The conditional returns to origin-country human capital among Turkish and Moroccan immigrants in Belgium

This study extends the analysis of the economic returns to pre-migration human capital by examining the role of the receiving context, co-ethnic residential concentration, and post-migration investments in human capital. It uses large-scale survey data on Turkish and Moroccan immigrants in Belgium. The analysis demonstrates that regarding employment, Moroccan immigrants, that is, those originating from former French colonies receive larger returns to their origin-country education and work experience in French- vs. Dutch-speaking regions. Other than the positive interaction effect between co-ethnic residential concentration and work experience on employment, there is little evidence that co-ethnic concentration increases the returns to origin-country human capital. Speaking the host-country language facilitates economic returns to origin-country work experience. Conversely, immigrants who acquire host-country credentials and work experience receive lower returns to origin-country education and experience, suggesting that, at least among low-skilled immigrants, pre- and post-migration human capital substitute rather than complement each other.

South Africa's protracted struggle for equal distribution and equitable access - still not there

The purpose of this contribution is to analyse and explain the South African HRH case, its historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies and shortfalls. HRH in South Africa not only mirrors the nature and diversity of challenges globally, but also the strategies pursued by countries to address these challenges. Although South Africa has strongly developed health professions, large numbers of professional and mid-level workers, and also well-established training institutions, it is experiencing serious workforce shortages and access constraints. This results from the unequal distribution of health workers between the well-resourced private sector over the poorly-resourced public sector, as well as from distributional disparities between urban and rural areas. During colonial and apartheid times, disparities were aggravated by policies of racial segregation and exclusion, remnants of which are today still visible in health-professional backlogs, unequal provincial HRH distribution, and differential access to health services for specific race and class groups. Since 1994, South Africa's transition to democracy deeply transformed the health system, health professions and HRH establishments. The introduction of free-health policies, the district health system and the prioritisation of PHC ensured more equal distribution of the workforce, as well as greater access to services for deprived groups. However, the HIV/AIDS epidemic brought about huge demands for care and massive patient loads in the public-sector. The emigration of health professionals to developed countries and to the private sector also undermines the strength and effectiveness of the public health sector. For the poor, access to care thus remains constrained and in perpetual shortfall. The post-1994 government has introduced several HRH-specific strategies to recruit, distribute, motivate and retain health professionals to strengthen the public sector and to expand access and coverage. Of great significance among these is the NHI Plan that aims to bridge the structural divide and to redistribute material and human resources more equally. Its success largely hinges on HRH and the balanced deployment of the national workforce.Low- and middle-income countries have much to learn from South African HRH experiences. In turn, South Africa has much to learn from other countries, as this case study shows.

Retrogressive development: transcendental anatomy and teratology in nineteenth-century Britain

In 1855 the leading British transcendental anatomist Robert Knox proposed a theory of retrogressive development according to which the human embryo could give rise to ancestral types or races and the animal embryo to other species within the same family. Unlike monsters attributed to the older theory of arrested development, new forms produced by retrogression were neither imperfect nor equivalent to a stage in the embryo's development. Instead, Knox postulated that embryos contained all possible specific forms in potentia. Retrogressive development could account for examples of atavism or racial throwbacks, and formed part of Knox's theory of rapid (saltatory) species change. Knox's evolutionary theorizing was soon eclipsed by the better presented and more socially acceptable Darwinian gradualism, but the concept of retrogressive development remained influential in anthropology and the social sciences, and Knox's work can be seen as the scientific basis for theories of physical, mental and cultural degeneracy.

