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This conclusion synthesizes the book’s investigation into the puzzle of insincere coercion: why states often adopt coercive strategies they expect and/or intend to fail. Reviewing the book’s multimethod approach, the chapter first revisits the militarized conflict model and the four distinct rationales for insincere coercion introduced in Chapter 1. It then highlights the quantitative findings from the Coercion in Interstate Militarized Conflict (CIMC) database introduced in Chapter 2, which demonstrate that insincere coercion is frequent, occurring in a quarter of cases where the target resisted coercive demands. Furthermore, the broader empirical record since 1945 reveals that coercers successfully achieved their foreign policy objectives 59 percent of the time through the threat or use of violence. It further demonstrates how intentional coercion failure often contributed to foreign policy success. By consolidating insights from five detailed case studies, the book shows how and why decision-makers, rather than stumbling into war, may calculate that insincere coercion can facilitate obtaining foreign policy objectives unattainable through threats alone. The book offers lessons along with a critical framework for future foreign policy analysis.
This chapter provides the empirical evidence for the book’s theoretical framework by introducing a new Coercion in Interstate Militarized Conflict (CIMC) dataset. Comprising ninety-nine post-World War II crises from 1945 to 2018, the CIMC categorizes conflicts based on the coercer’s demands (major or minor), threats (denial or punishment), and outcomes. By filtering these historical cases through the militarized conflict model, the chapter systematically distinguishes between coercive diplomacy, military coercion, and overall foreign policy success or failure. The quantitative analysis reveals a pattern: while coercive strategies fail to secure target concessions in over half of the cases, coercers still achieve their broader foreign policy objectives 59 percent of the time, often by subsequently escalating to brute force. The chapter isolates forty-three instances where targets resisted and threats were imposed, identifying eleven distinct cases of “insincere coercion.” In these specific cases, coercers knowingly issued ultimatums they expected and/or intended to fail. By mapping these historical events onto the book’s four-part typology, mobilizing support, moving the goalposts, making an example, and restoring deterrence, this chapter validates that insincere coercion is a recurrent, rational, and consequential phenomenon in modern international conflict.
Paul Guyer, winner of the 2024 International Kant Prize, is one of the world's leading Kant scholars. This volume collects twelve of his essays on Kant's philosophy of Right, his political-legal philosophy, published since 2009. The essays definitely establish the foundation of Kant's philosophy of Right in his moral philosophy, and demonstrate the continuing need for motivation by respect for the moral law on the part of both those in positions of power and ordinary citizens in any government that aspires to the ideal of justice. The volume examines Kant's contribution to specific issues such as the separation of powers in a constitutional democracy and the separation of church and state, and concludes with two essays showing how John Rawls's well-known theory of justice is grounded on Kant's moral philosophy but could have benefited by attention to Kant's own doctrine of Right.
The use of restrictive care practices, such as physical restraint, seclusion and chemical restraint, is complex and controversial, posing ethical and legal dilemmas for healthcare professionals. These challenges often lead to reliance on subjective judgments, resulting in inconsistent clinical practices. This umbrella review synthesized findings from systematic reviews to identify and summarize key factors influencing healthcare practitioners’ decision-making regarding restrictive care practices in adult mental health inpatient settings. A comprehensive search of electronic databases and manual reference list reviews was conducted. Studies were screened using Covidence software, and eligible reviews underwent quality assessment with the JBI Critical Appraisal Checklist for Systematic Reviews. Only reviews reporting qualitative data on factors and contexts influencing clinician’s decision-making to implement restrictive care practices were included. The data were synthesized using inductive content analysis. The findings, presented in accordance with the PRIOR checklist, are based on 21 qualitative reviews. This review identified a wide range of contexts and actors influencing decision-making. Factors were grouped into five themes: healthcare professionals’ characteristics, service user-related factors, organizational and contextual factors, the involvement of other people and external elements such as international conventions, policies and cultural norms. Decision-making is shaped by the interplay of these factors, leading to variability in the application of restrictive care practices across healthcare settings. The findings emphasize the need for standardized frameworks to promote consistency in clinical practice. Addressing external pressures, such as organizational policies, staffing shortages, limited resources, time constraints and safety concerns, while providing healthcare professionals with appropriate tools and evidence-based guidelines, will support ethical, consistent and informed decision-making that aligns with best practices.
Preventing episodes involving aggression and reducing coercive measures are important goals in in-patient mental health settings. Antecedents may provide insight into how episodes are described to develop. However, most studies reflect staff perspectives, and often describe and temporally specify antecedents inconsistently.
Aims
This scoping review mapped reported antecedents to episodes involving aggression and episodes involving coercive measures, and identified which appeared shared or specific to either phenomenon.
