Beyond polyphony: Open Dialogue in a Women’s Shelter in Australia as a possibility for supporting violence‐informed practice

Open Dialogue is a family/social network‐centered psychotherapeutic approach to responding to people in crisis and distress. In 2017, Open Dialogue network meetings were implemented in an Australian inner‐city shelter for disadvantaged women. The aim of this study was to explore the experience of participating in these meetings from the perspective of service users and Open Dialogue practitioners. Qualitative interviews were completed with thirteen participants (six service users and seven practitioners) and analyzed thematically. The findings suggested that dialogical processes created safety by attending to multiple voices in nonviolent ways that reduced perceived hierarchies. Notions of expertise were renegotiated, which allowed the women to feel heard in significant ways that were different from their previous experiences with other social and healthcare services. Open Dialogue is an approach that can meaningfully attend to some of the power relations within which women live and within which social and health care services are provided.     

Competing Strategies for Analyzing the Contexts of Social Interaction

A perennial issue of sociological analysis is how to address the details of interaction without acknowledging the structurally broad or the subjectively meaningful contexts within which the details occur. The issue centers on the relation between "how" and "why" questions of social order. This article deals with the issue as it emerges in the methodological debate between conversation analysts and ethnomethodologically oriented ethnographers over how to analyze the contexts of social interaction. Accepting the importance of why questions, it is argued that one's initial move should be to pay close attention to the how's of social interaction–either the local production or the local enactment of contexts. Against those ethnomethodologists who insist on keeping why questions suspended, we accept the utility of raising why questions once how questions have been dealt with.     

Green Consumption and Social Change: Debates over Responsibility,Private Action,and Access

Attempting to influence everyday consumer practices is an increasingly popular strategy used to address environmental problems and further social change. This article focuses on exploring the controversial topic of green consumption, a growing area of study that brings together multiple disciplines including environmental sociology and the sociology of consumers and consumption. The article begins with a summary of the literature on green consumption and is then organized around three debates over how green consumption contributes to, or fails to contribute to, social and environmental change. The first debate is over locating responsibility for carbon dioxide emissions, the main contributor to greenhouse gases and climate change. The second debate considers what average people are doing to help address environmental problems. The third debate is about access to green consumption. Should policies work to increase access to greener products and efficient technologies for everyone or does the question of access push aside questions of inequality (race, class, and gender) and sufficiency (how much is enough)? These debates, in different ways, attempt to address the broader question of how social change happens and what we should do to support it.     

The Psychiatrist's Role in Implementing an Open Dialogue Model of Care

The Open Dialogue approach is a family‐oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. Since the 1990s the psychiatric service system in Western Lapland Health Care District has been organised according to Open Dialogue principles and applied to the treatment of any mental health concerns. The Open Dialogue approach considers the client and their family as active participants rather than as objects of treatment in its planning and implementation with a psychotherapeutic focus. In daily work, the responsibility for the treatment process is shared with the case‐specific team. The model of care requires a dialogical orientation from all staff members, psychiatrists included, to interact with the team and the client's network. In this article I describe the role of the psychiatrist in implementing an Open Dialogue model of care in psychiatric services leaning on my experiences of clinical work in the adolescent psychiatric team in Western Lapland.     

Labeling in Interactional Practice: Applying Labeling Theory to Interactions and Interactional Analysis to Labeling

Labeling theory has long held a rather significant place in sociology generally, and in symbolic interaction more specifically. Yet, in its long history, labeling theorists have seldom considered how interactional contexts mediate the effective application of labels. Similarly, labeling theory, with its focus on deviance, has largely neglected positive instances of labeling. In this article, I consider an instance of labeling in a tutoring session and show how the local interactional context of the application of a label is accomplished such that the label “smarter than you think” is made to stick to the student. In doing so, I demonstrate how labeling theory can be productively extended to consider positive labeling as well as the interactional contexts that mediate these labeling processes. In closing, I propose that this approach could help develop labeling theory into a complex and nuanced theory of the social constitution of human behavior.     

