Capability,freedom and profound disability

It has been suggested that capability theory is well suited to assess egalitarian principles of justice as these apply to people with learning difficulties and disabilities. The purpose of this paper is to explore how extensive that assistance is in respect of people whose difficulties are multiple and profound. I am concerned with one aspect of capability theory in particular; namely, the place accorded to the concept and value of freedom. I argue that capability theory exaggerates the importance of freedom as a basic value for egalitarian evaluation.     

Children with profound and multiple learning difficulties: laughter,capability and relating to others

There are numerous ways in which human beings respond to humour: they smile, grin, laugh, giggle or guffaw, and their behaviour might include anything from a glint in the eye to an uncontrollable heaving of the whole body. We consider how laughter is displayed in the lives of four children with profound and multiple learning difficulties and disabilities (PMLD), and reflect on what this reveals about their capabilities and relationships. We look at examples of absurdity and incongruity as elements of humour, and we explore how these create a space for ‘relational commonality’ between people whose differences are many and profound. We suggest that laughter, and involvement in humorous interaction, enables children with PMLD to express themselves, to develop relations with others and to be seen as fully our fellow human beings.     

With a focus on well-being and capabilities

Most of the applied research on capabilities and well-being makes use of quantitative data and research techniques. This paper examines the possibilities of qualitative data gathering to explore the theoretical richness (and complexity) of the capabilities framework. With this objective, the capabilities theory is translated into a framework that enables focus group discussions on well-being. It turns out to be surprisingly easy to discus issues related to the theory of capabilities, as the concepts are recognizable for the focus participants.Being able to choose and making trade offs is related to the concepts of well-being of the participants. Provided one has ‘the basic capability to cope with capabilities’, possibilities and choices increases well-being. These findings show that the capability framework can be fruitfully used for applied research on well-being and that qualitative data gathering creates opportunities that are complementary to quantitative techniques.     

But it’s not all about the sex: mothering,normalisation and young learning disabled people

This paper is about mothering, young learning disabled people, their sexualised and relationship lives and normalisation – not through the lens of the disabled person, but via a mothers perspective and theoretical discussion. As a mother who has a learning disabled daughter, a feminist and an academic my own mothering experience, my Ph.D. research and social theory are woven throughout this paper with the intention of opening up debate about sex, intimacy and normalisation, and how these impact upon young learning disabled people. I suggest that the relationship between sex, reproduction, intimacy and intellectual impairment and a project to decipher what it means to be human in all its dirty glory are also part of the discourse that needs to be discussed experientially and theoretically. So much so that the messy world within which we all live can be variously and differently constructed.     

Androgens, apoE, and Alzheimer's disease

Increasing evidence indicates that there are reductions in estrogen and androgen levels in aged men and women. These hormonal reductions might be risk factors for cognitive impairments and the development of Alzheimer's disease (AD). Aged people show improved cognition after treatments with sex steroids. Therefore, ongoing clinical AD trials have been designed to evaluate the potential benefits of estrogen therapy in women and testosterone therapy in men. Apolipoprotein E (apoE) plays an important role in the metabolism and redistribution of lipoproteins and cholesterol. The three major human apoE isoforms, apoE2, apoE3, and apoE4, differ in their effects on AD risk and pathology. Here I review various mechanisms proposed to mediate the differential effects of apoE isoforms on brain function and highlight the potential contribution of detrimental isoform-dependent effects of apoE on androgen- and androgen receptor (AR)-mediated pathways. I also discuss potential interactions of androgens with other AD-related factors.     

Credibility,Agency, and the Interaction Order

There are two ways of reading Goffman—as a theorist of trust and ritual accommodation, that is, as a theorist of the interaction order, or as a theorist of deception. I suggest a way of making these two readings compatible, by arguing that Goffman was interested in what I call the “production of credibility.” Credibility is the quality of being believable, and this quality is integral to both trust and deception. Viewed in this way, Goffman explored the ways in which people make their actions convincing to other people. Although Goffman's analysis of the interaction order did not need a theory of the self, his work actually contains two quite different theories of the self: one linked to role analysis, one to his analysis of mental illness. I argue for the latter at the expense of the former. I conclude that Goffman both initiated substantive work about the interaction order and contributed to a synthesis of a theory of the interaction order and a theory of the self.     

