Nursing home satisfaction,biography, and the life worlds of psychiatrically disabled residents

The stereotype of nursing home life as a uniformly dismal experience is pervasive in American culture, but this examination of the attitudes of psychiatrically disabled residents calls this generality into question. Residents in this study exemplified a range of opinions about the nursing home — some were clearly satisfied or dissatisfied, but most were ambivalent. In this paper, I explore the relationship between nursing home satisfaction and individual interpretive activity through the biographies of three residents. I find that how residents made sense of their lives was powerfully linked to their perspectives on nursing home residence. In particular, satisfaction was linked to how each resident viewed his or her illness, institutionalization, and life purpose. Understanding the phenomenological contributors to the meaning of nursing home life is essential to appreciating how it is that residents in the same environment can have vastly different outlooks on their surroundings.     

Moving Past Picket Fences: The Meaning of “Home” for Public Housing Residents

The literature on the meaning of “home” has generally focused on creating lists without giving much attention to the context that shapes meanings. Recently, scholars have argued that to understand “home” it is important to know the range of meanings that different people in different contexts give it. In this article, we focus on the meaning of “home” for public housing residents and consider how they construct the meaning of “home” and if they find that meaning in public housing. Our findings suggest that respondents consider their public housing residences to be “home,” and they construct this meaning using the dimensions of home identified in the literature. However, how respondents used these dimensions were, in some ways, different because of the context of living in public housing. Respondents emphasized the social dimension, and this dimension appeared to organize the other dimensions. As such, our findings support arguments that context matters to the meaning of “home.” They also suggest that policymakers need to broaden their understandings of public housing, as places that can be “home,” and use this understanding when making decisions about housing transformations.     

Love,Marriage and the Division of Labor*

In this questionnaire study young engaged men and women were asked about the importance of love in marriage and the meaning of the concept “love.” Marital goals and criteria for mate choice were also explored. A highly consistent image of marriage as an institution in which to realize a comprehensive companionship with a partner of compatible temperament and life goals emerged. These findings have demonstrable implications for existing theoretical formulations concerning the dysfunctional aspects of the love marriage in contemporary American society in which it is contended that “romantic idealization” during courtship leads to a high incidence of dissatisfaction and disruption. Findings from numerous studies are assimilated to present an alternative explanation for marital conflict in the context of the modern division of labor in which the spheres of work and the family are poorly integrated, particularly in view of sharp role segregation by sex.     

A room with a view: a metaphor analysis of Vietnamese women’s representations of living with depression using photo elicitation

Depression is complex and it is known that how people name and give meaning to this experience when they are from cross cultural backgrounds differs to that of dominant Anglo cultures. Yet surprisingly very little is known about the naming and meaning-making conventions particularly for Vietnamese communities. In Anglo cultures, people commonly describe their experiences of depression as ‘travelling through dark tunnels toward a light’; ‘climbing out of a hole’; ‘a black dog’, and the ‘descent of a black cloud’. These metaphoric representations provide us with visual messages and new meanings about the experience of depression and how it impacts individuals. In this article, we describe a study that aimed to examine if a photo elicitation method could provide a group of women from Vietnamese backgrounds with another language set by which to represent their experience of depression in the face-to-face interview context. Women were provided with a digital camera and asked to take a minimum of 10 photos about their everyday experiences of living with depression. Recruitment and face-to-face interviews were completed with an interpreter already known to participants employed at the community health centre. Participants were asked to select five key photos for discussion within the interpreted interview. In the following article, a metaphor analysis is presented to reflect on how the photos enabled further insight into Vietnamese women’s representations of living with depression and examine the application of this participatory visual method for cross cultural research settings.     

Relationship and touch in public settings

Gender differences in touch in U.S. populations have been well demonstrated. The age of participants and the setting in which touch occurs have been shown to affect the gender differences. Some investigators have concluded that a gender asymmetry exists with men touching women more than women touch men. A number of studies have shown that men and women interpret touch differently. Past research has provided little information about the effect of the relationship between a couple and the meaning of their touch. In the present study touch initiation among couples was observed in a variety of public settings and then the couples were asked to identify their relationship. It was found that men were more likely to initiate touch during courtship and women were more likely to initiate touch after marriage. A sex difference in reproductive strategies was suggested as one explanation for the phenomenon.     

