| 1. |
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| 2. |
- Forsgärde, Marianne, 1949-, et al.
(författare)
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Att skapa rum för reflektion : Systematiska diskussionsgrupper med social omsorgs- och vårdpersonal inom särskilda boendeformer
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to investigate what an intervention comprising systematic discussion groups meant in the context of conflicts and cooperation between social care staff and nursing staff, over a period of 7–15 months. The intervention was carried out in four experimental dwellings in special types of housing for elderly and disabled people and in comparison with four similar reference dwellings. Results are based on 27 interviews prior to the intervention and 29 after. The interviewees were managers, registered nurses, enrolled nurses and care assistants and concerned their experiences regarding problematic situations that occurred in their everyday work. The questionnaires (before n=84 and after intervention n=93) used were: sense of coherence, job-satisfaction and burnout and were aimed at investigating staff experiences of working climate and the influence of the intervention. The issues were investigated both before and after the intervention. Observations were used to determine whether they could provide further knowledge about the intervention and thus extend our understanding of the marginal differences in the complementary studies.The phenomenological hermeneutic interpretation of the narratives in the interviews shows that the intervention was important to the experiences of being in problematic situations. The results before the intervention and in reference dwellings are equivalent and elucidate staff members' struggle to retain their self-esteem and to be confirmed by their colleagues. The experimental dwellings narratives show a change from rejecting to confirming communication among colleagues. Moreover, subtle changes are present which point to an emotional closeness where attempts have been made to understand colleagues' perspective and reactions where the residents are the central concern in the narratives. An analysis of the content of the interviews after intervention shows equivalent changes in experimental dwellings and reference dwellings. The analysis shows that the staff's view of problematic situations had been softened and that they viewed their colleagues as less of a hindrances. There were no mentions made of the previously indicated conflicts between social and nursing staff. The results also show that staff members are not afraid to stand by their own ideas of how they should act in various situations.The staff experience of the working climate was positive both before and after the intervention and no significant differences could be seen. What stands out from the observation study is that the groups have different cultures and thus different prerequisites for the intervention. In two of four groups the intervention seemed to give rise to positive meanings regarding the staffs´ understanding of each other, necessary for their successful cooperation, but when the groups are in the ”basic assumption phase” other additional strategies are probably also needed. The marginal differences shown in the other complementary studies can be understood in terms of two of the four groups not perceiving the intervention to any large extent. When the internal group processes are of great importance it is essential to pay attention to culture of the staff groups before the intervention is implemented.
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| 3. |
- Hamreby, Kerstin, 1950-
(författare)
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Flickor och pojkar i den sociala barnavården : Föreställningar om kön och sociala problem under 1900-talet
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The topic of this study is girls and boys in the field of child welfare. The aim has been to trace and describe conceptions of gender, delinquency and social problems in child welfare from the end of the nineteenth century until the middle of the twentieth century. The sources of data in the study consist of legislative documents, journals and other historical literature representing the professional discourse. Two analytical approaches have been used. First, the sources were employed for descriptions of legislation and the legislative processes in child welfare. Second, the material was analyzed with a discursive approach to elucidate conceptions of gender and their importance in the legislative process and thus in the construction of social problems. Three main periods with different currants of ideas have been identified. In the first period moralism dominated. Thoughts about social problems were based in normative assumptions and scientific influences were rare. Child welfare legislation was deeply influenced by ideas of social control. Young people were to be controlled and disciplined especially through work: Girls through household work and care and boys through paid work. In the second period hygienism, ideas based in hygiene discourses, were the main trend. Genetically based arguments together with discussions about morality and poverty were used to explain social problems, and scientific methods were to be used to discipline and control young people. Proposals for measures take against social problems corresponded to two main lines, a hygienic-medical line and a social pedagogic line. The hygienic-medical line had a considerable influence on actions taken to prevent and deal with social problems. One example was the compulsory care and sterilization of certain young women to prevent them from reproducing. The social pedagogic line comprised parents’ education, the role of the family and sexual education. An increased use of psychological explanations for experiences and behaviour among individuals and groups was seen in the 1930’s; this marked the beginning of the third period, psychologism. During the period of psychologism, science, mainly represented by psychology and psychiatry, gradually achieved a greater impact in those processes where young people were categorized as social problems. If in the previous period external discipline was the means of control, in this period internalized self-discipline was to be the means of adjustment. The study showed that conceptions of girls and boys in child welfare were gendered throughout the first half of the twentieth century. This bias has had an impact on how girls and boys were treated in child welfare services. Discussions about social problems concerning girls were often about sexuality and sexual actions, and discussions concerning boys were about violence and criminality. Social problems among girls were seen above all as moral transgressions and social problems among boys as juridical transgressions. These differing conceptions are of great importance when considering how girls and boys were judged and treated according to the child welfare Acts in existence during the first part of the twentieth century.
