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Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.
Following democracy’s global advance in the late twentieth century, recent patterns of democratic “backsliding” have generated extensive scholarly debate. Since backsliding towards autocracy is often the work of elected leaders operating within democratic institutions, it challenges conventional thinking about democratic consolidation, the enforcement of institutional checks and balances, and the reproduction of democratic norms. Drawing insights from classic literature on democratic transitions and consolidation, this volume examines the nature of contemporary threats to democracy, recognizing that the central challenge is not always to induce the compliance of those who lose elections, but rather those who emerge victorious and turn the institutional leverage of incumbency into a source of ongoing competitive advantage. There is, then, both a “loser’s dilemma” and a “winner’s dilemma” embedded in the study of democratic resiliency. Patterns of backsliding have revealed the contingent and potentially contested underpinnings of democratic institutions in any political order, given the presence (whether latent or active) of authoritarian political and cultural currents. Democracy is, therefore, best understood not as a standardized regime template or a static endpoint of political development, but rather as a dialectical frontier that advances ‒ and sometimes recedes ‒ according to the dynamic interplay countervailing forces.
As explained in Chapter 1, state institutions are inevitably transformed into sites of regime contestation between democratic and autocratic forces when democratic backsliding is threatened or underway. That is especially the case in social and political contexts where exclusionary forms of majoritarian rule or ethnonationalism contest liberal and pluralist civil societies. The challenge for scholars is to identify the conditions under which key institutional sites serve as bastions of democratic accountability and resilience, and how and when these sites can be neutralized or even transformed into weapons of autocratization. Often referred to as “referee institutions” (such as constitutional courts and electoral commissions) and tools of horizontal accountability for checking executive aggrandizement (including ombudsman, investigative bureaus, and information commissions), key state agencies must be sufficiently capacious and nonpartisan to serve as guardrails in times of democratic contestation and regime uncertainty.
Following democracy's global advance in the late 20th century, recent patterns of democratic erosion or 'backsliding' have generated extensive scholarly debate. Backsliding towards autocracy is often the work of elected leaders operating within democratic institutions, challenging conventional thinking about the logic of democratic consolidation, the enforcement of institutional checks and balances, and the development and reproduction of democratic norms. This volume tackles these challenges head-on, drawing theoretical insights from classic literature on democratic transitions and consolidation to help explain contemporary challenges to democracy. It offers a comparative perspective on the dynamics of democratic backsliding, the changing character of authoritarian threats, and the sources of democratic resiliency around the world. It also integrates the institutional, civil society, and international dimensions of contemporary challenges to democracy, while providing coverage of Western and Eastern Europe, South and Southeast Asia, Africa, Latin America, and the United States.
Mounting evidence suggests that Latin American democracies are characterized by politics and societies becoming more divisive, confrontational, and polarized. This process, which we define here as the “new polarization” in Latin America, seems to weaken the ability of democratic institutions to manage and resolve social and political conflicts. Although recent scholarship suggests that polarization is integral to contemporary patterns of democratic “backsliding” seen in much of the world, this new polarization in the region has not yet received systematic scholarly attention. Aiming to address this gap in the literature, the different contributions in this special issue revise the conceptualization, measurement, and theory of a multidimensional phenomenon such as polarization, including both its ideological and affective dimensions, as well as perspectives at the elite and mass levels of analysis. Findings shed light on the phenomenon of polarization as both a dependent and an independent variable, contributing to comparative literature on polarization and its relationship to democratic governance.
Modern psychometric methods make it possible to eliminate nonperforming items and reduce measurement error. Application of these methods to existing outcome measures can reduce variability in scores, and may increase treatment effect sizes in depression treatment trials.
Aims
We aim to determine whether using confirmatory factor analysis techniques can provide better estimates of the true effects of treatments, by conducting secondary analyses of individual patient data from randomised trials of antidepressant therapies.
Method
We will access individual patient data from antidepressant treatment trials through Clinicalstudydatarequest.com and Vivli.org, specifically targeting studies that used the Hamilton Rating Scale for Depression (HRSD) as the outcome measure. Exploratory and confirmatory factor analytic approaches will be used to determine pre-treatment (baseline) and post-treatment models of depression, in terms of the number of factors and weighted scores of each item. Differences in the derived factor scores between baseline and outcome measurements will yield an effect size for factor-informed depression change. The difference between the factor-informed effect size and each original trial effect size, calculated with total HRSD-17 scores, will be determined, and the differences modelled with meta-analytic approaches. Risk differences for proportions of patients who achieved remission will also be evaluated. Furthermore, measurement invariance methods will be used to assess potential gender differences.
Conclusions
Our approach will determine whether adopting advanced psychometric analyses can improve precision and better estimate effect sizes in antidepressant treatment trials. The proposed methods could have implications for future trials and other types of studies that use patient-reported outcome measures.
Although populist figures are often thought to thrive during crises that allow them to ‘perform’ decisive leadership, the US experience under Donald Trump during the COVID-19 crisis demonstrates that the opposite may sometimes occur. Despite its scientific and medical prowess, the US suffered more coronavirus cases and deaths than any other country in the world during the first year of the pandemic, and this abysmal performance was largely attributable to a failure of government. Fixated on the pandemic's economic effects and its potential political fallout, the Trump administration's framing of the crisis tried to minimize the public health emergency, externalize blame through a focus on the Chinese scapegoat and accuse the media and Democrats of hyping the pandemic to undermine Trump's presidency. In responding to the pandemic, Trump and his allies cast doubt on scientific and medical expertise that called for more aggressive testing, mask wearing and social-distancing measures. Trump delegated responsibility for crisis management to subnational governments and the private sector, and he politicized their efforts to regulate social behaviour in the public interest, intensifying partisan polarization.
When and why do legislatures impeach presidents? We analyse six cases of attempted impeachment in Paraguay, Brazil and Peru to argue that intra-coalitional politics is central to impeachment outcomes. Presidents in Latin America often govern with multiparty, ideologically heterogeneous coalitions sustained by tenuous pacts. Coalitions are tested when crises, scandals or mass protests emerge, but presidents can withstand these threats if they tend to allies’ interests and maintain coalitions intact. Conversely, in the absence of major threats, presidents can be impeached if they fail to serve partners’ interests, inducing allies to support impeachment as acts of opportunism or self-preservation.
Recent patterns of democratic “backsliding” around the world have followed in the wake of a generalized weakening of organized labor under the modern, globalized variant of capitalism. Scholars have long debated whether and how labor contributes to the construction of democratic regimes and the expansion of social citizenship rights, but the current period makes it abundantly clear that democratic advances are always subject to reversal. As such, it is imperative to interrogate labor’s role in the defense of democratic rights and liberties, and not merely the introduction or expansion of those rights.These questions call for a multi-dimensional approach to the study of labor’s relationship to democracy, one that explores labor’s role in (1) constructing democratic regimes, (2) “deepening” democracy by expanding social citizenship rights, and (3) defending democracy against its adversaries and authoritarian currents in society.