The behavioural state: critical observations on technocracy and psychocracy

A ‘Behavioural Insights’ movement has emerged within governments. This movement infuses policymaking with behavioural scientific insights into the rationally bounded nature of human behaviour, hoping to make more effective and cost-efficient policies without being too obtrusive. Alongside sustained admirations of some, others see in Behavioural Insights the threatening revival of technocracy, and more particularly a ‘psychocracy’: a mode of public decision-making that wrongfully reduces the world of policymaking to a rational-instrumental and top-down affair dictated by psychological expertise. This article argues, however, that the claims of technocracy and psychocracy are overgeneralizations, emanating from a frontstage-focused debate that ignores a vast backwater of emerging behavioural policy practices. Grounded in four case studies on behavioural policymaking in Dutch governance, it will be demonstrated that at least part of this backwater is neither so technocratic nor so psychocratic as the critics claim.     

No-show at a forensic psychiatric outpatient clinic: risk factors and reasons

Nonattendance for and late cancellations of scheduled appointments, that is no-show, is a well-known phenomenon in psychiatric outpatient clinics. Research on the topic of no-show for initial and consecutive appointments in the field of forensic psychiatry is scarce. This study therefore aims to determine the prevalence and causes of no-show and to explore reasons for nonattendance. The study was carried out in an outpatient clinic in northern Netherlands. Telephone interviews were administered to 27 no-show clients, 84 follow-up no-show clients, and 41 attendees of 18 years and older. A no-show rate of 24.9% and a follow-up no-show rate of 9.8% was found. The majority of appointments missed were in the beginning phase of clinic contact. No-show clients were younger than their attending counterparts and more often dropped out from clinic contact. Also, less family social support was experienced by nonattendees. Reasons for nonattendance were having forgotten about appointment and work commitments.