Who will care for older people? A case study of working with destructiveness and despair in long-stay care

Abstract

The reduction of services for older people is illustrated in a case study of a long-stay NHS service which has been transferred to a private, profit-making company. The effects of cuts in this service are most keenly felt in the very poor conditions of employment now offered by the company to new carers. Other illustrations of cuts are described in attempts to make savings on food or incontinence pads. The difficulties for staff, patients, their relatives, or indeed society at large, in challenging such destructiveness, may be understood in terms of the particular vulnerability of older people to projections of a dreaded infantile dependency and helplessness, in a society in the grip of a destructive narcissism which views ordinary human needs as a weakness.     

“Classic ageism” or “brutal economy”? Old age and older people in the Polish media

This article explores media discourse of ageing, taking the example of Poland and relating it to a broader discussion of ageing policy. The discourse in news magazines appears both to reflect and create attitudes towards older people, which in turn has implications for ageing policy. To reveal the nature of these attitudes, we use a method of attitudinal positioning. The study analyzes articles that appeared in the four largest Polish weekly opinion news magazines, in the 2004–2007 period. Various domains in the discourse of ageing are identified, yet only the family and market domains seem to be described in exclusively positive terms: the authors discuss the implications of this for ageing policy.     

Racialization in a ‘homogenous’ society? The case of Buraku people in Japan

This paper examines the puzzling status of Buraku people in Japan through the methodological prism of historical sociology. I develop a theoretical approach that emphasizes the concept of racialization to illuminate the historical and social construction of Buraku status. I propose this approach as a complementary alternative to prior analytic perspectives. Two major perspectives have dominated research on the status of Buraku people. First, an earlier approach that focused on the legacy of caste discrimination. The second framework focuses on Buraku people as part of the struggle for universal human rights. This article raises three basic, but interrelated questions about the historical development of Buraku status in Japan. Why did the Buraku people become subject to such overt discrimination in local community life, and through government policy? How was the state involved in the social construction of Buraku people? How did the Buraku liberation struggles challenge formalized discrimination?     

Self-reported ageism in students and academic staff—the case of the Social Work Department in Crete,Greece

This study focuses on self-reported ageism among social work students and academic staff in the Social Work Department of Crete, Greece; the 20-item questionnaire Relating to Older People Evaluation (ROPE) was used to measure negative and positive ageist behaviours that respondents engage in during everyday life. Positive ways of relating to old people were reported much more often than the negative ways; no significant differences in mean endorsement scores between academic staff and undergraduate students in either the positive or the negative dimensions were found. Women endorsed positive ageism items more often than men did, but the two genders did not differ in their endorsement of negative ageism items. This association was observed both for the students and academic staff. For students, no relationship between how many years they had spent studying and endorsement score was observed for either the positive or the negative behaviour items. Social work students and academic staff should be aware that positive ageism may turn into paternalism; it is important that social work education prepares students in order to approach clients with a non-prejudiced attitude and to provide them with quality services.     

Why do people agree to participate in social research? The case of drug injectors

Social research brings costs and benefits to people who agree to take part as respondents. This research note considers why people agree to participate in research with special reference to drug injectors. It is based on asking a small sample of drug injectors why they agreed to participate in a qualitative study that explores their perceptions of drug using and sexual behaviours related to the spread of HIV. The following broad themes are used to present respondents' reasons for participating in the study: 1) The research being interesting, relevant and worthwhile; 2) the timing of the fieldwork and respondents' concerns and priorities; 3) a belief that participating is beneficial to the individual participant; 4) a feeling that participating benefits people in general; 5) participation was influenced by referrers, agency staff or other drug injectors who introduced people to the researcher; 6) respondents' first impressions of the researcher; 7) the importance of confidentiality, and finally; 8) the use of tangible rewards and incentives in relation to participation. These findings are discussed throughout this research note.     

