‘What is to be done?’ Anticipating the future and mobilizing prudence

Various social and political factors often block the emergence of good ideas — e.g., the presence of an overbearing leader, the loquaciousness of some actors and the shyness of others, conventional and doctrinal thinking, the political climate, etc. — and devices have been invented to overcome some of these obstacles in decisionmaking settings: the Delphi technique, idea writing, and the nominal group technique are all front-end operations designed to encourage the blossoming of possible solutions to problems. Devices for generating ideas have not been helpful in coping with the volumes of ideas produced, however, and this had led some theorists to give up on the human mind as a solver of problems. Following a summary of the factors impeding rationality in decisional settings, the advantages of Q methodology are presented, and a case study is described in which Q, in conjunction with front-end operations, has been used to assist groups in clarifying their own perspectives and in gaining access to collective wisdom (political prudence) for purposes of problem solving.

(Aristotle,Metaphysics)

Revised from a paper read at a meeting of the Policy Sciences Annual Institute, School of Law, Yale University, October 16–18, 1992, and at a meeting of the International Society for the Scientific Study of Subjectivity, University of Missouri, Columbia, October 7–9, 1993. We are grateful for the helpful comments from reviewers for this journal.     

Competition and health care policy: experience and expectations

Since 1970 federal policymakers have tried to strengthen competition and incentive-based market forces as alternatives to regulation in containing health costs. The effort to stimulate the growth of health maintenance organizations (HMOs) throughout the country has had limited results, and federal plans to promote competition by enacting changes in the health insurance market have so far come to little. Coalitions in some localities have shown growing interest in flexible HMO variants, however, and the intellectual force of the HMO critique of mainstream practices remains strong. Moreover, the federal government has shown new interest in prospective reimbursement of hospitals--a proposal that draws from both HMOs--competition--and hospital rate-setting programs--regulation--the element of prospectivity.     

Differences in perceived seriousness of overt and covert road traffic offenses

Attitudes towards the perceived seriousness of road traffic offenses were studied as a function of the age and sex of drivers. Ratings of seriousness of 31 verbalized offenses were analyzed using detection theory parameters to study sensitivity and bias effects in the discrimination of “overt” and “covert” offenses. Overt offenses were defined as those which are immediately obvious to a casual observer, such as jumping red traffic lights. Covert offenses are those not so easily observable, such as driving a defective vehicle. The latter are inherently more hazardous, because they do not allow other road users to adopt appropriate margins of safety. The results indicated that young male drivers were relatively insensitive in discriminating between overt and covert offenses compared with other subgroups of drivers tested. Instructions which directed drivers to judge the offenses from the standpoints of personal responsibility, or involvement in, or the social consequences of, any accidental outcome, increased sensitivity relative to no such instructions being given. Analysis of the rating data itself showed that, overall, overtly offensive driving was considered less serious than covertly offensive driving. This was particularly the case for male and younger drivers. Possible implications of the results for legal sanctioning and other accident countermeasures are discussed.     

Reviews

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Jiri Kosta, Abriss der sozialökonomischen Entwicklung der Tschechoslowakei 1945–1977 (An Outline of the Socio‐Economic Development of Czechoslovakia 1945–1977), Edition Suhrkamp No. 974, Suhrkamp Verlag, Frankfurt am Main 1978, 217 pp.

Vladimir V. Kusin, From Dub?ek to Charter 77: A study of ‘normalisation’ in Czechoslovakia 1968–1978. Edinburgh: Q Press, 1978. x + 353 pp. £8.50.

Leon Boim and Glenn G. Morgan (ed. & trans.), The Soviet Procuracy Protests: 1937–1973; A Collection of Translations. Alphen aan den Rijn: Sijthoff & Noordhoff, 1978. xvi + 603 pp. Dfl. 190.00/$88.50.

Gordon B. Smith, The Soviet Procuracy and the Supervision of Administration. Alphen aan den Rijn: Sijthoff and Noordhoff, 1978. xii + 154 pp. Dfl. 55.00/$25.50.

Peter Kenez, Civil War in South Russia, 1919–1920: The Defeat of the Whites. Berkeley: University of California Press, 1977. $17.50; £12.25.

Kendall E. Bailes, Technology and Society under Lenin and Stalin: Origins of the Soviet Technical Intelligentsia, 1917–1941. Princeton, N.J.: Princeton U.P., 1978. xiii + 472 pp. £20.10.

