The continuum of dependent family care: a theoretical explanation and model

ABSTRACT

Caring for dependents with disabilities and how this type of care differs from the care of typically developing dependents has largely remained unaddressed in the work–family literature, partly because of a lack of theoretical development on the concept of dependent family care. Studies examining dependent family care often apply a life course perspective, missing key disability factors influencing dependent family care demands and need for resources. This article develops a theoretical framework of dependent family care that accounts for both typical care, which follows the life course trajectory, and exceptional care, which follows a disability trajectory. We position dependent family care as based on a continuum, achieved by adapting life course theory, family adjustment to chronic illness, ecological systems theory, stigma theory and the social model of disability into a model. We explain how dependent family care occurs and what contributes to whether one is engaging in typical or exceptional care. We draw broad constructs representing predictors of different types of dependent family care. We provide specific examples to illustrate how one might test theoretical propositions, an agenda for further research and discuss implications for family–work–community research and practice.     

Private placements in social work education: Opportunity or oppression?

This article examines the issues arising from student placements in the private or commercial sector. It focuses on private residential care for adults, as the most developed area of private provision in the UK, and explores the background to this form of provision. The article then considers the private sector placement from the viewpoints of the student, the private sector agency and the educational institution. A checklist for social work educators considering placements in the private sector draws together some of the key issues. The article ends with a discussion of the pragmatic, moral, logistic and educational perspectives which influence attitudes towards the private sector.     

Prospects for Examining Perceived Choice and Control Among Older Adults Living With Family

This review aims to advance the field of aging research by examining coresidence with family, race, and other characteristics as potential determinants of choice and control in older adults. Living with family likely impacts perceived choice and control, as household members often work together to make decisions about care. Race may also influence choice and control, as an accumulation of challenges and opportunities create unique life experiences. This review considers human agency in its examination of choice and control. Suggestions for future research will be discussed.     

Trauma-informed care and elder abuse: a synergistic alliance

ABSTRACT

Elder abuse is a global systemic problem in which one or more traumatic or stressful life experiences directly affect older adults, their families, and communities. Despite its devastating impact, the understanding of—and response to—elder abuse has rarely been explored through a trauma-informed lens. Despite the prevalence of traumatic and stressful life experiences, research and practice are just beginning to target the intersection of elder abuse and life course trauma. This article demonstrates how knowledge about the causes, consequences, and responses to elder abuse can be integrated with the principles of trauma-informed care to improve agency and community responses to preventing or intervening with elder abuse and neglect. In order to address the ongoing problems with detection and treatment of elder abuse, we assert that instilling trauma and elder abuse informed care in organizational services and policies forms a synergistic alliance and would address many of these concerns.     

Life Course Status and Exchanges of Support Between Young Adults and Parents

The authors investigated intergenerational support exchanges in relation to young adults' life course status. In a sample of 2,022 young adults (ages 18–34 years) in The Netherlands, single young adults reported receiving more advice from parents than married young adults, and those with children of their own received more practical support. Married young adults and young adults with children provided less support to parents than, respectively, single young adults and young adults without children. Congruent with the life course perspective, the authors' findings suggest that the intergenerational support network is both durable and flexible, responding to the resources and needs associated with an individual's life course status.     

Reproduction revisited: comprehending complex educational trajectories

Pierre Bourdieu's famous theory of educational reproduction is often depicted by critics in simplistic terms: individuals either have plenty of cultural capital, and thus symbolic mastery and school success, or they do not and develop practical mastery and vocational interests instead. Social mobility, deviant trajectories and resistance, on the other hand, are seemingly impossible. The nature of Bourdieu's writing fuelled this perception, but implicit in his early work, and elaborated in his later writings, is the idea that class and capital possession are fully relational, gradational and refracted by family dynamics, thereby suggesting the existence of all manner of possible shades of difference between the two poles of reproduction. This paper, whilst acknowledging that reproduction is still the major feature of the education system in the UK, thus revisits Bourdieu's thesis and sketches some of the manifestations of this intermediate zone of educational performance, namely social space travel, the Icarus effect, recovered trajectories and pathways born of dispersed family fields. In so doing it draws on a qualitative research project examining the life histories of adults from a variety of class positions in Bristol.     

Agency among young people in marginalised positions: towards a better understanding of mental health problems

ABSTRACT

Agency in marginalised youth has been studied from various perspectives, yet the challenges that mental health problems pose for their agency remain poorly understood. Drawing on data from a study on youth transitions fractured by mental health problems, this study sheds light on this important issue. The data consists of 49 life story interviews with young adults. Using Ruth Lister’s four-dimensional taxonomy of agency, the analysis shows how everyday struggles with mental distress are entangled with the practices of the social security system, medical care, education, labour markets, and work life. It also reveals how emerging attempts at strategic agency can fail or flourish depending on the response of the social and structural context. If strategic agency is restricted by institutional practices, it will soon return to day-to-day struggling or become everyday resistance and cynicism towards the system. However, if the strategic agency is supported by institutional practices, a genuine path out of distress emerges. The paper suggests that taking seriously the experiences of mental distress and situating them in a specific socio-political context is essential for understanding youth agency today.     