Distance learning: empathy and culture in Junot Diaz's "Wildwood"

This essay discusses critical approaches to culture, difference, and empathy in health care education through a reading of Junot Diaz's "Wildwood" chapter from the 2007 novel The Brief Wondrous Life of Oscar Wao. I begin with an analysis of the way that Diaz's narrative invites readers to imagine and explore the experiences of others with subtlety and complexity. My reading of "Wildwood" illuminates its double-edged injunction to try to imagine another's perspective while recognizing the limits to-or even the impossibility of-that exercise. I draw on post-colonial theory and feminist science studies to illuminate a text that is created and interpreted in a post-colonial context-the Dominican diaspora in the United States. The essay offers a model of historical and critical analysis that health care educators can use to frame the concept of empathy in the classroom and the clinic.

The colonial context of Filipino American immigrants' psychological experiences

Because of the long colonial history of Filipinos and the highly Americanized climate of postcolonial Philippines, many scholars from various disciplines have speculated that colonialism and its legacies may play major roles in Filipino emigration to the United States. However, there are no known empirical studies in psychology that specifically investigate whether colonialism and its effects have influenced the psychological experiences of Filipino American immigrants prior to their arrival in the United States. Further, there is no existing empirical study that specifically investigates the extent to which colonialism and its legacies continue to influence Filipino American immigrants' mental health. Thus, using interviews (N = 6) and surveys (N = 219) with Filipino American immigrants, two studies found that colonialism and its consequences are important factors to consider when conceptualizing the psychological experiences of Filipino American immigrants. Specifically, the findings suggest that (a) Filipino American immigrants experienced ethnic and cultural denigration in the Philippines prior to their U.S. arrival, (b) ethnic and cultural denigration in the Philippines and in the United States may lead to the development of colonial mentality (CM), and (c) that CM may have negative mental health consequences among Filipino American immigrants. The two studies' findings suggest that the Filipino American immigration experience cannot be completely captured by the voluntary immigrant narrative, as they provide empirical support to the notion that the Filipino American immigration experience needs to be understood in the context of colonialism and its most insidious psychological legacy- CM.

Nehruvian science and postcolonial India

This essay uses the seminal figure of Jawaharlal Nehru to interrogate the nature and representation of science in modern India. The problem posed by Nehruvian science--the conflict between (yet simultaneity of) science as both universal phenomenon and local effect--lies at the heart of current debates about what science means for the non-West. The problematic of Nehruvian science can be accessed through Nehru's own speeches and writings, but also through the wider project of science with which he identified--critiquing colonialism, forging India's place in the modern world, marrying intellectual endeavor with practical nation building. The essay makes a case for looking at Nehruvian science as a way of structuring the problem of postcolonial science, particularly in relation to understanding the authority of science and its evaluation in terms of its capacity to deliver socioeconomic change.

Beyond postcolonialism ... and postpositivism: circulation and the global history of science

This essay traces the parallel, but unrelated, evolution of two sets of reactions to traditional idealist history of science in a world-historical context. While the scholars who fostered the postcolonial approach, in dealing with modern science in the non-West, espoused an idealist vision, they nevertheless stressed its political and ideological underpinnings and engaged with the question of its putative Western roots. The postidealist history of science developed its own vision with respect to the question of the global spread of modern science, paying little heed to postcolonial debates. It then proposes a historiographical approach developed in large part by historians of South Asian politics, economics, and science that, without compromising the preoccupations of each of the two groups, could help construct a mutually comprehensible and connected framework for the understanding of the global workings of the sciences.

A historian among scientists: reflections on archiving the history of science in postcolonial India

How might we overcome the lack of archival resources while doing the history of science in India? Offering reflections on the nature of archival resources that could be collected for scientific institutions and the need for new interpretative tools with which to understand these resources, this essay argues for the use of oral history in order to understand the practices of science in the postcolonial context. The oral history of science can become a tool with which to understand the hidden interactions between the world of scientific institutions and the larger world of the postcolonial nation.

