Rethinking Activism and Expertise within Environmental Health Conflicts

This review presents the contributions of research on the intersection of science and social movements, its theoretical and methodological limitations, and potential solutions for its further development. Three different types of relationships between activism and knowledge have been identified within environmental health conflicts: (i) lay – activists requesting help from sympathetic scientists in order to conduct independent studies; (ii) expert – activists promoting new research agendas and sub‐fields within established scientific disciplines; and (iii) expert – activists acting beyond the limits of the academic community and partnering with social movements. In this review, I argue that much of the existing literature considers expertise as “something” possessed by individuals, and heavily emphasizes the difference between “lay” and “expert” activists. This entails two main theoretical reductionisms: (i) reification of knowledge; and (ii) overlooking the contribution of activism to expertise and vice versa. I propose considering expertise as the property of a network and focusing future research within environmental health conflicts on the co‐emergence and construction of a network of expertise (Eyal 2013) or ethno‐epistemic assemblage (Irwin & Michael 2003) and social movements. Through this symmetrical network approach, we will be able to develop a more consistent theory of the co‐production of activism and expertise, as well as its political implication to fight environmental health injustice.     

Health Social Movements in the United States: An Overview

This article reviews the literature on health social movements (HSMs) and provides an overview of their main conceptual, theoretical and empirical underpinnings. Health social movements is not a single paradigm but spans several decades’ worth of theoretical and research activity in the areas of social movements, medical sociology and social studies in science. Case studies of HSMs have been accumulating for years, and several new collections of papers attempt to systematize the various strands of health social movements research to answer questions about their origins, different strategic and political approaches to social change, their trajectories and consequences. We provide a selective overview of the literature on health social movements that explore these questions, while distinguishing between health social movements seeking greater access to healthcare, those focusing on health disparities and inequality, and those challenging the underlying science of health and healthcare. We conclude with some suggestions for the direction of future studies.     

Missing Teeth: Reviewing the Sociology of Oral Health and Healthcare

Both the US Surgeon General and the World Health Organization have called for further social scientific research on the social determinants of oral health. Oral disease can have detrimental effects on quality of life, having been linked with physical, mental, and social impairments. This article reviews the recent literature pertaining to the sociology of oral health and healthcare. The purpose of this review is to summarize and revive a necessary field. In order to maintain a focus on the United States and expand into other social science disciplines, relevant anthropological works were also included. The review discusses five key areas in both the sociology and anthropology of oral health. Of the 25 included articles, research maintained a focus on the dental profession, the construction of oral health, the mouth and the social self, social factors in dental care, and cultural assumptions of oral health. While the reviewed studies have aided in closing the gap, much of the research has been conducted outside of the United States, has used oral health as a case study for larger arguments, and has not considered the role of social inequality. Future research is necessary to more fully frame oral health and healthcare in society.     

Review of Australian Health Related Social Work Research 1990–2009

Abstract

Social workers form a critical component of the Australian health workforce. While their roles as practitioners are very strategic within the health system, less clear is their contribution to health research. This paper reviews the published record of social work research in Australian health from 1990–2009 in order to discern the patterns of the social work contribution to new knowledge in health. The results of this review indicate a tendency to focus on discursive commentary rather than empirical research as well as a less-than-expected focus on client studies. Given the rise of evidence-based practice, there are potentially serious implications for social work in terms of how it positions itself as a contributor to new knowledge within the health field.     

Unintentional injury: A major health problem for young children and youth

This article reviews data on childhood injury and explains how unintentional injuries have become the leading health problem for young children in the United States and a major health problem in teenage years. The article discusses the major types of childhood injuries, trends over time, and variations by location and social, behavioral, and familial risk factors. Results of epidemiological and sociobehavioral research on injury are followed by a discussion of policy considerations in the attempts to deal with childhood injury and its consequences. This includes a discussion of major ways to prevent injuries, a review of government activities, and recommendations for future efforts. Her research interests include child safety, preventive health behaviors, access to health care services, and health policy. She received her Ph.D. from Brown University in sociology in 1976. Her research interests include child safety, preventive health behavior, international health, and alternative health care models. She received her D.Sc. from Johns Hopkins University in 1985.     

Methodological troubles as problems and phenomena: ethnomethodology and the question of ‘method’ in the social sciences

Across the disciplinary frontiers of the social sciences, studies by social scientists treating their own investigative practices as sites of empirical inquiry have proliferated. Most of these studies have been retrospective, historical, after‐the‐fact reconstructions of social scientific studies mixing interview data with the (predominantly textual) traces that investigations leave behind. Observational studies of in situ work in social science research are, however, relatively scarce. Ethnomethodology was an early and prominent attempt to treat social science methodology as a topic for sociological investigations and, in this paper, we draw out what we see as its distinctive contribution: namely, a focus on troubles as features of the in situ, practical accomplishment of method, in particular, the way that research outcomes are shaped by the local practices of investigators in response to the troubles they encounter along the way. Based on two case studies, we distinguish methodological troubles as problems and methodological troubles as phenomena to be studied, and suggest the latter orientation provides an alternate starting point for addressing social scientists' investigative practices.     