Intergenerational Contact and the Life Course Status of Young Adult Children

This study examined how the life course status of young adults—whether they have a romantic partner and whether they have children—is related to how often they have contact with their parents. Hypotheses were tested using recent data from the Netherlands Kinship Panel Study. The main sample included 1,911 young adults between the ages of 18 and 34. Results suggest that young adults’ entrance into cohabitation and marriage is associated with less face‐to‐face contact with parents. Young adults with children of their own tend to see their parents more frequently than young adults without offspring. Findings are congruent with the family life course perspective, contending that family relationships are related to the life course status of individual family members.     

Life Course Stage in Young Adulthood and Intergenerational Congruence in Family Attitudes

We investigated how intergenerational congruence in family‐related attitudes depends on life course stage in young adulthood. Recent data from the Netherlands Kinship Panel Study were used; the present sample included 2,041 dyads of young adults and their parents. Findings are discussed in terms of the elasticity in intergenerational attitude congruence in response to young adults' life course transitions. Our results suggest that intergenerational congruence in attitudes about partnership (e.g., marriage, cohabitation, divorce, women's and men's family roles) decreases after young adults have left the parental home and increases when young adults enter parenthood. Congruence concerning intergenerational obligations was not related to young adults' life course stage.     

On reflexivity and the conduct of the self in everyday life: reflections on Bourdieu and Archer

This article provides a critique of the concept of reflexivity in social theory today and argues against the tendency to define agency exclusively in terms of reflexivity. Margaret Archer, in particular, is highlighted as a key proponent of this thesis. Archer argues that late modernity is characterized by reflexivity but, in our view, this position neglects the impact of more enduring aspects of agency, such as the routinization of social life and the role of the taken‐for‐granted. These concepts were pivotal to Bourdieu and Giddens' theorization of everyday life and action and to Foucault's understanding of technologies of the self. We offer Bourdieu's habitus as a more nuanced approach to theorizing agency, and provide an alternative account of reflexivity. Whilst accepting that reflexivity is a core aspect of agency, we argue that it operates to a backdrop of the routinization of social life and operates from within and not outside of habitus. We highlight the role of the breach in reflexivity, suggesting that it opens up a critical window for agents to initiate change. The article suggests caution in over‐ascribing reflexivity to agency, instead arguing that achieving reflexivity and change is a difficult and fraught process, which has emotional and moral consequences. The effect of this is that people often prefer the status quo, rather than to risk change and uncertainty.     

Measuring contract agency performance with administrative data

This article uses administrative data to analyze the relative performance of contract agencies-those organizations under contract with a city child welfare agency to provide out-of-home care services to children placed in the custody of the public agency-by examining how long it took children placed in out-of-home care to return home to their families. The objective was to determine whether credible empirical evidence could show a relationship between length of stay and the agency providing care. Agency level reunification rates are widely distributed around the mean, indicating that contract agency performance differs and that "agency effects" leave an independent imprint on a child's out-of-home care experience.     

Do they get what they expect?: The connection between young adults' future expectations before leaving care and outcomes after leaving care

This study examines the future expectations of young people in out-of-home placements in the last year before leaving care and the association between those expectations and their outcomes after leaving care. The study examines the hypothesis that care leavers with higher future expectations will have better outcomes in the areas of housing, educational achievements, economic status, adjustment to military service, and life satisfaction. The study was conducted through 277 interviews with the young adults at their last year in care and 236 interviews a year after they left care. Higher future expectations while in care were positively correlated with satisfaction in accommodation, economic status and educational achievements and adjustment to required military service after leaving care. These findings emphasize the role of future expectations as a source of resilience and motivation. They also illustrate the importance of designing programs that address care leavers' self-perception and future outlook and offer preparation in concrete areas as the youth transition to adult life.     

From Resistance to Involvement: Examining Agency and Control in a Playworld Activity

In the recent sociocultural literature, it is possible to identify at least three ways of understanding the development of individual agency in social practices: (a) through transforming the object of activity and through self-change, (b) through responsible and intentional membership, and (c) through resistance and transformation of the dominant power relations. This article puts these different perspectives in a dialogical relation to each other and examines the development of individual agency in the context of schooling. The problem of promoting student agency is that, although personal sense and motivation are crucial for learning and development, the need for control and order in classrooms often makes it hard for teachers to give space to them. To develop more meaningful educational practices, there is a need for a thorough understanding of the ways through which teachers and students deal with and momentarily overcome this contradiction in their classrooms and are able to enact or promote agency. The article introduces an empirical case study of Anton, a 7-year-old boy's participation in a joint narrative classroom practice. Anton's orientation and interest toward the narrative activity alters drastically during the spring, as does the teachers' understanding and attitude toward him. Moreover, in Anton's participation, all the three different formulations of agency just presented are visible and concurrently “in action.” The article creates conceptual and analytical tools for examining the potential that narrative learning settings provide for supporting children's engagement and development in classrooms.     