The effort to control time in the 'new' general practice

Since the 1980s and 1990s doctors in the UK have reported a lack of time; this has been reproduced in the reorganisation of work through various contracts and regulatory mechanisms. I draw on interviews with 32 General Practitioners (GPs) in Wales about their everyday work, focusing on accounts about the limited nature of their time. I use Adams' analysis of the rationalisation of work time through the processes of commodification, compression, and colonisation, to explore tensions between traditional and new ways of doctoring. While it was possible to find evidence of traditional ways of managing time that shaped the activities of doctors and controlled those activities, the doctors were not passive participants in the rationalisation of work time. Rather they actively modified its processes using notions of professionalism that are aligned to traditional doctoring, and which offer new ways of doing and being a professional.

Civilization and syphilization: a doctor and his disease in colonial Morocco

In colonial North Africa a mutilating disease resembling syphilis was a focal point for French medical debate about the world history of syphilis, the physiological effects of climate and race, and the science of microbiology. From 1916 to 1919, the French venereologist Georges Lacapère established a pilot scheme in Fez, Morocco, for diagnosis and treatment of "native" syphilis. In 1923 he published his research findings and coined the disease concept "Arab syphilis" to describe a form of syphilis found in Morocco, Algeria, and Tunisia, which he characterized in behavioral terms. Lacapère's work was not simply derivative of earlier discourses, nor was it a straightforward outcome of his clinical experience in Morocco. The careers of Lacapère and Arab syphilis problematize the analytical use of race to understand colonial biomedicine in the Maghreb.

Tensions in anti-colonial research: lessons learned by collaborating with a mining-affected indigenous community

Community-based nurse researchers strive to develop collaborative partnerships that are meaningful to the health priorities of participants and relevant to their sociopolitical realities. Within the context of global inequity, intersecting forces of privilege and oppression inevitably shape the research process, resulting in tensions, contradictions, and challenges that must be addressed. This article has 3 purposes: to examine the political context of mining corporations, to describe common health threats and challenges faced by mining-affected communities, and to reflect on research with a mining-affected Indigenous community in Guatemala whose health and capacity for self-advocacy are impacted by a legacy of colonialism. Using an anti-colonial lens, the authors discuss 3 central tensions: community agency and community victimhood, common ground and distinct identities, and commitment to outcomes and awareness of limitations. They conclude by offering methodological suggestions for nurse researchers whose work is grounded in anti-colonial perspectives.

Tswanarising global gayness: the 'unAfrican' argument, Western gay media imagery, local responses and gay culture in Botswana

This paper is a strategic intervention in the debate over the value of globalised gay identity for emerging sexual minority communities in the South. Focusing on self-identifying gay men in Botswana using semi-structured interviews, it explores their views of what characterises 'modern gay culture' and relates these to international media clichés of a glamorous, stylish, hedonistic gayness. I argue that identifying with what is so visibly a Western image of gayness exposes sexual minority communities to the most dangerous of the justifications for homophobia in Africa, the argument that sexual dissidence is a neo-colonial conspiracy to subvert 'African values'. The 'unAfrican' argument has to be taken very seriously, not only because it taps into the intense, conflicted emotions at the heart of the post-colonial condition, but also because it contains an undeniable germ of truth. This poses a dilemma, since global gay discourses, including the media clichés, are an important source of inspiration for African sexual minorities. A communication activism strategy is proposed to undermine the unAfrican argument by cultivating and asserting the 'tswanarisation' of gay culture in Botswana that is already taking place. A similar strategy may also be effective in other African societies.

Our land, our language: connecting dispossession and health equity in an indigenous context

For contemporary Indigenous people, colonial relations (past and present) intersect with neoliberal policies and practices to create subtle forms of dispossession.These undermine the health of Indigenous peoples and create barriers restricting access to appropriate health services. Integrating insights from the critical geographer David Harvey, the authors demonstrate how the dispossession of land and language threaten health and well-being and worsen existing illness conditions. Drawing on the qualitative findings from a program of community-based research with the 'Namgis First Nation in the Canadian province of British Columbia, the authors argue for an account of how neoliberal mechanisms operate to further the "accumulation by dispossession" associated with historical and ongoing colonialism. Specifically, they show how neoliberal ideologies operate to sustain medical colonialism and health inequities for Indigenous peoples. The authors discuss the implications for nursing actions to achieve health equity in rural First Nations communities.