Method
This review followed the Joanna Briggs Institute methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidance, and included 39 studies from systematic searches across Ovid Medline, APA PsycINFO and Scopus. Reported antecedents were extracted, standardised and mapped to six analytical domains.
Results
The review mapped 240 antecedents, many of which appeared shared across the phenomena. Patient studies emphasised experiences of restrictive care, loss of autonomy and poor interaction quality. Staff studies emphasised immediate, observable situations related to risk management, such as patient aggression, denied requests and interpersonal conflict. Most studies did not specify the temporal boundaries of antecedents.
Conclusions
The perspectives represented in studies and the ways antecedents are conceptualised influence which antecedents become visible in the literature. Overlapping antecedents indicate that episodes involving aggression and episodes involving coercive measures are often described as part of the same escalation process, although patient and staff studies seem to highlight different stages. Prevention efforts therefore require attention to the entire trajectory, and to the point at which staff perceive intervention as necessary. Future studies should incorporate both perspectives, prioritise patient involvement, and more clearly define and temporally specify antecedents.
I develop the notion of capital of violence, arguing that targeted physical force is the fifth, “forgotten capital” in Pierre Bourdieu’s theory of the four species of capital (economic, cultural, social and symbolic). Violence is a form of capital because it allows its perpetrators to capture streams of material and symbolic profit and because it is a constituent of social life irreducible to the other four species. It exists under three guises, embodied (aggressiveness, physical force), objectified (e.g., weapons, barracks) and institutionalized (gangs, militias, the police, the army, etc.). It can be accumulated, delegated and converted into other species of capital. Placed in the broader portfolio of efficient resources, it shapes social structure, strategy and experience. It also has three unique properties: it is most efficient when it is held in reserve, threatened but not enacted; it has the capacity to destroy other forms of capital; and it sits at the basis of economic capital. The capital of violence finds its subjective counterpart in the brutalized and brutalizing habitus with cognitive, emotive and conative components that incline one to deploy and withstand physical force. The violent habitus can be learned through osmosis in a violent milieu or through didactic teaching and intensive practice. I illustrate these propositions by examining the so-called Jewish “ghetto” of the occupied territories of Eastern Europe under Nazi rule as a closed ecology of domination in which violent capital accumulated and violent habituses thrived, resulting in the suffusive infliction of reticular and terroristic force. I close by drawing out the implications of this conceptual move for the study of violence and for Bourdieu’s theory of practice and power.
In this chapter, the authors focus on prescribing within those contexts most susceptible to coercion from the perspective of the clinician, the patient, and third parties when applicable. The chapter describes coercive elements that may play out in a wide variety of inpatient and outpatient settings, while also considering relationships between the clinician and patients, law enforcement, family and friends, and institutional administrators.
This chapter addresses a number of foundational issues in relation to the position of the modern liberal state and the use of techniques and procedures that can prevent the birth of a disabled child. It begins by explaining why the traditional approach to the ethics of selective reproduction is insufficient as it usually sidelines or minimises the role of the state, following on from a common assumption that the state is neutral. It then considers the meaning of a liberal commitment to neutrality, so that we can analyse and question this common assumption. Among other things, the chapter claims that the relevance of the role of the state is not limited to the use of coercive measures, and that we should focus on state intention. Although neutrality can be a matter of degree, and while there are different interpretations of a neutral state intention, the chapter suggests that the position of the state can be assessed by reference to certain central liberal commitments. In particular, the chapter examines the importance of individual choice as an essential commitment of the modern liberal state, and considers what choice should be available to prospective parents.
This chapter begins with a discussion of the objectives that states try to achieve in their relationships of threat and support, and then develops the theoretical framework regarding the network coevolution of enmity and amity. It considers why states form supportive relationships in the shadow of looming interstate and intrastatesecurity threats. It then posits the conditions in which the interplay of the intergroup and intragroup security dilemmas leads to coercion and subversion as rival states pursue wedge strategies and supporting states pursue control strategies. The argument focuses on interest congruence in a state’s support group as a key factor driving the use of wedge and control strategies. The arguments presented in this chapter form the basis for the hypotheses that are explored in the subsequent chapters.
Questions have been raised whether the patient organisations assessments of coercion – often critical – captures the breadth of patient experiences of coercion. Existing systematic reviews have not captured the full scope of reported experiences, necessitating a more comprehensive approach.
Aims
To identify the existing body of qualitative studies reporting patients’ experiences of coercion; map study distribution over time, regions, and type of coercion; and synthesise broad categories of reported experiences.