Spirituality and Social Care

In this paper I discuss the main theoretical ideas in the book and the way in which the author applies them to social casework. I consider the relevance of these ideas to contemporary social work in terms of their contribution to the knowledge base of social work and social work methods. I argue that Kleinian ideas can make an important contribution to understanding the interpsychic and intrapsychic aspects of human experience with which social workers come into contact. I suggest that the author writes about the casework relationship with little regard to the social and political contexts in which social work is undertaken and that in contemporary social work, there needs to be a relationship between three different elements, namely: the client--as an individual within their social context; the emotional dynamics of the client-worker relationship; and the integration of theory, social policy and the legal framework.     

Objects,Meanings, and Role Identities: The Practices that Establish Association in the Case of Home‐Based Employment1

Contemporary social theory suggests that the meaning of any object differs by how we, as social actors, respond and relate to it. The challenge for sociology lies in exploring the different strategies and practices recursively and productively embedded in these relationships. In this article, I present data from in‐depth interviews with 20 home‐based employees to illustrate how these individuals interact with familiar objects in their surroundings to form anchor points for diverse lines of conduct. Although I draw from a number of sociological theories in my analyses, I further utilize cognitive theory to outline three micro‐psychological practices (i.e., routinization, goal targeting, and emotional alignment) that respondents apply in their attempt to establish the desired association between objects and identities. In this way, the article both extends previous lines of inquiry into the relationship between objects and actors, and makes a new contribution to the growing literature on culture and cognition.     

Achievements,capabilities and the concept of well-being

Conclusion Sen's book raises a variety of new and important issues concerning human wellbeing and its measurement. However it also leaves plenty of open questions and uncovered ground. Its argument for shifting our attention from commodities to functionings is powerful and I hope this will find increasing favour among welfare economists and other social scientists. Regarding its argument for shifting attention from achievements to capabilities, I am more skeptical.Some of the concepts developed in this book can have important applications to questions beyond that of measurement, questions which Sen does not touch on in this book. For instance, the concept of exploitation is difficult to describe in a utility-based framework. This is because people who are chronically exploited learn to adjust to their predicament and may achieve a reasonable level of utility and may not even strive for change. A definition of exploitation based on utility or choice would fail to identify such people. The concept of well-being can be useful in identifying the chronically exploited. This is just one of many possible directions that can be pursued from here.     

Autonomy in long‐term care: a need,a right or a luxury?

Doyal and Gough’s theory of human need highlighted that personal autonomy is a universal need and human right, essential for well‐being. In applying their theory to older disabled people in the UK the author suggests that their ‘minimally autonomous’ threshold would exclude some older people in long‐term care who still have a fundamental need for autonomy or, alternatively, extant autonomy. The disability movement has highlighted that independent living is fundamental to achieving self‐determination for disabled people and debate on equality and caregiving emphasises the autonomy of carers. However, there is a lack of recognition in both academic research and government policy of autonomy as a need and right of older disabled people. The author argues that autonomy is a human right of older people living in long‐term care settings, but that social rights are necessary to facilitate their autonomy.     

Human Trafficking: Globalization, Exploitation, and Transnational Sociology

In the last decade, human trafficking has emerged as a new area of research for sociologists and other scholars across a wide range of fields. Globalization has exacerbated the illicit trade of people and their parts within and across territorial borders, generating concern among activists and academics and prompting the development of a burgeoning literature with varying concerns and viewpoints. This article reviews what we know about human trafficking dynamics and trends, its causes, and current responses, including critiques of anti-trafficking efforts. While much work remains to be done in simply mapping current trafficking activities, a transnational sociological framework can help to move theory and research on trafficking forward.     

