The book, illustrated with case examples, identifies and makes explicit the often diverse values of those involved in healthcare commissioning, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by those engaged in making decisions.
China’s approach to nuclear deterrence has been broadly consistent since its first test in 1964, but it has recently accelerated nuclear force modernization. China’s strategic environment is likely to grow more complex, and nuclear constituencies are gaining a larger bureaucratic voice. Beijing is unlikely to change official nuclear policies but will probably increase emphasis on nuclear deterrence and may adjust the definition of key concepts.
Health and social care commissioning is a values-driven as well as evidence-driven enterprise. However, whereas there has been an expectation that the evidence-base of commissioning should be made fully explicit, the corresponding values-base has been left largely implicit. The book addresses this subject through a detailed discussion of values and values-based practice, illustrated with case examples, and by developing a critique of existing commissioning. This approach enables commissioners to identify and make explicit the often diverse values of all those involved, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by all those engaged in making commissioning decisions. This will be essential reading for doctors, both experienced and in training, commissioning managers, professional staff in NHS Foundation Trusts and the private sector and all 'at the sharp' end of practice.
In The Military Lens, Christopher P. Twomey shows how differing military doctrines have led to misperceptions between the United States and China over foreign policy—and the potential dangers these might pose in future relations. Because of their different strategic situations, histories, and military cultures, nations may have radically disparate definitions of effective military doctrine, strategy, and capabilities. Twomey argues that when such doctrines—or "theories of victory"—differ across states, misperceptions about a rival's capabilities and intentions and false optimism about one's own are more likely to occur. In turn, these can impede international diplomacy and statecraft by making it more difficult to communicate and agree on assessments of the balance of power. When states engage in strategic coercion—either to deter or to compel action—such problems can lead to escalation and war. Twomey assesses a wide array of sources in both the United States and China on military doctrine, strategic culture, misperception, and deterrence theory to build case studies of attempts at strategic coercion during Sino-American conflicts in Korea and the Taiwan Strait in the early years of the Cold War, as well as an examination of similar issues in the Arab-Israeli conflict. After demonstrating how these factors have contributed to past conflicts, Twomey amply documents the persistence of hazardous miscommunication in contemporary Sino-American relations. His unique analytic perspective on military capability suggests that policymakers need to carefully consider the military doctrine of the nations they are trying to influence.
China’s approach to nuclear deterrence has been broadly consistent since its first test in 1964, but it has recently accelerated nuclear force modernization. China’s strategic environment is likely to grow more complex, and nuclear constituencies are gaining a larger bureaucratic voice. Beijing is unlikely to change official nuclear policies but will probably increase emphasis on nuclear deterrence and may adjust the definition of key concepts.
Naval modernization is an extremely expensive, time-consuming, and a relatively rare phenomenon. Scholars have proposed various arguments to explain this process ranging from bureaucratic politics, to nationalism, and to the security dilemma. The Nexus of Naval Modernization in India and China demonstrates that from 1990 until 2020, the primary driver of naval modernization resulted from a strategic rivalry. Key to strategic rivalries is perceived threat perceptions that cause decision makers to prepare for worst-case scenarios when trying to decipher their enemy's behaviour. When a state believes it is threatened by a rival's naval power it is likely to pursue its own form of naval modernization for self-protection. Importantly, rivalries do not exist in a vacuum and are frequently linked. This project will reveal how the interconnected nature of rivalries can also cause naval modernization. Through a close examination of scholarly works, government documents, and in-depth focused interviews with experts based in India, China, Australia, and the U.S. Colley argues that while strategic rivalry is not the only driver of naval modernization, it is the most compelling explanation. Other arguments are frequently embedded within the strategic rivalry model and thus are best seen as only partial drivers. This study contributes to the rivalry research program as well as the policy and security studies literatures.
Long constrained as a security actor by constitutional as well as external factors, Japan now increasingly is called to play a greater role in stabilizing both the Asia-Pacific region and the entire international system. Japan's Security Agenda explores the country's diplomatic, political, military, and economic concerns and policies within this new context.