An educational model for child welfare practice with English-speaking Caribbean families

Implemented in New York City, the Child Welfare Fellowship Project is an international collaboration between social work educators in the United States and Jamaica, the West Indies, the public child welfare agency, and selected community-based agencies. This model educational program prepared selected Masters of Social Work (MSW) Fellowship students for exemplary child welfare practice with English-speaking Caribbean families by providing enhanced programs designed to support culturally competent skill development and a preventive approach to child welfare practice. These educational enhancements, combined with academic course work, increased professionalism, self-efficacy, and culturally competent skill development among participants and averted foster care placement for families seen over the duration of the project.     

TigerPlace,A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

ABSTRACT

The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.     

Are baby boomer women redefining retirement?

As the baby boomers enter later life, unprecedented numbers of women are retiring. The first generation of women to encounter retirement since its institutionalisation as an expected male life course transition in the mid‐20th century, these women are leaving the labour force at a time when the meanings associated with “retirement” are changing. Longer life expectancy, improved health outcomes, and transformations in work driven by globalisation have produced greater diversity in when, why, and how people exit the labour force. Many boomer women are disadvantaged in later life by their histories of discontinuous employment and care‐giving. Consequently, we argue, opportunities to engage in “retirement” projects of their own choosing are unequal across this population. This essay reviews qualitative studies in sociology that examine boomer women's experiences of retirement and is organised in terms of the three main approaches that inform this under‐studied field: critical/feminist gerontology, identity theory, and life course approaches. Based on our review, we posit the need for socially inclusive research, beyond the prevailing emphasis on White, middle‐class professional women; more studies examining the impact of earlier life course transitions on women's later years; and attention to the effects of “successful ageing” discourses on women's lived experiences.     

Information and Communication Technology Use and Social Connectedness over the Life Course

Technological innovation and adoption is, at root, a social process that unfolds over time. In this review, we connect ideas from life course and technology studies to examine social connectedness among youth, working age, and older adults. We argue that a sensitivity to key life course themes – especially timing and transitions, linked lives, and social and historical context – in studies examining the implications of technological innovation and social connectedness will generate deeper understanding of the role that technology use plays in shaping social life.     

Persistence and desistance in heavy cannabis use: the role of identity,agency, and life events

Many cannabis users ‘mature out’ of their drug use, and factors of cannabis use cessation have been identified. However, very little in-depth knowledge is available about the mechanisms underlying this phenomenon. Criminological studies have gained interesting insights in desistance from crime, yet these perspectives are rarely used in drug research. This qualitative, three-year longitudinal study explored the processes involved in desistance from frequent cannabis use for young adults. Using a narrative approach, desisters (frequent users who successfully quit their cannabis use) and persisters (frequent users with a persistent desire and unsuccessful attempts to quit) were compared. In the course of the study, desisters mainly exhibited increasing agency and goal setting, established strategies to achieve these goals, and could envision another self. Desistance was generally induced by life events that became turning points. Persisters experienced largely similar events, but lacked goals and strategies and held external factors responsible for their life course and failed quit attempts. Identity change is at the core of desistance from frequent cannabis use, and the meaning-giving to life events and experiences is essential. Agency is a necessary ingredient for desistance, develops over time and through action, and leads to a new drug-free identity with desistance in turn increasing agency.     

Transitions to Caregiving,Gender, and Psychological Well‐Being: A Prospective U.S. National Study

Guided by a life course perspective, this study examined the effects of transitioning into caregiving activity for a child, spouse, parent, other relative, or nonkin associate on nine dimensions of psychological well‐being. Data came from adults ages 19–95, who were noncaregiver primary respondents in the National Survey of Families and Households in 1987–88 and who were followed up longitudinally in 1992–93 (N= 8,286). Results from multivariate regression models confirmed that the transition to caregiving for primary kin (i.e., a child, spouse, or biological parent) was associated with an increase in depressive symptoms. However in selected instances, caregiving was associated with beneficial effects (e.g., women who began to provide nonresidential care to a biological parent reported more purpose in life than noncaregiving women). Evidence regarding gender differences was inconsistent, varying across caregiving role relationship types.     

Sudanese refugee youth in foster care: the "lost boys" in America

This study examined the resettlement experiences of unaccompanied Sudanese refugee youth placed in foster care from the perspectives of the youth, foster parents, and agency caseworkers. Youth experienced considerable success. The challenges of adjusting to school and family life, however, suggest a need for funding to support more intensive educational services, more cultural training and support for foster parents and school personnel, and flexibility to provide services in more culturally appropriate modalities.