The paradox of academic determinism and adolescent romance in Hong Kong

How do adolescents negotiate romance in an environment that is hostile to it? Why do they seek out and practice romantic engagements despite negative sanctions? This paper addresses these questions by examining how Hong Kong Chinese adolescents narrate and practice romance in the context of academic determinism – the discourse that academic success is the most important determinant of young people’s futures. I discuss how academic determinism shapes their narratives, ideals and practices of romance. I also analyse the paradox of academic determinism – how it simultaneously de-legitimises adolescent romance and fuels young people’s desire for it. By focusing on transactions between young people and their environments, this paper makes a unique contribution towards theorising how young people negotiate and practice romance in the context of academic pressure, adult surveillance and control.     

Ontological Insecurity,Racial Tension,and Confidence in the Police in the Shadow of Urban Unrest

According to the theory of “ontological insecurity,” people who worry that society is in a state of decline or upheaval will also support punitive social control of deviants. I test the relationship between several measures of people's anxiety about the state of society, their perception of racial tension, and their confidence in the police (as enforcers of social control) during the period of social unrest following the death of Michael Brown in Ferguson, Missouri. I use ordinary least squares regression to analyze data from a nationally representative public opinion poll gathered for the Pew Research Center for the People and the Press during August, 2014. I find that pessimism about the state of the economy, pessimism about race relations, and the experience of personal hardship are related to decreased confidence in the police, while pessimism about the state of morals in society is related to increased confidence. I conclude that public confidence in the police is intertwined with public confidence in the stability of the country, more generally. This study supports a “neo‐Durkheimian” model of policing. The opposite findings of economic versus moral insecurity also call for refinement of the ontological insecurity theory.     

Mutual dependency between capabilities and functionings in Amartya Sen’s capability approach

Amartya Sen’s capability approach has recently been widely discussed as a theoretical basis for making resource allocation decisions in health care. The purpose of this paper is to analyze the relationship between capabilities and functionings in the capability approach. The paper shows that some functionings are not only the result of capabilities, but also their prerequisite. That is, there is a dual role of some functionings as both ends and instruments, resulting in a mutual dependency between capabilities and functionings. Functionings may be a direct requirement for capabilities, but also an indirect one because they ensure the absence of mental disorders or negative thoughts, both of which are relevant constraints on freedom. This has important implications. It supports a policy that ensures for everyone an initial endowment of (1) mental and physical health, (2) education, and (3) other functionings with a direct or indirect impact on capabilities.     

Racial Salience and the Consequences of Making White People Uncomfortable: Intra‐Racial Discrimination,Racial Screening,and the Maintenance of White Supremacy

Most sociological research on racial discrimination has had an “inter‐racial” focus. That is, researchers have been principally concerned with the disparate treatment that people of color receive relative to Whites in different social contexts. However, recent theoretical work emerging from legal studies suggests that an alternative conception of “intra‐racial” discrimination exists that extends beyond colorism. This theory of intra‐racial discrimination stipulates that many organizations in the “post‐racial” era desire some measure of racial diversity. Yet, in their efforts to achieve this racial diversity they screen people of color based on their degree of racial salience. Whether a given person of color is hired, promoted, or in the case of college admissions, accepted, is a function of whether or not Whites within the organization consider them racially palatable, or not overly concerned with race. This creates an incentive for people of color to work their identity to allay any concerns among Whites that they may be too racially salient. In this paper I critically review this work and attempt to further buttress its claims by highlighting how this process has clear historical precedent. I conclude by showing how the audit method can be used to empirically examine this practice contemporarily.     

Applications of a Capability approach to disability and the International Classification of Functioning, Disability and Health (ICF) in social work practice

As disability rates increase more social workers will require greater preparation to practice effectively with individuals with disabilities. The Capability approach and the International Classification of Functioning, Disability and Health provide helpful tools for social worker training. The capability approach emphasizes the need to assess what individuals are able to do in their real-life environments (capabilities) rather than capacity or functional status. The ICF provides helpful disability-related terminology and an actual classification to assist social workers to develop appropriate interventions that facilitate capability development among individuals with disabilities. Using the capability framework with the ICF will contribute to improved understanding of disability among social work students and practitioners.     