REVERSING A SPIRAL OF DEPRIVATION: WORKING TO AMELIORATE THE RELATIONSHIP OF STAFF AND BOYS IN A RESIDENTIAL HOME

This paper discusses the work of a consultation to a staff group at a residential home for adolescent boys. The work discovered that each encounter increased each group's sense of deprivation. This escalation is understood as their relationship being based upon a spiral of deprivation. In this situation the staff's capacity to think in terms of their training in Winnicott's ideas about residential care, and that behaviour has meaning, was lost. By using himself as the container of staff emotional states, through recognising their communications in terms of Bion's concept of normal projective identification, the consultant was better able to understand the nature of the difficulties in the boys' and staff relationship. Hence, the attempt to engage staff through the consultation was successful and their capacity to think was restored. The material discussed shows this development enabled staff to better contain their own and the boys' feelings, thus allowing the spiral to reverse.     

The experience of quality of life among older people

Although quality of life has been in the focus of attention for over a decade there are few studies available investigating, how the old and the oldest old experience their quality of life or what quality of life actually means for them? To illuminate this, eleven in-depth interviews were conducted with six women and five men (80+) living in their home. An interpretative hermeneutic phenomenological analysis revealed that quality of life in old age meant a preserved self and meaning in existence. Maintained self-image meant that the older people experienced a coherent life with an intact meaning. How quality of life was valued depended on the meaning the old people attached to the areas of importance as well as how they were evaluated. Additionally, areas not generally included when measuring quality of life became discernible. The meaning of home, how life was viewed, thoughts about death and dying, and telling ones story proved to be areas of importance for their perception of quality of life. Thus, indicating that older people's view of quality of life is more complex than some of today's most commonly used quality of life instruments capture and that quality of life assessment tools needs to measure beyond pure health indices. For nursing care the use of life review in everyday care, and an open way towards existential topics as well as a family oriented care along with preventive work helping people to remain in their own homes may enhance their experience of quality of life.     

Abuse of the Elderly in Denmark and Sweden:

During October 1987, the National Swedish Institute of Statistics conducted a telephone interview of 943 men and women between the ages of 18 and 74 years about elder abuse. In Denmark, the Danish National Institute of Statistics carried out a similar survey of 1,535 men and women, 16 years and over. The representative samples of individuals were asked whether they knew about specific cases of older persons in their community or among their acquaintances who had been battered, threatened, economically exploited, robbed, or severely neglected. In both Sweden and Denmark, 8 percent of the respondents reported knowled e of a case of mistreatment that had taken place within the prece 8 mg 12 months. The perpetrators were unknown persons, family members, and various types of care providers (e.g., home helpers, etc.). In Sweden, perpetrators Din e2n0m parekrc ietn wt oafs 6th ep ecracseenst .w Tehreis i nd itfhfeer "ensctea fmf"ig chatt ebgeo 7 u,e wtoh etrheea fsa icnt that a larger proportion of the home helpers in Denmark receive formal training. One conclusion from the survey results is that the "staff" category of perpetrators cannot be excluded from consideration when studying abuse in the "families" of the elderly.     

The implications of disability protests for social work practice

This article examines the demands which have been made in the over 800 US protests this author has analyzed. Some demands are cross-disability, meaning they could apply to people with all types of impairments; these include demands for rights and accessibility in all domains. Other demands are disability-specific: they apply to people with specific types of impairments, ranging from mobility impairments to developmental disabilities. Many demands have been related to services, which can be either cross-disability or disability-specific. The paper examines the implications of these demands for social work practice. These include that disability be de-stigmatized by practitioners, that people with disabilities have choices, that they have control over their services, and that all aspects of social work practice be accessible to people with any type of disability.     

Inspiration Across Cultures: Reflecting Teams among the Métis in Canada

Métis Community Services on Vancouver Island exists to serve the Métis, one of Canada's three aboriginal peoples. I went there, hoping for an exchange of thoughts and ideas that I could apply to my work back home in Sweden. I was welcome to observe and participate in the work. I was asked to talk about something that I wanted to share with them. The result was a workshop about how to apply the reflecting team mode of working when counselling aboriginal families. The outcome of our exchange was a blend of the ethics and rules of behaviour among aboriginal people and the Scandinavian reflecting team mode of working.     