‘How dare you pretend to be disabled?’ The discounting of transabled people and their claims in disability movements and studies

Although the contours of the ‘disabled person’ category are questioned by anti-ableist activists, they remain rigid regarding transabled people (who want to become disabled). For anti-ableist activists, transabled people do not count as disabled. They are perceived to: be falsely disabled; steal resources from disabled people; and be disrespectful by denying, fetishizing, or appropriating marginalized realities. By combining critical discourse analysis, genealogy, and deconstruction, I examine these negative discourses to encourage alliances between anti-ableist activists and transabled people. Ideas developed in disability and trans studies reveal the limits of these discourses anchored in ableist and cisnormative* assumptions.     

Work–family reconciliation policies without equal opportunities? The case of Austria

This paper explores the main public work–family policies in Austria (parental leave in connection with the Childcare Benefit, parents’ entitlement to part-time work, the extension of the childcare infrastructure) from the perspective of social justice using the normative concepts of gender equality, recognition, and choice. The main results show that for the most part, these policies offer affirmative recognition of maternal care and limited employment of mothers but offer little support for transformative recognition, particularly in terms of increasing the social status of working mothers and fathers as carers. Austrian work–family policies also do little to redistribute incomes and career opportunities from men to women and childcare from women to men; instead, they grant only limited freedom to choose between parental duties and employment, and the (financial) support they do offer is strongly concentrated on early childhood. All in all, the construction of the parental leave system (together with the Childcare Benefit), the entitlement to work part time, shortfalls in public childcare structures, and the lack of awareness of gendered (cultural and material) structures on the labour market and within families do not actively encourage gender equality. Some aspects of these policies even stabilise and deepen gendered structures on the labour market and in families.     

The evolving construction and conceptualisation of ‘disability’ in Bhutan

This study – a year-long ethnographic exploration of disability and education in Bhutan – finds that two dominant discourses around ‘disability’ are entering Bhutan simultaneously: the discourse of the medical model of disability and the discourse of the social or human rights model of disability. In this paper, I argue that these two discourses are especially exposed in the Bhutanese context to be opposing forces in shaping local conceptualisation and construction of ‘disability’. By examining the Bhutan case, it can be seen that these kinds of disparate and contentious exogenous constructions of ‘disability’ occur everywhere in the world and negotiate with local constructions of ‘disability’ uneasily. Understanding the interactions of disability discourses in the Bhutanese context can help to understand the interactions of disability discourses writ large.     

The Continuing Legacy of the Communist Legacy? The development of family policies in Poland and the Czech Republic

This article compares family policies in Poland and the CzechRepublic in order to explain why the two countries have differentpolicies. Previous studies are right to claim that post-communistfamily policies are basically going in a refamilialist directionthat gives mothers a greater incentive to return to the home,but they tend to neglect the important differences that existbetween countries. Although previous studies were correct toemphasize the role of the anti-feminist communist legacy inexplaining this trend toward re-famialilization, it is a country'seconomic-institutional legacy that goes the farthest in explainingthe differences in policies.     

‘A frog in a well’: the exclusion of disabled people from work in Cambodia

Based on ethnographic research conducted in north‐west Cambodia in 2000–2001, this paper examines why disabled people experience systematic marginalisation in the labour market. Although there are no official data on the relationship between disability and employment status in Cambodia, this research suggests that disabled people are more likely than their able‐bodied counterparts to be unemployed, in low status occupations, earn less or be out of the labour market altogether. Consequently, disabled people are more likely to live in poverty, experience social isolation and poor mental health. I argue that disabled people’s social status effectively shapes their work patterns through (mis)conceptions that associate ‘disability’ with ‘inability’ to work and to be employable. This paper illustrates how geographical processes fix disabled people in their socio‐spatial place, which together with ideological and structural inequalities distinguish and entrench their poverty from that of other social groups.     

