Physician Migration in the Global South between Cuba and South Africa

Transnational physician migration has concerned states' health and migration policies for many years. Recent developments have increased attention to the outcomes of these flows in the global south, where physician emigration is undermining public health policies. Cuba's exporting of medical professionals presents an alternative dynamic, based upon both an ideology of humanitarian solidarity and a need to secure hard currency earnings. The benefits and challenges arising from a bilateral agreement between Cuba and South Africa to supply Cuban doctors to South Africa and training at the Latin American Medical School (ELAM) for South African medical students are addressed. The benefits of skills enhancement and professional development are noted, as well as the economic benefits for both the Cuban government and individual doctors, while concerns with the appropriateness of the medical training provided at ELAM for the South African health context and the sustainability of the current policy are discussed.

Policy Implications

• Strategic bi‐lateral agreements offer a productive route towards more sustainable management of skilled migration.
• When migration agreements include skills training, attention is needed to ensure the training provided is appropriate to the destination context: attention needs to be paid to the appropriateness of the medical training afforded to South African medical students in Cuba for health requirements in South Africa.
• International migration agreements can form part of a broader policy suite aimed at realizing public health and other development priorities. However, attention must be paid to the suitability and sustainability of the outcomes of these practices.

     

Kontexteffekte in Familien – Angleichung von Paaren und intergenerationale Transmission am Beispiel Religiosität

The present contribution shows conceptual and methodological approaches for the study of social context effects within families. Family members mutually constitute the social context in which family behavior and personality development take place. Social influence in families becomes evident empirically in family members’ significant similarity concerning a wide variety of characteristics. The present study focuses on intrafamily convergence with regard to religiousness. In an empirical illustration, both (a) horizontal intracouple alignment and (b) vertical intergenerational transmission processes are examined. Besides the finding that experiences during religious socialization in the parental home have a stronger impact than partner influences in adulthood, our analyses show that social context effects are more pronounced the stronger the cohesion of the respective interaction dyad is (e.g., according to measures of relationship quality).     

The Virtues of Participation without Power: Campaigns,Party Networks,and the Ends of Politics

Following Francesca Polletta's call to reconsider participatory democracy in a new millennium, this article analyzes and makes a normative case for institutional and partisan forms of participation without decision making. I draw on field research and interviews conducted over the last decade on Democratic Party campaigns to argue against contemporary denunciations of partisanship and critiques of institutional participation by radical democrats. First, this article discusses the opportunities available for citizens to participate in electoral politics. Volunteering is often limited to fund‐raising and instrumental voter contacts given the constraints of electoral institutions. Although campaign volunteerism is a fundamentally limited form of civic engagement, institutional and partisan participation has democratic value. Campaigns are institutionally linked to political parties that offer distinct moral, ideological, and policy choices to citizens. Recent analytical and empirical work shows that contemporary political parties are constituted by relatively coherent networks of civil society and social movement organizations that devote considerable resources to electoral politics to shape primary and general election outcomes and advance their agendas in governance. This reveals electoral participation to be tightly linked to larger partisan dynamics and institutional sites of power.     

“Don’t Argue with the Members”

Mel Pollner regularly cautioned researchers not to argue with the members of settings under consideration. He warned against substituting the researcher’s meaning for the meanings of those being studied. This article discusses facets of the caution as they relate to the research process. Seemingly simple, the tenet is nuanced in application. The article adds to the nuance by distinguishing what is called the “replacement” of meaning with the “displacement” of meaning, providing a way of understanding what members could mean if the contexts and settings of their accounts were taken into consideration.     

“I'm Not Supporting His Kids”: Nonresident Fathers' Contributions Given Mothers' New Fertility

The authors examined whether nonresident fathers provide informal support to their children and whether support stops if their ex‐partner goes on to have a child with a new man. A logistic regression analysis of longitudinal survey and administrative data for 434 women who received welfare in Wisconsin showed that fathers are less likely to provide informal support when their ex‐partner has a child with a new partner. Alternative models that control for unobserved characteristics suggest somewhat different results, providing stronger evidence of declines in support that can be shared across family members than in support that can be directed to a particular child.     

