The persistence of cliques in the post‐communist state. The case of deniability in drug reimbursement policy in Poland

This article explores a key question in political sociology: Can post‐communist policy‐making be described with classical theories of the Western state or do we need a theory of the specificity of the post‐communist state? In so doing, we consider Janine Wedel's clique theory, concerned with informal social actors and processes in post‐communist transition. We conducted a case study of drug reimbursement policy in Poland, using 109 stakeholder interviews, official documents and media coverage. Drawing on ‘sensitizing concepts’ from Wedel's theory, especially the notion of ‘deniability’, we developed an explanation of why Poland's reimbursement policy combined suboptimal outcomes, procedural irregularities with limited accountability of key stakeholders. We argue that deniability was created through four main mechanisms: (1) blurred boundaries between different types of state authority allowing for the dispersion of blame for controversial policy decisions; (2) bridging different sectors by ‘institutional nomads’, who often escaped existing conflicts of interest regulations; (3) institutional nomads’ ‘flexible’ methods of influence premised on managing roles and representations; and (4) coordination of resources and influence by elite cliques monopolizing exclusive policy expertise. Overall, the greatest power over drug reimbursement was often associated with lowest accountability. We suggest, therefore, that the clique theory can be generalized from its home domain of explanation in foreign aid and privatizations to more technologically advanced policies in Poland and other post‐communist countries. This conclusion is not identical, however, with arguing the uniqueness of the post‐communist state. Rather, we show potential for using Wedel's account to analyse policy‐making in Western democracies and indicate scope for its possible integration with the classical theories of the state.     

A cross-national and comparative classification of in-country awareness and policy responses to ‘young carers’

The reality for many families where there is chronic illness, mental health problems, disability, alcohol or substance misuse is that children under the age of 18 are involved in caring. Many of these children – known as ‘young carers’ – will be providing regular and significant care, either episodically or over many years, often ‘hidden’ to health, social care and other welfare professionals and services. These children have most often been invisible in social policy and professional practice. What are the reasons why some countries recognize young carers as a priority for social policy while others (most) do not? What are the key factors that influence a country’s awareness and responses to these children? This article provides an original classification and analysis of country-level responses to young carers, drawing on published research, grey literature, policy documents and the authors’ extensive engagement in policy and practice networks for young carers and their families in a wide range of countries. The analysis identifies two of the key factors that influence the extent and nature of these policy responses, focusing on the importance of a reliable in-country research base and the contribution of influential national NGOs and their networks.     

A Social Constructivist Perspective on the Potential Relevance of Selected DSM‐5 Disorders for South African Children and Youth

In South Africa, careless implementation of child psychiatry's biomedical model of ‘mental disorder’ could stigmatise children and youth who have been made vulnerable by the lingering effects of apartheid — poverty and malnutrition, violence and abuse, and the HIV/AIDS pandemic. A focus on DSM‐5 category changes — regarding post‐traumatic stress disorder and ADHD — demonstrates that these psychiatric labels are impracticable and irrelevant in a post‐colonial developing country, where mental health care is delivered in the context of scarce services and unequal access. A social constructivist perspective enables us to broaden policy decisions and suggest directions for research.     

The Shift towards Family Reunification in Romanian Child Welfare Policy: An Analysis of Changing Forms of Governmental Intervention in Romania

This article examines the transition in Romanian child welfare policy from a paternalistic attitude of taking responsibility for ‘abandoned’ children to a capitalist orientation of reinstating responsibility for ‘abandoned’ children to the private sphere. While this shift in child policy is often seen to reflect a withdrawal of the public sphere from the private world of childcare, this study argues, alternatively, that this shift demonstrates a change in the form of governmental intervention. This article is based on ethnographic research that examines the reflections of Romanian child welfare professionals upon their changing roles.     

Global Governance,neoliberalism and national responses: The case of Bangladesh’s ready‐made garment (RMG) sector

This article on the ready‐made garment (RMG) sector of Bangladesh shows how over‐reliance on foreign capital for development financing and deregulated investment—a hallmark of neoliberal economic arrangements—undermines the incorporation of SDGs’ and INGOs’ equity principles, contributing to biased policy responses yielding unequal outcomes. The article cautions that while countries prioritize economic growth over social and environmental nourishment and continue to adopt neoliberal economic policies to promote economic growth, inequity is unavoidable, if not inevitable. Thus, the way forward may be to shift the focus of ‘development’ from the economy to society, to building ‘good societies’ where institutions and strategies, including those that contribute to economic growth, are organized such that these complement not compromise the evolution of such societies.     

