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This article examines how formal civil society organizations (CSOs) perceive and engage with informal actors in crisis management and investigates the relational dynamics that bind diverse actors in polycentric governance systems. Adopting a qualitative interpretivist epistemology, the study proceeds from the premise that social realities, including organizational relationships, legitimacy, and trust, are constructed through meaning-making and intersubjective understanding. Drawing on interviews, focus groups, and case studies with 53 CSOs across multiple European countries, the study employs a modified grounded theory approach, consistent with interpretivist traditions that prioritize contextual understanding over objective measurement. The findings reveal a clear divide among formal CSOs. One half dismissed informal actors as untrained risks requiring hierarchical control, reflecting a command-and-control orientation. The other half demonstrated a polycentric orientation, recognizing and legitimizing informal actors without attempting to absorb them. Where polycentric attitudes prevailed, relationships were characterized by four elements: trust built through recognition rather than hierarchy, flexibility in distinguishing specialized from transferable tasks, equality emerging through co-production, and temporality leveraged as a resource for adaptive, short-term cooperation. The article contributes to understanding the relational dynamics within polycentric crisis governance by specifying how these four elements are enacted in practice. In doing so, it helps operationalize polycentricity for crisis management, a contribution called for in the literature. From an interpretivist standpoint, these findings do not claim generalizable causality but instead offer a theoretically grounded understanding of how actors themselves make sense of, negotiate, and co-construct effective cooperation across organizational boundaries.
The Conclusion reflects on how digital technologies have become inseparable from the rhythms, identities and power structures of the Brussels Bubble and the European Union itself. Drawing on Stefan Zweig’s vision of technology as both a unifier and disruptor, the chapter argues that the EU is now a virtual social field – a polity where governance, diplomacy and community are co-constituted by digital infrastructures. Through ethnographic insights, it reveals five key transformations: the EU as a digitally mediated space; social media as a symbolic economy of insider recognition; diplomats and officials as cyborgs, their bodies and selves extended by devices; the everyday negotiation of digitalisation, where technology is not imposed but adapted and contested; and the necessity of a practice turn for understanding global governance in the digital age.
The chapter underscores that digital tools do not merely facilitate EU politics – they reshape its boundaries, hierarchies and temporalities. From WhatsApp groups to virtual meetings, technology is both a site of empowerment and vulnerability, challenging ideals of transparency, equality and sovereignty. Ultimately, the EU’s future will be negotiated at the intersection of human agency and digital mediation, where the ambivalence of progress and disruption mirrors the complexities of European integration itself.
This chapter develops the theory of regional cooperation driven by mutual interest in stability and protection for heads of state. It also provides justifications for the theory’s top-down focus on the interests of heads of state within RIOs, which are often considered actors in their own right. The chapter contextualizes the book’s focus on leader survival, and presents the argument regarding why some heads of state turn to RIOs and co-members as part of their multipronged survival strategies. The chapter elaborates on the criteria of “good standing,” and the salience of good standing for RIO members. The chapter also considers alternative explanations and whether they generate similar predictions regarding regional cooperation. The chapter concludes with a discussion of observable implications and testable hypotheses derived from the theory, for which I provide evidence in the remainder of the book.
The fifth chapter examines the European Union’s course correction since the late 2000s, which is characterised by a paradigm shift away from market-oriented liberalisation towards a comprehensive security orientation. Empirically, the chapter is dedicated to EU crisis management between 2009 and 2025, examining key events such as the Eurozone crisis, the migration crisis, Brexit, the Covid-19 pandemic, and the war in Ukraine. The analysis considers both institutional changes and the development of political narratives and priorities. It identifies a third major transformation of European integration, after those of the 1950s and the 1970s/80s. This change was brought about not by planned reforms, but by crisis-driven adjustments. The new security orientation reflects both the loss of post-Cold War optimism and the realisation that the EU must act in an increasingly dangerous world. While this transformation has strengthened the EU’s ability to survive, questions remain about the democratic legitimacy and effectiveness of the new security architecture.