The Tempo of Sexual Activity and Later Relationship Quality

Rapid sexual involvement may have adverse long‐term implications for relationship quality. This study examined the tempo of sexual intimacy and subsequent relationship quality in a sample of married and cohabiting men and women. Data come from the Marital and Relationship Survey, which provides information on nearly 600 low‐ to moderate‐income couples living with minor children. Over one third of respondents became sexually involved within the first month of the relationship. Bivariate results suggested that delaying sexual involvement was associated with higher relationship quality across several dimensions. The multivariate results indicated that the speed of entry into sexual relationships was negatively associated with marital quality, but only among women. The association between relationship tempo and relationship quality was largely driven by cohabitation. Cohabiting may result in poorer quality relationship because rapid sexual involvement early in the romantic relationship is associated with entrance into shared living.     

THEORETICAL VALIDITY AND EMPIRICAL UTILITY OF A CONSTRUCTIONIST ANALYTICS

Wing‐Chung Ho offers an extensive critique of what he calls our “radical constructionist approach to family experience,” questioning the theoretical validity and empirical utility of the research program. This article responds to the charges in the broader context of the program's constructionist analytics, discussing family's experiential location, organizational embeddedness, and the importance of ethnographic sensibility. A brief extract of situated talk and interaction is presented to illustrate the discursive complexity and institutional bearings of family as a category of experience. The conclusion takes up the issue of whether the program is radical in conceptualization and empirical realization.     

The Dynamics of Repeat Migration: A Markov Chain Analysis1

This article studies repeat or circular migration between the host and home countries using panel data for Germany, distinguishing between factors generating single moves, circular migration, and absorption. Migrants are more likely to leave early after their first arrival in Germany, and when they have social and familial bonds in the home country, but less likely when they have a job in Germany and speak the language well. Once out‐migrated, the return probability is mainly affected by remittances and family considerations. Circular migration is fostered by vocational training in the host country and older age. Whereas male migrants are 9 percent more likely to return to their home country than female migrants, gender is not significant for predicting the return to move back to Germany.     

Male Honor and the Ruralization of HIV/AIDS in Michoacán. A Case of Indigenous Return Migration in Mexico

The purpose of this text is to analyse the motives of seasonal migrant workers for attempting to get their wives pregnant when they return to Mexico. The meanings attributed to paternity, pregnancy and rearing are analysed from the perspective of the migrant worker and his wife. Ethnographic research was conducted in several Purépecha communities in Michoacán, supported by interviews with indigenous, who travelled to the United States for periods of up to three years, and with their wives, who stayed in Mexico. The migrant workers interviewed consider pregnancy and the paternity derived from it as an important means of male legitimization and sexual control of their wives, particularly valid in their rural communities of origin, where they know they are absentee males. When they return to Mexico they seek sexual relations for reproductive purposes, since they fear their wives will have extramarital relations in their absence. From these findings, it was considered necessary to implement sexual and reproductive health policies with pluri‐ethnic and gender approaches that take into account male beliefs and practices regarding paternity and pregnancy in a rural context. The development of sensitizing policies aimed at migrant males during their stays in Mexico is recommended.     

Accuracy of Inferring Self- and Other-Preferences from Spontaneous Facial Expressions

Participants?? faces were covertly recorded while they rated the attractiveness of people, the decorative appeal of paintings, and the cuteness of animals. Ratings employed a continuous scale. The same participants then returned and tried to guess ratings from 3-s videotapes of themselves and other targets. Performance was above chance in all three stimulus categories, thereby replicating the results of an earlier study (North et al. in J Exp Soc Psychol 46(6):1109?C1113, 2010) but this time using a more sensitive rating procedure. Across conditions, accuracy in reading one??s own face was not reliably better than other-accuracy. We discuss our findings in the context of ??simulation?? theories of face-based emotion recognition (Goldman in The philosophy, psychology, and neuroscience of mindreading. Oxford University Press, Oxford, 2006) and the larger body of accuracy research.