Africa's expanding population: old problems,new policies

Sub-Saharan Africa faces an historic challenge: to achieve economic and social progress while experiencing extraordinary population growth. With an estimated 1989 population of 512 million, the 42 countries of sub-Saharan Africa have the highest birth and death rates of any major world region. While death rates have fallen since the 1960s, persistently high birth rates yield annual growth rates above 3% in many countries. The United Nations projects that the region's population will increase 2.7 times by 2025--to 1.4 billion. Throughout the region, population has outstripped economic growth since the mid-1970s. In addition, many African countries are experiencing an epidemic of AIDS (Acquired Immunodeficiency Syndrome). The extent and demographic impact of the epidemic still are unknown, but disturbing social and political effects are already being felt. The region's population growth will slow only when African couples begin to have fewer children. The average number of children per woman ranges from 6 to 8 for most countries. The Africans' preference for large families is deeply rooted in the culture and fed by the perceived economic benefits they receive from their children. Economic stagnation during the 1980s prompted many national governments to recognize that rapid population growth was hindering their socioeconomic development. The political climate has shifted away from pronatalist or laissez-faire attitudes toward official policies to slow population growth. The policy formation process--detailed here for 4 countries (Zambia, Nigeria, Zaire, and Liberia)--is ponderous and beset with political and bureaucratic pitfalls, However, policy shifts in more and more countries combined with evidence of increased contraceptive use and fertility downturns in a few countries give some hope that the region's extraordinary population growth may have peaked and will start a descent. Whatever the case, the decade of the 1990s will be crucial for the future of sub-Saharan Africa.     

The impact of international migration on fertility: an econometric population model

The authors develop an econometric model to examine the impact of migration on fertility in Greece in the period 1968-1986. In the model, the fertility equation is considered within a simultaneous equation system, and international migration is included as an explanatory factor of both fertility and per capita income. (SUMMARY IN FRE AND SPA)     

Policies over time and pareto optimality

This paper is concerned with sequences of policies that occur over time in voting models and planning procedures. The framework for our analysis includes assumptions that are satisfied by models in the corresponding literatures, together with other standard assumptions for microeconomic analysis that involve time. The starting point for our analyses is the prespective that results from combining the following (widely held) views: 1) certain voting models and planning procedures can be interpreted as being non-tatonnement or sequential processes (where each policy in the sequence that is generated is actually experienced by voters or consumers) and 2) an alternative being Pareto optimal in any given period (temporal Pareto optimality) is the appropriate efficiency criterion only if the alternative is the final outcome from a tatonnement process-and that, otherwise, one should examine the efficiency of the entire path (using intertemporal Pareto optimality). Our first observation about the planning literature is that is has (by and large) neglected the efficiency criterion that is appropriate for the discrete-time procedures that can be interpreted as non-tatonnement or sequential processes-and that, what's more, such trajectories will (in general) fail to meet this criterion. Our second observation identifies some results that can be used to establish that some of these trajectories will at least be ultimately intertemporally Pareto optimal. In our discussion of voting theory, we review Buchanan's opposition to requiring (social) choice consistency for voting procedures-and his argument for this position on (Pareto) efficiency grounds. We then consider voting procedures that can be interpreted as non-tatonnement or sequential processes and arrive at the conclusion that, in these cases, (i) majority rule cycles are intertemporally Pareto inefficient and (ii) achieving intertemporal Pareto optimality requires choice consistency. We then go on to show that related observations apply to Kramer's normative conclusions about his dynamical model of political equilibrium — and identify some further references where similar observations apply. In the final part of our discussion of voting models, we arrive at the further conclusion that, in the most relevant cases, a trajectory that stays in the temporal Pareto set is not necessarily more desirable (on efficiency grounds) than one that doesn't.This paper has been improved by helpful comments and suggestions that have been provided by Kenneth Arrow, an anonymous referee, and the editor who handled the paper.Peter Coughlin gratefully acknowledges financial support provided by (i) National Science Foundation Grant No. SES-8409352, and (ii) the Center for Advanced Study in the Behavioral Sciences at Stanford (with support from National Science Foundation Grant No. BNS-8700864 and the Alfred P. Sloan Foundation).     

Enrich marital inventory: a discriminant validity and cross-validation assessment

To assess the validity and clinical utility of the marital inventory ENRICH, a discriminant validity study was conducted using a national sample of 5039 married couples. The sample was randomly split in order to form a cross-validation group. ENRICH is a multidimensional scale and two types of analysis were conducted to assess the value of these various scales. Results from discriminant analysis indicated that using either the individual scores or couples' scores, happily married couples could be discriminated from unhappily married couples with 85–95% accuracy. These results were cross-validated with a second sample. Using regression analysis, it was clearly demonstrated that background factors account for little of the variance in discriminating happy from unhappily married couples compared to their relationship dynamics, i.e., scale scores. All ENRICH scales except equalitarian roles proved significant, indicating the validity of a multidimensional inventory.     

The effect of long-term outcome studies on the therapy of schizophrenia

According to long-term follow-up studies of people diagnosed schizophrenic, one half to two thirds will become normal and be back in the community after a period of years. With evidence that schizophrenia is reversible, professions involved in social control and those doing therapy face new responsibilities. Therapists can approach psychotic symptoms expecting the person to become normal. The goal is to help people past periods of acute disturbance without doing them long-term harm.     

Therapeutic compliments: setting the stage for successful therapy

Compliments are often viewed primarily as a linear event in which one person expresses approval or admiration of another. Far less attention has been given to the circular nature of compliments and the manner in which they enhance the positions of both the giver and the receiver of the compliment. Therapeutic compliments have proven to be highly effective means of motivating clients, while at the same time increasing therapeutic leverage. This article proposes that compliments should be purposefully given, and that the type of compliment should vary with the stage of therapy and the intended response of the client to the compliment.     

The prediction of learning in family therapy training programs*

Research on family therapy training has produced very little data regarding the kinds of trainees that do best in family therapy training programs. This study attempts to provide some rough and preliminary data on that issue. One hundred and seventy trainees, drawn from seven different structural!strategic training experiences, were evaluated as to how much they learned by taking the Family Therapy Assessment Exercise pre- and posttraining. Their performance was correlated using a hierarchical regression analysis with a number of trainee variables such as amount of conjugal family experience, amount of experience doing family or individual therapy, or prior knowledge of family therapy. The results indicate that, as predicted, conjugal family experience was positively related, and prior knowledge was negatively related to performance. Prior experience doing individual therapy was also positively related to performance.     

Training with o (observing) and T (treatment) teams in live supervision: reflections in the looking glass*

Working with a treatment and observing team at the same time, behind the oneway mirror, offers a variety of ways to: (a) generate multiple realities; (b) work with two different models of family therapy simultaneously; and (c) provide feedback on the teams' own roles, rules and group process. The process that 6 trainees and two supervisors used with T and O teams to examine their own coevolution as a therapeutic system using the Milan model of family therapy and Ericksonian hypnotherapy is described. The article concludes with a discussion of the advantages and pitfalls of this type of dual supervision.