| Introduction Structural adjustment was one of the key themes of
        economic and social policy in the 1980s in countries around the world. It is likely to
        continue to be the focus of national and global concern in the 1990s. Much of the
        discussion on the subject has focused on adjustment experiences at country or regional
        levels. Likewise much of the literature has tended to compartmentalize the discussion into
        economic, social or political aspects of adjustment. This has resulted in an excessive
        emphasis being placed on national conditions and policies as determinants of the need for
        and success of adjustment measures and a consequent neglect of the role played by world
        economic forces. It has also impeded an analysis which takes into account the interaction
        between economic, social and political consequences of these measures.  This paper attempts to provide a global and integrated
        perspective on the adjustment process which is defined simply as increased reliance on
        market forces and reduced role of the state in economic management. The essence of the
        argument advanced here is that structural adjustment is a world-wide phenomenon with an
        interdependent and mutually reinforcing relationship with the globalization process. The
        latter refers to increasing integration of the world economies. The processes of
        adjustment and globalization have generated wide-ranging socio-political consequences.
        They have contributed through a variety of mechanisms to intensification of poverty and
        inequalities within and among countries, and indirectly to a range of other social
        problems. They have also led to important shifts in balance of power nationally and
        internationally. These shifts have contributed to an increasing gap between power and
        accountability and resources and responsibility. The result is a growing paralysis in the
        handling of social problems at the national and international levels. Social problems need
        to be addressed not only in the interest of national cohesion and solidarity but as a
        necessary investment for future growth. It is therefore a task of the highest importance
        to explore the new configuration of social forces and institutional arrangements to meet
        the social challenges of the 1990s.  The structure of the paper follows the argument set out
        above. The next section discusses the origin and underlying forces behind the thrust for
        structural adjustment in different parts of the world. Section III examines the diverse
        contexts and patterns of adjustment measures in different regions. The relationship
        between structural adjustment and global integration is analysed in section IV. This is
        followed by a discussion of some social consequences of the processes of adjustment and
        globalization. Section VI explores the implications of these processes for power
        relationships and social democracy.  Given the vast scope of the subject treated here, it has
        not been possible to provide detailed analytical and empirical support for the arguments
        advanced in the paper. Rather, the basic purpose of the paper is to set the theme of
        structural adjustment within the broad context of global economic integration and
        political and social democracy and to draw attention to some key relationships which have
        been either largely neglected or insufficiently recognized in the mainstream literature on
        the subject. In order to make the discussion manageable, it was decided to omit an
        analysis of the reform process in Eastern and Central Europe as well as in the communist
        countries in Asia. Their experience nevertheless is extremely pertinent to the issues
        treated here and raises many points of contrasts and similarities.  
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