Method
The review protocol was preregistered (PROSPERO identifier CRD42021248744). We searched 12 databases (MEDLINE, Embase, APA PsycINFO, CINAHL, Web of Science, Sociological Abstracts, Scopus, ASSIA, Norart, SveMed+, OpenGrey.eu and Google Scholar) for qualitative studies published from 1 January 1991 to 3 June 2025. Peer-reviewed studies and approved doctoral theses were included. We used EPPI-Reviewer for screening, data extraction and coding. Study quality was assessed with a modified Critical Appraisal Skills Programme tool.
Results
We included 291 studies, 18 of them from low-and middle-income countries. The most studied coercive practices were involuntary admissions, coercive measures and community treatment orders. Quality concerns included limited author reflexivity and lack of involvement of experts by experience. At least one negative experience was reported in 279 of the studies, while mixed and positive experiences appeared in 166 and 167, respectively.
Conclusions
A large body of qualitative research reporting patient experiences of coercion exists, with a near-universal presence of negative experiences. Improved patient involvement in research, and more studies from low-and middle-income countries and on involuntary medication are needed.
This article examines how artificial intelligence (AI) challenges the international law principle of non-intervention by reshaping the concept of coercion. While sovereignty guarantees a state’s freedom to determine its own affairs, the prohibition on intervention protects that freedom from external coercion. Yet, although the International Court of Justice in the Nicaragua case identified coercion as the “very essence” of prohibited intervention, it left its scope uncertain, particularly for non-forcible acts. AI-enabled operations, including synthetic media and truth-based disinformation, exploit this uncertainty by influencing state decision-making without overt force. Drawing on Marko Milanović’s models of coercion and the Tallinn Manual, this article argues for an effects-based approach that focuses on whether AI deprives states of genuine decision-making autonomy. It concludes that non-intervention must evolve to protect both territorial sovereignty and the informational domain from algorithmic coercion.
Crisis planning based on stated treatment preferences should not be judged by trials that never verified delivery infrastructure. Lessons from UK joint crisis plans and advance choice documents (ACDs) suggest outcomes depend on facilitation, accessibility, specificity and exception governance. Japan should test ACDs as measurable crisis-care infrastructure, not paperwork.
Aggression is associated with inflicting damage. Anger underlies it. Links to coercion and dominance are described, as well as excitation transfer. Defensive/offensive aggression and predatory aggression are distinct. The dichotomy between reactive aggression and instrumental (proactive) aggression is described. ‘Appetitive aggression’ is conducted for intrinsic pleasure. The notion of levels of control applies to the inhibition on aggression. Explanatory models are discussed (e.g. Lorenz’s hydraulic model). Aggression can exhibit positive reinforcement. A number of brain regions are discussed (e.g. the amygdala, VTA−NAcc, hypothalamus, cortex, and periaqueductal grey). The role of hormones is reviewed. Healthy development consists in part of learning to inhibit aggression. Early exposure to toxic role models increases the chances of later showing aggression. Other things that inhibit aggression are discussed (e.g. empathy). The chapter concludes with a discussion of several situations associated with aggression: ostracism, xenophobia, dehumanization, the weapons effect, media violence, alcohol, and traumatic brain injury.
Chapter 1 links current concerns about the ambiguities of persuasion to ancient Greek preoccupations with peithō (inducement). The chapter outlines the central contribution of the book: a recontextualization of peithō as a necessary yet dangerous force that demanded cautious attention within ancient Greek communities, particularly those committed to democracy. This study is then situated as a series of synchronic analyses of peithō as a goddess or abstract force presented throughout a breadth of textual, visual, and material source material from the archaic through the Hellenistic ages and even into late antiquity, with particular focus on Athenian evidence from the fifth and fourth centuries BCE. An analysis of Aesop’s fable of the North Wind and the Sun re-positions peithō a fraternal twin to bia (physical force) and outlines different manifestations of her coercive action. The chapter concludes with an overview of methodology and the social-psychological principles of ambiguity tolerance and psychological reactance that are used to reframe collective practices from ancient Greece as tools for fostering communal resilience before peithō’s threats.
This chapter argues against the so-called independence thesis, that Kant’s doctrine of right is not grounded on and a proper part of his moral philosophy. On the contrary, Kant’s conception of the innate right of each to as much freedom as is consistent with the equal freedom of everyone else follows directly from the obligation to humanity owed to each, the foundation of Kant’s moral philosophy as a whole; and the rightful possibility of coercion, the crucial attribute of the state, follows from the same foundation, as the hindrance to the hindrance of freedom. While Kant’s conception of right, as the coercively enforceable part of morality, is distinct from his conception of ethics, as the noncoercively enforceable part of morality as a whole, to take this to mean that right is not part of morality as a whole is to confuse morality as a whole with ethics, a confusion traced back to Johann Fichte, among others.