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| 4. |
- Khoo, Evelyn Grace, 1964-
(författare)
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Protecting Our Children : A comparative study of the dynamics of structure, intervention and their interplay in Swedish child welfare and Canadian child protection
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation is a case study of how two agencies in Umeå, Sweden and Barrie, Canada protect children found in need of child welfare services. The project's purposes are to describe how children are protected from harm in these two contexts, to illuminate the similarities and differences in the child welfare systems reflected at the local level, and explicate the significance of uncovered similarities and differences. The research project is grounded in three complementary theoretical approaches: i) social constructionism, ii) critical program evaluation theory, and iii) institutional ethnography. Using a model I developed to guide cross-national comaprisons, the research project explores three dimensions in the organization and delivery of services: i)Structure (service contexts and features), ii) Intervention (intervention process, and documentation and gatekeeping as two central aspects of intervention), and iii) the interplay between structure and intervention. The project combines methods including focus groups, qualitative application of the vignette technique, and analyses of assessment summaries extracted from case files at each agency. Finding from this investgation are reported in four papers. We identified differences in gatekeeping, use of social work skills, identification of clients, decision-making, and use of compulsory measures and the availability of other measures for clients. The documentation study showed that in Canada documentation is increasingly structured whereas in Sweden documentation is systematically varied but with narrative forms dominating. The different documentation trajectories in these nations are coupled to the paths they have taken with regard to the care and protection of children. We then focus on the "best interests of the child" principle. In Canada, the best interests principle is paramount but intimately connected to "need of protection" and risk assessment. In Sweden, the best interests principle is contibutory to the Social Service Act's emphasis on a solidaristic response to need. When data from this study are taken in context with other research in the field, it appears to give meaning to description of two models of state service for children in need because of abuse or neglect. Umeå is representative of some of the key elements in Swedish child welfare whereas Barrie is representative of some of the key elements in Canadian child protection.
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| 5. |
- Lindelöf, Margareta, 1945-, et al.
(författare)
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Att fördela bistånd : Om handläggningsprocessen inom äldreomsorgen
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this dissertation is to illustrate the manner in which assistance is distributed to the elderly according to the social services law in Sweden. It will focus on the processing officers/"street-level bureaucrats" who have been assigned, based on their profession, the task of assessing and deciding about the distributing of assistance. Central issues include the manner in which process officers go about their assignement and how their actual performance appears in comparision with the prescribed course of action. The dissertation´s starting pionts are in part, the legal regulations in the form of the social service law´s material and procedural rules, and in part the role as street-level bureaucrat and the construction of the client. The data which forms the basis for the conclusions of the dissertation consists of four studies conducted during the period 1995-2001. The first investigation - The Sundsvall study - is explorative and gives a first insight into how the process officers act and document the processing of a case. The process officers study is a national investigation with process officers from 27 municipalities. This second study focuses on the various ways to organise the handling process, and how these may influence the finding for assistance. The documentation study is also a national investigation of 29 municipalities. In this third study the written documentation of the case handling process is primarily exposed. Focus groups comprise the final sorce of data in which a group of processors in tree municipalities discuss their work. The process officers in the focus group describe several usual situations. With support from the various investigations, a picture appears which does not agree with prescribed course of action according to the legislation. What appears instead is a pattern of action which probably already existed before we began this work and which likely continues. This pattern of action has as we have established two faces, one of which constitutes an informal process where the actual construction of the "help-seeker" take place. Whitin the frame for this aspect, the so-called "service catalouge" has a decisive meaning, which in it´s own way is directed towards satisfying primarely physical and medical needs. The other "face" displays the formalised expresson of the informal process. This formal expression does not reveal all that is going on, only chosen elements. The action that we have found are institutionalized as an officially sanctioned institution since the practice is widely accepted and legitimized. The public intstitution is therefore built upon a pattern of action that consists both of formal rule, but primarily standards and routines which in many regards occur outside the formal rules. The consequences of a pattern of action that has been institutionalized and legitimized affects those seeking help who do not receive the individual assessment that they have a right to according to the law.
