Can a Munro-Inspired Approach Transform the Lives of Looked after Children in England?

This discussion paper will examine the lessons from the Munro Review relevant for looked after children. Although the Munro Review focuses on child protection, we will argue that some of its key principles have relevance for understanding looked after childhoods. The Munro Review provides an analysis of the current state of the child protection system, challenging bureaucratised practice and arguing for a reclaiming of professional social work identity, knowledge and understanding. There are three key principles of the Munro Review that this paper will focus upon. The first two are the recognition that risk cannot be eradicated and the bureaucratisation of practice is an inadequate response to the demand for public accountability. The third principle is that ethical integrity lies at the heart of services for children in public care. The key message of this paper is that a Munro approach can transform looked after childhoods. However, the current ‘child protection’ model of social work in England may prevent this shift in social work practice.     

“How Can You Retire When You Still Got a Kid in School?”: Economics of Raising Grandchildren in Rural Areas

Increasingly, grandparents are being called on to rear their grandchildren when parents are unable or unwilling to fulfill their parenting role. These grandparent caregivers often find themselves in an economic bind. Financially, most are at a stage in life where they are looking toward retirement and reduced family spending and are unprepared for their new economic reality as second-time-around caregivers. Here, we use a framework of family financial well-being to examine the economic consequences of rearing grandchildren. Based on family life interviews with 26 grandfamilies residing in Montana, we explore the challenges grandparents experience generating and shifting income streams in later life, the variability in received income, and the array of expected and unexpected expenses incurred as a result of taking in their grandchildren. As custodial grandparents strive for financial well-being, there are few resources—especially in rural areas—to help them navigate these new financial waters.     

“Why Don’t You Just Tell Me How You Feel?”: A Case Study of a Young Mother in an Attachment-Based Group Intervention

This paper describes an attachment-based parenting intervention, the Circle of Security, and presents a case study of one participant’s experience as a member of it. The Circle of Security is a group intervention for parents of young children ages 1–5 that teaches parents to recognize and respond to their children’s alternating needs for attachment and exploration. The intervention content in group sessions relies to a great extent on discussions of videotaped vignettes of each parent–child dyad. Ultimately, the intervention focuses on strengthening parents’ capacities for empathic responsiveness to their children’s needs for them. In the second part of the paper, the case study illustrates one mother’s experience in a Circle of Security group designed for parents involved with the child welfare system as a result of substantiated maltreatment. Observations of this parent indicate that her capacity for empathic understanding was greatly strengthened, which appears to be related to important behavior change.     

What’s the Relationship Got to do with It? Understanding the Therapeutic Relationship in Therapeutic Foster Care

The therapeutic relationship is increasingly recognized as important to understanding how process variables contribute to treatment outcomes. In this paper, we examine the therapeutic relationship between children with serious emotional and behavioral disorders and their treatment providers in the context of an observational study of Therapeutic Foster Care (TFC). Our findings suggest that the quality of the relationship between the treatment parent and youth in a TFC setting is significantly associated with better emotional and behavioral functioning for the youth. It appears from these findings that the quality of the relationship between the youth and treatment parent in a TFC setting is at least one of the mechanism or process factors that contribute to improved functioning for the youth.     

How Does the Individual Find a Place in French Sociology?

In France over the last four decades increasing interest in the small, the specific and the subjective can be observed. This involves a shift away from a holist approach towards social analysis focused on the individual and often carried out by researchers as specified and reflexive individuals. To be understood, this movement must be situated in the context of the development of French sociology, largely dominated at its origins by Durkheimian sociology. Thus, when the individual has appeared this is often not in his or her own right, but as representative of a social trend or group. As from the 1980s, new perspectives, very often imported from American sociology bring into play individual action, emotions and bodies, often studied as socially shaped. More recently, individual characteristics have been examined as a constraint on the possibilities of action, and discussion has also revolved around the reality of the person as an autonomous subject.     

