Service-user participation in developing social services: applying the experiment-driven approach

ABSTRACT

Participatory approaches are needed in Finland for service users to participate in designing and developing social services. New collaborative methods are the focus of this research, as this pilot case-study analyses the experiment-driven design approach and its consequences on service users’ agency and participation. This practitioner research belongs to the pragmatist research tradition. The data comprises transcribed focus group and individual interviews of service users and social workers in group operations in a Finnish municipal adult social service organisation. The data are evaluated by content analysis. The experiments with service prototypes allowed the service users to observe the consequences of their actions in practice. Instead of only being heard and consulted, the service users found they could influence the practice in concrete ways. The professionals and organisation shaped the service users’ participation and agency by operating as gatekeepers in sharing power. The service users reported that collaboration with professionals and participation in the group gave them a sense of renewed citizenship, improved social skills and helped to manage with personal illnesses or daily struggles. The research concludes that experimentation can provide a way to utilise experiential knowledge in developing social work collaboratively.     

Compounding the trauma: the coercive treatment of voice hearers

For more than a hundred years, voice hearing has been treated as a symptom of serious mental illnesses with biological origins. Pharmaceutical companies have expanded the range of products targeted at treating these illnesses and the diagnosis of schizophrenia now underpins a multi-billion dollar, world-wide business. Throughout the western world, nation states have vested an authority in psychiatry to compulsorily treat people who meet a set of diagnostic criteria that is widely discredited. There is considerable evidence that more effective ways of responding to people experiencing psychosis can be provided without coercion. These approaches differ in essence to traditional Kraepelinian psychiatry in that they acknowledge the role of people's life experiences in creating the problems they face, and the professionals work in partnership with the service users. The approaches recognise that people have histories which often include considerable trauma and social workers are in an ideal position to work with voice hearers to help them understand their experiences and to develop ways of coping. The authority vested in psychiatry is not static and within Europe mental health professionals can contribute to changing what is meant by ‘unsound mind’ and extending the right of liberty to voice hearers. In doing this, social workers can ensure that they do not compound the trauma by devaluing and discrediting people's experience.     

Translation as a knowledge transformation practice—the ambiguous case of presenting Finnish child welfare in English

This article addresses the process of translation, necessary in the present social work academic and practice communities, as a form of transformation of knowledge. It is argued that knowledge is transformed in the translation process on the terms set by the language into which it is translated. As the English language is the lingua franca of the present academic and other international communities, it is the English language that sets the criteria for translation. In social work, which is conventionally seen as context-bound, the translation process includes some loss of the original particularities. The Finnish child welfare system is used as an example. It is demonstrated how complicated, if not even absurd, the translations may be. The English terms, related to a different child welfare ideology and history, do not meet the essence of the Finnish welfare-focused child welfare system. Instead of fluent translation, robust translations are suggested as the way forward. The robust, foreign-sounding translations would recognise the context-bound particularities. Yet, the challenge is how to find a communicative balance between fluent and robust translation.     

Expanding black subjectivities in Toni Morrison’s Song of Solomon and Chimamanda Ngozi Adichie’s Americanah

Deploying the call-and-response mode as the artistic premise of her fiction, foremost African-American author, Toni Morrison, has persistently called in her criticism for a participatory, intellectual and political, engagement with her position on and concerns around blackness. Morrison’s ideas are being critiqued and expanded to reflect contemporary ‘African’ attitudes and perspectives within the contemporary Afrodiasporic writing of critically acclaimed emergent author, Chimamanda Ngozi Adichie. In particular, Adichie has, in conversation and in her most recent fiction, suggested that Africans (in the diaspora) articulate themselves differently from African-Americans. Problematized and politicized thus as contested, rather than universally accepted, subjective terrain, blackness more significantly points to the diversity and dynamism of black culture and testifies, in the current socio-political/-historical moment, to recognition of the enduring complexity of black subjectivity. In a close, comparative reading of Morrison’s celebrated novel, Song of Solomon (1977), and Adichie’s popular text, Americanah (2013) – both recipients of the National Book Critics Circle award, this essay offers a fresh, specifically transatlantic and transnational, analysis of Morrison’s African-American views on blackness through the contemporary, Afrodiasporic lens of Adichie. Guided by the dialogic call-and-response mode, and underpinned by cultural, race and diaspora theory, the essay suggests and explores the ways in which Americanah speaks (back) to Morrison’s Song of Solomon, interrogating ontologies of race, particularly blackness, through an ‘Africanness’ that takes cognizance of culturally specific and context-responsive, globalized configurations of female subjectivity in particular. In this way, this essay seeks to expand understandings of, and discussions around, black issues and black life in order not just to resituate the relevance of black cultural ontologies but, through comparative engagement with the ‘politics’ of blackness, to revive in the political consciousness and imagination their crucial significance.     