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| 6. |
- Livholts, Mona
(författare)
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"Women", welfare, textual politics and critique : different categories of "women", the making of welfare states and emancipation in a Nordic welfare state context
- 2001
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall purpose of this thesis is to analyse and interpret the relationship between the social construction of different categories of 'women' and the making of welfare states in specific moments of textual politics in a Nordic welfare state context. Furthermore, the aim is to develop a methodology for critical self-reflection in the process Of producing academic knowledge. The intention is to invite the reader to engage in critical reconsideration on these issues.This thesis is based on Four Articles and consists of Four Parts. The First Part (I) introduces the reader to the process of producing academic knowledge from the perspective of an 'outsider within' and describes the backgrounds from which this research interest has developed. Methodological approaches and methods in the form of social constructionism, discourse analysis and memory work are presented and the research process as well as the conditions under which academic writing takes place are discussed.The Second Part (II) consists of the Four Articles in the thesis. Article One (I) is an invitation to critically reflect upon the construction of and the relationship between academic social work and marginalisation/the marginalised. It is argued that academic social work, to a large extent, builds on the construction of Othering and that this must be analysed in a critical way. Article Two (II) analyses and interprets how solo mothers are constructed as a social category in a selection of textual political documents (research documents and government surveys) in a Swedish welfare state context during the 1980s and the 1990s. As a result of these interpretations, welfare takes its particular form through two images - the welfare dilemma and risk motherhood. The effects of using solo mothers as a subcategory of women are conceptualised in accordance with two principles - the principle of problem orientation and the principle of division. Article Three (III) analyses the category of 'women' in academic writings on the Nordic "women-friendly" welfare states. By using discourse analysis in the form of interpretative repertoires, this study reconstruct 'women' into different 'clusters' and also makes some references to 'men'. The article discusses overlaps, contradictions and conflicts related to women and emancipatory social change. Article Four (IV) examine and interpret the foundations of Nordic "women-friendlyness" by a feminist genealogical discursive analysis designed as a set of interrelated and overlapping stories, with two possible suggested endings: Nordic "women-friendlyness" as invention and as vision.The Third Part (III) focus on the production of academic knowledge and academic writing as a process by using memory work as a form for critical self-reflection and relates this back to specific sub-themes in each article. Examples of sub-themes are fears, social problems and female strangers.In Part Four (IV) the concept of untimeliness is used as a way of discussing the relationship between human relationships and the process of social change. By focusing on form and the construction of Othering as a way of creating Self, three possible endings are presented: enter the theatre, negotiating the problem of Othering and an untimely letter.
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| 7. |
- Markström, Urban
(författare)
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Den svenska psykiatrireformen : bland brukare, eldsjälar och byråkrater
- 2003
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In 1990, a government commission was formed with the task of improving care and services to persons with serious psychiatric disabilities. The government bill that resulted from the work of the Commission constitutes an attempt to clarify the responsibility of the municipal social services for residential and occupational services. The Swedish Mental Health Reform came into eff ect in 1995. The aims of the thesis are to describe, analyze and critically review the planning and implementation of the Reform and to present it within a historical perspective on caregiving.The thesis consists of two case-studies: One encompassing fi ve municipalities and their method of planning and implementing the Reform. The second is about a vocational rehabilitation project for persons with psychiatric disabilities which began in connection with the Reform. In addition to the two component studies, the substance of the report is composed of comprehensive written material. In the analysis it becomes evident that the report of the Commission is a document characterised by a strong ideology and one that takes a position regarding the questions of division of responsibility and work methods. The Commission’s problem lies in diffi culties in delineating and defi ning the target group.The result from the studies shows that the boundaries of responsibility between the social services and psychiatric care organization have become clearer, but grey zones continue to exist in the areas of rehabilitation and outpatient care.Few local policians, and a very small part of the local administrations were involved in the implementation of the Reform — the responsibility has rested with certain key individuals. The implementation has not been promoted by specifi c strong professions, and many eff orts to re-educate personell have been half-hearted and based on “old” knowledge. Personnel in the new settings express uncertainty, as they are unclear as to the expectations of the organization — those who were recruited from psychiatric care often feel degraded and insuffi ciently utilized.User- and family organizations have, in connection with the Reform, built up and developed their activities by means of earmarked funding provided by the state. As a result, an alternative knowledge base has developed in relation to work with the psychiatrically disabled.A conclusion is that the implementation of the Reform has been diffi cult, but that it is far from a complete failure. There are just too many positive experiences. However, much of the success must be attributed to the funding by the state.The long-term discourse will take shape and depend on how enduring the early initiatives prove to be.