Why They Don't Come Back: A Clinical Perspective on the No-Show Client

Clinical writers love to publish their success stories. Treatment failures get shuffled to the bottom drawer. Perhaps this is why there is so little in the clinical literature about a problem so frequently encountered by the clinical social worker: the patient or client who never shows up or doesn't return. Why don't they keep their appointments? What are the most common dynamics? How much of the problem rests with the client and how much with the clinician or agency? What should be done when your client “no-shows”? When should you do it? This paper will explore these questions in an attempt to deepen the practitioner's understanding and management of this common clinical challenge.     

Sociological Perspectives on Addiction

This article provides a critical survey of sociological research on addiction. It begins with the seminal research of Alfred Lindesmith on heroin addiction then proceeds through discussions of functionalist contributions, research that exemplifies what David Matza called the ‘appreciative’ turn in the sociology of deviance, rational choice theories, and social constructionist approaches. It is confined to research on addiction in its original meaning as putative enslavement to a substance or activity rather than merely deviant or disapproved activity more broadly. As will be seen, though, there is a ubiquitous and theoretically interesting tendency even among those who contend to be writing about addiction as such to slip into modes of analysis that effectively substitute questions regarding the social approval of an activity for questions concerning whether it is voluntary or involuntary. Hence, one purpose of this article is to explore whether, and how, this slippage might be avoided.     

Corruptus interruptus: the limits of transactional imaginaries in Moi’s Kenya

This article attempts to unsettle treatments of sovereignty that assume an intrinsic relationship between violence and the law even while critiquing the capacity of the law to ground social order through violence. In such discussions, the police become the embodiment of the force of law without content, especially in totalitarian contexts. In contrast, this article explores other conceptions of the police and by extension, sovereignty, at work in Kenya through an examination of police/citizen interactions at a marked political moment – the end of the 24-year rule of Kenyan President Daniel Arap Moi in 2002. Through a particular example of the complicated conviviality that pervades state/society relations in many patrimonial political contexts – in this case between a policeman, a bus driver, and the bus diver’s wife – I attempt to reframe normative conceptions about the police and of enforcement in the context of Kenya’s failing patrimonial economy of circulation and capture in the early 2000s.     

The Hidden Costs of Informal Elder Care

Demographic, socio-economic, and political trends throughout the developed world have contrived to make elder care an issue of utmost policy importance. They also have led to sharp reductions in health and social program expenditures. Policymakers are looking to communities to help meet growing care needs because community care is believed to be better and cheaper than institutional care. However, these beliefs become untenable when costs beyond public sector costs are considered. In fact, informal care carries a number of hidden costs that seldom are considered in health and social policy discussions. This article introduces a taxonomy of the costs of informal elder care, which can be categorized as out-of-pocket expenditures, foregone employment opportunities, unpaid labor, and emotional, physical and social well-being costs. Then, an illustration is provided regarding how the taxonomy can be applied to understanding the incidence, magnitude, and distribution of these costs among stakeholder groups. This taxonomy can help inform ongoing debate about health and social policy reform.     

Emotional Labor and Health Care

We examine the literature on emotional labor and health care to demonstrate the potential for emotional labor research to inform how social and medical scientists think about health care and how examining healthcare contexts has contributed to the scientific understanding of emotional labor processes. In doing so, we first review the key terms and definitions that are used within the emotion management perspective and evaluate the ways in which power differences have remained largely implicit features of research on emotional labor in healthcare settings. Finally, we explore how the increasing economic rationalization of health care may be influencing the emotional experiences of today's healthcare professionals and the implications of this trend for future research on emotional labor and the health and well-being of care providers and their patients.     

FINDING THE WORDS: SOCIAL WORK FROM A DEVELOPMENTAL PERSPECTIVE

Dialogue is at the heart of social work. In conversations with the professional, clients speak out about their pains and sorrows, and about their hope and beliefs. The conversation is the place where social worker and client try to find new words to express these emotions. In doing that, they construct new meanings and create new perspectives.

