September 11th and U.S. Hegemony—Or Will the 21st Century Be American Too?

The tragedy of September 11 highlights the stark contrast between the real and measurable capabilities possessed by one state, and the almost inevitable resentments which the possession of those capabilities engendered in others. The purpose of this article is not to interrogate the strengths and weaknesses of arguments of American decline. Nor is it to speculate at length about September 11th. It is instead to set the scene and try and identify the underlying causes of America's transition from presumed crisis in the 1970s and 1980s to new self-confidence in the 1990s—a self-confidence that some now feel has been shattered by the events of September. While there were important structural reasons why the United States was unlikely to go the way of other powers, it was a peculiar conjuncture of mainly unforeseen developments that combined together after 1989 to improve the U.S. position within the world. We will then move on to discuss the most effective way of characterizing this position. Here, we will mount a defense of the somewhat contentious notion of "hegemony" While recognizing the problems associated with the idea, it will be argued that as a concept it has serious intellectual advantages over its various theoretical competitors. If nothing else, because it focuses on the American role within the world system, rather than just its statically defined position, it is theoretically more suggestive than the less dynamic idea of unipolarity.     

Book Review

Radical myths and superpower relations in the 1980s

A review of Mark Kaldor, Gerard Holden, and Richard Falk (eds), The New Detente: Rethinking East‐West Relations, Verso, London, 1989.

Paul Taylor and A.J.R. Groom, Global Issues in the United Nations Framework, Basingstoke, Hampshire, The MacMillan Press Ltd., 1989.

Roger A. Coate, Unilateralism, Ideology, and US Foreign Policy: The United States in and out of UNESCO, Lynne Reinner Publishers, London, 1988.

Bary Buzan, Morten Kelstnip, Pierre Lemaitre, Elzbieta Tromer, and Ole Weaver, The European Security Order Recast: Scenarios for the Post‐Cold War Era, Pinter Publishers, London & New York, 1990, pp.x. 282, £8.95 pbk, £30 hbk.     

Reviews

Terry L. Thompson & Richard Sheldon, eds, Soviet Society and Culture: Essays in Honor of Vera S. Dunham. Boulder, CO: Westview Press, 1988, xiii+290 pp., £21.00.

Michael Rywkin, Soviet Society Today. New York: M.E. Sharpe, 1989, xii+243 pp., $35.00 h/b, $12.50 p/b.

David Lane, Soviet Society Under Perestroika, London: Unwin Hyman, 1990, xv+401 pp., £40.00 h/b, £12.95 p/b.

Catherine Merridale, Moscow Politics and the Rise of Stalin: The Communist Party in the Capital, 1925–32. London: Macmillan, 1990, xv+328 pp., £47.50.

Roger Pethybridge, One Step Backwards, Two Steps Forward: Soviet Society and Politics under the New Economic Policy. Oxford: Clarendon Press, 1990, xi+453 pp., £48.00.

Francois Heisbourg, ed., The Strategic Implications of Change in the Soviet Union. London: Macmillan, 1990, vi+227pp., £40.00.

Neil Fodor, The Warsaw Treaty Organisation: a Political and Organizational Analysis. London: Macmillan, 1990, 235 pp., £40.00.

Gerald Segal, The Soviet Union and the Pacific. Boston, MA: Unwin Hyman, 1990, xiii+236 pp., £30.00 h/b, £10.95 p/b.

Philip S. Gillette & Willard C. Frank, Jr, eds, The Sources of Soviet Naval Conduct. Lexington, IN: Lexington Books, 1990, xvii+297 pp., $39.95.

Sylvia Woodby & Alfred B. Evans, Jr, eds, Restructuring Soviet Ideology: Gorbachev's New Thinking. Boulder, CO: Westview Press, 1990, 226 pp., £22.50.

Nikolai N. Petro, ed., Christianity and Russian Culture in Soviet Society. Boulder, CO: Westview Press, 1990, xi+244pp., £17.95 p/b.

David A. Dyker, Yugoslavia: Socialism, Development and Debt. London: Routledge, 1990, xi+201 pp., £30.00.

Agnes Heller & Ferenc Fehér, From Yalta to Glasnost. The Dismantling of Stalin's Empire. Oxford: Basil Blackwell, 1990, viii+288 pp., £35.00.

Elemer Hankiss, East European Alternatives. Oxford: Clarendon Press, 1990, xiv+319 pp., £35.00.

George Blazyca & Ryszard Rapacki, eds, Poland into the 1990s: Economy and Society in Transition. London: Pinter, 1991, x+148 pp., £27.50.

Michael D. Kennedy, Professionals, Power and Solidarity in Poland: A Critical Sociology of Soviet‐Type Society. Cambridge: Cambridge University Press, 1991, xiv+421 pp., £45.00, $59.50.

Graham Smith, ed., The Nationalities Question in the Soviet Union. London: Longman, 1990, x+389 pp., £22.50 h/b, £12.95 p/b.

James Muckle, Portrait of Soviet School under Glasnost. Basingstoke: Macmillan Press, 1990, ix+205 pp., £35.00.

Piers Beirne, ed., Revolution in Law: Contributions to the Development of Soviet Legal Theory, 1917–1938. Armonk, NY: M. E. Sharpe, 1990, xiii+202 pp., $49.95.

Richard M. Connaughton, The Republic of the Ushakovka: Admiral Kolchak and the Allied Intervention in Siberia, 1918–20. London: Routledge, 1990, ix+193 pp., £30.00.

Vitaut Kipel & Zora Kipel, eds, Byelorussian Statehood—Reader and Bibliography. New York: Byelorussian Institute of Arts and Sciences, 1988, 398 pp.     

When silence threatens safety: lessons from the first Canberra Hospital neurosurgical inquiry

Despite widespread institutional and professional support, the recommendations of the Bristol Royal Infirmary Inquiry may be insufficient to reduce patient risk from impaired senior medical practitioners. Using the First Inquiry into Neurosurgical Services at the Canberra Hospital as a case study, this article argues that the Bristol-type recommendations--which emphasise reformulation of clinical governance structures, including early reporting of "sentinel events" and compulsory clinical audits--will be ineffective without a reformed institutional ethos that encourages open transparency and respect for those committed to such processes. Such reformulation may need to commence in medical education and involve new strategies including the use of portable digital technology to facilitate self-assessment of performance and immediate reporting of adverse incidents.