Pensions,poverty and wellbeing in later life: Comparative research from South Africa and Brazil

This paper draws on two linked studies of social policy and wellbeing in later life. The studies make comparisons between distinct groups of older people at the national and sub-national levels, as well as over time. The paper reflects on some of the main challenges for operationalising this complex design, as well as for interpreting findings and identifies lessons for other studies. The first study, conducted in 2002, included a questionnaire survey of around 2000 households containing at least one older person in South Africa and Brazil, supplemented by a set of in-depth qualitative interviews. Intriguingly, these countries had remarkably similar pension programmes, providing the majority of older people a reliable payment of roughly US$3 a day. This offered the prospect of exploring the effects of similar interventions in distinct developmental and cultural settings. In both countries, we found that these pensions had a substantial impact on the prevalence and depth of poverty in the study households, and were usually shared between older people and other family members. The second survey took place in 2008/9 and involved revisiting the households included in the 2002 survey, along with a separate set of in-depth interviews. This provided an opportunity for dynamic analysis of economic and wellbeing effects, against a backdrop of increased divergence in the wider national settings. Among other things, this revealed high and increasing levels of life satisfaction across all the study groups, although the extent to which this was directly related to generous pension provision cannot be ascertained.     

The work–family challenge and mental health

The work–family literature is dominated by studies of white middle-class workers. In this study, we sought to expand this focus by examining work–family issues from the perspective of Mexicans who have immigrated to the USA within the past five years. Using data from qualitative in-depth interviews (N?=?22) and quantitative structured interviews (N?=?150), we documented the work–family experiences associated with immigration, and we examined the extent to which these experiences differed by gender as well as their mental health effects. The in-depth interviews clearly indicated that separation from family and community was a common and poignant strain experienced by Mexican immigrants who came to the USA to find work, and that these experiences did not differ between women and men. Quantitative analyses corroborated the qualitative findings by indicating women and men had similar levels of work–family strain. Analyses also indicated that higher levels of work–family strain were associated with more perceived stress, anxiety and depression, and that these associations did not differ between women and men. Finally, modest evidence suggested that the effects of work–family strain on mental health may be lower when the realities experienced by immigrants in finding employment and sending money home matched their expectations. This study adds a new voice to the work–family literature and the context and results make clear the tension between work and family: families frequently benefit from adults’ paid work, but this paid work is not without costs.     

Strategic Management and Change in High Dependency Environments: The Case of a Philanthropic Organization

On the basis of a detailed, in-depth study of the operations and strategic decision-making of Centraide, a charitable organization in Greater Montreal, this paper suggests that dependency on the environment can be a stimulus to organizational adaptation. Two major changes over a 10-year period are studied to show that strategic management in high dependency situations requires a continual attention to the organization's relationships and interactions with the forces in its environment, and a continuous management of the process by which change takes place. The basic position advanced is that: strategy in philanthropic organizations is more effective in ensuring survival and growth when the search for autonomy is seen as irrelevant and when dependence is seen as an unavoidable fact that should shape behavior. A set of propositions helps conceptualize the findings and is offered as a guide for further research.     

Child Care “Packaging” Among TANF Recipients: Implications for Social Work

This article reports the results of a study that examined the ways in which current and recent TANF recipients assembled or “packaged” their child care arrangements among formal and informal providers. The findings are drawn from in-person, in-depth interviews with current and former welfare recipients. The study found that most of the respondents used multiple providers within the category of informal child care for reasons including availability, the use of a network of social acquaintances as a problem-solving resource, the need to accommodate irregular work hours, and personal trauma that contributed to a distrust of strangers in formal settings. The findings can affect the efficacy of practice with TANF recipients by contributing to social workers’ understanding of the context of decision-making regarding child care.     

