The Sparta and the Athens Of Our Age At Daggers Drawn: Polities, Perceptions, and Peace

While historically notions of democracy have varied widely, democratic peace theory has generally defined it in procedural terms. This article takes a close look at the Anglo-French confrontation of 1840. I show that while leaders on both sides were prepared to risk war to gain bargaining advantages, only the French left really wanted to fight. Why? By today's criteria, Britain was incontestably more democratic, with its monarch's powers far more restricted and its suffrage several times as large. Nevertheless, both sides considered France more democratic, with French republicans despising Britain as an aristocratic oligarchy. While Spencer Weart is right to argue that democratic republics may be hostile to oligarchic ones, they will not necessarily define each other according to modern procedural criteria. Instead, they may judge regimes by the broader social structures that shape power relationships and by outcomes, possibly explaining wars or near misses between democracies.

A Utilitarian Perspective of Social and Medical Contributions to Three Illustrative Conditions, and Recent UK NHS Policy Initiatives

Background: To date debate concerning the relative merits of social and medical sciences has been largely academic. Aims: To outline and critically appraise a utilitarian approach to mental health research that reflects a critical realist perspective. Method: Consideration of the relative utility of differing approaches to illustrative ‘‘psychiatric’’ disorders, and recent policy initiatives. Results: Socially relevant outcomes of Bipolar Affective Disorder are determined by influences that operate independently of the characteristic instability of mood. There is now a highly specific and effective psychological treatment for Panic Disorder. Its benefits are still not fully exploited because of continuing lay and professional focus upon the condition’s social manifestations. Great numbers of people presenting in primary care are unhelpfully caused to adopt the role of ‘‘patient’’ due to practices limiting the professional response to a medical one. Such practices reflect public and professional perceptions of the nature of ‘‘mental health difficulties’’ much more than they do the achievements of medicine. Recent policy-supporting initiatives influencing UK NHS mental health services are much more likely to be supported by social sciences than by medical research. Conclusions: There is considerable scope for a contribution to applied mental health research from frameworks and methodologies that are rooted in a social sciences perspective.