| 1. |
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
- Fahlgren, Siv
(författare)
-
Det sociala livets drama och dess manus : diskursanalys, kön och sociala avvikelser
- 1999
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- We are the eyes of our discourses. This is the point of departure. The disourses make us see, think, talk, act. be and move in certain ways. They contribute to forming our bodies, our souls, our genders. Therefore, to consider how such discourses are ordered becomes an important project. How is the manuscript of the social drama written? How is meaning constructed in our lives? What effects may the construction of meaning have? The ensuing research assignment will be to design a discourse analysis which is justifiable from the perspectives of gender theory and ethics and which can function as a research strategy, and to apply that discourse analysis to three areas or texts: a traditional social science text, texts from the contemporary discussion about gender theory, and a story of my own from social work with children.First, a frame centered around the philosophy of language and the theory of knowledge is constructed to encircle the discourse analysis as a research strategy, and then the analysis is described out of an example. The first application—to a classic, sociological text—clearly illustrates how a disourse analysis can be made, and it also demonstrates how gendered meanings can be constituted and discursively reproduced in social science texts as well as what potential effects the constitution of meaning can have. This application makes up an illustration of how gender differences are constructed and naturalised in a concurrence of discourse and practice.The second application is a discursive reading of the contemporary discussion about gender theory and its various gendered meanings and varying effects. Here I posit my own view of gender/sex in relation to that discussion. Both in scholarly work and in everyday life there are discursive controversies about which gendered meaning to naturalise, about which drama to enact, about which manuscript to use. The discourse analysis can visualise such controversies.In the third application of the discourse analysis, the relation between discourse and practice is focused. It concerns social work with children and departs from my own story about a child who is taken into custody. In the analysis, social work is described as paradoxical and contradictory, a discipline whose governing purpose is the maintenance and administration of central social values and orders like class, gender, and ethnicity (here focused on gender).The discourse analysis in the three applications opens up opportunities for a discussion and an ethical reflection about how discursive constitutions are made and what effects they have. Contrarily, the analysis also demonstrates what discursive constitutions aggravate or silence in reference to other approaches or modes of expression, and consequential forms of social practices, relations, life styles, and ways of life.
|
|
| 5. |
|
|
| 6. |
- Ahnlund, Petra, 1973-
(författare)
-
Omsorg som arbete : Om utbildning, arbetsmiljö och relationer i äldre- och handikappomsorgen
- 2008
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: At the central administrative level in Sweden, care work is presented as a complex task for which personnel require special qualifications. In elderly care, questions of training and qualifications form the highly topical theme noticed by central actors. According to The National Board of Health and Welfare, the supply of manpower and the educational levels of the workers are the most important factors in ensuring high quality care for the elderly. The question of educational levels is, however, with the exception of personal assistants, not given as much attention in care for people with disabilities. Aim: The aim of this dissertation is firstly to compare elderly care and care for persons with disabilities with the focus to describe and analyse education and work environment in these sectors. Secondly, the aim is to analyse if, and if so how, questions of education interacts with personnel’s view of the social work environment. Methods: The thesis is comprised of four studies and paper 1, 2 and 3 are based on the results of a qualitative interview study, which was comprised of 48 persons who worked in elderly care and the care for persons with disabilities. Of the 48 persons who took part in the study, 11 of them worked as middle managers and 37 worked as care workers in the every day care. Paper 4 consists of a research summary on how education for care workers is being studied in a Swedish and an international context. The personnel who participated in the interview study work in different care settings; in elderly care the personnel work in both sheltered housing and public home care services. In the care for disabled persons, the personnel work in residential housing with special services, in public daily activities for people with intellectual disabilities and as personal assistants. Result: Both managers and personnel find it important for care workers to have a degree of educational background as a basis for the learning process at the work place. The results also show that educational levels and the work environment are themes that are discussed differently by different actors. In previous research on education for care workers in both elderly care and the care for People with disabilities, academic education or education at a ground level has been seen as problematic due to the distance it is said to create between the worker and the care recipient. My results show that the discussion about education for care workers has become rather biased, and that highly educated personnel tend to be more aware of the power they possesses and that the relation to the care receiver is important. In elderly care the issue of education seems to be more a question of a general educational level. In the care for people with disabilities, the question of education for personnel is on a more individual basis, where the care workers learn together with the care recipient. Educational levels, the work environment and relations with colleagues and care recipients are connected and support from the managers is important for understanding the work and the relational perspective.