Career Counseling With Black Men: Applying Principles of Existential Psychotherapy

Counselors may benefit from applying principles of existential psychotherapy to career counseling with Black men. Existential psychotherapy asserts that there are 4 issues that all people experience: death, freedom, isolation, and meaning. The life experiences of Black men, including difficulty with their careers, suggest that they may struggle with these existential concerns, particularly finding meaning in their lives. Because work and issues in other domains of life (e.g., family, community) often intersect, an existentially based career counseling approach may prove useful. An overview of existential psychotherapy is presented, followed by a discussion of its applicability to career counseling with Black men. In addition to suggestions for career counselors, recommendations for training and professional development are offered.     

Adolescents' and Mothers' Understanding of Children's Rights in the Home

Adolescents' and mothers' understanding of children's self‐determination and nurturance rights was examined in the context of the home. In individual interviews, 141 sixth, eighth, and tenth graders and their mothers responded to hypothetical vignettes in which a child story character wished to exercise a right that conflicted with parental practices. For each vignette, participants were asked to judge whether the story character should have the right in question and to provide a justification for their decision. Generally, eighth and tenth graders were more likely than their mothers to endorse requests for self‐determination and less likely than their mothers to support requests for nurturance. Mothers of tenth graders were more likely to support requests for self‐determination and less likely to favor adolescents' request for nurturance in the home than were mothers of sixth and eighth graders. In terms of reasoning, adolescents and mothers were more likely to consider the individuals' rights when discussing self‐determination situations, whereas nurturance situations elicited responses pertaining to participants' understanding of familial roles and relationships. Furthermore, mothers' reasoning about childrenà s rights reflected sensitivity to the developmental level of their children. The findings are discussed in terms of previous research on the development of children's understanding of rights and adolescent autonomy.     

Looking at spillover from both sides: an examination of work and home flexibility and permeability

This study examined how flexibility and permeability in the boundaries surrounding the work and home domains affect the spillover from work to home and home to work. We looked at both flexibility and permeability in each of the two domains using directional and dichotomous measures of both negative and positive spillovers. Multivariate analyses and hierarchical regression showed that for 362 survey respondents, boundary flexibility reduced time- and strain-based spillover from work to home and home to work. Flexibility also was positively related to positive spillover from home to work. Permeability, on the other hand, was positively related to time-based spillover from work to home and from home to work. The results also showed support for the notion of asymmetric permeability, such that the relationships between work boundary permeability and the W→H spillovers were stronger than those between home boundary permeability and the H→W spillovers.     

Improving practice: The importance of connections in establishing positive identity and meaning in the lives of vulnerable young people

This article presents the findings of a participatory qualitative study investigating the role and potency of identity and meaning in the lives of vulnerable young people. In-depth interviews with 24 young people revealed the importance of connectedness in fostering positive identity and meaning in vulnerable young people's lives. Five critical domains for building positive identity and meaning emerged: caring relationships; participation and contribution within their communities; achieving a sense of belonging; competence; and hope. Young people's experiences uncovered that connectedness lies at the heart of all of these domains, and is therefore the pathway for vulnerable young people to attain positive identity and meaning. The findings reinforce what we know about the importance of connectedness for vulnerable young people and provided insights into how young people want to be supported with these issues. This article critically examines some of the difficulties for support workers in facilitating connectedness for young people and considers why these connections are not always developed. Practical suggestions are provided for how youth support workers may be able to overcome these challenges.     

The Networked Household

The authors argue that individuals, rather than family solidarities, have become the primary unit of household connectivity. Many households do not operate as traditional densely knit groups but as more sparsely knit social networks where individuals juggle their somewhat separate agendas and schedules. At a time when many people enact multiple, individual roles at home, in the community and at work, the authors ask: how do adult household members communicate with each other? How do adult household members use information and communication technologies (ICTs) to organize, communicate and coordinate their leisure and social behavior both inside and outside the home? Interviews and surveys conducted in 2004-2005 in the Toronto, Canada area of East York show that households remain connected - but as networks rather than solidary groups. The authors describe how networked individuals bridge their relationships and connect with each other inside and outside the home. ICTs have afforded household members the ability to go about on their separate ways while staying more connected - by mobile phone, email and IM - as well as by traditional landlines. In such ways, rather than pulling families apart, ICTs often facilitate communication, kinship and functional integration.     