Sexual health policies in other industrialized countries: are there lessons for the United States?

Health professionals have been concerned about the high rates of unwanted and unplanned pregnancy, teenage pregnancy, abortion, and sexually transmitted diseases in the U.S. A major concern has been why these rates in the U.S. are so much higher than in most other western industrialized countries. In this article I summarize major national and comparative studies that have attempted to understand how the U.S. can do better in providing for the sexual health of its citizens. I also discuss approaches to sexual health in countries that do substantially better on the aforementioned indicators of sexual health. This review indicates that the recommendations of health and social science experts in the U.S. are consistent with approaches in countries where programs have done a better job in meeting the sexual health needs of their populations.     

Obstacles to gaining ethical approval for a multi-centre study of family support

The NHS has emphasised the need for rigorous evaluations of preventative home-visiting support (Bull and others, 2004) in building a public health evidence base. Interdisciplinary studies involving the NHS in any capacity are subject to ethical review by NHS Research Ethics Committees. However, the current process of ethical review does not respond flexibly to research conducted by non-NHS organisations. Through documentary analysis, this paper describes the experience of a non-clinical research evaluation of a family support service offered during pregnancy and the difficulties encountered in gaining ethical approval. Implications for social science research with minimal NHS involvement are discussed and recommendations for improvements suggested.     

Change Research: Narrating Social Change from the Bottom-Up

This essay provides a review of Bent Flyvbjerg’s critique of conventional social science research, including its limitations in applied fields such as social work, followed by a specification of his alternative for a “phronetic social science.” I detail how I with two colleagues practiced phronetic social science in our collaboration with Philadelphia housing activists, including most especially the role of interpretive narrative analysis as part of our case study research. In conclusion, I discuss the somewhat ironic challenges of trying to increase the legitimacy of such activist research in applied fields like social work where an obsession with being seen as scientific is prevalent as a means to improve prestige of applied research. I discuss how we need less top-down research which focuses on a “what works” agenda that serves the management of subordinate populations and more research that provides bottom-up understandings of a “what’s right” agenda tailored to empowering people in particular settings. Real social science research needs to listen to how people on the bottom experience their own subordination so that we can help them overcome their subjugation. Good social science includes taking the perspective of the oppressed in the name of helping them achieve social justice. In the end, there are a number of tension points between the model of conventional social science and phronetic social science that starkly highlight how we need to change research in order do research that promotes positive social change.     

Hospital social work in Sweden and the UK: Access to chances of physical health and well-being

In Swedish and UK practice, interest is developing in social work's contribution to tackling service users' unequal chances and experience of physical health. This is through alleviating disadvantaged social conditions such as relative poverty which service users face and which are associated with health inequalities. Ready access to social work services is an essential preliminary if service users are to gain the material and social resources services can provide, to alleviate their adverse social circumstances and thereby improve their health prospects. However, despite hospital social work's well-established position, its significance as an access point for services has tended to be marginalized. Drawing on a comparative account of Swedish and UK practice featuring two action research projects, we explore how hospital social work is a key point of access to services for service users experiencing profound disadvantage. We analyse major barriers to such access, notably the underfunded nature of hospital social work, discriminatory procedures, and unequal professional service user power relations. Nevertheless, the action research projects show how these barriers may be breached to some degree, enabling service users as patients and carers to access resources which contribute to more equal chances of health and well-being in ill-health.     

Curriculum Building in International Social Work: Toward Preparing Professionals for the Global Age

Abstract

How can social workers be better prepared to practice and make other professional contributions in an increasingly interdependent world? This article reports the results of a study of expert opinion on the rationale for and optimal approaches to internationalizing social work education. Learning objectives and content areas for the general graduate curriculum and for specializations are discussed. Curriculum recommendations are presented to address three identified arenas for professional contribution: Enhanced domestic practice; professional exchange and action; and international practice and research.     

