The framework convention on tobacco control: The politics of global health governance

This paper analyses the particular challenges that tobacco control poses for health governance in an era of accelerating globalisation. Traditionally, health systems have been structured at the national level, and health regulation has focused on the needs of populations within individual countries. However, the increasingly global nature of the tobacco industry, and the risks it poses to public health, require a transnational approach to regulation. This has been the rationale behind negotiations for a Framework Convention on Tobacco Control (FCTC) by the Tobacco Free Initiative of the World Health Organisation (TFI/WHO). In recognition of the need to go beyond national governments, and to create a governance mechanism that can effectively address the transnational nature of the tobacco epidemic, WHO has sought to involve a broad range of interests in negotiations. The contributions of civil society groups in particular in the negotiation process have been unusual. This paper explores the nature and effectiveness of these contributions. It concludes with an assessment of whether the FCTC constitutes a significant shift towards a new form of global health governance, exploring the institutional tensions inherent in attempting to extend participation within a state-centric organisation.     

The Globalization and Re-localization of Material Flows: Four Phases of Food Regulation

Over three phases of regulation, the paper traces a narrow range of regulatory interest in food, focusing largely on food safety and the handling of periodic food crises. We suggest that these crises were early indications of the problems in sustaining increasingly unsustainable modes of food production through global supply chains and that United Kingdom/EU regulation acted in part as a palliative, cloaking the wider systemic disorders. We go on to suggest that, as resource pressures become increasingly apparent in world food systems, a further fourth phase of food regulation will need to pay much greater attention to the resilience, sustainability, and security of food supply.     

The Forgotten Hysteria Over Malpractice

This article explores the origins of the medical “malpractice crisis,” and describes the basic social, economic, and political transformations that led to its emergence and the reasons for its rise. An understanding of these dynamics explains the gap in awareness about what the doctor/patient relationship is and what it should be, and its correlation to the upsurge in medical malpractice lawsuits and patient safety programs. The author recommends managing for and conserving the doctor/patient relationship as the key priority to be tackled in order to put an end to the “crisis” and prevent circumstances that further encourage it.     

Institutionalized Hegemonic Masculinity and Rape by United States Army Personnel in South Korea: A Perspective on Military Subculture

The aims of this study are threefold: (1) to illustrate an institutionalization process of hegemonic masculinity, (2) to show how this process can be applied to rape incidents in South Korea, and (3) to suggest what needs to be done in the future. Based on previous studies of hegemonic masculinity, this study first sets the stage by illustrating how the isomorphism with hegemonic masculinity is achieved and maintained through culturalization and institutionalization among male soldiers. Based on this theoretical framework, this study shows limitations in the traditional approach to military crime, and then applies the current framework to explain higher rate of rape incidents committed by United States Army personnel stationed in South Korea. Finally, this study suggests what needs to be done in terms of empirical investigation of military rape in different countries. This study concludes that the institutionalized hegemonic masculinity and the reproduction of masculine organizations are possible major contributing factors to the higher rate of rape incidents.     

General strain theory and the development of stressors and substance use over time: An empirical examination

Little research has examined whether General Strain Theory (GST) can account for continuity in illicit behavior over their time. The current study fills this void by testing the ability of GST to account for the association between adolescent and adult substance use. Four mechanisms that Agnew argues lead to behavioral continuity—a direct effect of negative emotionality and low constraint on substance use, evocative and active selection, passive selection, and stressor amplification—are examined using structural equation modeling. Drawing from the broader stress literature, an additional pathway—stress proliferation—is also tested. This research uses two unique datasets, which together provide information on the lives of high risk individuals from birth through adulthood. Support for GST explanations of continuity is mixed. The direct and moderating effects of negative emotionality and low constraint as well as the more dynamic aspects of the stress process, like proliferation and amplification, received the most empirical support. It is argued that more attention should be directed to exploring the social processes through which stressors develop over time.     

British cultural diplomacy and the cold war: 1946–61

Why was Britain so reluctant to use the tools of cultural diplomacy for the cold war? First, the habits of administration and the effects of war encouraged a compartmentalization of effort. There was no obvious point at which to construct an overview or a strategy which could match the Soviet enterprise. Second, the dissolution of the empire exposed the racism and ethnic tensions which had existed in both the United Kingdom and its colonies. Policymakers appeared to be pursuing incompatible objectives. They found it difficult to think about post‐colonial influence except in terms of a policy for the Commonwealth, but also to construct such a line of action. The insubstantiality of cultural diplomacy is part of the trauma of losing great power status. Arab nationalism was the major force which prompted government into action on cultural affairs. Commitments were made before the military operations in Suez.