How Can One be a Boxer? : Pain and Pleasure in a Manila's Boxing Camp

This paper is an ethnographic account of daily life at a boxing gym in Manila in the Philippines. My book, Rokaru Boxer to Hinkon Sekai conducts a social analysis of three different topics in order to grasp the lives of Manilan boxers on both theoretical and empirical grounds—namely, daily life at a boxing gym, an international boxing market structure in which Filipino boxers are consumed as underdog roles, and the daily life in Manila's squatter areas to which the boxers are closely tied. The current study limits its examination to daily life in a boxing gym. Most of the unique characteristics that influence Filipino boxing can be found in the live-in residencies of its gyms. The gym is a place for training and living. It is not only by training but also as a result of various aspects of their life here that young men are able to become boxers. Unlike the gym in the African American ghetto described by Loïc Wacquant, participating youths in Filipino boxing come from the absolute lowest tiers of society. The youths live in boxing camps where every aspect of their daily live is strictly regulated, and thus are they inscribed with the rules that must be observed in this sport. This study is an examination of the pains and pleasures of life at one such boxing camp.     

“Tell Me So That I Can Help You”: Private Information and Privacy Coordination Issues in the Context of Eldercare

In order to provide competent care to aging parents, adult children, and older parents must renegotiate long-standing privacy boundaries that allow caregivers access to parents’ private information. It is reasonable to surmise that caregivers encounter privacy coordination issues when attempting to care for their aging parent. This study utilizes Communication Privacy Management theory to explore what content is considered private and what privacy coordination issues arise in the context of eldercare. Results from 27 in-depth interviews with adult children caring for an aging parent suggest that information concerning parents’ future care, health and well-being, and (in)capabilities were marked private. The findings also detail three disruptions to privacy coordination, including parental caregivers’ ambivalence toward managing parents’ care-related information. Critical implications of the study are discussed, which include how privacy turbulence may be a functional catalyst for boundary recalibration.     

Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease?

1. Despite their entrance into advanced illness, the majority (83%) of participants in the study displayed evidence of having begun a therapeutic relationship with their assigned advanced practice nurse. 2. With one exception, those participants who did not evidence development of the relationship had severely limited speech, perseverative speech, or did not speak at all. 3. It is time to challenge the assumption that individuals in the middle and later stages of Alzheimer's disease are not good candidates for developing a therapeutic relationship.     

Meeting the Needs of the Social Care and Health Care Workforce: Can a Duck Sleep with a Hippopotamus?

In a period when recruitment and retention are crucial issues in health and social care the focus of this paper is:

? Who are the workforce of health and social care?

? What are the needs of that workforce?

? How safe is it for the much smaller partner, social care, to work together with the much larger health care?

The latter point heads us back to the sub‐title of the paper: can a duck sleep with a hippopotamus?

This question comes from an advert used in the UK for a bed manufacturer, where our British sensitivities and fear of sex prevents us from showing a man and a woman in a double bed, what the Spanish charmingly call a ‘cama de matrimonio’, a marriage bed, and instead we show a hippopotamus and a duck sleeping, safely, in the same bed.

To follow this analogy, we have to show:

? that health and social care are in the same bed;

? that one is as large as a hippopotamus, and the other as small as a duck;

? what the dangers are of this;

and ask the question:

? What is there in the place of ‘spring technology’ which would permit both to sleep together, and for the duck not to end up flat?

In doing so, I hope to answer the first three questions I posed.     

Can art-based reflection help us cope with organisational change in the public sector?

Never before have public sector jobs been so threatened. Fear and anxiety have shifted their focus, from performance to survival. With reference to immediately contemporary works on the NHS in particular, such as Mandelstam (2011) and Leys and Player (2011), the paper establishes the factual validity of the crisis.

The authors conducted a series of workshops for public sector staff to enable them to explore their reactions to the current situation.

It is possible to identify increasing levels of denial and other forms of resistance to change similar to those first identified by Menzies' (1959). Drawing on the work of Bion (cited Obholzer & Roberts, 1994) the paper considers the dangers of a retreat to the paranoid schizoid position, and identifies a theoretical clue in Halton (2004) for turning the trauma of change into a creative opportunity.

Art has access to emotional, spiritual and creative facets of the human mind that science cannot explore. Klein's (1975) consideration of the infantile and regressive aspect of art is acknowledged. The paper then considers what is revealed by a study of specific works of art which were presented in the workshops; including paintings by Bosch, Rousseau, Breughel and Goya. The work of Zagier-Roberts (1998) and Winnicott (1971) is called upon to endorse the usefulness of such a playful collage of responses.

