一项基于社会工作增权理论的研究——对南京市某福利机构中智障人士生活状况的分析

智障人士是需要特别关注和帮助弱势群体。本文基于社会工作增权理论,在提出研究假设和诠释核心概念的基础上,通过6例个案分析了智障人士社会生活各方面的无权状况,提出了对智障人士的个体性增权和社会性增权两个层次,经过实践环节努力使智障人士提高生活能力、增加人际交往和促进社会融合,从而达到个人权力的提升。     

Violence,Negligence and Suicidal Tendency among Physically Disabled Street Children

This study was carried out among physically disabled street children (PDSC) in the city of Dhaka in Bangladesh. The aim of the study was to explore violence, negligence and suicidal tendency among PDSC. To do this, 30 PDSC (15 male and 15 female) were conveniently selected and interviewed with an interview protocol developed by a step‐by‐step process. The results of this study revealed that all the participants experienced physical violence but female children were more likely to experience sexual violence than male children. Violence against disabled children came from both family members or relatives and other people. As with violence, all the participants experienced some sort of negligence, again both from family members or relatives and other people. More importantly, this study found that more than half of the physically disabled children had suicidal tendency to some extent, i.e. some thought of committing suicide at least once in their life, while others attempted to commit suicide due to the sufferings that came with disability. This study concludes with some policy implications, particularly: providing counseling to parents and the disabled children; training of the service providers who provide services to disabled persons; and building awareness through mass media.     

Pictures and silences: memories of sexual abuse of disabled people

The article de–individualises the debate about sexual abuse of disabled people, especially women, by showing that both the sexual and asexual identity of impaired persons are invariably fashioned within the institutional arrangement of domination and subjugation. It shows that if disabled persons are seen as asexual or if they are sexualised, they cannot escape sexual violence, which is not an aberration, but is intrinsic to the social construction of disability. The article includes personal testimonies of women with different disabilities from Slovenia, who were abused either at home or in public care and shows some responses of the professionals and caregivers who minimise the importance of abuse. It claims that ignoring the memories of sexual abuse is part of a subtle and unintentional discrimination, which reflects a continuity of prejudices and hatred toward disabled children and adults in the private realm as well as in public care. People from ethnic minorities, such as Roma, are still today more often diagnosed as mentally disabled, which shows that the disability diagnosis has to be seen as part of cultural responses towards an economically and socially marginalised group. The author uses different perspectives: historical, social work theories, cultural studies and feminist analysis.     

New Environmental Theories: Empathizing With Nature: The Effects ofPerspective Taking on Concern for Environmental Issues

In this article, I propose that concern for environmental problems is fundamentally linked to the degree to which people view themselves as part of the natural environment. Two studies are reported that test aspects of this theory. The first study describes the structure of people's concern for environmental problems. Results from a confirmatory factor analysis showed a clear three-factor structure, which I labeled egoistic, altruistic, and biospheric. A second study examined the effects of a perspective-takingmanipulation on egoistic, social-altruistic, and biospheric environmental concerns. Results showed that participants instructed to take the perspective of an animal being harmed by pollution scored significantly higher in biospheric environmental concerns than participants instructed to remain objective.     

Integration and Inclusion: Illusion or Progress in Services for Disabled People?

This paper analyses the meanings of "integration" and "inclusion" in the context of disability services to determine the extent to which the latter signals a change in perspective rather than simply a change in terminology. It is argued that integration implies that disabled people need to be integrated into "mainstream" society and that it is they rather than society which is required to change. The policy response which results from this approach may thus be a technical one which focuses on physical integration alone. In contrast, inclusion takes as its starting-point the fact that a just state of affairs is one in which disabled people are included in society and hence the required policy response is a broad one which includes comprehensive civil rights legislation, an analysis of the effects of present and future policy on disabled people and the participation of disabled people in the democratic decision-making process. However, as disabled people are currently excluded from many aspects of society, the potential for an inclusive approach to be dismissed as being too idealistic is noted, and a number of possible barriers to its realization are discussed. It is concluded that whilst such barriers exist they should not, in themselves, provide a reason for inaction as an understanding of the implications of inclusion for policy and practice can provide a useful starting-point from which to bring about change.     

Sustainable livelihoods framework of visually impaired people

The Sustainable Livelihood Framework was applied to analyse the lives of visually disabled people with the goal of creating a Sustainable Livelihood Framework specifically suited for the daily needs of visually impaired people. Empirical evidence was drawn from semi-structured interviews with 12 visually impaired participants who were selected according to conditions of visual impairment and then with 6 visually impaired people who had professionally successful lives in Thailand’s capital Bangkok. The findings demonstrated that self-concept and societal attitude were the fundamental factors in constructing a secure and sustainable livelihood for visually disabled people. Additionally, social acceptance was an essential requirement for visually impaired people to enhance their livelihood.     

