Confinement and Caring - On sociomaterial practices in secured institutions for youths

• In special youth homes run by the Swedish National Board of Institutional Care, youths are placed because of involuntary care or a verdict. The legal regulations and conflicting requirements of care, security, and children’s rights place high demands on these institutions’ care environment. The overall aim of this thesis was to investigate and explore the impact of the care environment on youths and staff, and on the interactions between youths and staff in special youth homes. The methods used in this study were (I) register and survey based statistical analyses, (II) microethnography, (III) photovoice, and (IV) focus group discussions with staff. The theoretical interpretation of the findings was from the perspectives of caring as a sociomaterial relational practice, and Erving Goffman’s dramaturgical perspective. Results: Study I showed associations between crime during care, and solitary confinement, escaping, alcohol use, and the duration of placement. Criminal activities during care could be interpreted as rational reactions to stressful situations, in such a way that repressive strategies increase the risk of further violence and criminal activity. Study II showed that staff members’ control over objects and settings means a corresponding control over the definition of the special youth home, and what happens there. The behaviors required by the staff constitute sociomaterial control practices rather than care practices. In study III, the environment was experienced by the youths as an intertwined social and spatial space distancing them from the staff. The youths strived to present themselves as worthy of increased freedom and negotiating with their behavior, leading to reinforced feelings of social exclusion. In study IV, the staff experienced the care environment as constituting conflicting requirements between the youths’ needs and possible achievements given the prerequisites. This constitutes a constant struggle that could be interpreted as conflicting moral and instrumental demands, often resulting in sociomaterial control practices—rather than care practices. The conclusion was that the moral requirements for care and security were conflicting, although their unreflected but rational solution was through the environment’s security inscription which encouraged controlling and repressive sociomaterial practices among the staff, rather than caring practices. Goffman’s concept of decorum can be interpreted as an aspect of sociomateriality. The findings point to the importance of viewing spaces and objects as crucial parts of care practices and highlight the intentions of institutional designs and objects.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Institutional youth care

Care environment

Sociomateriality

Erving Goffman

Quantitative methods

Ethnography

Photovoice

Focus group discussions

Publication and Content Type

vet (subject category)

dok (subject category)