China's approach to nuclear deterrence has been broadly consistent since its first nuclear test in 1964. Key elements are its no-first-use policy and reliance on a small force of nuclear weapons capable of executing retaliatory strikes if China is attacked. China has recently accelerated nuclear force building and modernization, and both international and domestic factors are likely to drive faster modernization in the future. Chinese nuclear planners are concerned by strategic developments in the United States, especially the deployment of missile defenses. Within the region, Beijing is also an actor in complex multilateral security dynamics that now include several nuclear states, and the improving nuclear capabilities of China's neighbors, especially India, are a growing concern for Beijing. Constituencies for nuclear weapons have gained in bureaucratic standing within the People's Liberation Army (PLA). With few, if any, firewalls between China's conventional and nuclear missile forces, new technologies developed for the former are already being applied to the latter, a trend that will almost certainly continue. Given these changes, China is likely to increase emphasis on nuclear deterrence, accelerate nuclear force modernization, and make adjustments (although not wholesale changes) to policy"--Publisher's description.
Is Japan re-emerging as a normal, or even a great, military power in regional and global security affairs? This Adelphi Paper assesses the overall trajectory of Japan’s security policy over the last decade, and the impact of a changing Japanese military posture on the stability of East Asia. The paper examines Japan’s evolving security debate, set against the background of a shifting international environment and domestic policymaking system; the status of Japan’s national military capabilities and constitutional prohibitions; post-Cold War developments in the US Japan alliance; and Japan’s role in multilateral regional security dialogue, UN PKO, and US-led coalitions of the willing. It concludes that Japan is undoubtedly moving along the trajectory of becoming a more assertive military power, and that this trend has been accelerated post-9/11. Japan is unlikely, though, to channel its military power through greatly different frameworks than at present. Japan will opt for the enhanced, and probably inextricable, integration of its military capabilities into the US Japan alliance, rather than pursuing options for greater autonomy or multilateralism. Japan’s strengthened role as the defensive shield for the offensive sword of US power projection will only serve to bolster US military hegemony in East Asia and globally.
Japan is emerging as a more prominent global and regional military power, defying traditional categorisations of a minimalist contribution to the US-Japan alliance, maintaining anti-militarism, seeking an internationalist role, or carving out more strategic autonomy. Instead, this Element argues that Japan has fundamentally shifted its military posture over the last three decades and traversed into a new categorisation of a more capable military power and integrated US ally. This results from Japan's recognition of its fundamentally changing strategic environment that requires a new grand strategy and military doctrines. The shift is traced across the national security strategy components of Japan Self-Defence Forces' capabilities, US-Japan alliance integration, and international security cooperation. The Element argues that all these components are subordinated inevitably to the objectives of homeland security and re-strengthening the US-Japan alliance, and thus Japan's development as international security partner outside the ambit of the bilateral alliance remains stunted. This title is also available as Open Access on Cambridge Core.
The reforms of the Soviet and Chinese communist regimes were unparalleled-both in the radical, precedent-setting reforms attempted by the two countries and in the outcomes of these attempts. While the Soviet Union collapsed quickly in the midst of its reforms, more than a decade later China, the world's most populous country, still stands as a testament to the resilience of Communist rule. It is this phenomenon that Christopher Marsh explores in Unparalleled Reforms. Marsh goes beyond simply discussing the differing initial conditions, the sequencing of reform, and cultural differences to also consider the objectives and intentions of the policy makers and leaders that directed the reform processes and the interdependent nature of politics on the world stage. Unparalleled Reforms offers the reader a sophisticated understanding of the nature of political reform and develops a theoretical model that can account for commonly overlooked factors that affect political processes in all types of political systems. In a class all its own, this is an important work for scholars interested in comparative politics, international relations, economics, Asian studies, and Russian studies.
Is Japan re-emerging as a normal, or even a great, military power in regional and global security affairs? This Adelphi Paper assesses the overall trajectory of Japan’s security policy over the last decade, and the impact of a changing Japanese military posture on the stability of East Asia. The paper examines Japan’s evolving security debate, set against the background of a shifting international environment and domestic policymaking system; the status of Japan’s national military capabilities and constitutional prohibitions; post-Cold War developments in the US Japan alliance; and Japan’s role in multilateral regional security dialogue, UN PKO, and US-led coalitions of the willing. It concludes that Japan is undoubtedly moving along the trajectory of becoming a more assertive military power, and that this trend has been accelerated post-9/11. Japan is unlikely, though, to channel its military power through greatly different frameworks than at present. Japan will opt for the enhanced, and probably inextricable, integration of its military capabilities into the US Japan alliance, rather than pursuing options for greater autonomy or multilateralism. Japan’s strengthened role as the defensive shield for the offensive sword of US power projection will only serve to bolster US military hegemony in East Asia and globally.
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