Measuring Support Provisions for People Living With Disabilities in South Asia: An Accessibility Index

ABSTRACT

The terms “empowerment,” “rights,” and “inclusiveness” are now commonly used in public policy, but little emphasis is placed on “accessibility” issues in the integration of disabled people. This article proposes a composite index to measure economic support provisions, such as employment, vocational training, microfinance, and safety nets. The index was tested in a case study (N= 245) of two districts in Pakistan. Results support a “cost/benefit”-based philosophy, rather than the “means–ends” goal, where the disabled poor are viewed as unproductive and risky payers, instead of giving them an opportunity to exercise their potential. Change for the disadvantaged poor can be brought about with the mandatory use of this index in local annual audits. Future research might examine the impact of the index and standardize it for global use.     

Retrospective accounts of first exposure to minoritized sexual and gender identities

Although there has been considerable research about attitudes towards LGBTQ+ people, there has been little research into how people first come to be aware of minoritized sexual and gender minority (SGM) identities. This study sought to address this gap. A sample of sexual minority (n = 150) and heterosexual (n = 802) young adults (N = 952; M_age = 18.88 years, SD = 1.75; 949 were cisgender, three were transgender), primarily recruited from a large southern university, were asked retrospectively to recount their first exposure to or awareness of SGM identities. Responses between SGM and heterosexual participants were compared through a variety of analytical approaches, including analyzing themes about the source from which participants first recalled encountering these identities, and whether understanding about these identities came through a personal connection to someone with these identities. SGM participants reported encountering minoritized sexual identities a year earlier than did heterosexual participants, with both groups encountering these concepts in middle childhood, on average. SGM participants were more likely than heterosexual participants to report learning about minoritized gender identities from someone with a minoritized gender identity, while heterosexual participants more often reported learning about these identities from media or celebrities. Heterosexual (vs. SGM) participants were also more likely to imply that minoritized gender identities were adopted to be popular, rather than being authentic identities in themselves. Framed by developmental intergroup theory (DIT), we discuss implications of these findings, especially potential interrelationships with the development of prejudiced attitudes about SGM identities.     

Advocacy for disabled children and young people: benefits and dilemmas

Recent policy has emphasized the need for advocacy services for children and young people, developments that have gone hand‐in‐hand with greater levels of participation of young people in decision‐making. Advocacy for disabled young people is especially important, as they are a particular vulnerable group and have, traditionally, been even more excluded from decisions about matters affecting their lives. This paper reports the findings, as they relate to disabled young people, from a study that investigated the role of advocacy for looked‐after children and children in need. The paper highlights some of the benefits of advocacy for disabled children, the dilemmas facing advocates between advocating and acting in someone's ‘best interests’, identifying the client and the boundaries between advocacy and social work. It argues that time given to establish a close relationship with a disabled child or young person is crucial if advocacy is to be effective and participation in decisions affecting their lives a reality.     

The Tyranny of Fit: Yet another Barrier to Mainstream Employment for Disabled People in Sheltered Employment

Policies that encourage the aspirations of disabled people for mainstream employment might be an effective way to increase their workforce participation rate. This study aims to determine which people in sheltered employment aspire to a job beyond their current sheltered employment job. We asked 64 people with sheltered employment jobs about their workplace and job fit, their intentions to stay in their current job and their future job aspirations. The key finding is that perceptions of fit indirectly and adversely affect aspirations via intention to stay. Participants who felt they fitted planned to keep working at their sheltered workplace, but a stronger intention to stay made it less likely that they could identify an alternative to sheltered employment. These results were not influenced by age or the time spent in sheltered employment. Policy should therefore support people in sheltered employment to develop realistic job aspirations. Helping disabled people to identify opportunities beyond sheltered employment can avoid complacency and free up sheltered job opportunities for other disabled people. But policy changes are required to leverage sheltered employment as a first step for disabled people to develop mainstream job aspirations and facilitate transitioning beyond sheltered employment job options.     

Using the Internet and Email for Health Purposes: The Impact of Health Status*

Objective. Increasingly, people use the Internet and email for health purposes; however, we know little about whether this varies by health status. This study examines whether sick or healthy people are more likely to access the Internet, conduct online health searches, and exchange emails regarding health issues. Methods. We conduct multivariate analysis on a random sample of 2,038 adults. Results. Despite greater Internet access, respondents in excellent/good health are less likely to say they conduct online health searches because they have no health concerns or are satisfied with other health sources. In contrast, sick and disabled respondents are more likely to seek medical information online, and do so more frequently. They are also more likely to exchange health emails with friends and physicians. Conclusions. Practitioners especially need to educate their sicker patients about the uneven quality of online health information since they are more likely than healthier patients to conduct online health searches.     

Experiences of disabled people making the transition from vocational training to employment in Sri Lanka: an exploratory study

This study examines the experiences of disabled people in Sri Lanka as they make the transition out of vocational training programmes into employment. This study was carried out using purposive sampling method to select ‘good practice’ cases and semi-structured interviews with 12 disabled people. The study applied thematic analysis to the qualitative data using NVivo software. The disabled people were found to have distinctive employment experiences following vocational training such as gaining work satisfaction, earning and spending income, presenting workability, expanding social relationships, and facing challenges. This study also identified key factors related to the transition process, including skills acquired through training, job opportunities, participants’ strengths and empowerment, supportive environments, and suitable work. These findings have important implications for both policy and practice.     

