108 research outputs found

    IR and the state of nature: the cultural origins of a ruling ideology

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    This article argues that the modern concept of the state of nature as the defining claim of IR theory was developed in the course of the intercultural/international encounter between the Spaniards and the Amerindian peoples after the discovery of America. The analysis of the Spanish debate at the time demonstrates that the concept of the state of nature was itself the product of a highly charged moral discourse. Its continuous and unreflected use in the discipline of International Relations, where it supposedly describes a precultural, presocial, premoral condition between states, therefore hides the cultural, social and moral meanings the concept carries with it and suppresses a normative discourse of International Relations past and present

    Barbarian thoughts: Imperialism in the philosophy of John Stuart Mill

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    Interventions in foreign countries to promote liberal objectives are bound to fail due to the internal contradictions within liberalism itself

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    Should the EU and the United States intervene in sovereign states such as Iraq to promote democracy, free trade and other liberal objectives? Beate Jahn writes that this form of intervention, often termed ‘liberal internationalism’, has at best produced mixed results in states where it has been pursued. She argues that while these failures have typically been explained in terms of inadequate policy design or implementation, the real reason they fail is that the doctrine of liberalism itself contains a number of internal contradictions. Chief among these are that liberal states promote free trade abroad while retaining protectionism at home, and that liberal states advocate economic policies which are against the interests of the populations in foreign countries – thereby contradicting the promotion of democracy

    Liberal internationalism: historical trajectory and current prospects

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    Liberal internationalism has been in crisis for a while now. Yet, until recently its supporters have argued that its prospects are better than ever since the successful spread of liberal principles, practices and institutions in the international sphere provides the necessary basis for reform. Alas, recent political developments do not support these expectations. In fact, the Brexit vote, the Trump election, and the rise of populism more generally challenge liberalism in the domestic sphere and aim to unravel its international achievements. But the idea that these movements are therefore liberalism's nemesis does not quite follow. Providing a theoretical and historical analysis of liberalism, this article shows that the separation of domestic and international politics is constitutive of liberalism itself. The successful extension of liberal principles into the international sphere undermines this separation and thus liberalism itself. Ironically, therefore, the prospects of liberal internationalism are dependent on the reestablishment of a clear divide between domestic and international politics. And this, I argue, is precisely the goal of contemporary populist movements

    Theorizing the political relevance of international relations theory

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    Two broad positions—the “gap-bridgers” and the “gap-minders”—dominate the current debate on the (lack of) political relevance of International Relations (IR) theory. Missing from this debate, however, is a broader theoretical framework for contextualizing—and moving beyond—their disagreements. Hence, this article provides a theoretical account of the relationship between politics and knowledge. It shows that, in the modern context, scientific knowledge achieves political relevance by distancing itself—through theorizing—from the particularities of politics. This paradoxical relationship gives rise to three different dimensions of political relevance, which operate at different levels of abstraction. Metatheory plays a crucial role in constituting the modern conception of politics; theories establish concrete political spaces; and empirical studies can influence specific policies. Taking this context into account, moreover, calls for a reassessment of core features of the discipline: its supposed poverty, fragmentation, and immaturity are common features of all modern sciences; they function as a driver of scientific progress; and metatheoretical debates address the political dimension of the modern sciences. Hence, the source of IR’s political relevance lies in its theoretical foundations. Abandoning theory in favor of policy-oriented studies would simultaneously undermine the discipline’s policy relevance and its standing as a modern science

    Rethinking democracy promotion

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    Despite the fact that democracy promotion is a major part of liberal foreign policies, the discipline of International Relations has not paid much systematic attention to it. Conversely, the study of democracy promotion is dominated by comparative politics and pays hardly any attention to the international system. This mutual neglect signifies a core weakness in the theory and practice of democracy promotion: its failure to comprehend the development of liberal democracy as an international process. This article argues that a thorough engagement with John Locke explains the failures of democracy promotion policies and provides a more comprehensive understanding of the development of liberal democrac

    Algorithms to identify COPD in health systems with and without access to ICD coding: a systematic review

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    Background Chronic obstructive pulmonary disease (COPD) causes significant morbidity and mortality worldwide. Estimation of incidence, prevalence and disease burden through routine insurance data is challenging because of under-diagnosis and under-treatment, particularly for early stage disease in health care systems where outpatient International Classification of Diseases (ICD) diagnoses are not collected. This poses the question of which criteria are commonly applied to identify COPD patients in claims datasets in the absence of ICD diagnoses, and which information can be used as a substitute. The aim of this systematic review is to summarize previously reported methodological approaches for the identification of COPD patients through routine data and to compile potential criteria for the identification of COPD patients if ICD codes are not available. Methods A systematic literature review was performed in Medline via PubMed and Google Scholar from January 2000 through October 2018, followed by a manual review of the included studies by at least two independent raters. Study characteristics and all identifying criteria used in the studies were systematically extracted from the publications, categorized, and compiled in evidence tables. Results In total, the systematic search yielded 151 publications. After title and abstract screening, 38 publications were included into the systematic assessment. In these studies, the most frequently used (22/38) criteria set to identify COPD patients included ICD codes, hospitalization, and ambulatory visits. Only four out of 38 studies used methods other than ICD coding. In a significant proportion of studies, the age range of the target population (33/38) and hospitalization (30/38) were provided. Ambulatory data were included in 24, physician claims in 22, and pharmaceutical data in 18 studies. Only five studies used spirometry, two used surgery and one used oxygen therapy. Conclusions A variety of different criteria is used for the identification of COPD from routine data. The most promising criteria set in data environments where ambulatory diagnosis codes are lacking is the consideration of additional illness-related information with special attention to pharmacotherapy data. Further health services research should focus on the application of more systematic internal and/or external validation approaches
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