The role of dialogue in child development is used to understand this underlying process of social work. It shows how children learn to use language as an instrument to organize their world. The role of social workers is similar to that of parents, to help their clients to find the words that enable them to reposition themselves. As soon as they become the author of their life story again, they will be better able to reconstruct their lives.     

Situation and ethnic identity

This paper illustrates situational variation as regards ethnic identification and develops some ideas about identity formation and the expression of ethnic identity in multiple ethnic contexts. The author discusses both social (ethnic) identity and subjective social identity (self-identifications). The author shows how expressions of ethnic origin and identification vary with changes in a number of hypothetical situational settings, explained in terms of a combination of the present and the past. The material consists of interview data from 110 Turks and 114 Yugoslavs aged 16-24, selected randomly, in Stockholm, Sweden. The 1st interview question asked of the Turks and Yugoslavs is how they would describe where they came from in several hypothetical situations. Answers vary more by place asked than by person asking. A tendency exists to relate oneself positively to the person asking, by stressing commonalities. The 2nd question was "To whom do you think you most strongly belong?" Answers show that these immigrants primarily relate themselves to their own ethnic groups and to Swedes, while other immigrant groups in Sweden are less important. The final question was "How would you feel if someone here in Sweden told you that you seem to be just like other Swedes?" The most usual answer is that it does not matter. Both Turks and Yugoslavs would appreciate the statements more from a Swede than a compatriot, and the Turks would become more angry than the Yugoslavs if a compatriot said it. Turks have preserved more ethnic and traditional lifestyles, lack close ties to the Swedes, and experience greater social distance to Swedes. Migrants often develop complex multiple identities, and situational variation, at least in part, can be understood as a competence for living with and making use of this complexity. The article concludes with a typology that illustrates how the interplay between the past and the present creates more or less complex patterns of identification, so that a person cannot express more than parts of his or her identifications in a given concrete situation.     

Transnational migration: taking stock and future directions

Increasing numbers of sending states are systematically offering social and political membership to migrants residing outside their territories. The proliferation of these dual memberships contradicts conventional notions about immigrant incorporation, their impact on sending countries, and the relationship between migration and development in both contexts. But how do ordinary individuals actually live their lives across borders? Is assimilation incompatible with transnational membership? How does economic and social development change when it takes place across borders? This article takes stock of what is known about everyday transnational practices and the institutional actors that facilitate or impede them and outlines questions for future research. In it, I define what I mean by transnational practices and describe the institutions that create and are created by these activities. I discuss the ways in which they distribute migrants’ resources and energies across borders, based primarily on studies of migration to the United States.     

Locating “youth voice:” Considering the contexts of speaking in foster care

Within social services, an increasingly significant movement supports giving “voice” to children and youth, enabling them to express their views and to have those views taken into account in matters that affect them. In this article, the author draws from narratives of young people who grew up in foster care, examining stories of their efforts to impact the course of their own lives. The article explores the ways that very specific contexts and relationships of power shaped the utterances of young people in the foster care system and distorted, muted, or amplified their abilities to express their need and interests. This is a beginning attempt to identify ways that contexts of speaking in foster care can be understood and altered in order to strengthen the capacity of young people to voice their concerns and aspirations.     

