Afghan history, literature, tradition, and culture to understand some of the most basic questions of Western involvement: What is the purpose? What does an international presence mean, and how can it help?
Highlights from Afghan Lessons
"This is a book about different worlds, different realities. The reality of everyday life in an unreal world. People that need to be looked after, jobs that need to be done, a country that needs to be restored, all from within the necessary confines of an armed camp. And this in the middle of another reality, which we do not understand, full of things forgotten under decades of war. The keys to this reality lie in the past, perhaps lost." from the Foreword by Robert Cooper
"To tempt me to explore their country, the Afghans kept repeating that there were three different Afghanistans: 'The first is the one you Westerners imagine; another coincides with the city of Kabul; the third is the country of remote provinces, far away from the cities, and of the three, this is the only real Afghanistan.'"
"'There can be no development without security and no security without development.' ... Everyone said it over and over again, both the civilians and the military, but depending on whether it was said by the former or the latter, the emphasis was placed on the first or second part of the slogan. In all honesty this seemingly obvious concept concealed two contrasting ways of seeing things."
Media Coverage of the Humanitarian Disaster in the Congo and the United Nations Response, 1997–2008
Africa’s Deadliest Conflict deals with the complex intersection of the legacy of post-colonial history—a humanitarian crisis of epic proportions—and changing norms of international intervention associated with the idea of human security and the responsibility to protect (R2P). It attempts to explain why, despite a softening of norms related to the sanctity of state sovereignty, the international community dealt so ineffectively with a brutal conflict in the Democratic Republic of the Congo, which between 1997 and 2011 claimed an estimated 5.5 million. In particular, the book focuses on the role of mass media in creating a will to intervene, a role considered by many to be the key to prodding a reluctant international community to action.
Included in the book are a primer on Congolese history, a review of United Nations peacekeeping missions in the Congo, and a detailed examination of both US television news and New York Times coverage of the Congo from 1997 through 2008. Separate conclusions are offered with respect to peacekeeping in the Age of R2P and on the role of mass media in both promoting and inhibiting robust international responses to large-scale humanitarian crises.
Household Structure, Opportunities, and Outcomes among White and Minority Youth
Hill, Holzer, and Chen examine the effects of household structure on youth and young adults and how these effects might have contributed to the negative trends in outcomes observed for young minorities over time.
Strategy and Tactics for Social Innovation
While governments around the world struggle to maintain service levels amid fiscal crises, social innovators are improving social outcomes for citizens by changing the system from within. In Agents of Change, three cutting-edge thinkers and entrepreneurs present case studies of social innovation that have led to significant social change. Drawing on original empirical research in the United States, Canada, Japan, Germany, Denmark, and the Netherlands, they examine how ordinary people accomplished extraordinary results.
Sanderijn Cels, Jorrit de Jong, and Frans Nauta offer lively illustrations and insightful interpretations of how innovators, social entrepreneurs, and change agents are dealing with powerful opponents, the burdens of bureaucracy, and the challenge of securing resources and support. This book will appeal to anyone who is intrigued by imaginative, cross-boundary thinking and transformative change. It will be of particular interest to those who want to know how exactly innovators pull it off. With practitioners, scholars, and students of public policy and management in mind, the authors dissect the strategies and tactics that social innovators employ to navigate the risky waters of their institutional environments.
Contents Part 1: Introduction: Chess Masters and Acrobats 1. Strategy and Tactics
2. Crafting the Case: The Art of Making a Start
3. Prompting Progress: The Art of Making Things Happen
4. Managing Meaning: The Art of Making Sense
Part 2: Front-Line Innovations 5. Under the Radar: Medical Informatics in Japan
6. Relentless Incrementalism: Financial Literacy Training for Newcomers in Canada
7. Join the Club! Alzheimer Cafés in the Netherlands
8. Just a Tool? Implementing the Vulnerability Index in New Orleans
Part 3: Innovations in Governance 9. The Sun Kings: Solar Energy in Germany
10. Change on Steroids: Public Education in New Orleans
11. The Value of Values: Higher Education in Virginia
12. A Window of Opportunity: Institutional Reform in Denmark
Conclusion: Innovating Strategically