Ideologically, the New England movement displayed an extreme form of republicanism. Convinced that the American Revolution demanded a thorough and utter break with European modes of operation, members tended to demand radical reform of politics, the legal system, medicine and religion. Elias Smith's career particularly emphasized medical and spiritual reform. All visible forms of church government were to be rejected, he argued, because they were inherently “British”. The movement's nativist approach to theology and church polity imparted a unique flavor to the movement, placing them distinctly on the fringe of early nineteenth-century North American spirituality.