Settler colonial power and the American Indian sovereignty movement: forms of domination, strategies of transformation

The article extends the multi-institutional model of power and change through an analysis of the American Indian Sovereignty Movement. Drawing upon cultural models of the state, and articulating institutionalist conceptions of political opportunities and resources, the analysis demonstrates that this framework can be applied to challenges addressing the state as well as nonstate fields. The rational-legal diminishment of tribal rights, bureaucratic paternalism, commonsense views of tribes as racial/ethnic minorities, and the binary construction of American and Indian as oppositional identities diminished the appeal of "contentious" political action. Instead, to establish tribes' status as sovereign nations, tribal leaders aggressively enacted infrastructural power, transposed favorable legal rulings across social fields to legitimize sovereignty discourses, and promoted a pragmatic coexistence with state and local governments. Identifying the United States as a settler colonial society, the study suggests that a decolonizing framework is more apt than racial/ethnicity approaches in conceptualizing the struggle of American Indians.

The birthing experiences of rural Aboriginal women in context: implications for nursing

It has been established that the birthing experiences and outcomes of rural women are shaped by poverty, isolation, limited economic opportunities, and diminishing maternity services. We lack research into how these dynamics are compounded by intersecting forms of oppression faced by Aboriginal women, to impact on their birthing experiences and outcomes. The findings of this study of rural Aboriginal maternity care in 4 communities in British Columbia show how diminishing local birthing choices and women's struggles to exert power, choice, and control are influenced by centuries of colonization. The research questions focus on rural Aboriginal women's experiences of birthing and maternity care in this neocolonial context and their desire for supportive birthing environments. A community-based participatory and ethnographic design was employed. Individual interviews, focus groups, and participant observation were the primary data sources. Although the women's experiences in each community were shaped by distinct histories and traditions, economics, politics, and geographies, the impacts of colonization and medical paternalism and the struggle for control of women's bodies during birth intersect, placing additional stress on women. The implications for nurses of accounting for the intersecting dynamics that shape Aboriginal women's experiences and birth outcomes are discussed.

Crossing the boundaries of 'colonial psychiatry'. Reflections on the development of psychiatry in British India, C. 1870-1940

This article explores the development of psychiatric institutions within the context of British colonial rule in India, in particular during the late nineteenth and early twentieth centuries. Existing scholarship on 'colonial medicine' has tended to focus on colonial power and hegemony and the British endeavour to 'colonize the Indian body' during the nineteenth century. It is suggested here that reference to 'colonial' medicine and psychiatry tends to reify the ideology of colonialism and neglect other important dimensions such as the role of international scientific networks and the mental hospital as the locus of care and medicalization. From the later period of British colonial engagement in south Asia, people's right and entitlement to medical care and the colonial state's obligation to provide institutional treatment facilities received increased attention. As the early twentieth-century case of an Indian hospital superintendent shows, practitioners' professional ambitions went beyond the confines of 'colonial psychiatry'. He practiced in his institution science-based psychiatry, drawing on models and treatment paradigms that were then prevalent in a variety of countries around the globe.

(De)colonizing culture in community psychology: reflections from critical social science

Since its inception, community psychology has been interested in cultural matters relating to issues of diversity and marginalization. However, the field has tended to understand culture as static social markers or as the background for understanding group differences. In this article the authors contend that culture is inseparable from who we are and what we do as social beings. Moreover, culture is continually shaped by socio-historical and political processes intertwined within the globalized history of power. The authors propose a decolonizing standpoint grounded in critical social science to disrupt understandings of cultural matters that marginalize others. This standpoint would move the field toward deeper critical thinking, reflexivity and emancipatory action. The authors present their work to illustrate how they integrate a decolonizing standpoint to community psychology research and teaching. They conclude that community psychology must aim towards intercultural work engaging its political nature from a place of ontological/epistemological/methodological parity.