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| 8. |
- Papadaki, Vasileia, 1968-
(författare)
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Making their minds up : Students´ choice to study social work in Iraklio, Greece
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The present thesis examines the possible reasons social workers have for entering and eventually graduating from the Social Work Department in Iraklio, Greece. It is a three-phase study, consisting of three distinct but related research parts; each research part is built upon knowledge, issues and questions derived from the preceding part.My background in sociology influenced the choice of theoretical perspectives; I was not interested in investigating students’ choice from a psychologically-based perspective. Bourdieu (e.g. 1977; 1987) and the work of others who have drawn on and developed his work (e.g. Hodkinson & Sparkes, 1997; Reay, 1998a) constituted a theoretical framework. In addition, theoretical perspectives which recognise the interplay between individual and structural factors (e.g. Kasimati, 1991) also proved useful. In this work both quantitative and qualitative approaches (grounded theory, narrative analysis) were employed.The findings contradict views that stress the degree of free choice people have about work; it is clear that external structural factors limit or contribute to the shaping of this choice. This is not to say, however, that the findings stress the determining influence of solely external factors on students’ choice. Students in this thesis describe actively making decisions; they are players in the field of education. They enter the field with unequal amounts of capital (economic, cultural); thus, although in theory everyone is free to play, not everyone is equal. To the extent that they have different social backgrounds (gender, class), their classed-and-gendered habitus differs as well. In the process of students’ educational choice, their habitus along with the particular educational system (with all its opportunities and restrictions) influence students’ horizons for action, their perceptions of what is available and appropriate for them. The high value placed on higher education (educational fetishism) is another factor influencing students’ horizons for action. In the context of their horizons for action, students employ a variety of strategies in order to enter higher education (e.g. the way they prepare for the exams, their ranking of Schools in preference order etc). The outcome of these strategies is their admission to the Social Work Department, which may have been intended or unintended. After having entered Social Work, additional factors influence students’ educational choice; experiences within the School (e.g. practice tutorials) contribute to their attitude towards social work and their studies, thus to their decision to graduate from the Social Work Department. Students’ decision-making process is made up of patterns of routine experience interspersed with turning points.
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| 9. |
- Sauer, Lennart, 1966-
(författare)
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Teater och utvecklingsstörning : En studie av Ållateatern
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation is an inductive, qualitative study of a theatre programme with persons with intellectual disabilities. The aims of the dissertation were: • to explore the experiences had by the actors as expressed through their descriptions, images and narratives, • to explore the context in which these descriptions, images and narratives take place and, • to conceptualise the experiences had by the actors. In the project, the following three qualitative methods were combined: qualitative interviews, participant observations and research circles. The theoretical framework is mainly built on three theoretical standpoints - social constructionism; the theoretical perspective that describes disability as a balance between deviance and normality; and cultural analysis. The analysis shows that the theatre and artistic programme are experienced as something new, interesting and qualitatively different from their earlier experiences. Their daily activities in the theatre are organized around and influenced by an artistic rationale. The work, the physical environment, and relations with the leaders of the theatre are different from the traditional social care setting (daily work places, group homes etc.) in which the actors are socialized. The analysis also shows a tension, in the theatre practice, between disability policy and artistic aims. On one hand, the programme has to consider the consequences of disability and disability ideology in their daily work. On the other hand, the focus of the theatre is on artistic aims and on the actors’ skills as producers of theatre and art. The social care setting, of which the theatre is a part, emphasises deviance (the problems and shortcomings of the actors) whereas the theatre emphasises normality (the artistic skills of the actors). Through their participation in the theatre company, the actors have gained a new role - the role of actors and producers of theatre and art, and not only the role of clients in the social service system. The actors also experience ambivalence from their social surroundings, such as in the theatre arena where the audience applauds their acting, whereas in other arenas they experience dissociating interaction. Both roles, being a client and being a theatre actor, are integrated in the self-understanding of the actors. In this way, the actors’ self-images can be described as a balance between deviance (intellectually disabled) and normality (theatre actor). Through their participation in the theatre, they also gained fellowship among other actors and between the actors and the leaders. This is analyzed in terms of affinity grouping. That is, the theatre can be understood as a community where the members share common interests and goals. Through the processes and acts in this community, the actors develop confidence and the strength to stand up for themselves. Against this background, parallels are discussed to disability culture and disability arts.
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