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Sökning: hsvkat:504 mat:dok (lärosäte:(gu) OR lärosäte:(du) OR lärosäte:(kau) OR lärosäte:(lnu) OR lärosäte:(ltu) OR lärosäte:(lu) OR lärosäte:(miun) OR lärosäte:(mdh) OR lärosäte:(su) OR lärosäte:(umu) OR lärosäte:(uu) OR lärosäte:(oru)) > Övrigt vetenskapligt/konstnärligt > Gerdner Arne

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1.
  • Aronson, Olov, 1991- (författare)
  • Understanding the social integration of adolescents of foreign origin : Longitudinal investigations of inter-origin friendship formation
  • 2021
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The present dissertation aims to understand some of the opportunities for, and influences on, the social integration of adolescents of foreign origin in Sweden. Informed by previous research, the dissertation suggests that successful social integration involves friendship formation between peers of similar origins (intra-origin friendship formation) as well as friendship formation between peers of different origins (inter-origin friendship formation). Social integration can be difficult to achieve in practice because most individuals tend to be homophilic and form intra-origin friendships rather than inter-origin friendships.Four studies based on longitudinal data are presented in the dissertation. The first study seeks to widen the understanding of refugee girls’ friendship formation through a qualitative analysis of interviews with refugee girls. The second study estimates stochastic actor-oriented models to investigate the friendship formation of adolescents with supportive and/or controlling parent-child relationships. The third article presents cross-lagged panel models for the reciprocal longitudinal associations between friendship formation and two forms of leisure: visits to youth centers and participation in structured leisure activities. Finally, the fourth study uses stochastic actor-oriented models to analyze with whom adolescents form friendships when they are involved in different forms of digital leisure, including online communication, video watching, and digital gaming.The refugee girls in the qualitative study stated that they formed close friendships with family members, such as cousins and siblings, rather than with peers of native origin because they experienced the latter as too dissimilar from themselves. The adolescents in the first quantitative study formed relatively more inter-origin friendships when their parents were supportive and fewer inter-origin friendships when their parents were controlling. According to the third study, visits to youth centers were associated with a larger number of intra-origin friendships among adolescents of foreign origin, while participation in structured leisure activities, such as sports and cultural projects, was related to more friendship formation regardless of origin. The fourth study suggested that native adolescents who were involved in digital gaming formed fewer friendships with native peers and had fewer friends outside of the school class, and foreign adolescents who communicated more online formed fewer friendships with native classmates but more friendships outside of the school class.All four studies indicate that the social integration of adolescents of foreign origin is not an automatic process that invariably happens when adolescents of different origins are mixed in the same location. When adolescents organize their own social lives away from the involvement of adults, they seem to remain or become more homophilic and form more friendships with peers of their own origin. By contrast, native and foreign adolescents tend to form more inter-origin friendships when adults provide them with support and structured social activities. In other words, the social integration of foreign adolescents seems to require supportive and committed adults, who contribute to facilitating inter-origin friendship formation.
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2.