This article examines how generative AI (GenAI) is reshaping strategic crisis decision-making through the emergence of ‘synthetic foresight’ – the algorithmic simulation of adversary intentions, escalation pathways, and imagined futures under conditions of uncertainty. Unlike traditional practices such as early warning, scenario planning, wargaming, or red teaming, which discipline strategic imagination through structured engagement with uncertainty, GenAI functions as a synthetic cognitive and strategic actor, shaping how leaders anticipate, interpret, and respond to crises in real time. While the implications of GenAI span multiple domains, this study focuses on nuclear crises as the most acute and consequential test of these dynamics. The article identifies three interrelated risks: the normalisation of low-probability escalation pathways, the misattribution of adversarial intent cloaked in algorithmic certainty, and the emergence of synthetic feedback loops that can transform foresight into a driver of escalation. Together, these dynamics may generate self-fulfilling escalatory prophecies, undermining crisis stability as simulated futures begin to shape the behaviours they were intended to anticipate or prevent. The article theorises synthetic foresight as a distinct epistemic force – not merely a predictive aid, but a transformative influence on how strategic futures are imagined, interpreted, and acted upon.
The establishment of rapid response teams (RRTs) has gained increasing prominence due to the growing threats of emerging infectious diseases, natural disasters, and other public health emergencies. As a center for Hajj and a regional hub for commerce and travel, the Kingdom of Saudi Arabia (KSA) faces distinct challenges. This study explores the Ministry of Health’s main reasons and challenges in establishing RRTs.
Methods
We employed a cross-sectional qualitative design, utilizing in-depth interviews with key stakeholders and document analysis to explore the historical process of establishing RRTs in KSA and the challenges encountered.
Results
Specialists’ insights revealed that the concept of RRTs was formally introduced and applied following the initiation of the Field Epidemiology Training Program (FETP) in KSA in 1989. However, its primary implementation began after the Middle East respiratory syndrome (MERS) outbreak in 2014. Identified challenges included a lack of trained personnel and resource availability due to unclear governance. There is a need for real-time data collection and technological solutions, improved inter-agency collaboration and information sharing, and governance.
Conclusions
The establishment of RRTs in KSA is estimated to have started with the initiation of the FETP. The challenges encountered provide valuable lessons for future emergency responses.
In November 1972, in the course of talking about public security and protection work, Premier Zhou issued important directives on reactivating and developing informants. Below are his key points (wording not checked by the Premier):
The Premier said the Great Proletarian Cultural Revolution resulted in an ideological mobilisation and a mobilisation of the masses. The major weakness in our work now is that we are no longer sufficiently in touch with what is happening in society. The first issue that must be resolved is in the public security sector, where informants must be reactivated and results must be achieved before the end of this year. Our contacts among foreign expatriates, for example, were in some respects quite useful.
Why do some international crises between major states escalate to war while others do not? To shed light on this question, this book reviews fifteen such crises during the period 1815–present, including the Crimean War, The Franco-Prussian War, the Cuban Missile Crisis, and the 2022 Russia-Ukraine War. Each chapter places the crisis at hand in its historical context, provides a narrative of the case's events that focuses on the decision-makers involved, theoretically analyses the case's outcome in light of current research, and inductively draws some lessons from the case for both scholars and policymakers. The book concludes by exploring common patterns and drawing some broader lessons that apply to the practice of diplomacy and international relations theory. Integrating qualitative information with the rich body of quantitative research on interstate war and peace, this unique volume is a major contribution to crisis diplomacy and war studies.
Many mediation situations and peace processes involve crises. These crises create crucial crossroads. They can lead to a breakdown in negotiations and cause a nascent trust between the parties to crumble. But a crisis can also constitute a turning point. The parties might suddenly realize how much has already been achieved and how much would be lost if the process did not continue. Finding a way out of the crisis together can unite the parties and lead to innovative solutions. The mediators’ mandates and the way they affect their conduct can then be decisive in how mediators handle crises, which we show in this chapter. We draw from the Nordic experiences of mediation and discuss internal crises and external crises that are triggered by external factors and saboteurs – spoilers – of the peace negotiations. The chapter ends with an analysis of threats and violence against mediators, which represent a particular type of crisis in peace negotiations. The safety of mediators is an understudied issue in mediation research.
The chapter describes the contemporary history of efforts to manage risks to global financial stability. States seek to control the capital markets upon which they depend. But they sometimes also open them up, both to attract foreign investment capital and to provide outlets for national investments abroad. This makes them harder to control with national regulatory and supervisory policies and practices alone. Ever since the end of World War II, despite periodic crises and attendant backsliding, a trend toward capital market openness has gathered pace. Mindful of past sorrows, banks and other intermediaries, as well as the governments licensing and overseeing them, have sought new ways to cover the rising risks involved. Their joint project may accurately be viewed as an increasingly complex experiment in global reinsurance-as-governance. Unlike the nuclear case, the politics enabling it have been improvisatory, and relevant policy decisions have mainly been ad hoc in nature. This is explained by the sensitivity of the fiscal commitments implicated.
