Book excerpt: Structural Adjustment: Theory, Practice and Impacts examines the problems associated with Structural Adjustment Programmes (SAPs) and reveals the damaging impacts they can have. The book looks at how the debt crisis of the 1970's forced developing countries to seek external help and then reviews what constitutes as a standard adjustment programme, detailing the political, economic, social and environmental impacts of SAPs. The final section draws together theories and political responses and presents a case for alternatives to the programmes.