Stories in Decisions: How At-Risk Individuals Decide to Request Predictive Testing for Huntington Disease

Huntington Disease (HD) is a hereditary neurological disease that typically occurs in mid-life. There is no prevention or cure, but persons at risk may request predictive genetic testing to learn whether or not they will develop the disease later in life. Many studies describe why such persons request this knowledge. Few consider how people actually make this novel decision. Drawing on in-depth interviews with sixteen test candidates, this article differentiates three types of stories about—as well as embedded in—the experience of deciding. Each type of story sheds a different light on the meaning and experience of making this decision. Stories of having to know reveal that decision-making may be experienced as a self-evident act while stories of evolving toward it feature an incremental process of weighing up the implications. Stories of taking the decision feature a pivotal point which involves the narrator in seeing anew the opportunity to make a choice. Emphasizing previously neglected temporal, biographical and phenomenological dimensions of decision-making, this typology underscores the relevance of narrative in complex processes of decision-making. It also illustrates the inadequacy of understanding decision-making purely through the lens of rational choice.     

Family Dilemmas and Secrets: parents' disclosure of information to their adult offspring with learning disabilities

This paper describes the role parents play in providing knowledge of learning disability to their adult offspring with learning disabilities. Data were derived from an in-depth qualitative study of the nature of parent-adult-offspring co-residence. The findings reveal that while parents recognised and had to deal with the stigma learning disability exerted in their own lives, they had taken steps to prevent their adult offspring from having to deal with similar difficulties. It is argued that it remains the case that learning disability is treated as a stigmatised identity and as such is rendered invisible through the strategic control of information. However, findings point towards the conclusion that there has been a cultural reversal in how this process is managed.     

The effectiveness of couple therapy in Germany: a replication study

The utility of couple therapy has been investigated in a number of controlled clinical efficacy investigations, demonstrating the superiority of most forms of couple therapy relative to control groups. Despite its widespread use, the effectiveness of couple therapy in field settings is largely unknown. In 1997, Hahlweg and Klann published an effectiveness study of couple therapy as practiced in German and Austrian marital counseling agencies. The purpose of the current investigation was to replicate their earlier findings in a similar setting with identical measures. The findings demonstrate that the results are remarkably similar across the two studies and that couple therapy in these applied settings helps to alleviate relationship distress as well as individuals' depression.     

Complexity of domestic violence in a South Asian context in Hong Kong: cultural and structural impact

With the dearth of empirical research related to the experiences of domestic violence among South Asian communities in Hong Kong, this study engages with migrant South Asian women’s subjective understanding and experience of domestic violence. Presenting women’s narratives of their experiences with domestic violence allow for a better understanding of the complexities that inform and shape women’s experiences and decision-making in the face of partner violence. This empirical study investigated South Asian women’s experience of domestic violence in the context of Hong Kong through in-depth interviews with 14 South Asian women who had experienced abuse and 6 helping professionals from 4 social service agencies. Analysis of the data revealed that the nature and context of abuse posed as a barrier in their help seeking. The findings highlight the importance of understanding the influence of cultural and structural conditions and the difficulties and complexities women face that increases women’s vulnerability to abuse. This paper offers an analysis of how structures thereby come to impact on women’s distress and vulnerability. The study also highlights the need for inclusive service provision for minority ethnic women experiencing domestic violence.     

Concept mapping as a method to enhance evidence-based public health

In this paper we explore the suitability of concept mapping as a method for integrating knowledge from science, practice, and policy. In earlier research we described and analysed five cases of concept mapping procedures in the Netherlands, serving different purposes and fields in public health. In the current paper, seven new concept mapping studies of co-produced work are added to extend this analysis.For each of these twelve studies we analysed: (1) how the method was able to integrate knowledge from practice with scientific knowledge by facilitating dialogue and collaboration between different stakeholders in the field of public health, such as academic researchers, practitioners, policy-makers and the public; (2) how the method was able to bring theory development a step further (scientific relevance); and (3) how the method was able to act as a sound basis for practical decision-making (practical relevance).Based on the answers to these research questions, all but one study was considered useful for building more evidence-based public health, even though the extent to which they underpinned actual decision-making varied. The chance of actually being implemented in practice seems strongly related to the extent to which the responsible decision-makers are involved in the way the concept map is prepared and executed.     