The Implications of Disability Protests for Social Work Practice

Abstract

This article examines the demands which have been made in the over 800 US protests this author has analyzed. Some demands are cross-disability, meaning they could apply to people with all types of impairments; these include demands for rights and accessibility in all domains. Other demands are disability-specific: they apply to people with specific types of impairments, ranging from mobility impairments to developmental disabilities. Many demands have been related to services, which can be either cross-disability or disability-specific. The paper examines the implications of these demands for social work practice. These include that disability be de-stigmatized by practitioners, that people with disabilities have choices, that they have control over their services, and that all aspects of social work practice be accessible to people with any type of disability.     

Existential social work and the quest for existential meaning and well-being: A conceptual framework

ABSTRACT

The aim of this article is to conceptualize “existential social work.” A greater understanding of what existential social work means may enable social workers and those studying social work to see how its practice can reveal “the truth” about human existence and how they, as professionals, can enhance existential meaning and existential well-being among their clients. In such work, existential social workers have at their disposal tools such as the Frankl therapeutic approach to existential analysis (i.e., logotherapy) as well as spiritual-sensitive modalities (prayer and mindfulness). To interpret and understand apparent phenomena in the therapy is the ultimate goal with existential social work practices, thus providing clients with the opportunity to discover the meaning that exists in themselves. In addition, these practices pave the way for existential well-being.     

Agricultural body-building: Incorporations of gender,body and work

This paper is concerned with gendered embodiment of agricultural work, particularly the connection between women's gender identity and the body at work. Focussing on how the body enters into relations with the tools of work, four processes are identified by which women's bodies, work and machinery are incorporated into each other and give each other meaning. In the first category women's embodied competences are merged with the qualities of machinery much the same way as men. The second shows how women work to uphold a definition of their bodies as feminine despite the fact that they operate machinery. The third process shows that when machine work is incorporated into farm women's traditional work on the farm, neither the definition of women's bodies nor the tractor change. Finally, when women do not operate machinery as part of their work, the traditional conception of gendered, embodied farm work is maintained. The analysis establishes that there is no one to one relationship between work and the meaning of the embodied self, and highlights the complex and ironic relationship between machinery and femininities.     

Understanding home: a critical review of the literature

In recent years there has been a proliferation of writing on the meaning of home within the disciplines of sociology, anthropology, psychology, human geography, history, architecture and philosophy. Although many researchers now understand home as a multidimensional concept and acknowledge the presence of and need for multidisciplinary research in the field, there has been little sustained reflection and critique of the multidisciplinary field of home research and the diverse, even contradictory meanings of this term. This paper brings together and examines the dominant and recurring ideas about home represented in the relevant theoretical and empirical literature. It raises the question whether or not home is (a) place(s), (a) space(s), feeling(s), practices, and/or an active state of state of being in the world? Home is variously described in the literature as conflated with or related to house, family, haven, self, gender, and journeying. Many authors also consider notions of being‐at‐home, creating or making home and the ideal home. In an effort to facilitate interdisciplinary conversations about the meaning and experience of home each of these themes are briefly considered in this critical literature review.     

Older lesbians' experiences with home care: Varying levels of disclosure and discrimination

ABSTRACT

There is considerable evidence that lesbian, gay, bisexual and transgender (LGBT) older adults have experienced barriers to health care access and have profound fears about how they will be treated in the long-term care system, but the specific experiences of older lesbians have received less attention. Most older adults needing long-term services and supports (LTSS) prefer to remain at home, and this is true for lesbians as well. This article reports on a national, qualitative study of the experiences of 20 older lesbians (age 65 and older) with home care workers. The experiences of six informal partner caregivers with home care services are also included. Emergent themes regarding level of disclosure, experiences with homophobia, evaluation of care received, and thoughts about ideal LTSS are described. Most study participants did not disclose their sexual orientation to their home care workers. A significant minority experienced homophobia, but nearly all ultimately found workers who provided good care with which they were comfortable. Their visions of ideal LTSS included greater affordability and particular qualities that were important for home care workers to possess, such as competence, caring and acceptance. Practice and policy implications are outlined including careful recruitment, training and supervision of home care workers to foster lesbian-sensitive care, but also improved wages and work conditions in order to maintain a quality home care workforce.