1.
Wolmesjö, Maria
(author)
Ledningsfunktion i omvandling : Om förändringar av yrkesrollen för första linjens chefer inom den kommunala äldre- och handikappomsorgen
2005
Doctoral thesis (other academic/artistic) abstract
During the 1990s many of the local authorities have been forced to reduce expenditure on the care of the elderly and people with disabilities, and many organisational changes have been carried out. New problems and their solutions are often related to leadership and management. This dissertation deals with three trends in the development of the organisation: The first trend is a market orientation, one example of which is the attempt to increase effectiveness and efficiency by utilising a purchaser/provider model in the organisation. Here the needs assessment model is studied. The second trend is the response to the pressed situation due to heavy workloads that staff members and their managers express, exemplified by self-managing work teams and a year-based working hour system. Here called flexible work organisations. The third trend focused in this dissertation is the decentralisation of social services. It is connected to increased demands on involvement in, and participation from those who use the services, i.e. the elderly and people with disabilities. The aim of this dissertation is to shed light on how politicians and managers view, experience and describe management and leadership in three types of local authority organisations. The focus is on the demands on managers and how the working conditions for managers are described in the different organisations. The material includes three different empirical methods. The first is a questionnaire to politicians and local authority officials, mainly managers at different levels in the care of the elderly and persons with disabilities. The second method consists of qualitative interviews with politicians and managers. The third method involved a document study of local authority documents, e.g. official guidelines, plans and evaluations. The method of analysis, a ?qualified content analysis? is inspired by discourse analysis and focuses on a comparison between the different local authorities, between politicians and managers and between women and men. This dissertation shows that the organisational changes brought about unexpected consequenses for management and that the demands differ between politicians and managers and between different organisations. Politicians and higher-level management expect the managers to manage the organisation, and employees expect them to lead. The solution seems to be a high level of competence, but which competence is needed? There are two different ideals for leadership. One is associated with focus on effectiveness and efficiency and the other associated with focus on communication. The dissertation highlights the conditions of a management, which is currently being pushed further down in the organisation. The dilemma of leadership ? being a manager or a leader will not disappear. Somewhere in the organisation the perspective of effectiveness and efficiency and the perspective of communication have to meet. It might be seen as a dilemma that will not go away ? only be placed in different levels in the organisation.
2.
Andréasson, Frida
(author)
Doing informal care : Identity, couplehood, social health and information and communication technologies in older people’s everyday lives
2021
Doctoral thesis (other academic/artistic) abstract
The aim of the thesis has been a) to analyse how informal care influences the identity of carers and care recipients, their sense of couplehood and social health, and b) to explore the use of Information and Communication Technology (ICT) in the context of informal care and the everyday lives of older people. Study I focused on how older carers conceptualised their identity as carers on a Swedish online social forum, using a netnographic methodology. The findings indicated a change in self-perception as the carer role was acquired. Carers’ capacities were filtered through the needs of the care recipient, making their carer identities into invisible selves. The findings revealed that online communication had the potential to create a virtual space of social recognition. Study II aimed to reflect on carers’ experiences of participation in a co-design process consisting of user group sessions with carers and researchers. The goal was to develop a web-based support programme for carers. The findings emphasised a need to consider carers’ lifeworlds and to develop flexible human-centred design methodologies, that are able to balance carers’ needs and ideas with proposed research outcomes. Studies III and IV utilised an ethnographic methodology. In study III, the notion of couplehood in informal care was analysed. The findings showed that in the process of becoming a carer and a care recipient previous (often gendered) responsibilities were re- negotiated and new practicalities emerged. Although these changes were understood as a natural part of family life, they nevertheless led to changes in the (power) balance between spouses, expressed in terms of a professionalised relationship and a sense of social isolation. ICT was used as a means to get a respite from caring and uphold a social connection with others. In study IV, the social implications and consequences of spousal informal care and carers and care recipients’ experiences of illness and the ill body was explored. The findings showed that the participants experienced barriers to living life as before. Thoughts about or the presence of ill and “leaking” bodies thus lead to “self-chosen” social isolation or social distancing by others. The thesis highlights that informal care needs to be understood as an identity forming practice, having a significant impact on involved parties’ sense of couplehood, their social health and that ICT can contribute to ease carers’ and care recipients’ daily life.
3.
Carlsson, Catharina, 1971-
(author)
Hästunderstött socialt arbete - ett samtalsrum med potentiella möjligheter för ungdomar med självskadebeteenden och deras personal
2017
Doctoral thesis (other academic/artistic) abstract
The thesis examines, through qualitative methods, the role of the horse in equine-assisted social work (EASW) as well as what facilitates or constrains the role of the horse. Specifically, should interaction be understood in the same manner regardless of which individuals that participate? The thesis is based on empirical data collected throughinterviews with eight staff members and nine female self-harming clients, aged 15–21 years, in a residential treatment facility. In addition, video recordings of the human-horse interaction of three staff members and four clients were analyzed, resulting in the additional issues addressed in a second interview. Critical dialogues between patterns and fragmentations in the narratives and video-recordings, as well as a dialogue with participants, while they were viewing videos of their own EASW sessions, led to the conclusion that adding a horse could qualitatively change therapeutic relationships. The results are presented in four articles that provide an image of the complexity of EASW. The summary chapters focus on a synthesized analysis, based on Goffman’sdramaturgical perspective and Hochschild’s emotional rules in which the concepts were applied: backstage, frontstage, impression management, stigma, emotional management, deep acting and surface acting. The analysis demonstrated that defense mechanisms are reduced when the horse is perceived as non-judgmental and therefore less intimidating. Furthermore, the analysis suggests that it is crucial that the horse is regarded as a subject, a transitional object, which can silence the inner critic and create a ‘moment of silence’ that contradicts stigmas and enablesadolescents to regulate their emotions. This leads to possibilities to be more authentic and the relationship between staff and adolescents to be perceived as more authentic. In summary, the work presented in this thesis contributes to increased knowledge about the role of the horse in opposing impression management and surface acting, depending on the high demands on staff to reach outcomes regarding communication, self-confidence, self-esteem, and self-image. The different triads consist of different liaisons, giving rise to unique combinations and the potential to avoid emotional dissonance. The quality of the relationships seems to depend on staff and clients’ attachment orientations. Keywords: Authentic, Emotional work, Equine-assisted social work, Impression management, Moment of silence, Self-harming adolescents, Stigmatization
