Community midwifery and state measures: the new midwifery in British Columbia

The New Midwifery, a form of community midwifery rooted in home birth and intensive prenatal and postnatal care, has attracted great controversy since its appearance in British Columbia in the early 1970s. On the one hand, this form of community midwifery has endured despite legal prohibition. Midwives derive an income from their practices, obtain necessary supplies and equipment, and are active in lobbying for recognition through the State. On the other hand, community midwifery is marginalized and illegal. Out-of-hospital births comprise less than one percent of births in British Columbia (and nationwide). Community midwives are excluded from the provincal Medical Services Plan and they lack hospital privileges if their clients are transferred to hospital. Community midwives are more likely than medical personnel to be tried for criminal negligence causing death and subject to prosecution under theMedical Practitioners Act of practicing medicine without a license.Community midwifery illustrates the structural limits placed on female birth attendants working outside the norm of professionally accredited, hospital situated childbirth. It is concluded that State measures in Canada structure power relations in a dialectical fashion. This includes measures to consolidate the monopoly status of the medical profession and the nursing profession, while temporizing about demands for independent midwifery practice. State powers are however relatively autonomous of dominant economic groups such as the Medical profession. Not all prosecutions of community midwives are successful, and contradictions in State policies surrounding monopolistic powers and civil liberties, and gender relations are evident.An earlier version of this paper was presented at the Canadian Sociology and Anthropology Association Meetings, University of Manitoba, June 1986. The author is grateful for resources provided through the Social Sciences and Humanities Research Council of Canada, the Department of Anthropology and Sociology (University of British Columbia), and the School of Criminology, Simon Fraser University. Comments from Carol Bullock, Nanette Davis, Bob Ratner, Livy Visano and the Journal referees have been helpful in revising this paper.     

Identity development and perceived parental behavior as sources of adolescent egocentrism

Adolescent egocentrism involves heightened self-consciousness and feelings of uniqueness (O. Elkind [1967], Egocentrism in Adolescence, Child Development, Vol. 38, pp. 1025–1034). Some studies have found that adolescent egocentrism is associated with identity development, and other studies have found that egocentrism is associated with perceptions of parental behavior. The purposes of this investigation were to simultaneously examine the associations between these variables (1) to determine whether identity development and perceived parental behavior display separate or overlapping associations with adolescent egocentrism, and (2) to clarify the directions of the relationships between these variables. Four hundred eighteen subjects from 12 to 21 years of age completed established measures of identity development, perceived parental behavior, and egocentrism. Identity development was more strongly and consistently related to egocentrism (egocentric adolescents tended to be identity achieved or to be experiencing an identity crisis), whereas perceived parental behavior accounted for little additional variance. The results also clarify differences between the two primary measures of adolescent egocentrism (the Adolescent Egocentrism Scale and Imaginary Audience Scale).Received his M.Sc. and Ph.D. from the University of Victoria. His main interests are in personality, and social and developmental psychology.     

Terminating federal research and development programs

The barriers to terminating federal research and development vary with the type of program (manpower resource creation, basic or applied research, hardware development) and the functional sector in which it is lodged (defense or civilian). Each has a public/private constituency of sponsors and performers. Some constituencies are much more potent than others. Hence, to kill an R&D program, one must weaken the constituency behind it. Useful strategies for would-be terminators include decremental funding and the amalgamation of competing R&D programs within the same agency.     

China and the competition for oil and gas in Asia

While its economic dynamism stimulates continued growth in Asia, China's increasing demand for energy is creating intense competition, particularly with Japan, over international sources of supply. Domestic fields have generally been disappointing, as have efforts to pipe gas from Central Asia and Russia to the east coast. Consequently, China is not only paying greater attention to potential petroleum resources in the East and South China Seas, but also considering the vulnerability of its sea-lanes to the Middle East and beyond. Its need to diversify has promoted closer relations with Central Asia, the Middle East, and the oil producing countries of Africa and Latin America, but the jury is out on whether China's concerns for secure energy supply will lead to international cooperation against terrorism or fuel the already heated competition for oil and gas. As China continues to assure its future energy security in Asia and many areas of the world, sustained bilateral and multilateral diplomacy to reconcile disputes and avoid conflict will become more important than ever.     

Party Politics and the Common Good in Swedish Local Government

Local government in Sweden is usually classified as the northwest European type of local government, together with the local government systems of the other Nordic countries and Britain. In the 1990s and the early years of the new millennium, Swedish local government has been especially susceptible to the ideas of 'new public management' (NPM). At the same time there has been a long-ongoing trend of increasing party-politicisation of local councils. In this paper a selection of five local authorities are examined in order to see how party politics and party-politicisation are confronted by the new organisational doctrines. It is concluded that in this respect the doctrines guiding local government organisation can be characterised by three common traits: the legitimacy of particular interests is denied in favour of the common good of the locality; it is denied that conflict and competition between political parties perform any democratic function; finally, when it comes to the relation between politics and administration there is a common confession of the management-by-objectives doctrine. Somewhat surprisingly, these three principles guide organisation and politics not only in those authorities most enthusiastically adopting NPM but also in the authorities implementing organisational reforms based on more communitarian principles and even organisationally conservative municipalities not even considering any organisational change. One interpretation of this contradictory observation may be that NPM concepts and ideas have also found their way into local doctrines that are based on quite different principles. Another interpretation is that there is a consensus tradition in Swedish political culture that can also account for similar results in municipalities not explicitly introducing an apolitical organisation doctrine.     

Mandates, Powers, and Policies

Elections provide a mandate to pursue a set of policies. Party label provides a concise ideological cue for voters to choose among candidates, and research on industrial democracies verifies a link between the parties voters elect and subsequent policy outcomes. The combination of inchoate party systems and economic vulnerability elsewhere may weaken the link between voter choice and policy. When examining economic policies in Latin America, there is some controversy as to whether governments carried out "reform by surprise"—promising one thing during a campaign while implementing another in office. We test whether the ideological reputations of executives' and legislators' parties explain whether they adopt market-oriented policies. We find that the future behavior of presidential candidates is difficult for voters to predict. However, the ideological reputation of legislators is a reliable predictor of policy outcomes, and the relationship is clarified by the prospects of collective action by legislative delegations.