‘Growing Old’ in Shelters and ‘On the Street’: Experiences of Older Homeless People

Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (n = 14) and persons new to homelessness in later life (n = 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless.     

'Mingling together': promoting the social inclusion of disabled children and young people during the school holidays

The promotion of social inclusion of disabled children and their families is currently high on the UK political agenda. Research shows that disabled children and their families are highly disadvantaged, both economically and socially. This paper reports some of the findings of a qualitative study, entitled On Holiday! , which involved analysing the views of 297 people across six local authority research sites in England including 86 disabled children and young people. The study showed that many disabled children and their families experienced high levels of social isolation and exclusion during out-of-school periods and during the school holidays in particular. The paper recounts some of the experiences of disabled young people and their families and ways in which local authorities can promote their social inclusion. We argue that disabled young people and their families can only be truly socially included and empowered when all levels of the local authority (managers, officers and elected members) recognize the rights and entitlements of disabled children and have the political will and commitment to implement them.     

Distinguishing disability and incapacity

This paper discusses the distinctions between disability and incapacity for work, from both a theoretical and an operational perspective. Disability refers mainly to a functional limitation in ordinary activity; incapacity for work concerns people who are unable to work because of a medical condition. Although the terms overlap, they are conceptually distinct. People can be disabled without being unable to work, and unable to work without being disabled. Clarifying these distinctions is important for policy: social security benefits for disability are liable to be given on different principles from benefits for incapacity. The implications are considered for systems in development.     

A Comparative Discussion of the Gendered Implications of Cash-for-Care Schemes: Markets, Independence and Social Citizenship in Crisis?

There are moves across many countries away from state-led provision of services for disabled people towards cash-based systems, which have been welcomed by disabled people as increasing choice and control over services and support, and increasing independence and social participation. However, feminist scholars have long warned about the implications of commodifying care for women, and the possible consequences of substituting cash for services for social citizenship have remained underexplored, for both disabled people generally, disabled women and mothers more particularly, and for personal assistants/care workers. This article will attempt to address that gap by carrying out a comparative literature review and policy analysis of the role of policy development and outcomes in cash-for-care schemes, looking comparatively across policy developments in several countries, as well as developed welfare states beyond Europe to examine: (a) the impact of the tensions between various governance levels, particularly local and national government; (b) the gendered impact of such policies on (for example) gendered divisions of paid and unpaid work, citizenship and social participation; (c) the impact such policies have, or are likely to have, on different groups of men and women across the life course and across different social and economic groups; and (d) how such policies can contribute to the well-being and/or detriment of different groups of women (and men) within different social, political, economic and historical contexts.     

优势视角反思残疾人服务——以某康复实验学校的个案为例

我国有八千三百多万残疾人,涉及2.6亿家庭人口。促进残疾人事业发展,改善残疾人状况,已成为全面建设小康社会和构建社会主义和谐社会一项重要而紧迫的任务。目前社会上存在一定程度对残疾人的偏见,甚至相关服务机构的工作人员也从问题或者缺陷的消极视角去看待他们。本文希望结合实践中的观察和行动介入的经验,从优势视角反思残疾人服务。     

Is failure to raise concerns about misconduct a breach of integrity? Researchers’ reflections on reporting misconduct

This article describes and discusses the views of researchers on the significance of raising concerns about scientific misconduct in their work environment and the reasons or circumstances that might deter them from doing so. In this exploratory qualitative research study, we conducted in-depth interviews with 33 researchers working in life sciences and medicine. They represent three seniority levels and five universities across Switzerland. A large majority of respondents in this research study argued that failure to raise concerns about scientific misconduct compromises research integrity. This is an encouraging result demonstrating that researchers try to adhere to high ethical standards. However, further interaction with respondents highlighted that this correct ethical assessment does not lead researchers to take the consequent action of raising concerns. The factors that discourage researchers from raising concerns need to be addressed at the level of research groups, institutions, and by setting a positive precedent which helps them to believe in the system’s ability to investigate concerns raised in a timely and professional manner. Training of researchers in research integrity related issues will have limited utility unless it is coupled with the creation of research culture where raising concerns is a standard practice of scientific and research activities.     

A qualitative study of the practices and experiences of staff in multidisciplinary child sexual exploitation partnerships in three English coastal towns

This article presents findings from a qualitative study of the practices and experiences of people working in multidisciplinary child sexual exploitation (CSE) partnerships in three coastal towns in England. The study is based on focus groups conducted with 36 practitioners from a range of professional groups, including police, social work, substance misuse, education, specialist youth workers, sexual health, and statutory and non-statutory children's services. The article begins with an overview of the three towns and the structure of their responses to CSE. It goes on to explore a range of factors, which contribute to the local issues around CSE and which affect and direct multiagency working. These include practitioner perspectives on CSE vulnerability, the discrepancy between young peoples' and practitioners' views about “exploitation”, a discussion of how CSE perpetrators initiate and develop contact with young people and the role of incentives—including drugs and alcohol—as part of CSE exploitation. We finish by drawing out some general conclusions.