The VFW — A case study in the “iron law of oligarchy” and goal displacement

The iron law of oligarchy is applied to the VFW. Using participant observation and qualitative interviews, membership of the VFW is dichotomized into a leadership oligarchy and a drinking membership. Opinions of members of the two groups about the purposes of the organization and about each other are documented. An historical analysis traces the change in organizational goals over time from promoting nationalism, fraternalism, and special benefits for members to political advocacy of veterans' rights.     

Women’s activism as public relations in a patriarchal society: The case of Kuwait

This paper addresses an important era of women’s activism in Kuwait. In the 1950s, when the government recognized women’s rights for education, the wave to obtain other civil rights clashed with culture, tradition and religion which became serious obstacles facing women in their struggle for basic rights. This historical study focuses on the establishment of two women’s organizations -- the Arab Women’s Development Society in December 1962 and the Kuwait Women's Cultural and Social Society in February 1963. To sway the negative image of women in a patriarchal society, women used activism as a public relations tool to achieve their social, civil and political rights. The study uses cultural-economic model (CEM) to illustrate how activism and public relations were articulated as synonymous to foster women’s rights in Kuwait. Archived documents and content analysis of media content published in the 1960s reveal that activism played a vital role as a public relations strategy and that social activism was more effective than political activism. The study highlights the implications of culture within the context of both public relations and activism.     

The role of public relations in a counterhegemony: A case study of the 1968 poor people’s campaign

This study examined the role of public relations in Antonio Gramsci’s concept of cultural hegemony, specifically in a counterhegemony. Dr. Martin Luther King, Jr.’s preparation for the 1968 Poor People’s Campaign serves as a test case on how public relations can help subordinate groups confront a hegemony. This paper suggests that Gramsci’s philosophy provides an analytical heuristic for researching instances of contestation. Examining counterhegemonic campaigns offer public relations practitioners a means both to think about and to intervene in the world more effectively.     

Do people reason when they accept tricky offers? A case of approach and avoidance motivated reasoning

Tricky or deceptive sales offers are often accepted by people. But how do we explain the acceptance of such disadvantageous offers? We propose that buyers represent offers in terms of costs and benefits in a conditional goal-related mental rule along the lines of “if a cost is paid, a benefit is obtained”. This representation would be influenced by BAS (approach) and BIS (avoidance) motivational systems. Behavioural approach system (BAS) would trigger seeking evidence confirming the offer and would lead us to accept it. Behavioural inhibition system (BIS), on the contrary, seeks disconfirming evidence, leading to rejection of the offer. Activation of approach and avoidance motivation would be influenced by internal variables and the context. We carried out three experiments where participants were told to check if a deceptive conditional offer was a cheat in a thematic Wason Selection Task. Experiment 1 showed that participants preferred confirmatory selection when the benefit was linked to a human need. In Experiment 2, warning information indicating cheating was introduced, while in Experiment 3 information about product alternatives was added to the instructions. We found a weakening of confirmatory card selection in Experiment 2, and a clear preference towards falsifying selection in Experiment 3. These results support the role of approach and avoidance motivated reasoning in buying/selling exchanges. Implications of these results are discussed in comparison with cheater detection algorithm and conformation bias predictions.     

A configurational approach to transnational families: Who and where is one's family in the case of mobile older adults?

This article introduces a novel transnational family configuration (TNFC) approach to study the diversity of family forms across kinship and geographical boundaries. Integrating theoretical insights from family sociology and transnational family research, it examines contemporary families as personal networks that encompass both subjectively identified and potentially transnationally dispersed kin and non-kin members. Drawing on original survey data and in-depth interviews with adults aged 55+ living in Switzerland, it compares migrants’ and non-migrants’ personal family networks. The results indicate that these networks are both diverse and transnational. Although there is a strong correlation between transnationality and migration background, other life-course factors also contribute to the development of transnational family networks beyond the scope of migrant ‘exceptionalism’. By advocating the adoption of a TNFC approach to the study of contemporary families, in diverse population groups and various cultural contexts, this study paves the way for future research in this area.     