Children Deconstructing Childhood

Commentaries on childhood, whilst abundant, largely depend on secondary sources, namely adults. This research attempts to address the question ‘what is childhood?’ by consulting the primary source — children. This case study, of children attending a day‐care centre in the West Midlands, England, adopted research tools that were developed to meet the needs of young children as research participants. Perspectives of childhood were identified and labelled the ‘Playful Child’, the ‘Unknowing Child’, the ‘Needful Child’ and the ‘Unauthorised Child’. The findings suggest a necessary review of the role of the early years practitioner, in particular where practitioners are ‘playing with’ young children.     

Young People,Social Exclusion and Inter‐Generational Tension in a Rural Somerset Town

This article seeks to explore how the myth of the ‘rural idyll’ can be detrimental to those who currently experience some of the greatest social exclusion in rural areas — children and young people. The research explores the views and experiences of the young residents of a small town in the south‐west of England (n = 157, ages 12–18 years). The results suggest that rural policy and practice have failed to meet the needs of young people, contributing to their social exclusion in rural communities. Community engagement, facilities and youth consultation are discussed in the context of policy and practice.     

Transnational politics at the edges of sovereignty: social movements,crossings and the state at the US–Mexico border

This article documents the history of border crossings among a group of social movement activists located in southern Arizona. By comparing two types of US–Mexico border crossings separated ten years apart, the article explores how political groups become ‘transnationalized’ and in relation to what kinds of ‘states’. By contrasting the shift from a state‐centric movement to a transnational coalition, the case study analyses why, in the later period, political activists were no longer able to identify the same kind of state. In chronicling the disappearance of one kind of state formation and the emergence of a transnational one, this research argues that globalization—rather than simply reflecting a decline of the nation state—is a process entailing not only new forms of transnational political activism but also new forms of the state.     

Childhood risks and protective factors in social exclusion

Combating social exclusion is a dominant theme in the current policy agenda. Yet the term social exclusion is of relatively recent origin. It was promoted originally in France in policy debates surrounding disability (Evans, 2000) and through theoretical developments in sociology and political science about the increasing detachment of certain individuals and groups from the state in late modernity (Beck and others, 1994). A quite different and more long‐standing research tradition is to be found in developmental psychology—respectively in the sub‐fields of ‘developmental psychopathology’ (Rutter, 1993) and ‘life course theory and lifespan developmental psychology’ (Elder and others 1993, 1998a&b; Lerner,1998; Lerner and others, 2000). The two themes come together in the idea of risk: Which children are most vulnerable to adult psychiatric disorders or criminality? Which children are likely to become socially excluded as adults? A dialogue between risk and social exclusion is likely to be fruitful in bringing together large and diverse research literatures combining both explanatory and intervention studies to bear on a central problem of modern society. The purpose of this paper is to begin such a task, but selectively, focusing on the main themes of research, as illuminated by key findings. The paper concludes with a consideration of recent policy initiatives to combat social exclusion, in which the ideas of risk and protection have a central place. Copyright © 2001 John Wiley & Sons, Ltd.     

The Politics of Childhood and Asylum in the UK

This article considers the general treatment of asylum‐seeking families with children in the UK, focusing on the government's practices and public reactions to these measures. It first describes both the exclusive asylum framework, based on institutionalised suspicion, welfare restrictions and detention, and the inclusive child policy framework, based on recognising children's rights and protecting all children. The article then investigates the implications for policy‐making that these radically opposed regimes have for those who fall between the two categories, i.e. asylum‐seeking children. To this end, we examine more closely three asylum practices — Section 9 of the Asylum and Immigration (Treatment of Claimants, etc.) Act 2004, detention of accompanied asylum‐seeking children in immigration removal centres and removals. Our analysis indicates that the government's attempt to fully include families within the restrictive asylum framework has been somewhat frustrated by the mobilisation of a wide range of public actors. As such, despite its supposedly ‘legally unconstrained’ room for action, the government has recently agreed to partly review its policy standards for asylum‐seeking families, apparently aware of the potentially damaging effects of being seen as disregarding children's rights and needs. On the other hand, the government does not seem inclined to question the current asylum framework and the assumptions on which it is based. Consequently, the asylum system for families is likely to remain based on ad hocarrangements conditioned by the scale of the protests.     

Adult’s Involvement in Children’s Participation: Juggling Children’s Places and Spaces

While children and young people’s participation is a well‐established research field, much less has been written about the roles that adults play in supporting this participation. This article examines the involvement of adults within participatory forums in English schools and local authorities. Drawing on empirical data from research on children’s participation in pupil and civic councils, the article discusses the complex and sometimes contradictory pressures on adults in their advisory roles with young participants. The article goes on to explore these roles within a broader conceptual framework that counterposes children’s ‘places’ with children’s ