W hy do states make concessions to some self-determination movements but not others? This article explores the role of the internal characteristics of these movements, demonstrating that their internal structures play a major role in determining which groups get concessions. Using new data on the structure of self-determination movements and the concessions they receive, I evaluate whether states respond to internally divided movements by trying to "divide and conquer" or "divide and concede." Consistent with the latter approach, I find that internally divided movements receive concessions at a much higher rate than unitary ones and that the more divided the movement is the more likely it is to receive concessions. Yet, concessions to unitary movements appear to work better to settle these disputes. This suggests that states use concessions not only as a tool to resolve disputes, but also as part of the bargaining process.

How do we conceptualize the fragmentation of internally divided movements? And how does variation in fragmentation affect the probability and patterns of infighting? The internal politics of non-state groups have received increasing attention, with recent research demonstrating the importance of cohesion and fragmentation for understanding conflict dynamics. Yet there is little consensus on how to conceptualize fragmentation, the concept at the center of this agenda, with authors using different definitions and measures. In this paper we conceptualize fragmentation along three constitutive dimensions: the number of organizations in the movement; the degree of institutionalization across these organizations; and the distribution of power among them. We then show how variation across these dimensions can explain variation in important conflict processes, focusing on infighting.

While theoretical models of conflict often treat actors as unitary, most selfdetermination groups are fragmented into a number of competing internal factions. This article presents a framework for understanding the ''dual contests'' that selfdetermination groups engage in-the first with their host state and the second between co-ethnic factions within groups. Using a new data set of the number of factions within a sample of self-determination groups from 1960 to 2008, the authors find that competition between co-ethnic factions is a key determinant of their conflict behavior. More competing factions are associated with higher instances of violence against the state as well as more factional fighting and attacks on co-ethnic civilians. More factions using violence increases the chances that other factions will do so, and the entry of a new faction prompts violence from existing factions in a within-group contest for political relevance. These findings have implications for both theory and policy.

Wars within states have become much more common than wars between them. A dominant approach to understanding civil war assumes that opposition movements are unitary, when empirically, most of them are not. I develop a theory for how internal divisions within opposition movements affect their ability to bargain with the state and avoid conflict. I argue that more divided movements generate greater commitment and information problems, thus making civil war more likely. I test this expectation using new annual data on the internal structure of opposition movements seeking self-determination. I find that more divided movements are much more likely to experience civil war onset and incidence. This analysis suggests that the assumption that these movements are unitary has severely limited our understanding of when these disputes degenerate into civil wars.

Corticosteroids are commonly prescribed for a variety of indications due to the wide range of effects on the human body. Although they exhibit many therapeutic uses, corticosteroids are unfortunately known for their many dose- and duration-dependent toxicities. The purpose of this review is to explore indications for corticosteroid use, differences among formulations, and adverse effects and their management.