Delia W. Sheldon (ed.), Dimensions of Détente, New York: Praeger Publishers, 1978, 221 pp.

George Ginsburgs and Alvin Z. Rubinstein (eds.), Soviet Foreign Policy Toward Western Europe, New York: Praeger Publishers, 1978, 295 pp.

Malcolm Lader, Psychiatry on Trial, Penguin Books Ltd., 1977. 201 pp. 80p.

George F. Putnam, Russian Alternatives to Marxism: Christian Socialism and Idealistic Liberalism in Twentieth‐Century Russia. Knoxville: University of Tennessee, 1977. xii + 233 pp. $13.50.

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Aron Katsenelinboigen, Studies in Soviet Economic Planning. New York: M. E. Sharpe, 1978. xiii + 229 pp. $22.50.

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Barbara Evans Clements, Bolshevik Feminist. The Life of Aleksandra Kollontai. Bloomington and London: Indiana University Press, 1979. 352 pp. $15.00.     

Assessing Integrity Systems: Introduction to the Symposium

The following Symposium on Australia's national integrity systems, drawn from an Australian Research Council‐funded project conducted in 2002‐2004 by researchers from Griffith University, Charles Sturt University, University of Sydney, RMIT University, Monash University and the Australian National University, together with Transparency International Australia. The first three papers examine the public integrity regimes at federal, state (NSW) and local levels. The remaining four papers develop three themes as a framework for assessing strengths and weaknesses in Australia's major integrity regimes: consequences, capacity and coherence. The papers were originally presented in sessions of the Australasian Political Studies Association (University of Adelaide, September 2004) and the 5th National Investigation Symposium (NSW Ombudsman, Independent Commission Against Corruption and Institute of Public Administration Australia NSW, Sydney, November 2004).     

From Greek Temple to Bird's Nest: Towards A Theory of Coherence and Mutual Accountability for National Integrity Systems

Since the 1990s, recognition has grown that the answer to corruption–political, bureaucratic or corporate–does not lie in a single institution, let alone a single law. Rather the institutionalisation of integrity through a number of agencies, laws, practices and ethical codes is increasingly recognised as the best option for limiting corruption in many societies. This article addresses the key issue of coherence between these various institutions, picking up on the third and final theme of the Australian national integrity system assessment. The assessment has shown, firstly, that concepts of ‘horizontal’ or ‘mutual’ accountability are important but also need to be developed and better contextualised as a framework for designing integrity systems; secondly, that integrity system coherence can be usefully measured and mapped using standard network analysis approaches, helping more clearly identify the need for more deliberate strategies for coordination of integrity policies; and thirdly, that new metaphors can and should be developed for communicating the nature and significance of the institutional interactions that constitute integrity systems. The new metaphor suggested here is that of a bird's nest, in which a multitude of often weak institutions and relationships can combine to more effectively protect and promote the fragile goal of public integrity.     

Pathologic features of fatal shark attacks

To examine the pattern of injuries in cases of fatal shark attack in South Australian waters, the authors examined the files of their institution for all cases of shark attack in which full autopsies had been performed over the past 25 years, from 1974 to 1998. Of the seven deaths attributed to shark attack during this period, full autopsies were performed in only two cases. In the remaining five cases, bodies either had not been found or were incomplete. Case 1 was a 27-year-old male surfer who had been attacked by a shark. At autopsy, the main areas of injury involved the right thigh, which displayed characteristic teeth marks, extensive soft tissue damage, and incision of the femoral artery. There were also incised wounds of the right wrist. Bony injury was minimal, and no shark teeth were recovered. Case 2 was a 26-year-old male diver who had been attacked by a shark. At autopsy, the main areas of injury involved the left thigh and lower leg, which displayed characteristic teeth marks, extensive soft tissue damage, and incised wounds of the femoral artery and vein. There was also soft tissue trauma to the left wrist, with transection of the radial artery and vein. Bony injury was minimal, and no shark teeth were recovered. In both cases, death resulted from exsanguination following a similar pattern of soft tissue and vascular damage to a leg and arm. This type of injury is in keeping with predator attack from underneath or behind, with the most severe injuries involving one leg. Less severe injuries to the arms may have occurred during the ensuing struggle. Reconstruction of the damaged limb in case 2 by sewing together skin, soft tissue, and muscle bundles not only revealed that no soft tissue was missing but also gave a clearer picture of the pattern of teeth marks, direction of the attack, and species of predator.