|
|
| 7. |
- Andersson, Katarina, 1963-
(författare)
-
Omsorg under förhandling : - om tid, behov och kön i en föränderlig hemtjänstverksamhet
- 2007
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Swedish welfare state, and public elderly care of today in particular, is under transformation in many respects. Organisational restructuring, such as downsizing and new forms of organisation, mainly influenced by New Public Management, are some of the factors that have affected home care service. The purchaser/provider model is the applied organising model in the investigated municipality in one of the bigger towns in Northern Sweden. These changes, in combination with demographic changes which means an increasing elderly group who receive home care service, and the fact that more men carry out the care work, point towards some important themes such as time, needs and gender. The empirical material, consisting mainly of interviews, has been analysed from both a theoretical and empirical perspective. The voices of three groups; the care managers’, the care workers’ and the elderlys’ have been allowed to “inform” each other. The focus has directly and indirectly been on the elderly and the care they do or do not receive. The aim is to describe and analyse the conditions for meetings that take place between the elderly and staff in a home care service in transformation, based on the statements given by the different actors. Twelve women and four men in the group of care workers and six female care managers were interviewed. Four women and two men represented the group of elderly. A perspective on strangership, influenced by Simmel, is introduced to illustrate some of the aspects that cannot be taken for granted in care in a changing public home care service. Methodological choices and how these are handled, have been crucial. Important conclusions made are that meetings that take place in the home care service may look very different and can therefore not be viewed in terms of either only one aspect or another, or a combination of both, but rather as in concurrence. Time, needs and gender are subjected to negotiations in the hierarchy of the social services. The problems connected with time and the view of needs, are constantly moving around within and between the groups, but nevertheless remain. Gender is present in home care service in a way that contradicts the officially fixed neutrality of gender. A typical example is when care managers argue that gender is not a relevant factor in the needs assessments, even though this seems to be the case. The public home care service constitutes an arena, where constant negotiations between different groups and on different levels take place. In this divided organisation, negotiations concerning time, needs and gender are continuously in progress. Keywords: Care, elderly care meetings, elderly, care managers, care workers, public home care service, home care service in transformation, time, needs, gender, strangership, negotiations
|
|
| 8. |
- Arnell, Linda, 1979-
(författare)
-
Tjejers våld. Våldets tjejer. : en diskursanalytisk studie om våld, kön och femininitet
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- How is girls’ violence constructed and given meaning? In what ways are girls who use violence positioned? This thesis explores how girls’ violence is given meaning within different contexts, with a specific focus on the significance given to notions of gender and femininity. It is based on two studies. The first is based on interviews and creative word-based methods with seven girls/young women aged between 18 and 23. These girls all have personal experiences of acting out and/or using violence. The second study is based on focus group interviews with eleven professionals, three men and eight women. These professionals have various experiences of meeting and working with girls and/or violence. The data from both studies is analysed from a discourse psychological perspective, that is based on interwoven ideas from discourse analysis and social psychology.When the girls and the professionals are talking about girls’ violence the results show that girls’ violence concern more than the issue of violence as a problematic social action. It also concern notions of gender, femininity and girlhood. In most cases girls’ violence is constructed as deviant and different, as an anomaly, which needs to be explained in ways that make it possible to include within understandings of femininity and girlhood. The results also show how notions of gender and femininity are interwoven with class, ethnicity, functionality and ideas about being human. Although a position as a violent girl sometimes appears to be useful or desirable, the girls’ and the professionals’ talk shows that there is a risk that girls who use violence are constructed not only as different and deviant but as so incomprehensible that they will be constructed as “crazy”, or in other words less human, and therefore not possible to help or save. For this reason, it is important to reconsider and deconstruct the current discourses of violence. A wider perspective on girls’ violence would make it possible to understand girls who use violence, those who are exposed to girls’ violence and the help and support that is available from the welfare system in new ways.
