Evaluating a post-graduate diploma in primary health care education (DPHCE): Issues and interpretations

An evaluation of the Diploma in Primary Health Care Education (DPHCE), a course offered in the University of the Witwatersrand, Johannesburg, was carried out between February and September 1991. This paper discusses the implications of the findings for the future of the program, and the development of Primary Health Care (PHC) education more generally. The following in particular are dealt with:

— an educational approach where teaching has been insufficiently linked to the daily working conditions of the students; and

— teaching a group of students consisting of individuals from both educationally advantaged and disadvantaged backgrounds.

The importance of clearly defined goals and an appropriate educational framework, consistent with the limitations that apartheid education has placed on educationally disadvantaged students, are highlighted.     

A theory of prudential values and a rule utilitarian theory of morality

Ethics can be divided into a theory of prudential values and a theory of morality in a narrower sense. My paper proposes a utilitarian — a rule-utilitarian — theory of morality. But it deviates from most of the utilitarian tradition by rejecting the hedonistic and subjectivistic accounts of prudential values favored by many utilitarian writers. While economists tend to define people's utility levels in terms of their actual preferences, ethics must define them in terms of their informed preferences. To prefer A over B does not mean to have a stronger desire for A than for B. Rather, it means to regard one's access to A as being more important than one's access to B. Even though different people often have quite different preferences, their basic desires seem to be much the same. We must choose our moral rules, and our society's moral code as a whole, by their social utility. An important factor in determining their social utility are their expectation effects. Unlike the rule — utilitarian more code, the act — utilitarian moral code would be unable to give proper weight to these expectation effects. It would also unduly restrict our individual freedom. Finally, I shall argue against Kant that morality is primarily a servant of many other human values rather than itself the highest value of human life.     

Divers' Accounts of Normal Risk

This research examines how deep sea divers learn to expand notions of risk to include practices that violate formal training and may increase vulnerability to injury. Cultural constructions of “normal” or acceptable risk are learned in interaction with experienced divers who define the rules of membership and provide accounts that excuse or justify participation in high risk activities. The research explores how novice divers learn to distinguish categories of formal, normal, and excessive risk as they expand their risk involvement and attempt to achieve membership in the deep diving subculture. The study concludes with a discussion of risk normalization in everyday life and other leisure and occupational subcultures.     

TRENDS IN TOLERANCE TOWARD RIGHTIST AND LEFTIST GROUPS, 1976-1988: EFFECTS OF ATTITUDE CHANGE AND COHORT SUCCESSION

Trends in tolerance are tested for groups on the Right and onthe Left of the political spectrum with 1976–88 GeneralSocial Survey data. Findings are that (1) tolerance increasedtoward leftist groups but not toward rightist groups; (2) succession,the replacement of older cohorts by more recent cohorts, increased tolerance toward leftists and rightists alike, partiallyon account of more recent cohorts' higher levels of education;and (3) attitude change within cohorts reduced tolerance butonly toward rightists. Overall, trends toward greater toleranceseem not to be mere reflections of reduced opposition to unpopulargroups but instead reflect changes in willingness to allow expressionof opposed ideas.     

Vocal determinants of first impressions of young children

Audiotapes of the voices of77 preschool children were prepared. Subjects listened to the tapes, and then provided their impressions of the competence, leadership, dominance, warmth, and honesty of the children. Judgments of the voices' babyishness and attractiveness were also obtained. Perceivers reliably discriminated the children's voices along the dimensions of babyishness and attractiveness. Moreover, analyses revealed that the previously documented impact of these characteristics on first impressions of adults extends to impressions of young children. The similarity of the effects of these characteristics on impressions formed about children to those revealed for adults suggests that vocal qualities may have an impact on personality development via a process of self-fulfilling prophecy.     

Criteria families use to select nursing homes

The study is conducted to determine families' rankings of characteristics they consider most important when selecting a nursing home. Friedman's two-way analysis of variance is used to test for differences in the rankings. In response to a mailed survey, 231 families rank the characteristics in the following order: quality of care, appearance, atmosphere, location, reputation, building safety, quality of food, cost, and activities. Relationships are also found between the rankings and the demographic characteristics: gender, marital status, education, income, number of homes available, patient/respondent relationship, and distance respondent lived from the chosen home.