Stuck in the land of disability? The intersection of learning difficulties,class, gender and religion

This article discusses the discrepancy between formal rights to full social inclusion and the lived experiences of young adults with learning difficulties. It draws on inclusive life history research in Iceland and employs intersectional theory to study the social participation of young adults with learning difficulties. In an attempt to understand the complex political, economic and ideological forces that hinder the actualisation of their formal rights the intersection of disability, class, gender and religion in the production and reproduction of existing social hierarchies is examined. The article demonstrates how the research collaborators resisted their devalued social construction and attempted to create and affirm themselves as competent social actors.     

The emergence of Dutch casinos: A case study of mismarketing?

Ostensibly, the approval of legalized casino type gambling in the Netherlands was intended to combat illegal and uncontrolled gambling. Very early on, however, the plan conceived and implemented by the Netherlands Parliament demonstrated serious mismarketing strategies and tactics. The new legal casinos were appealing to people other than those engaged in illegal gambling, in particular foreign tourists and local high rollers. This paper attempts to analyze the ultimate process of goal displacement, as the state casino industry allowed economic objectives to supplant desires to utilize legal casinos primarily as controls over illegal gambling.     

Financial worry among older people: Who worries and why?

This study sought to clarify what drives economic worries among older people. Based upon the data from a national sample of adults aged 65 and older in Israel (N = 550), we examined associations between financial worry and economic status, lifestyle, social network, concerns about functional health, long term care needs and cognition, and population group. The main financial worry was that pension funds will not suffice for one's entire life. Multivariate analysis revealed that financial worry was negatively related to perceived income adequacy and age, and positively related to concerns about care and to apprehensions regarding one's ability to make decisions. Immigrants from the former Soviet Union were found to worry less. Understanding the different sources of financial worries among older people is essential insofar as older people are increasingly expected to take personal responsibility for their financial futures. Dealing with negative outcomes that stem from financial worries are important programming and policy goals in an era of population aging.     

Rural young people in regional development—the case of Finland in 1970–2000

In view of the crucial role of young people in society, especially as far as the future of sparsely populated rural areas is concerned, an analysis is made of absolute and relative changes in the 15–24-year age cohort in Finland and their effects on demographic and regional structure, employing GIS methods. The main material for this consists of georeferenced population data based on 1×1 km grid squares produced by Statistics Finland for the period 1970–2000. An example is taken of one rural municipality where the georeferenced data were supplemented with qualitative interview material obtained in 1999. The results show that the number and proportion of young people in the population of Finland have declined since 1970, although not consistently, at the same time as the total population has continued to increase. The dichotomy between the sparsely populated rural areas and the built-up areas has been accentuated by a distortion of the population structure and gender ratio, in that the young people, and particularly young women, have been inclined to move into the growth centres and to the more densely populated areas in general. The georeferenced data clearly point to a worsening regional imbalance in the areal distribution of population in Finland, although the interview material suggests that the young people still living in the countryside do not regard their position as hopeless but are prepared to weigh up their future on the basis of the alternatives open to them.     

Reporting disability in the age of austerity: the changing face of media representation of disability and disabled people in the United Kingdom and the creation of new ‘folk devils’

Following its election in 2010 the UK’s Coalition Government has sought to implement radical restructuring of disability-related benefits justified by reference to the financial crises of 2007/08. In this article we examine how these changes have impacted on coverage of disability in the UK media comparing and contrasting coverage of disability in newspapers in 2010/11 with a similar period in 2004/05. Our analysis suggests that disabled people have become a ‘folk devil’ and that there has been a significant change in the way that disability is reported. Newspaper coverage in 2010/11 was less sympathetic and there was an increase in articles that focused on disability benefit and fraud, and an increase in the use of pejorative language to describe disabled people. An audience reception study suggests that this coverage is having an impact on the way that people think about disabled people.