  • Blid, Mats, 1951- (författare)
  • Ett folkhem för alla? : Kommunala insatser mot hemlöshet
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The overarching aim of this dissertation is to explore and describe Swedish local authorities’ measures to prevent and manage homelessness; how these measures diverge between different municipal categories; what factors predict homelessness, provisions of accommodation and cov-erage rates between the number of accommodations and the respective municipalities’ housing interventions. Measures studied are policies and housing interventions. The housing interventions re-ferred to here are those provided by or through the social welfare authorities to persons living with unstable housing or who are homeless. The interventions can be divided into two main categories: 1) preventive interventions in the form of daily-life support, usually in the form of personnel support in the individual’s own apartment, designed to help persons at risk of becom-ing homeless to remain housed and prevent eviction; 2) accommodation support for persons who are already homeless and in need of housing. Such accommodations may be more or less temporary, more or less integrated and include a greater or lesser amount of care. Two sets of data were collected for the study: 1) a case study of two category-housing programmes using both qualitative and quantitative data; 2) a survey of 147 randomly chosen municipalities (about half of the municipalities in Sweden) to explore the prevalence and charac-teristics of policies and housing interventions. Findings from the case study show that special-category housing has positive direct effects on the housing stability of the residents and their feelings regarding their quality of life, but does not have a direct effect on their substance misuse. Moreover, the increased housing stability seems to be more a direct effect of the person having stayed on the programme, rather than a long-term effect. Furthermore, although their quality of life improves, the residents still experi-ence a lack of belonging and feel that their lives lack meaningful content. On the national level, the findings show that an array of housing interventions divided into 12 sub-categories is offered to counteract homelessness. These categories vary along two central dimensions: care and normality. The two most frequent types of housing interventions in all types of municipalities are daily-life support and social contracts. Other housing interventions are marginal compared with these two. There is greater fluctuation between municipalities in the level of care provided than in the level of normality. Furthermore, the more densely populated municipalities are more highly engaged in developing housing policies and the administrative means to handle them. Such policies, however, seem to decrease the level of normality without promoting levels of care. When exploring factors that predict homelessness, the findings show that urbanisation is central to understanding variations in homelessness, not only in the largest cities but also in less densely populated areas. In addition, higher rent levels and more of aggregated psychiatric prob-lems in the municipality seem to increase homelessness. The apartment rate and the proportion of public housing within the stock of apartments are both important for the possibility to pro-vide accommodations. Moreover, the proportion of single-parent households seems to enhance the need to provide such accommodations. Political majority and the functional organisation of the social services both seem to have an impact on the coverage rates. Thus, the findings indicate that the municipalities have various options for managing factors that impact on the homeless-ness rate. Keywords: housing interventions, level of care, level of normality, policies, municipality, predicting homelessness
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4.
  • Israelsson, Magnus (författare)
  • Internationella komparativa studier av lagar om tvångsvård vid missbruk : -omfattning, trender och mänskliga rättigheter
  • 2013
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The Universal Declaration of Human Rights and Fundamental Freedoms and the International Covenant on Economic, Social and Cultural Rights state that everyone has the right to good health. According to the conventions, the states have obligations to prevent and combat disease, and if necessary, ensure that the conditions for treatment of the disease are appropriate (UDHR 1948, UNCESCR 1966). The broad wording in the conventions on the right to good health includes the right to care of substance use disorders. In the 1960ies the World Health Organization recommended, that people with such disorders should be seen as sick and that the legislation governing such care should be in accordance with special administrative legislations and not criminal legislation. The recommendation indicates WHO:s clear position that persons with substance use disorders primarily should be treated as persons suffering from disease and in need of care, and not primarily as disruptive individuals or criminals who should be disciplined or punished. This applies also to situations when treatment and care cannot be provided on a voluntary basis, but compulsorily. In Swedish context, the most commonly mentioned law in these cases is the social special legislation Law (1988: 870) on care of misusers, special provisions (LVM). Ever since the implementation of LVM in 1982, its legal position as well as application in institutional care has been subject of critical discussions within social work as well as in social science research. Such debate in the Nordic countries has until now mostly been marked by two important limitations. First, most comparisons are restricted to very few countries, e.g. four of the Nordic countries; secondly the notion of involuntary care is often limited to social legislation on compulsory care without taking criminal justice legislation or mental health legislation into account. The present dissertation studies legislations on compulsory commitment to care of persons with substance use problems (CCC), and compares these legislations from a larger number of countries, on global or European levels. This approach makes it possible to explore the great variation in CCC legislation between countries, i.e. type of law (criminal justice, mental health care and social or special legislation),  time limits (maximum duration) as well as levels of ambition, ethical grounds, criteria for admission, and adaption to human and civil rights.  In addition, the comparisons between many countries are used to investigate factors related to different national choices in legislations from country characteristics, e.g. historical and cultural background as well as economic and social conditions, including level and type of welfare distribution. Available datasets from different times permits trend analyses to investigate whether CCC or specific types of such are increasing or decreasing internationally.         