Developing social robots for aging populations: A literature review of recent academic sources

The perception of aging populations is a major factor driving the social robot development movement. A growing body of research reflects the expanding interest in social robots. This paper synthesizes research on the development of social robots with a literature review of academic articles with publication dates ranging from 2006 to 2017. The review is divided into three themes: (a) robots as an aid in treatment; (b) robots as social assistants and home companions; and (c) robots as custodial caregivers that are viewed in terms of ethical implications. This paper outlines the issues surrounding social, commitment, assistive, and companion robots for use in medical treatment, mental health therapy, physiotherapy, care facilities, and private homes. It describes some of the ethical concerns raised by researchers and media, including questions of control, privacy, consent, and the issue of simulated versus human compassion in caregiving. The research also points out that a rhetoric of urgency concerning aging populations drives the development of robots, which frames citizens who will benefit from robots in reductive ways. We argue that the contribution of humanities and social science research, including age studies and critical gerontology, should be better integrated with discourses of social robot development, largely from technical fields.     

Social Isolation Among Racial/Ethnic Minority Immigrant Youth

Despite the long sociological tradition that focuses on the social adaptation of racial/ethnic minority immigrant youth, little work investigates whether these groups are socially isolated. However, existing research provides a strong foundation from which researchers can further explore this important topic. This article begins by discussing relevant theories and ongoing debates regarding minority immigrant youth's social relationships. Next, the article surveys literature across social science disciplines that describes relationships minority immigrant youth have (or in some cases, do not have) with three important social actors: their peers, teachers, and parents. The article concludes by providing recommendations for future research.     

Pop Goes the Woozle: Being Misled by Research on Child Custody and Parenting Plans

Mental health professionals, lawyers, and judges whose work involves child custody decisions are often presented with social science research on issues related to which parenting plan is in the children’s best interests. Unfortunately, this research can be misrepresented in ways that mislead these professionals and the children’s parents, leading to child custody decisions that are not the most beneficial for the children. The process of misrepresenting the research in ways that create myths and misconceptions has been referred to as woozling. This article describes how social science data can be woozled, illustrating this with examples related to parenting plans for children under the age of 5 whose parents have separated.     

Science and the Mass Media –‘Medialization’ as a New Perspective on an Intricate Relationship

This survey article discusses a recently proposed perspective on the science–media interface the concept of medialization. The medialization approach assumes that there is mutual resonance between science and the mass media. Medialization research systematically investigates structural transformation in science: What are the implications of high media attention for science funding, for research agendas, for universities and the professional self‐understanding of scientists? And how do these developments relate to the production of scientific knowledge? For detailed empirical studies of these processes, the medialization approach separates the role of mass media, but its grounding in general social theory contextualises this research with social science studies on sciences relation to other spheres such as politics and the economy.     

The state of qualitative research in health and social science literature: a focused mapping review and synthesis

Abstract

Pluralism and creativity are inherent and important parts of the qualitative endeavour. The multiplicity of approaches and methods can, however, be confusing. We undertook a focused mapping review and synthesis to obtain a snap-shot profile of the state of qualitative research in health and social science literature. We retrieved 102 qualitative articles published between January and March 2015 from six leading health and social science journals. Articles were scrutinised for alignment between researchers’ reported orientation (methodological or philosophical positioning) and the techniques used (methods). In the sampled articles level of alignment was generally high, with considerable mastery of qualitative approaches evident. However, the complexity of the qualitative landscape highlighted in our review, led us to develop a diagrammatic representation: The Qualitative Research Level of Alignment Wheel?. This educational resource/teaching aid is designed to assist qualitative researchers (particularly those more novice) and research students to locate the orientation and techniques of their studies. As an important contribution to the international field of qualitative inquiry, it will assist in understanding and accounting for points at which techniques are melded and orientations blended. In turn this will lead to the individual and collective qualitative endeavour as being a coherent one.     

What is Really Social Capital? A Critical Review

This paper provides a critical review of the burgeoning literature on social capital. While our focus is primarily on social capital’s place in economics, we do consider its broader social science context. In recent years, social capital literature has produced many insights, however, a number of conceptual and empirical problems remain. In this setting, we trace a panorama of ideas of the principal theorists of social capital for then focusing us on the numerous critics whose it is the subject. Finally we provide recommendations for a prudent use of the concept.     

Exploring provocation as a research method in the social sciences

Abstract

This paper explores provocation as an approach towards social science research. While routinely used in natural science and arts research, this paper argues provocation might enable the social science researcher to initiate critical reflection amongst participants on issues that are often otherwise overlooked, obscured or accepted as naturalised practice. By assuming the role of provocateur, stimulator and/or agitator, the social science researcher can interrupt the flow of everyday life in order to illuminate and draw attention to complex social issues. Using research interventions that embrace, rather than deny, the socially constructed nature of the research process, provocation provides an alternative to largely non-obtrusive methods favoured in much social science research. This paper concludes by outlining the practical and methodological issues associated with this approach – in particular the complicated ethics of provoking reflection on topics that might not have otherwise come to the participant’s attention.