The relevance of basic needs for political and economic development

This article addresses the “basic needs’ approach to development policy from the perspectives of the political and economic development literature. The central questions concern the compatibility of a basic needs approach with political and economic development and the impact of development on population welfare. Will a basic needs approach weaken or strengthn the processes of legitimation and state consolidation in developing systems? What impact will it have on participation and democracy? What will be the impact of such an approach upon attempts to industrialize and diversify production? While there are no definitive responses to these concerns the literature suggests that the approach has real potential value both for improving “human capital” and strengthening economic development, and for developing locally based political institutions.     

Face and neck injuries due to resuscitation versus throttling

Face and neck injuries of 21 patients who died of other causes than mechanic asphyxia and who were resuscitated in connection to dying were analyzed during a 3-year period, 1980-1982. The injuries were predominantly of the type nail impression marks (85%) and showed a regular symmetric distribution tending to form circles around the nostrils and mouth. Injuries inflicted upon mouth-to-mouth ventilation were localized to the nose and at jaw-thrust to the mandibular margins and were easy to differ from those due to throttling. Injuries inflicted on the cheeks upon removal of vomit from the mouth were similar to those seen after violent oral occlusion and those occurring at carotid pulse palpation as indicated by throttling. No fractures of the laryngeal skeleton and no conjunctival haemorrhages were seen.     

Book review

Veronica Doubleday, Three Women of Herat. London: Jonathan Cape, 1988, ix + 222 pp., glossary, illustrative chapter headings, colour photographs; L12.95. ISBN 0–224–02440‐X.     

Society as emergent and more than rational: An essay on the inappropriateness of program evaluation

In considering the efficacy of program evaluation researchers have not put language in proper perspective. They have not acknowledged that information gained from applied research is partly determined by situational factors, that language is selective and goal-oriented, justifying activity as often as it describes it, or that some important action cannot be expressed. The importance of language distinguishes applied social assessment from the natural science models of research from which it was derived. Examples from a wide range of applied situations are used to illustrate that, as an anticedent-consequent model of objective quantified assessment, evaluation is also inconsistent with the complex, resourceful, emergent social processes it is intended to measure. Three alternatives to quantification are discussed to illustrate interventions that may be made when the disadvantages of program evaluation outweigh the advantages.Preparation of the paper was supported by National Institute of Mental Health post-doctoral training grant 5T222-MH00180. Comments and requests for reprints should be sent to Nancy Cochran, Department of Mental Health and Developmental Disabilities, State of Illinois, 160 N. LaSalle Street, Chicago. Illinois 6061.