Like Hobbes and unlike Locke, Kant denied the possibility of a right to rebellion. But unlike Hobbes, Kant did not argue for a unitary head of state in whom legislative, judicial, and executive powers are inseparable, and thus did not believe that the executive power in a state to whom must be conceded a monopoly of coercion also defines all rights in the state. Instead, Kant insisted on the necessary division of authority in a state into a separate legislature, executive, and judiciary, and thus, while rejecting the idea that a people could ever rightfully overthrow their entire constitution or government, he could and did hold that a people represented by a parliament have genuine rights against the executive power within their state, even though that executive power properly has a monopoly on the coercive enforcement of the parliament’s laws.
The QualityRights initiative has shown benefits in decreasing coercive practices and enhancing the recognition of human rights in healthcare.
Aims
To translate the World Health Organization’s (WHO) QualityRights Practices Questionnaire into Spanish and assess the relationships between coercive practices in healthcare settings, perceptions of mental disorders, and attitudes and commitment to human rights among primary healthcare professionals from multiple disciplines. Also, we sought to compare these variables between trained and untrained professionals, and evaluate longitudinal outcomes of integrating QualityRights training into undergraduate medical education.
Method
A quasi-experimental study with a non-equivalent control group was conducted. Instruments included the Community Attitudes Toward the Mentally III, Human Rights Exposure in Social Work and Human Rights Engagement in Social Work scales, and the WHO QualityRights Practices Questionnaire. A total of 260 professionals from 12 Colombian regions participated in the study. Multiple linear regression analyses were conducted to examine the effects of the QualityRights initiative on various dimensions related to human rights.
Results
Translation and validation of the WHO QualityRights Practices Questionnaire yielded excellent psychometric properties (Kaiser–Meyer–Olkin value: 0.945; Cronbach’s α = 0.891–0.923; single component explaining 73.4% of variance). The QualityRights initiative was significantly associated with greater human rights knowledge and lower endorsement of coercive practices and authoritarian beliefs. In relation to coercive practices, the initiative was significantly associated with lower scores on the QualityRights Practices Questionnaire (B = −3.118, p < 0.001).
Conclusions
In Colombia, incorporating the QualityRights initiative into medical education appears to be a promising strategy for reducing stigma, enhancing knowledge and commitment to human rights, and minimising coercive practices in primary mental healthcare.
The environment has been leveraged as a tool of control in conflict settings throughout human history. Capturing or enclosing and controlling the resources needed for everyday needs and livelihoods has been a feature of most conflicts. Understanding how this happens and what the implications are for the environment in conflict is critical to addressing environmental and conflict issues. This chapter lays out how this has unfolded in many contexts and highlights critical nuances for different environmental mediums and across space and time.
Edited by
Katherine Warburton, California Department of State Hospitals, University of California, Davis, USA,Stephen M. Stahl, University of California, Riverside, USA
Assisted Outpatient Treatment (AOT) is a controversial civil court program wherein a judgeorders a person with severe mental illness to adhere to an outpatient treatment plan designed to improve treatment adherence, prevent relapse and dangerous deterioration. Several states, including California and New York, have recently promoted use of AOT to try to address high rates of homelessness among person with severe mental illness. Under AOT, clinicians treating these patients must balance the ethical principles of patient autonomy and beneficence, andemploy AOT only when previous treatment failed as a result of treatment non-adherence. However, some critics of AOT argue that not only is it coercive and ineffective but that the court mandate to adhere to prescribed medications, usually antipsychotic medications, compels AOT recipients to take ineffective and even harmful medications. This article examines the assertion of these critics and reviews the evidence of antipsychotic effectiveness and potential harms in treating psychotic disorders under a civil court order.
This article examines the rise of ecclesial units in US prisons, wherein inmates are trained and certified for Christian evangelism as state-assigned inmate field ministers. Unlike general religious education programs in public prisons, these newer units, referred to within prison communities as God pods, function as ecclesial training centers for Christian ministry undertaken by matriculated state prisoners. The author contrasts the work of inmate field ministers with that of public chaplains governed by mandates of religious neutrality. Drawing from on-site and archival research, the author contends that these new programs instantiate Christian doctrine as government speech while imposing religious tests for public benefits upon state prisoners. The author profiles recent case law advancing a history-and-tradition standard for Establishment Clause cases, while noting the long-standing expectation of religious neutrality by public institutions. The author highlights recent scholarly accounts of US prisons as imbued with Christian theology amid a broader defunding of secular rehabilitation. While religious entrepreneurs have long delivered Christian programming in public prisons, new ecclesiastical units institutionalize Christian doctrine as state rehabilitation, raising urgent questions about religious liberty in the carceral sphere and the future of faith-based programming.