Dementia and Guardianship: Challenges in Social Work Practice

Decision-making within the context of dementia can be an uncertain and problematic process. This study critically examined challenges in social work practice in instances where a legal alternative decision-maker through guardianship proceedings was perceived as necessary. Theoretical perspectives from social constructionism underpinned the research. Five qualitative case studies were investigated. A thematic network analysis showed that the situations were constantly evolving and different players participated by bringing their own perspectives. In this process alliances were formed that reflected underlying dynamics of power. Contested issues included varied understandings of dementia and capacity, and differing constructions of risk, protection, and responsibility. The implications for practice are discussed with social work being well placed to make an important contribution through its traditional roles of negotiation, interpretation, and mediation between those who have discursive rights and those who do not. Ethical reasoning as a basis for decision-making was also of significance.     

Developing effectiveness: Frontline perspectives

The pursuit of 'effectiveness' is a predominant theme in contemporary probation and, increasingly, in all forms of social work. Even if it were accepted that empirical research studies have identified some principles of effective programmes, there would still be room for differing organisational and educational approaches to fostering effectiveness. This article explores the contributions and limitations of different forms of managerialism to this purpose, as well as the potential contribution that a renewed professionalism might offer. In addition, the author reports some of the findings of an in-depth qualitative research study which explored frontline workers' perspectives on the definition and delivery as well as the development of effective probation. Focussing mainly on findings concerning workers' views about factors which might have been expected to influence the development of their effectiveness, the author notes that workers had mixed views about the contributions of education, training and supervision, and stressed the significance of local peer influences. They also reported a disjunction between education and research on the one hand, and practice on the other. It is argued that, although this disjunction is consistent with managerialism in some senses, it will undermine efforts to develop effectiveness. Therefore in the concluding discussion, the author explores the roles that academics as researchers and educators might usefully play in fostering effectiveness.     

Tragic Choices in Humanitarian Aid: A Framework of Organizational Determinants of NGO Decision Making

Humanitarian NGOs face difficult choices about whom to help and whom not on a daily basis. The research question in this article is how humanitarian NGOs make these difficult decisions and why in a particular way. March’s study on consequential and appropriate decision-making processes is used to analyze the nature and course of NGO decision making. Since March’s two models are often explicitly or implicitly linked to certain types of organizational settings—as reflected in an organization’s formal structure, compliance and coordination mechanisms—this article particularly zooms in on the relationship between NGO decision-making processes and these settings. The theoretical framework is illustrated and discussed by means of an exploratory comparative case study of two international humanitarian NGOs: Médecins Sans Frontières Holland (MSF Holland) and Acting with Churches Netherlands (ACT Netherlands).     

Building communities: The postmodern CSR practitioner as a dialectical activist-agent in India

This study examined the conceptualization of the postmodern public relations practitioner as an organizational activist who contributes to democratic processes in the context of community relations and corporate social responsibility (CSR) in India. Elite, in-depth conversations with 19 senior executives at 16 companies in India well known for their CSR initiatives revealed that practitioners appeared to be both organizational activists and agents. As organizational activists, they acknowledged the existence of diverse voices in local communities, interjected these voices into management discourse, situated decision-making in local contexts, identified tensors in the relationship between the corporation and its publics, and negotiated new meanings through dissensus. Paradoxically, as organizational agents, they used these participatory, open processes of dialogic communication to shape public opinion in favour of the organization, feeding modern organizations’ proclivity for consensus. While the findings of the study support the postmodern conceptualization of the public relations practitioner as an organizational activist in the context of CSR and community relations, the agent aspect of the activist-agent dialectic problematizes and complicates this conceptualization thus enhancing understandings of the postmodern practitioner who enacts CSR within a modernist framework and navigates the intricacies of the activist-agent dialectic in their daily performance of building community relations and enabling democratic processes.     

Personal Responses to Traumatic Brain Injury: A Qualitative Study

This paper reports the findings of a qualitative study of ten persons with traumatic brain injury (TBI) based upon a series of in-depth interviews conducted over a period of 12 months. Data was analysed with procedures similar to those utilised by grounded theory and ethnographic researchers, and resulted in a typology that reflected different experiences of living with TBI as well as different meanings it had for persons with TBI. A thematic analysis of the data yielded information about self, disability and handicap, and involvement in social networks; and, reflected the participants' sense of personal well-being. This analysis provided an alternative to the data yielded by traditional quantitative research designs.     