Empirical materials: Article I is based on three reports from the WHO on existence of CCC legislation, before the millennium shift, in 90 countries and territories in all populated continents. Articles II and IV are based on own data collection from a survey in 38 European countries. Article III uses a combination of those data and additional information from country reports in scientific and institutional publications in three times of observation during more than 25 years, and including a total of 104 countries. Additional data for Articles I and II are information on various countries' characteristics obtained from different international databases.         Findings based on data from WHO reports at the eve of the millennium show that CCC legislation was very common in the world, since 82 per cent of the 90 countries and territories had such law. Special administrative (“civil”) legislation (mental health or social) was somewhat more prevalent (56 %), but CCC in criminal justice legislation was also frequent and present in half of the countries. The study shows that economically stronger countries in the western world and many of the former communist countries in Eastern Europe, the so-called "first and second worlds" in cold war rhetoric, more often had adapted to the recommendations made by WHO in the 1960ies, with CCC more often regulated in civil legislation. In the so-called "third world" countries, CCC in criminal justice legislation dominated. The new data collection from 38 European countries ten years later confirmed that legislation on CCC is very common, since 74 per cent of the explored countries have some type of legislation. The most common type was now CCC in criminal legislation (45%), although special administrative legislation (mental health or social) was almost equally common (37%). Special administrative legislation on CCC (both acute and rehabilitative), was more common in countries with historic experience of a strong influential temperance movement, and in countries with distribution of health and welfare more directed through the state, while countries with less direct government involvement in distribution of health and welfare and lacking former influence of a strong temperance movement more often had CCC in criminal justice legislation. During all the 25 years period from early 80ies up to 2009, it was more common for countries to have some type of law on CCC than not, although some reduction of CCC legislation is shown, especially during the last decade. But within countries having CCC, more cases are compulsorily committed and for longer time duration. This is related to a global shift from civil CCC to CCC in criminal justice legislation, directly in the opposite direction from what WHO recommended in the 60ies. Changes in CCC legislation are often preceded with national political debate on ethical considerations, and criticisms questioning the efficiency and content of the care provided. Such national debates are frequent with all types of CCC legislation, but ethical considerations seem to be far more common related to special administrative (civil) legislation. National legislations on CCC within Europe should conform to the human and civil rights stipulated in ECHR (1950). There seems, to be some limitations in the procedural rules that should protect persons with misuse or dependence problems from unlawful detentions, regardless type of law. The three types of law differ significantly in terms of criteria for CCC, i.e. the situations in which care may be ensured regardless of consent.        Conclusions: It is more common that societies have legislation on CCC, than not. This applies internationally – in all parts of the world as well as over time, for a period of 25 years, at least. Sweden’s legislative position is not internationally unique; on the contrary, it is quite common. Law on CCC tend to be introduced in times of drug epidemics or when drug-related problems are increasing in a society. Changes in CCC legislation are often preceded by national debates on ethics, content and benefits of such care. These findings here discussed may reflect different concurrent processes. A shift from welfare logic to a moral logic may be understood as more moralization, perhaps due to relative awaking of traditionalism related to religious movements in various parts of the world (Christian, Hindu, Muslim or other). But it may also be understood from more libertarianism that stresses both individual responsibility for one’s welfare and the state´s responsibility to discipline behaviours that inflict negatively on the lives of others. Possibly do these two tendencies work in conjunction to one another. At the same time, however, there is a stronger emphasis on care content within criminal justice CCC, especially in the Anglo-Saxon drug court system. Some shift within Civil CCC is also noticed, i.e. from social to mental health legislation. Thus drug abuse and dependence is increasingly more recognized and managed in the same way as other diseases, i.e. an increased normalization. Since social CCC has been more in focus of research and debates, this may also result in CCC turning into a more hidden praxis, which from ethical perspectives is problematic. The thesis shows that there are examples of focus on humanity and care in all three of the law types, but there are also examples of passive care, sometimes even inhumane and repressive, in all types. Thus, type of law cannot be said to in general correspond to a specific content of care. Although CCC can be delivered in accordance with human and civil rights, there is still a dissatisfying situation concerning the procedural rights that should ensure the misuser his/her rights to freedom from unlawful detention. The possibility to appeal to a higher instance is missing in about 20 percent of European CCC laws, although not differentiating one type of legislation from the others. A clear difference between the three law types concerns criteria that form the basis for who will be provided care according to the laws. This is of major importance for which persons of the needy who will receive care: addicted offenders, out-acting persons or the most vulnerable. The criteria for selecting these relate to the implicit ambitions of CCC – correction, protection, or for support to those in greatest need for care. The question is what ambition a society should have concerning care without consent in case of substance abuse and addiction problems. The trend that CCC according to special administrative legislation is declining and criminal legislation increases in the world should therefore be noticed.  Keywords: Alcohol, drugs, substance misuse, coercive care, compulsory commitment to care, involuntary care, mandatory care, legislation, human and civil rights, comparative analysis, prediction models, and trend analysis
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5.
