Book reviews

Michael Waller, Peace, Power and Protest: Eastern Europe in the Gorbachev Era, London: Institute for the Study of Conflict, 1988 (Conflict Study No.209). Pp.27. £5.50.

Paul Leventhal and Yonah Alexander (eds.), Nuclear Terrorism: Defining the Threat. Washington: Pergamon‐Brassey's, 1986. Pp.vii + 218. NP.

Paul Leventhal and Yonah Alexander (eds.), Preventing Nuclear Terrorism. Lexington, MA: Lexington Books, 1987. Pp.xviii + 472. NP.

Paul Wilkinson and Alasdair M. Stewart (eds.), Contemporary Research on Terrorism. Aberdeen: Aberdeen University Press, 1987. Pp.xx + 634. £45.

Richard E. Rubenstein, Alchemists of Revolution: Terrorism in the Modern World. New York: Basic Books, 1987. Pp.ix + 272. $17.95.

James Adams, Secret Armies. London: Hutchinson, 1988. Pp.440. £14.95.

David C. Martin and John Walcott, Best Laid Plans: The Inside Story of America's War Against Terrorism. New York: Harper & Row, 1988. Pp. 392 $22.50.     

Medical Error and Patient Safety: Understanding Cultures in Conflict

Evidence documenting the high rate of medical errors to patients has taken a prominent place on the health care radar screen. The injuries and deaths associated with medical errors represent a major public health problem with significant economic costs and erosion of trust in the health care system. Between 44,000 and 98,000 deaths due to preventable medical errors are estimated to occur each year, making medical errors the eighth leading cause of death in the United States. However, the recent prominence of the issue of safety or error does not reflect a new phenomenon or sudden rift in the quality of health care (although it is a system fraying at the edges). Rather, the prominence of the issue reflects a radical change in the culture of health care, and in how relationships within the health care system are structured and perceived. In this paper, I discuss the multiple factors responsible for the change in the culture of health care. First, the culture has shifted from a clinician cantered system, in which decision making is one–sided, to a shared system of negotiated care between clinician and patient, and, often, between administrator or payer. Second, the nature of quality in health care has changed due to the geometric increase in the availability of technological and pharmaceutical enhancements to patient care. Third, the health care culture continues to rely on outdated models of conflict resolution. Finally, the regulatory structure of health system oversight was set in place when fee–for–service care governed physician–patient relationships and where few external technologies were available. In the current health care culture, that structure seems inadequate and diffuse, with multiple and overlapping federal and state regulatory structures that make implementation of patient safety systems difficult.     

Race and Determinations of Discrimination: Vigilance,Cynicism, Skepticism,and Attitudes about Legal Mobilization in Employment Civil Rights

What factors affect whether ordinary citizens believe that workplace decisions involving African‐American employees rise to the level of discrimination? When do observers believe targets of possible race discrimination should consider mobilizing the law? We use a factorial design vignette study administered to a nationally representative sample of 2,087 ordinary people to address these questions. The “vigilance hypothesis” predicts that minorities will be more likely to perceive discrimination than whites. Our analysis partially confirms this: African Americans perceive anti‐Black discrimination at higher rates than do whites and Latinos, while Latinos do not show a significant difference from whites. Where respondents believe discrimination occurred, we analyze what influences whether respondents might recommend legal mobilization. The “cynicism hypothesis” suggests that people of color may be less likely to favor using law. We find, however, that African‐American and Latino respondents express more confidence in civil litigation, compared to whites. Further, African Americans express the strongest support for legal mobilization (recommending that a “friend” contact an attorney), while whites and Latinos do not differ in mobilization recommendations.     

Manifestos and elections in Ghana's Fourth Republic

Debate continues over the factors that influence electoral outcomes or voter behaviour and alignment in elections all over the world. Several factors have been noted, including the manifestos of political parties. In spite of the potential influence of the party manifesto, several comparative and empirical studies on elections in Ghana have paid little or no attention to manifestos in determining the electoral outcomes of political parties in the Fourth Republic.This paper makes a contribution to the debate by examining how manifestos have influenced the electoral chances of the two main political parties which have been in and out of government in Ghana since the inception of the Fourth Republic, namely, the National Democratic Congress and the New Patriotic Party. Analysis covers the five elections held in 1992, 1996, 2000, 2004 and 2008. Specifically, it discusses not only the ability of the manifestos to shape policy debate but also to some extent, influence electoral outcomes. The paper concludes with some lessons learned.     

Characteristics of Medical Examiner/Coroner Offices Accredited by the National Association of Medical Examiners

The National Association of Medical Examiners accredits medical examiner and coroner offices. Approximately 60 offices were fully or provisionally accredited as of late 2011, and these offices serve one‐quarter of the U.S. population. The calculated average population served was 1.6M but ranged from 0.3 to 10.5M. The calculated mean death rate was 794 deaths/100K population, and the mean homicide rate was 7.2 homicides/100K population. The calculated mean budget was $4.35M, but budgets ranged from $0.67 to $26.8M. The calculated mean budget/capita was $3.02 but ranged from $0.62 to $10.22. The average size of the facility was under 30,000 sq. ft. The calculated average staffing was found to include five forensic pathologists, four and a half autopsy technicians, and nine investigators. The mean forensic pathologists/1M population was 3.7. Calculated workload indices included 222 autopsies/pathologist and an autopsy rate of 77.6/100K population. These results show that offices of every size can achieve accreditation.     

Terrorism and Democracy: Perpetrators and Victims

Most observers believe that the 'democratic rules of the game' provide a peaceful means for resolving political conflicts. This may be true but not all groups or even single individuals in democratic societies need play by these rules. This analysis uses two data sets: one that classifies most countries of the world based on how they were ruled in the mid-1980s, and the other on the frequency with which their nationals either perpetrated or were victimized by terrorists attacks, to investigate the relationship between terrorism and democracy. The findings suggest that stable democracy and terrorism go together. An analysis of the data reveal that terrorist attacks occur most often in the world's most stable democracies, and that, further, both the perpetrators and victims of those attacks are citizens of the same democracies.     

The social and religious characteristics of suicide bombers and their victims

Using data collected by the National Security Studies Center at the University of Haifa, the authors provide social profiles of Palestinian suicide bombers and their largely Israeli victims. In addition, drawing on a series of public opinion polls, the writers describe the reactions of Israeli citizens to the wave of suicide bombings the country has experienced since the beginning of the Al Aqsa intifada in the second half of 2000.     

Political parties and the formation of terrorist groups

Where do modern terrorist group come from? How do they begin? This article establishes that most often they emerge from political parties. An effort is made to identify the relevant types of parties and the internal party dynamics which may have led to terrorist activity. Also, it is asserted that party‐terrorist group links are most likely to occur in nations whose political systems are going through episodes of regime transformation.     

Review Symposium: Interdisciplinary Readings of Ari Z. Bryen's Violence in Roman Egypt: Where Law,Violence, and Culture Collide: A Sociolegal Reading of Violence in Everyday Life

Bryen, Ari Z. 2013 . Violence in Roman Egypt: A Study of Legal Interpretation . Philadelphia, PA: University of Pennsylvania Press. Pp. 376. $75.00 cloth; $75.00 eBook. This comment considers Ari Bryen's Violence in Roman Egypt (2013) from sociological and sociolegal perspectives. Although Bryen is a historian, and his site of inquiry is second‐century Roman Egypt, he turns to contemporary sociologists and law and society scholars to highlight the interplay between law and the social world in the construction of violence. In doing so, he finds a new way to analyze the role of law as a cultural resource for nonelites to make sense of their social world but also to change it (albeit with limits) through law.