Anxious Embodiment,Disability, and Sexuality: A Response to Margrit Shildrick

This piece responds to Margrit Shildrick's “Dangerous Discourses,” which offers a theorization of embodiment useful to several fields of scholarship, including disability studies, gender theory, and queer theory. I argue that these fields must take sexuality seriously as a site for both bodily construction and bodily disruption and that the complexities of corporeal contact offer a way to map how discourses of (dis)ability, gender, and race delimit what we perceive as a human body. More expansively, I contend that perception is just as constructed as gender, with norms of embodiment shaping what we perceive as the boundary between disabled and nondisabled bodies. Shildrick's article then becomes a starting point to ask how we might perceive not just difference but differently, opening up new ways to think and live embodiment.     

Discourse, social theory, and social research: The discourse ofwelfare reform

Recent social theory includes important insights into language which constitute a so far underdeveloped resource for sociolinguistics. But much of this theory stops short – theoretical frameworks and categories which socially locate language are not pushed in the direction of a theorisation of language itself, which limits their operational value in research. Sociolinguistics can draw upon social theory to produce more sophisticated theorisations of language which at the same time constitute contributions to social theory. My aim in this paper is to explore what it means to work in a 'transdisciplinary' way. I argue in particular for a transdisciplinary engagement with social theory in which the logic of one theory is put to work in the elaboration of another without the latter being simply reduced to the former. My focus is upon critical discourse analysis (CDA) which I here take to be a part of a broadly conceived sociolinguistics. I shall link this theoretical exploration to a concrete research focus by referring to a discourse analytical study of the current British ('New') Labour Government, with particular reference to its 'reform' of social welfare. I shall be drawing upon the theoretical framework developed in Chouliaraki and Fairclough (1999). I have referred to some of the social theory which I find it particularly fruitful to work with, but the paper is intended to suggest a way of working and is in no sense a closed list of theorists – on the contrary, I believe that we should be open to a wide range of theory.     

The Symbiotic Ideology: Stewardship,Husbandry, and Dominion in Beef Production

Social studies of agriculture tend to overlook the micro and symbolic interactions that structure relationships among agriculturalists, the environment, and animals raised as commodities. In this study, I use ethnographic methods and in‐depth interviews with conventional beef producers to understand their perceptions of the environment and the nonhuman animals they raise. Central themes in this setting are the ethics of stewardship and husbandry. I seek to understand how these values are constructed and used interactionally. I argue that stewardship and husbandry help describe a process of co‐constitution that binds together ranchers, cattle, and the natural environment. The analysis engages actor‐network theory by emphasizing nonhuman activeness and draws from symbolic interaction and cultural sociology to show how people interpret the actions of nonhumans. The findings show that ranchers frame their relationships with cattle and the environment as symbiotic and work to understand the interests of the nonhuman as complementary to production. I introduce the term symbiotic ideology to show the way this approach mystifies power dynamics embedded in the ethic of dominion.     

Embodiment, experience and theory: in defence of the sociological tradition

This paper examines whether the theoretical analyses and ambitions of sociologists of the body are increasingly making obstructive and irrelevant the subject boundaries and methodological conventions associated with their parent discipline. Concerns about the utility of the discipline have been expressed by a number of body studies emanating from within and outside of sociology. These imply that it is necessary to reject the dominant problematic of sociology and utilise non disciplinary resources if we are to understand issues surrounding the ‘lived experience’ of embodiment. In opposing this rejection of sociology, if not the use of other intellectual resources, I argue that the discipline contains much valuable theorising about experience which has yet to be developed by body theorists. Many of sociology's central concepts, indeed, evoke dimensions of human experience that remain highly pertinent to an understanding of the individual and societal significance of the body in the contemporary era. In order to illustrate this argument, I focus on the writings of Durkheim and Simmel. Their work is rarely central to writings on the body, but provides good examples of the diversity of theoretical approaches within sociology that remain relevant to body theorists. Specifically, I want to use it to develop the outlines of a theory of embodiment as a medium for the constitution of society which has at its centre a concern with human experience. I conclude by reassessing the strategic options sociologists of the body confront in developing their analyses.