  • Stenström, Nils, 1958- (författare)
  • Sprutbyte vid Intravenöst Narkotikamissbruk : En longitudinell studie av deltagarna i sprutbytesprogrammet i Malmö
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aim of this thesis is to describe the users visiting the syringe exchange clinic in Malmö with respect to what characterises the group, how they utilize the services of the clinic and how their patterns of participation relate to risk behaviour, physical and mental health and social development. The heterogeneity of the group has been captured by the use of Stimsons dimensions “integration in majority society” and “involvement in sub-culture”, yielding four different groups of syringe exchangers: “stables”, “loners”, “two-worlders” and “junkies”. The study rests on two sources of data: a register from the clinic including all syringe exchangers that have visited the clinic between 1989 and 2003, altogether 3660 individuals, and an interview of visitors at the clinic during 1995, including 496 persons.The results show that syringe exchangers, compared to other persons with severe addiction in Malmö, to a larger extent use amphetamine as their drug-of-choice, are older and inject more irregularly. The population visiting the clinic is heterogeneous with respect to integration in society and involvement in sub-cultures. The group classified as junkies do, as expected, display the highest inclination to share syringes and needles with other and hence have the most advanced risk behaviours. As to utilization of the programme, the results show that the longer the syringe exchangers stay in the programme, the more frequent they visit it. Also with respect to utilization-patterns, we find substantial variations within the studied group. Five categories are discernible: drop-in visitors with only one or two visits, sporadic visitors who in spite of contacts over a number of years never really establish a regular contact, intermittent visitors who have had contact over several years but display a very irregular visiting pattern, regular visitors who relatively fast establish a consistent contact with visits between uniform time intervals and frequent visitors who tend to stay longer than others and visit the clinic more often. Another aspect of utilization is to what extent the distribution of needles and syringes cover the needs of the visitors. With a strict definition of need, only a minority manages to cover their needs, but if we accept a more extensive individual re-use, around 90 percent of the average need is covered. Data also reveals that a very high proportion of the users on at least one occasion have visited the programme without syringe exchange taking place or any complementary service delivered. Basically these visits seem to be of a more social nature, reinforcing the contacts between the staff and the visitors.Data do not give any clear support for the basic assumption that syringe exchange reduce the incidence of HIV or hepatitis. Recent sharing of utensils or low coverage of syringe need through the programme do not predict a higher infection risk. Instead we find that the social contacts with the staff (without syringe exchange) function as a predictor of lower incidence. This indicates that the mechanisms may be more complex than just related to the provision of clean needles and syringes. The result shows that integration increase over time while sub-cultural involvement decreases. However, the patterns for different groups are very diverse and we find no evidence that more frequent contacts as such are related to increased integration. There is however, some evidence that social visits are positively related to increased integration. No support could be found for the assumption that the programme increases the number of severe addicts.
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