Whistleblowing processes in Swedish public organisations—complaints and consequences

Research on whistleblowing in Sweden is scarce. In this explorative study 21 cases of whistleblowing from human service organisations in Sweden were examined. Extensive material from thematic interviews with 28 whistleblowers, 30 key persons and documents from supervisory authorities such as the National Board of Health and Welfare have been analysed.

Some findings were that the organisation problems motivating whistleblowing were usually cutbacks in vital services for users, unethical working methods or abuse of clients. Internal whistleblowing was usually met with silence from supervisors and directors. The whistleblowers then went on with external whistleblowing by reporting the bad conditions to the higher supervisory authorities who started thorough investigations. Their actions caused a lot of negative reactions in the organisation, but they were also supported by media and ordinary citizens.

The retaliation processes against the whistleblowers were described. Half of the interview group has left their positions, either on sick leave or by changing jobs. The findings show a stigmatisation process with severe consequences for the individuals. But the cited organisations usually had to change their illegal or immoral practices and benefited in the long run from the whistleblowing events.     

Neoliberalism and social work identity

This article considers the relationship between the identity of social work and the neoliberal political project. Reference is made to a small but carefully structured quantitative research study in Auckland, New Zealand which examined the knowledge applied and produced in the practice of social work. This study found evidence consistent with Philp’s [(1979). Notes on the form of knowledge in social work. Sociological Review, 27(1), 83–111] theorisation of a specific ‘form of knowledge’ for social work which is produced and reproduced as a function of relational engagement between social workers and those who are constructed as ‘clients’ in an unequal society. This discourse casts the ‘failing subject’ as socially located and inherently redeemable in direct contrast to populist neoliberal constructions of personal responsibility and moral deficit. With reference to dialectical theory it is suggested that this resilient discourse, embedded in ‘every-day’ practice, is inevitably a source of resistance to the imposition of neoliberal practice and policy design. This resistance provides hope for the progressive voice of social work in the current contest of ideas in relation to the future development of social work.     

Perceiving the other: hostile and danger attributions among Jewish and Arab social work students in Israel

The aim of the present paper is to examine the possible relations of hostile and danger attributions and cultural competence socialization. We conducted an empirical study based on a factorial survey, focusing on the significance of formal cultural competence classes and the ongoing interpersonal contact among members of majority and minority groups: Jewish and Arab social work students in an Israeli University. The experimental design manipulated variables of ethnicity, potential dangerousness, and potential intended harm, using vignettes. The results indicated that Arab students attribute more hostility to both Hebrew- and Arabic-speaking figures than their Jewish counterparts. Jews attributed more danger to Arabs, and Arabs attributed more dangerousness to Jews. The most striking finding is the significant and positive association between multicultural competence socialization and attribution of danger and hostility. The findings are discussed within the framework of ethnic and political conflicts in turbulent areas, anti-oppressive social work, and their implications to social work education.     

At the intersection of marketisation,diversity and migration: reshaping the provision of paid family eldercare in Sweden?

This article explores how paid family eldercare in Sweden is reshaped at the intersection of marketisation, accommodation to ethnic diversity and globalisation of international migration. Using a mixed-methods case study approach, the paper examines how implementation of customer choice in publicly funded homecare services to older adults in the city of Stockholm interacts with paid family care. The results show that some private homecare companies employ family caregivers as a business strategy; moreover, that the majority of employed family caregivers are foreign-born women coming primarily from non-European countries. The findings point towards gains but also risks for all parties involved. Though the family caregiver is ensured an income, the employment is generally associated with low wages and weak social security. In addition, employed family carers often lack formal training, which affects documentation procedures and monitoring of the daily care work. It is therefore difficult to evaluate the quality of care services performed by employed family carers. The results indicate a need for policy-makers to reconsider how customer choice in eldercare interacts with paid family care. Otherwise, unintended consequences may result in negative effects for integration as well as social work practice with foreign-born older adults.     

Views of Intimate Partner Violence in Same‐ and Opposite‐Sex Relationships

Attitudes toward same‐sex intimate relationships and intimate partner violence (IPV) are changing. Little research, however, has examined norms about IPV in same‐sex relationships. Using a fractional factorial (experimental vignette) design, we conducted random‐digit‐dialed interviews in four languages with 3,679 community‐residing adults. Multivariate analyses of responses to 14,734 vignettes suggest that IPV against gay male, lesbian, and heterosexual women is more likely than that against heterosexual men to be considered illegal and that it should be illegal, police called, and a stay‐away order issued. Regardless of gender and sexual orientation, the type of abuse and whether a weapon was displayed are the strongest predictors of respondents’ judgments about whether a behavior is illegal and merits a range of societal interventions.     