Children removed from home by court order: Fathers' disenfranchised grief and reclamation of paternal functions

The study, based on in-depth interviews with 15 fathers in Israel, reports on fathers' emotional reactions to the court-ordered removal of their children from home. The findings show that all the fathers experienced the removal as a traumatic event, which utterly devalued them and annihilated their paternal identity. Although they suffered intense pain and loss well after their children were removed, their grief was disenfranchised as friends and family accused them of allowing the removal to happen. With this, most of the fathers acclimated to the removal and even reported an expansion of their parental identity. The discussion suggests some theoretical conceptualizations of their intense feelings of pain and loss.     

Social work and artefacts: social workers' use of objects in client relations

Social workers' use of physical objects—i.e. artefacts such as paper, computers and plastic models—in client relations is rarely investigated. Most often, research focus is on interpersonal relations, user groups, professional skills and treatment methods in social work. In a study of decision-making tools and their impact on caseworkers' decision making, examples were found of caseworkers using artefacts in client relations. This paper presents these findings and discusses the purposes for which the caseworkers use artefacts. The empirical data consist of 30 qualitative interviews with caseworkers from a study of three different decision-making tools used in eldercare, employment services and child protection in Danish municipalities. The analysis shows that the caseworkers are concerned with the issue of how to justify the questions they ask clients and their assessment of clients. Job counsellors use artefacts to justify sensitive questions, for instance, questions concerning substance abuse. Family counsellors use artefacts as proof that they are guided by a model rather than making up the questions themselves. The caseworkers who grant homecare service use artefacts when rejecting an application.     

Exploring the Experiences of Lesbian,Gay, Bisexual,and Questioning Adolescents in Foster Care

This article is based on the findings from a subset of gender identity and sexual orientation questions from The Casey Field Office Mental Health Study (CFOMH). It aims to contribute the experiences of youth in the care of Casey Family Programs to the increasing body of research on lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth in foster care, as well as inform future studies in this area. The CFOMH study interviewed 188 adolescents ages 14 to 17 who were receiving foster care services from Casey Family Programs in 2006. The experiences in care of youth who identified as LGBQ (n = 10) are presented in narrative form, along with data from all youth in care (N = 188) regarding their perceptions of the foster care environment for LGBTQ youth. These findings are intended to underscore the need to conduct a larger, more in-depth study of the experiences of LGBTQ youth in foster care and the environment that foster care provides for them.     

Labor-market behavior of long-term unemployed: A multidisciplinary approach

In the beginning of the eighties unemployment increased dramatically in the Netherlands. Since 1984 short-term unemployment has decreased, while at the same time long-term unemployment has continued to rise, absolutely as well as relatively. The issue of long-term unemployment is current and no solution seems to be in sight. Scientific research in the Netherlands on unemployment has put emphasis for a long time on the labor-market behavior of the unemployed. Labor-market behavior has in the 70s and 80s been investigated by researchers from various disciplines, starting from different notions of labor market behavior, applying various models and different methodologies. The disciplinary approach is therefore dominant, not only in the Netherlands but in other countries as well. In this article we have tried to elaborate a multidisciplinary model, in which economic, sociological and psychological approaches with respect to labor market behavior have been integrated into one conceptual framework. In order to do so, we have developed a non-recursive model of labor-market behavior. This model was estimated and tested applying a simultaneous estimation procedure (as implemented in the Linear Structural Relations, LISREL-program). Results show that the multidisciplinary perspective is not only theoretically appealing, but also has some empirical advantages.     

Experiences,Burdens, and Support Needs in Siblings of Girls and Women with Anorexia Nervosa: Results from a Qualitative Interview Study

For many years, siblings of women and girls suffering from anorexia have been regarded as “the forgotten kin,” as they have been overlooked by both researchers and clinicians. Therefore, the goal of this explorative study was to investigate siblings’ experiences, burdens, and support needs in a differentiated manner. Siblings (n = 16) of patients with an ICD-10 diagnosis “anorexia nervosa” (F 50.0) took part in a qualitative, in-depth interview study; the data were assessed using content analysis. The results of this study should be especially interesting for clinical social work. Using the findings, a variety of concrete recommendations for psycho-social practice can be made, for example regarding the inclusion of siblings in treatment settings, as well as specific support concepts for siblings of anorexic women and girls in different age groups.