Views of older Native American adults in colonial New England

This study examines the perceptions and treatment of older Native American adults in colonial New England (1620-1783). Social scientists have found that varying degrees of persistence and change have historically characterized Indian attitudes toward older adults in communities located in the central and western United States. In regards to northeastern North America, historians have learned that, during the colonial period, older Europeans dealt with a variety of attitudes and experiences. This study examines how English colonists and Indians viewed and treated older Native American adults in part of northeastern North America. Available documents show that while indigenous persons valued and respected older adults before and throughout the colonial period, English colonists, particularly among the clergy, held more mixed views of older Native Americans, including notions that they were frail and stubborn.

When group representations serve social change: The speeches of Patrice Lumumba during the Congolese decolonization

This article examines how group representations can be used strategically to induce social change. The speeches delivered by Patrice Lumumba during the decolonization of the Belgian Congo were analysed using the content analysis software ALCESTE. Lumumba used radically different descriptions of Belgians and Congolese depending on the period during which the speech was delivered and on the audience he was addressing (Congolese or Belgian). When addressing Belgians, he described their countrymen as benevolent allies who could assist the development of Congo, and the Congolese as pacific and friendly. When addressing Congolese audiences, Belgians were described as oppressors, and Congolese as victims. In addition he emphasized the unity of the country more at the end of the decolonization process than at its onset. Considering that his nationalist and pan-African aims remained stable, we suggest that this variability stems from the different actions expected from his audiences, as a function of their group membership and the political context. We argue that this performative dimension cannot be captured if group representations, including stereotypes, are only viewed in cognitive terms. In addition, we show that they should be studied not only as justifications for the existing social order but also as instruments of social change.

The far side: the meta functions of humanitarianism in a globalised world

This paper explores the meta functions of humanitarianism--that is, the functions that, as an ideology, a movement and a profession, it performs, wittingly or unwittingly, in the early twenty-first century. The term humanitarianism is used as shorthand to encompass a complex set of currents of thought, actions and institutions of which the boundaries are unclear. The focus is on mainstream humanitarianism, the dominant Northern/Western enterprise. The paper first discusses the relationship between humanitarianism and globalised power. It goes on to examine three types of functions that humanitarianism and humanitarian action perform: 'macro' functions--the deep undercurrents, power relations and values that humanitarianism articulates and transmits; 'meso' functions--those that relate to the political economy of humanitarian action and to the mechanics (rather than to the ideology) of globalisation; and 'micro' functions that relate to the motivations of the individuals who devote their energies to humanitarianism.

Dance and sexuality: many moves

This literature review of dance and sexual expression considers dance and religion, dance and sexuality as a source of power, manifestations of sexuality in Western theater art and social dance, plus ritual and non-Western social dance. Expressions of gender, sexual orientation, asexuality, ambiguity, and adult entertainment exotic dance are presented. Prominent concerns in the literature are the awareness, closeting, and denial of sexuality in dance; conflation of sexual expression and promiscuity of gender and sexuality, of nudity and sexuality, and of dancer intention and observer interpretation; and inspiration for infusing sexuality into dance. Numerous disciplines (American studies, anthropology, art history, comparative literature, criminology, cultural studies, communication, dance, drama, English, history, history of consciousness, journalism, law, performance studies, philosophy, planning, retail geography, psychology, social work, sociology, and theater arts) have explored dance and sexual expression, drawing upon the following concepts, which are not mutually exclusive: critical cultural theory, feminism, colonialism, Orientalism, postmodernism, poststructuralism, queer theory, and semiotics. Methods of inquiry include movement analysis, historical investigation, anthropological fieldwork, autoethnography, focus groups, surveys, and self-reflection or autobiographical narrative. Directions for future exploration are addressed.