Standing up to complexity: researching moral panics in social work

Moral panics are central to social work policy and practice. Voluntary agencies and statutory bodies (including governments) create and sustain moral panics in order to raise awareness of, and win support for, their own understandings of social issues and problems. This is not a neutral enterprise; on the contrary, moral panics often have consequences that are negative, whether intended or unintended. Far from leading to greater social justice and a more equal society, they may reinforce stereotypes and lead to fearful, risk-averse practice. This paper discusses one such moral panic in 2013 that centred on the story of ‘Maria’, a Bulgarian Roma child living in Greece. The paper explores the meaning and use of the concept of moral panic before unpacking this case-study example in more detail. We argue that the moral panic over ‘Maria’ has much to tell us about ideas of welfare and protection, institutional racism and children and childhood, as well as the connections between ‘private troubles’ and ‘public issues’. We conclude that social work as a profession must stand up to complexity, and in doing so, be aware of its own role in relation to moral panics.     

Participation for children exposed to domestic violence? Social workers' approaches and children's strategies

This article explores social workers' approaches to children exposed to domestic violence and children's strategies in encounters with these professionals in the context of family law proceedings. Investigator approaches as well as child strategies are reconstructed from children's narratives. Furthermore, possible links between the social worker's approach described by a particular child, and the child's own strategies are outlined. Participation can offer children validation of their experiences and support their recovery after exposure to violence. However, it is suggested that it seems to be a challenging task for social workers to both validate children's experiences of violence and simultaneously offer them participation in the investigation process.     

Intermarriage,Ethnic Identity,and Perceived Social Standing Among Asian Women in the United States

This study investigates the consequences of Asian women's intermarriage—whether it is associated with higher social standing and lower ethnic identity, using data on Asian women (N = 589) from the National Latino and Asian American Survey (NLAAS). The socioeconomic status of partners of women who intermarried and partners of women who married men of the same ethnicity are compared. The potential associations between intermarriage and two subjective measures—ethnic identity and perceived social standing—are explored. The study rejects the hypothesis based on the conventional belief that Asian women in the United States find “better” partners with higher socioeconomic status from other racial or ethnic groups. The findings support the view that marital assimilation leads to identificational assimilation and demonstrate that intermarriage is not associated with higher perceived social standing. The results suggest that educational and occupational endogamy plays a larger role in Asian women's intermarriage than social exchange.     

Why is history important at moments of transition? The case of ‘transformation’ of Irish child welfare via the new Child and Family Agency

This paper provides a critical commentary on researching social work in transition to make the case for why history is important at crucial moments of change. The present transition of child protection and welfare practice from a Health Services Executive Structure to an Independent Child and Family Agency (Tusla) is focused on for illustration. This development signifies a major transition of services within the country influenced by a number of factors, most notably a number of high profile cases of child abuse within institutions in the past and child deaths/neglect cases in the present. In particular, a discourse of prevention, early intervention and the promotion of children's rights are most dominant in light of a quest to purge the mistakes of the past. Supported by a history of the present approach, the author argues that while the existence of a ‘discursive shift’ typified by the establishment of an independent agency is arguably conclusive, the evidence of changes in practice, culture and underpinning analytical approaches is much more vague and complex. The paper concludes with reflections on implications for a wider European and global context and a call for the need for more critically informed approaches to history to inform present transformations.     

Migrant Parents and the Psychological Well-Being of Left-Behind Children in Southeast Asia

Several million children currently live in transnational families, yet little is known about impacts on their health. We investigated the psychological well-being of left-behind children in four Southeast Asian countries. Data were drawn from the CHAMPSEA study. Caregiver reports from the Strengths and Difficulties Questionnaire (SDQ) were used to examine differences among children under age 12 by the migration status of their household (N = 3,876). We found no general pattern across the four study countries: Indonesia, the Philippines, Thailand, and Vietnam. Multivariate models showed that children of migrant fathers in Indonesia and Thailand are more likely to have poor psychological well-being, compared to children in nonmigrant households. This finding was not replicated for the Philippines or Vietnam. The paper concludes by arguing for more contextualized understandings.     