Art can be used to help people move through Kubler Ross' stages of bereavement (1997); not to acceptance but out of the paranoid schizoid position into the depressive position (Klein 1975). Revisiting the work of Halton (2004) and the concept of evolutionary creativity, a move on from the depressive position can begin. Collective validation can be affirmed through a rebooting of the essential public sector values while a radical turning away from organisational priorities, to face the service user, provides a more far reaching optimism than any envisaged by an essentially limited demand for modernisation.

In conclusion the paper considers the recent contributions of Dienst (2011) and Dumenil and Levy (2011) to advocate tactical resistance to the denigration of the public sphere.     

How stressful are economic competitions in the lab? An investigation with physiological measures

Competition is ubiquitous in economic life. Yet, negative consequences of competitive environments have been reported and everyday experience suggests that competitive situations can be very stressful. It is, however, an open question whether or not economic competitions in the laboratory indeed elicit physiological stress reactions. Our study examined subjectively perceived stress and physiological changes induced by a well-established economic laboratory competition paradigm (first used in Niederle & Vesterlund, 2007) in a mixed-gender sample of 111 healthy participants. A mental arithmetic task was performed first under a piece rate (i.e., non-competitive) payment scheme and afterwards under a tournament condition. In a third round, participants decided how to be paid (i.e., piece rate or tournament). Our results indicate that compared to a control group, which performed only the non-competitive condition, the competitive game condition elicited subjective and physiological reactions that are indicative of mild stress, i.e., an increase in heart rate and a decrease of calmness and mood. Furthermore, reactions that are thought to reflect an active coping style were related to the self-selection into competition in the third round of the game. We speculate that real-life economic competitions might be even stronger stressors and the way how people cope with this kind of stress might be related to competitiveness in real-life economic contexts.     

Restaurant tipping in a field experiment: How do customers tip when they receive too much change?

Tipping behavior is analyzed in a field experiment where restaurant customers received excessive change, either 10 or 40 Shekels (about $3 versus $12). One third of the tables reported the extra change to the server and returned it. Tips were higher with the higher level of extra change. Returning the extra change was negatively correlated with tips. The interaction between the level of extra change and whether it was returned had no effect. Possible explanations that tips are higher when the excessive change is not returned due to a positive income effect or perceiving paying a tip out of excessive change as less costly because it is a forgone gain and not a loss, are not supported by the data. Subjects may have exhibited moral licensing and moral cleansing effects. These effects, however, were possibly mitigated by a self-selection effect going in the opposite direction: those who are more generous or altruistic by their nature are more likely to return the extra change and also more likely to tip generously. Receiving the larger amount of extra change may result in feelings of good mood, perceived luckiness, or individuation and unconscious fear of being observed, which increase tips. Interestingly, these feelings seem to remain even if the extra change was returned.     

Extra Care Housing in the UK: Can it be a Home for Life?

Extra care housing is believed to constitute a home for life, precluding the need for institutional accommodations, but currently there is little substantiating evidence. Longitudinal data show that 8.2% of extra care housing residents will move to institutional accommodations after 5 years. Matching analyses suggest that extra care housing residents aged 80 years and older are approximately half as likely to enter institutional care compared with older people in the community in receipt of domiciliary care, albeit with some caveats. Extra care housing may embody a home for life for the majority of residents, although a substantial minority is likely to require institutional care.     

How is a sense of well-being and belonging constructed in the accounts of autistic adults?

This small-scale exploratory study sought to develop an understanding of the meaning of well-being and social belonging as represented within the narratives of adults on the autism spectrum. Employing an interpretivist approach facilitated the investigation of potential contributory factors to these lived experiences in order to inform further research regarding both this topic, and service provision for adults on the autism spectrum. The project involved a thematic analysis of issues of the magazine Asperger United (AU). Four broad main themes were identified: meeting personal needs, living with the consequences of an ‘othered’ identity, connection and recognition, and relationships and advocacy. Autistic adults reported many barriers to feeling that they belonged in a number of social spaces and the detrimental effect this had on their wellbeing. Fundamental to positive narratives of wellbeing, were feelings of connection and recognition from others and positive accepting relationships, with autistic-led spaces, particularly the Autscape conference, being frequently cited as of central significance in increasing feelings of wellbeing and belonging. This study has demonstrated a need for less focus on remediation and more on limiting the social isolation of autistic people.