|
|
| 9. |
- Aslan, Pinar, 1986-
(författare)
-
How Do They Make It? : perspectives on labour market participation among descendants of immigrants in Sweden
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This is a compilation dissertation based on a comprehensive summary and four empirical articles. The overarching aim of the dissertation is to study influences on the occupational aspirations and attainments of employed descendants of non-European, non-Western immigrants in Sweden, from their own perspectives. The results are based on qualitative interviews with 9 men and 12 women, all born in Sweden with two immigrant parents. At the time of the interviews, the respondents were aged 25–35 years and had been employed for a minimum of six months, most of them for at least three years.Article I analyses and discusses family influences on the occupational aspirations of the descendants of immigrants. It employs a theoretical framework of cultural capital to demonstrate that descendants’ interpretations of their parents’ experiences and living conditions before, during, and after migration shape and positively influence their own occupational aspirations. The article also shows that siblings may function as important transferrers of knowledge and information.Article II examines how the descendants of immigrants perceive that interactions with public officials have benefitted their occupational aspirations and attainments. Using the concept of social capital as an analytical tool, the article draws three conclusions. First, public officials who establish a sense of connectedness in interacting with descendants of immigrants may transmit substantial symbolic resources to them. Second, it is important for public officials to support their clients’ personally meaningful goals and to focus on possibilities for achieving those goals. The article also shows that public officials may help descendants of immigrants to form and fulfil occupational aspirations by transmitting important knowledge and information to them.Article III explores how descendants of immigrants understand labour market conditions, and how these conditions influence their occupational pathways and strategies. The article employs the concept of habitus to analyse approaches and strategies on the labour market in relation to objective conditions. Three themes are presented in the article. The first theme, being in the “right” field, covers respondents working in branches with labour shortages and/or a high demand for employees with an immigrant background. These respondents used their personal backgrounds as “selling points”, turning the general disadvantage of having an immigrant background into an advantage. The second theme covers respondents who could learn through failing in entering and participating on the labour market, indicating a trial-and-error approach. The third theme deals with respondents who had actively searched for jobs in branches which value their particular skill set. The article highlights the important relationship between active individual agency and external, objective opportunities and constraints.Article IV explores perceptions of labour market participation in relation to gender norms and parenting ideals among men and women of migrant descent. Starting from the literature on work, family, and gender in a context of migration, and in relation to the Swedish social and political context, four themes are presented in the results. The male and female respondents viewed labour market participation from different, gendered, perspectives. The women saw labour market participation as a source of emancipation, whereas the men perceived it as a means for providing for a current/future family. Thus, while they depicted themselves as dedicated to norms of gender equality, they also expressed gender- biased views on work and family arrangements. These gender-biased views largely reflect those of Swedish people in general, as demonstrated in earlier studies. Nonetheless, the results reveal that the immigrant heritage of the descendants of immigrants influences their views on labour market participation, perceptions of gender norms, and parenting ideals. The article shows how these descendants interpret and actively challenge gender inequalities in the immigrant generation in ways that support intergenerational changes in work-family arrangements.
|
|
| 10. |
- Bergmark, Magnus, 1975-
(författare)
-
Integrerade psykosociala insatser : Policy, implementering och praktik i ett komplext verksamhetsfält
- 2017
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- InledningAlltsedan psykiatrins avinstitutionalisering tog fart under 1980- och 1990-talen har en utveckling av samhällsbaserade psykosociala insatser förespråkats för att erbjuda vård och stöd till personer med psykisk funktionsnedsättning. Insatserna förväntas bidra till att brukarna får tillgång till effektiv vård och stöd, samtidigt som de inkluderas i samhället. Vidare förutsätts insatserna baseras på kunskap och evidens, samt bygga på brukarens delaktighet och stödja dennes återhämtning. En annan målsättning är att vissa insatser ges i form av integrerade modeller, så att personer ur målgruppen får tillgång till sammanhållet stöd från inblandade myndigheter. Även om Sverige räknas som ett resursstarkt land som har kommit långt på området, så förekommer kritik mot utvecklingen. Kritiken har berört både planering och styrning på politisk nivå, men även utförandet av de insatser som erbjuds till brukarna. Kritiken har bland annat handlat om bristande samverkan mellan landsting och kommuner, och om stora lokala variationer i den erbjudna servicens kvalitet. I den här avhandlingen studeras dels utformningen av policy på området, dels implementering av specifika insatser. Syftet med avhandlingen är att undersöka hur svenska policymakare på nationell nivå har hanterat utvecklingen av psykosociala insatser för personer med psykisk funktionsnedsättning, samt att analysera möjligheter och svårigheter för organisationer och personal när