Managing everyday (in)securities: Normative values,emotional security and symbolic recognition in the lives of Russian rural elders

Qualitative studies of ageing have called for attention to be paid to the diverse experiences of older people and to their agency in negotiating opportunities and constraints. A lack of research into the experiences and subjectivities of rural elders has been noted. Yet, the majority of research concerning elderly people in contemporary Russia continues to treat old age as a category and focus on particular practical and material forms of assistance available to pensioners. This article, aims to contribute to the small but growing body of ethnographic studies which shed light on the lives of elderly people in Russia as subjects in their own right. Based on ethnographic fieldwork from rural Siberia, the article explores the ways in which elderly people experience and interpret day-to-day (in)securities, forms of care and social support. In doing so the article explores three key questions: Firstly, how do lived realities, both past and present, and normative values of rural life intersect in elderly people's experiences of (in)security in post-socialist contexts?; Secondly, what forms of assistance do older people view as legitimate in their everyday lives? In particular, how are emotional exchanges and interpersonal connections interpreted and what securities do they bring?; Thirdly, what is the significance of symbolic support and recognition for elderly people and how do these draw on practices and frameworks from the socialist past?     

Is that all there is? The concept of care and the dialectic of critique

Recognition of the usefulness of critical social analysis for gerontology has been increasing just as a range of new problems, ranging from globalization to the anti-aging movement, are posing fresh questions about ideology, legitimation and inequality for the study of aging. Such problems and questions represent the negative moment of critique in the theory–practice dialectic. As is generally true of critical theory, in critical gerontology it is rare to find research that reflects a positive movement toward emancipatory change. Yet gerontology is one of the fields that offers special opportunities for critiquing the status quo of aging and elders in society, envisioning new possibilities for aging and developing practices that produce positive change. This paper describes the movement of our own thinking and work, away from a primary focus on analysis and critique and toward an embrace of the possibilities of generating and sustaining change in organizational care settings. We argue that principles of critical developmental and social theory can be used to reframe the concept of care, and we describe briefly how the methodology of action research can be applied in efforts to create new opportunities and possibilities in the everyday experience of elders in long-term care. In our work, we are learning how a constructive theory–practice dialectic can be initiated when critical principles are applied to a practical and urgent domain — the domain of interpersonal care within long-term care institutions for elders.     

Yet another minority issue or good news for all? Approaching LGBT issues in European social work education

ABSTRACT

This article addresses the questions of why to include and how to approach LGBT issues in the context of European social work education. Referring to social work’s commitment to LGBT people, the article points out its ongoing relevance as questions of marginalisation and discrimination point far beyond formal equality in legislation and normalisation of homosexuality within existing societal institutions. Furthermore, new questions and dynamics in rapidly changing and highly diverse societal contexts bring about new challenges in addressing LGBT issues. Against this background, the article discusses problems of representation and knowledge and underlines the potential of a queer approach. A queer perspective questions taken-for-granted assumptions about sexual orientation, gender identity and intimate relationships. It challenges normalising categories of sex, gender and desire and brings out possibilities existing beyond the heteronormative order. This way, it offers social work education a powerful theoretical lens to address issues on sexual orientation and gender identity not only as yet another minority issue, but as transversal matter and as good news for all. In this article, we use the acronym LGBT to refer to lesbian, gay, bisexual and trans people. LGBT is meant to include and at the same time emphasise the differences between people who do not (exclusively) define themselves as heterosexual and who cannot or do not want to match or identify with binarities of sex, gender and desire. We do not use the acronym LGBTI because we find it problematic to include intersex people without taking explicitly into account their specific situations and needs. Making a plea for a queer approach, we share – of course – a critical view on categorisations and identity labels.     

The Merry-Go-Round of Meetings: Embracing Meetings in a Swedish Youth Care Project

Modern society has been called “a society of organizations,” and meetings are considered indispensable. However, a recurring cultural theme in contemporary working life is complaints about excessive and time-consuming meetings. The present article analyzes a contrasting case concerning a Swedish youth care project that employed a set of “coordinators” to maintain close contact with young people and their parents. Over time, these coordinators adopted an exceedingly administrative approach in which meetings with other professionals became more and more central. This article explores how an expanding meeting culture with strong social commitments can be generated from within interorganizational contexts, such as “projects,” and successfully competes with other concerns. Thus, the administrative orientation represents an example of the type of social interaction process that Simmel discerned as Eigendynamik or autonomous processes of social interaction.