This study examines how entrepreneurs balance between short-term operational continuity and long-term development amid a polycrisis comprising economic volatility, geopolitical disruption, and regulatory instability. Using survey data from 150 entrepreneurs and four case studies, it develops the Integrated Entrepreneurial Resilience and Growth model, which theorizes resilience through three interlinked mechanisms: improvizational action, institutional workarounds, and strategic reconfiguration. Findings reveal that entrepreneurs employ dual temporal strategies, improvising for immediate survival while planning for future growth. Additionally, ecosystem engagement with accelerators, mentors, and investors enhances resilience by providing resources, knowledge, and legitimacy. The study advances a dynamic and embedded understanding of resilience by linking internal adaptive capacities with external institutional support. It bridges dynamic capabilities and entrepreneurial ecosystem perspectives to explain how entrepreneurs navigate overlapping crises. The study presents a novel framework for resilience under continuous structural disruptions, offering insights for policymakers and program designers seeking to support entrepreneurship in volatile contexts.
Armed conflicts cause substantial disruptions to health care systems, necessitating innovative approaches to crisis management. Systematic reviews play a critical role in evaluating adaptive health innovations implemented during such conflicts, shedding light on their impact on crisis management and health outcomes within affected communities.
Methods
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search in PubMed, Scopus, Cochrane Library, and Web of Science resulted in 5432 articles. The review covered studies published since 2000 that addressed crisis management innovations. A rigorous selection process based on PICO criteria was employed to include relevant high-quality studies.
Results
Following screening, 21 studies were identified, demonstrating considerable innovation in health systems in conflict-affected regions. The key innovations were decentralized management structures, community health worker programs, and mobile health units, all aimed at enhancing service delivery under difficult circumstances. In spite of this, persistent challenges like infrastructure destruction, limited resources, and security risks remain substantial obstacles to the availability of health care.
Discussion
Findings highlight the critical role played by resilient health systems in mitigating the negative effects related to armed conflicts. While some innovations are promising, problems like resource constraints, infrastructure destruction, and data collection challenges remain unresolved. The review’s strengths lie in its systematic nature and extensive coverage of the literature, while potential publication bias and language restrictions should be acknowledged as limitations.
Conclusions
The present review highlights the key role of adaptive health responses in crisis management and demands more research on their long-term effects and scalability. Future research must examine comparisons across a number of nations and utilize technology, including telemedicine and digital platforms, to strengthen health care resilience in areas impacted by conflict.
Allied states often seek to discourage other members from engaging in unnecessary conflicts, frequently working to mitigate and de-escalate tensions during crises involving their partners. This study investigates the de-escalatory influence of alliances − referred to as the restraint effect − on state behaviour during international crises. The central question addressed is: under what conditions does the restraint effect of alliances become more pronounced? The study hypothesizes that relatively weak states allied with major powers are more likely to experience a stronger restraint effect compared to others. This hypothesis is empirically tested using multiple regression models. The findings provide evidence of an additional restraint effect associated with the presence of a major ally within defence pacts. Furthermore, the temporal analysis reveals that this effect is particularly evident during the Cold War era.
Mass-casualty incidents (MCIs) place extraordinary demands on prehospital medical response. However, there remains limited evidence on best practices in managing MCIs, and therefore, there is a need to systematically synthetize experiences from them to build further evidence.
Study Objective:
This study aimed to analyze common challenges in prehospital MCI management.
Methods:
Seventeen case studies or reports describing 15 MCIs (ie, terrorist attacks, chemical incidents, traffic accidents, weather-related incidents, and fires) were subject to a systematic integrative review.
Results:
Common challenges in prehospital MCI management include victim and responder safety- and security-related issues; the need to develop and communicate situational awareness; to develop and apply a prehospital response plan; the ability to deliver care under severe circumstances; and the need for an extended prehospital medical response management strategy.
Conclusion:
Resilient prehospital MCI response demands both a clear strategy and improvisation and should be integrated into the overall medical response strategy. Responders must understand the main concepts of prehospital MCI management, have a situational awareness that foresees the event’s medical consequences, and have the experience required to interpret the situation. Emergency Medical Services (EMS) personnel and medical incident commanders require specific training and mental preparation to be able to provide care under severe security threats, to improvise beyond routines and guidelines, and to provide care in ways different from their everyday work.
