78 BOOK REVIEWS / COMPTES RENDUS French asylums), we pass to extensive experimentation on native patients when psychiatric hospitals were inaugurated in the Maghreb in the 1930s. Figures are lacking for this aspect and Studer argues that being “the most likely to die, and the least likely to be cured”, women soon became a testing ground for experimental therapeutics invented in the 1930s and widespread in the following decades such as ICT, ECT, and psychosurgery. Concerning “soft therapies”, such as psychoanalysis, these seemed to be rare for native patients owing to the difficulties of communication and the enduring trope of the lack of intelligence and capacity of self-awareness. The source material the author analyses, with undisputed accuracy, is the scientific literature and the scant statistics, while no documents from hospitals, such as clinical records, are taken into account. Examining this other kind of material in further studies, if preserved and available to scholars, would be valuable in order to analyse in more depth the “gap between theories of North African women and actual practice in asylums and hospitals” through the sources which allows us to apprehend the “actual practice” in process (diagnosis formulations, therapies, etc.), even if biased by the practitioners’ writing constraints, that is biased both by the medical gaze and the institutional duties. To summarize, this book analyses in depth questions until now unseen, unexplored and offers satisfactory answers, which are fundamental to complete the picture of colonial psychiatry, giving consistency both to insane women and to the doctors who failed to enter in contact with them. It tells maybe more, as Studer writes, about “those non-describing than those un-described”, as it is capable of deconstructing the fabric of scientific knowledge in the colonial context, and finally it opens up the field to further explorations, thanks to the critical perspective adopted and the gender lens. MARIANNA SCARFONE Université de Strasbourg J. N. C. HILL, DEMOCRATISATION IN THE MAGHREB, EDINBURGH: EDINBURGH UNIVERSITY PRESS, 2016 Why did Tunisia become a democracy after the so-called “Arab Spring” of 2011-12, and the other countries of the Maghreb did not? In this attractive volume, Jonathan Hill of King’s College, London applies political science theory to explain why Zine el Abidine Ben Ali’s rule in Tunisia collapsed, while the authoritarian regimes in Algeria, Morocco and Mauritania remained intact. Ultimately, Dr Hill argues, the effectiveness of state coercion, and (to an extent) the West’s failure to exert meaningful pressure for reform, have been critical in maintaining authoritarian rule in most of the Maghreb. Dr Hill suggests that the analytical model of “competitive authoritarianism” BOOK REVIEWS / COMPTES RENDUS 79 popularised by Steven Levitsky and Lucan Way can usefully be applied to the states of North Africa. According to Levitsky and Way, competitive authoritarian regimes might cede to Western pressure by adopting a democratic facade - multiparty elections and constitutional bodies – but these liberalising reforms do not inevitably lead to democratic outcomes. In particular, Levitsky and Way identify three factors to explain why some regimes democratise, and others do not: linkage (the strength of a state’s links to the West), leverage (the extent of Western governments’ influence over a regime) and organisational power (the cohesion and strength of the state’s coercive apparatus). Much of the attraction of Levitsky and Way’s model lies in its disarming elegance and simplicity. Levitsky and Way cut through the thicket of democratisation theory with a straightforward, comprehensible model that may be widely applied. In Democratisation in the Maghreb, Jonathan Hill convincingly argues that Levitsky and Way’s model should be extended to cover four countries in the Maghreb: Algeria, Morocco, Mauritania, and Tunisia. This deals effectively with one of the perennial critiques of Levitsky and Way’s model, namely, the selectiveness of its case studies. Levitsky and Way exclude military-controlled regimes and other states where the executive office is not elected. Hill rightly points out that this denies the utility of the competitive authoritarian model to whole swathes of Asia, Africa and the Middle East, and argues the case for extending their model to most of the Maghreb. However, Hill acknowledges that Libya’s civil war is beyond the explanatory power of...
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