det gäller att implementera de insatser som förespråkas av beslutsfattare. De frågeställningar som avhandlingen söker besvara är följande:Hur formuleras policy som syftar till att införa samhällsbaserade psykosociala insatser, och vad kan policyns egenskaper innebära för genomförandet av den?Vilka styrstrategier uttrycks i statliga policydokument?Vad hämmar respektive underlättar implementeringen av föreslagna integrerade psykosociala insatser?Hur kan vi förstå vad som påverkar möjligheten att erbjuda integrerade psykosociala insatser, i termer av lokala förutsättningar och strategier för implementering?MetodPolicy på området studerades genom en studie av tre av de övergripande dokument som beslutats på regeringsnivå de senaste 20 åren. Riktade kvalitativa innehållsanalyser baserade på relevant litteratur genomfördes. Implementering av insatser studerades genom att 15 program följdes under 3 års tid. 14 av dessa arbetade med att implementera arbetsrehabiliteringsprogram utifrån modellen Individual Placement and Support (IPS). Under samma tidsperiod följdes ett team som implementerade den intensiva samordnings-, vård- och stödmodellen Assertive Community Treatment (ACT). För att bedöma verksamheternas följsamhet till modellerna genomfördes programtrohetsskattningar av samtliga program. Data avseende programmens målgrupp samlades också in. Tre IPS-program deltog i en fördjupningsstudie där kvalitativa intervjuer genomfördes med ledare, personal och samverkanspartners. Implementeringen av dessa program analyserades utifrån implementeringsramverket the Consolidated Framework for Implementation Research. Implementeringen av samtliga 14 IPS-program studerades med hjälp av skattningsskalan the Sustainable Implementation Scale (SIS). När det gäller ACT-teamet genomfördes dels kvalitativa innehållsanalyser av djupintervjuer, och dels skattningar av implementeringskomponenter med hjälp av SIS.ResultatPolicy på området har innehållit stora mått av otydlighet och konflikt, både gällande de mål och medel som har formulerats. Regeringen har främst förespråkat så kallade mjuka styrstrategier, vanligen i form av statliga stimulansbidrag. Vissa förtydliganden och konkretioner har skett under tid, vilka ibland går i linje med de internationella rörelserna New Public Management och evidensbaserad praktik. Exempel på försök att strama upp styrningen är målformuleringar som förespråkar riktade och prestationsbaserade stimulansbidrag, samt nationella riktlinjer för att styra utvecklingen mot utvalda specificerade insatser. Trots detta är det fortfarande de berörda myndigheterna som är ansvariga för att välja ut, utforma och implementera psykosociala insatser. På verksamhetsnivå leder detta till att många otydligheter består, vilka ibland är relaterade till svårigheter att avgränsa ansvarsområden och att förändra hindrande regelverk och traditioner. Dessutom förekommer konflikter, exempelvis i form av konkurrerande målsättningar och ojämn resurstilldelning.Studierna av de integrerade modellerna IPS och ACT visar att implementering av dessa är möjlig, även i en sektoriserad välfärdskontext som den svenska. Det finns dock en rad faktorer på såväl organisationsnivå som teamnivå, som försvårar implementeringen. Exempel på dessa är de involverade organisationernas varierande målsättningar och traditioner, regelverkens utformning, samt svårigheter att erhålla långsiktig finansiering. I en del fall beskrivs de arbetssätt som modellerna förespråkar som försvårande, då de upplevs som annorlunda och utmanande för existerande rutiner och uppfattningar om stöd till målgruppen. Ett stort hinder för effektiv implementering är svårigheter att samverka, främst mellan, men även inom inblandade organisationer. De flesta program som lyckades genomföra en hållbar implementering hade personal som var duktiga på att navigera förbi de hinder som orsakades av ogynnsamma regler, och de lyckades även hitta vägar för att etablera samverkan, både horisontellt (med samarbetspartners på samma hierarkiska nivå) och vertikalt (mellan ledning och personal). En verksamhetsledare som har möjlighet att påverka samverkansrelationer i både horisontell och vertikal riktning är gynnande för implementeringen. Andra betydelsefulla komponenter som underlättar implementering är en noggrann planering innan ett program startas, medveten rekrytering av personal, formering av ändamålsenliga styrgrupper, samt att tidigt i processen arbeta strategiskt för att lösa finansieringsfrågan. Även programtrohetsskattningar var betydelsefulla, då de både fungerade som instrument för att identifiera förbättringsområden för programmen, men också hade en legitimerande funktion vid återkoppling till ledningen.SlutsatserDet råder en samstämmighet i övergripande målsättningar som syftar till att utveckla området integrerade psykosociala insatser. På en mer konkret nivå är läget betydligt oklarare, både gällande målsättningar i policy och av vem och hur insatserna ska implementeras. Även om vissa förändringar skett, står regeringen fortsatt för en mjuk styrning vilken lämnar ett stort ansvar till de myndigheter som ska implementera valda insatser. Detta innebär en rad svårigheter för frontlinjepersonalen, vilket leder till att de ofta behöver lägga mycket tid och energi på att hitta vägar för att överkomma dessa svårigheter.I många fall har ledare och personal goda möjligheter att uppnå en hög programtrohet på teamnivå, men för en hållbar implementering krävs det att ett program är väl förankrat både vertikalt och horisontellt. Därför finns ett behov av att forskare och beslutsfattare tar ett tydligare helhetsgrepp, både på området policy och implementering av specifika insatser. Skattningar av programtrohet och implementering kan vara ett stöd i att identifiera vad som fungerar samt vad som behöver förändras i och mellan organisationer. Men för att programmen ska lyckas med en effektiv implementering på organisationsnivå behöver deras legitimitet stärkas vertikalt, och planering för långsiktig lokal finansiering behöver göras i ett tidigt skede.
|
|