Increasingly, policymaking takes place while extraordinary events threaten fundamental societal values. During turbulent times, policy entrepreneurs emerge as pivotal figures. They are energetic actors who pursue dynamic change in public policy and, whereas we know much about how they promote innovation and change in normal policymaking, we know less about how they behave in crises, and even less about how different crises influence policy entrepreneurial action. This Element focuses on interaction between policy entrepreneurs and crises. It analyzes policy entrepreneurial action in six case studies – three fast-burning and three creeping crises – to ascertain policy entrepreneurs' strategies and effectiveness during extraordinary events. It proposes crisis policy entrepreneurial strategies, a framework to understand outcomes based on policy entrepreneurial action and type of crisis and suggests avenues for further research on policy entrepreneurs and crises, including implications for crisis managers. This title is also available as Open Access on Cambridge Core.
Symbols are everywhere in politics. Yet, they tended to be overlooked in the study of public policy. This book shows how they play an important role in the policy process, in shaping citizens' representations thanks to their ability to combine meanings and to stimulate emotional reactions. We use crisis management as a lens through which we analyse this symbolic dimension, and we focus on two case studies (governmental responses to the Covid-19 crisis in Europe in 2020 and to terrorist attacks in France in 2015). We show how the symbolic enables leaders to claim legitimacy for themselves and their decisions, and foster feelings of reassurance, solidarity and belonging. All politicians use the symbolic, whether consciously or otherwise, but what they choose to do varies and is affected by timing, the existence of national repertoires of symbolic actions and the personas of leaders.
The COVID-19 pandemic in 2020 significantly impacted Australia’s resources sector, particularly mining, oil, and gas industries, posing challenges for operational leaders. This study applied Adaptive Crisis Management Theory (ACMT) to understand how these leaders adapted during the crisis. Through interviews with 32 operational leaders, it was found that their roles evolved as crisis demands changed. Initially, they addressed immediate needs, then shifted focus to remote work facilitation and digital transformation, and finally emphasised recovery, trust, and resilience. These adaptations influenced leaders’ behaviours, highlighting the importance of flexibility in supporting employee wellbeing and organisational continuity during crises.
Over the last fifteen years, the European Union has built up its regulatory response to the rule of law crisis. That framework seeks to address rule of law-related undesirable events depending on whether or not they have already occurred. As risk prevention has a limited role in the EU’s rule of law policy, undesirable events are mostly dealt with in the context of crisis management. Evaluation, reaction and conditionality mechanisms are all affected by issues relating to operability and legitimacy which reduce their overall performance. The resulting moderate efficiency of crisis management tools may still be improved by making use of the upgraded rule of law mechanisms in a systemic way.
Although transboundary crises have gained relevance in an increasingly interdependent world, our understanding of the relational dynamics governing these phenomena remains limited. This paper addresses this knowledge gap by identifying common characteristics across interorganizational transboundary crisis networks and drivers of tie formation in successful structures. For this purpose, it applies descriptive Social Network Analysis and Exponential Random Graph Models to an original dataset of three networks. Results show that these structures combine elements of issue networks and policy communities. Common features include moderately high centralization, reciprocated ties, core-periphery structures, and the popularity of international organizations. Additionally, successful networks display smooth communication between NGOs and international organizations, whereas unsuccessful networks have fewer heterophilous interactions. Transitivity seems to play a role in network success too. These findings suggest that crisis networks are robust structures that reconcile bridging and bonding dynamics, thereby highlighting how evidence from relational studies could guide transboundary crisis management.
To achieve resilience in the response of a major incident, it is essential to coordinate major processes and resources with the aim to manage expected and unexpected changes. The coordination is partly done through timely, adequate, and resilience-oriented decisions. Accordingly, the aim of the present paper is to describe factors that affected decision-making in a medical command and control team during the early COVID-19 pandemic.
Methods
This study used a qualitative method in which 13 individuals from a regional public healthcare system involved in COVID-19 related command and control were interviewed. Data was collected through semi-structured interviews and analyzed using qualitative content analysis.
Results
The factors affecting decision-making in medical command and control during early COVID-19 pandemic were grouped into 5 themes: organization, adaptation, making decisions, and analysis, as well as common operational picture.
Conclusions
The present study indicated that decision-making in medical command and control faces many challenges in the response to pandemics. The results may provide knowledge about disaster resilience and can be utilized in educational and training settings for medical command and control.