The Moral Accounting of Terrorism: Competing Interpretations of September 11, 2001

Drawing on comparative case studies, the research elucidates competing constructions of justice, responsibility, and victimhood articulated in response to September 11, 2001 on three digital discourse fora in Brazil, France, and the United States. The research extracts the moral metaphors through which Brazilian, French, and American participants judge the terrorist acts. It contrasts the underlying moral accounting schemes employed to legitimize or delegitimize the use of terrorism on 9/11. Two contrasting standpoints on political violence and associated moral underpinnings are elucidated: the morality of retribution and the morality of absolute goodness (Lakoff 2002). One ideological faction uses the morality of retribution to hold the US accountable for inciting the terrorists to act. For these individuals, political violence can be seen as a form of action that upholds a binary framing of moral order in which all moral debts must be paid. By contrast, opposing camps employ the morality of absolute goodness to condemn the terrorists by arguing that terrorist violence is inherently unjustifiable, as it necessarily results in human suffering.

Anthropology and Social Work: engagement with humans,moral dilemmas and theories of difference

This article compares similarities between two disciplines traditionally distinguished by applying a praxis–theory dichotomy. It is argued that this equally simple and historical opposition is reducing the current multiple realities of both fields in Europe inaccurately, as both disciplines have more in common than normally appreciated. Therefore, the contribution compares the subjects ‘culture’ and ‘social problem’, showing some interesting overlaps in recent definitions. Furthermore, methodological parallels are traced in concepts such as participant observation, empathy or in-betweenness. In the third step, common roots in social theory and moral dilemmas of the past and the present for both social work and anthropology are discussed. Finally, the paper argues in favor of more collaboration, respectively, in practical training and academic research.     

The Desomatizing Selfobject Transference: Analysis of an Eating Disorder

This article documents the manner in which psychological treatment, with its attentiveness to the vicissitudes of the unfolding selfobject transference, gradually enabled a patient to contain and articulate painful affect states. The patient's passionate relationship with food, strikingly illustrated in the clinical material, including her dreams, endowed eating with the functions of an idealized selfobject. Over the course of treatment, she seemed to traverse a psychic bridge that took her from an isolated reliance on food through a more focal awareness of her body and her feelings, to an investment in, and capacity for, deepened relationships with other people.     

STTEPping in the right direction? Western classical music in an orchestral programme for disadvantaged African youth

This article looks at STTEP, an outreach project currently housed at the University of Pretoria, which concentrates on the teaching of western orchestral instruments, plus background areas such as music theory, to disadvantaged children and youth from a variety of townships around Pretoria, South Africa. STTEP’s direction can well be described as ‘right’ – pupils are already surrounded by all kinds of global phenomena, and their formal music studies in western classical music are not making them forget their roots. In fact, the contrary has been found to be the case and some interesting cultural fusions are already seen – always a sign of a living culture.     

An Approach to Community Outreach Practice in the 21st Century

ABSTRACT

This article presents the findings of a study about knowledge, attitudes and beliefs about AIDS held by older Hispanic adults. Members of the convenience sample provided responses that identify concerns about effective practice in outeach and information provision to older adults with regard to risky sexual practices. Intervention to prevent the spread of HIV/AIDS among older adults needs to be culturally competent and to be attuned to social practices, traditions, community concerns, and generational perspectives with regard to serious health problems related to sexual behavior. The sample composition was primarily Hispanic (97.4%); Catholic, (92.1%) and female (84.2%) with a mean age of 73.7 years. Approximately 28.2% of those surveyed stated that they felt that AIDS was an important problem for older adults. The majority, (76.3%) were aware of locations where health information and services were available if AIDS were a problem. Even though the majority indicated knowledge that AIDS is spread through sexual intercourse, more than one third, (36.8%) thought that sexually active adults 55 and over never use condoms. A discussion of the implications for disease prevention programs and community practice is presented emphasizing the importance of empowerment strategies in health promotion programs and the strengthening of multidisciplinary collaborative efforts to effect positive community health changes.     

Intergenerational Experiences of Discrimination in Chinese American Families: Influences of Socialization and Stress

In this longitudinal study, we investigated the mechanisms by which Chinese American parents' experiences of discrimination influenced their adolescents' ethnicity‐related stressors (i.e., cultural misfit, discrimination, attitudes toward education). We focused on whether parents' ethnic‐racial socialization practices and perpetual foreigner stress moderated or mediated this relationship. Participants were 444 Chinese American families. Results indicated no evidence of moderation, but we observed support for mediation. Parental experiences of discrimination were associated with more ethnic‐racial socialization practices and greater parental perpetual foreigner stress. More ethnic‐racial socialization was related to greater cultural misfit in adolescents, whereas more perpetual foreigner stress was related to adolescents' poorer attitudes toward education and more reported discrimination. Relationships between mediators and outcomes were stronger for fathers than for mothers.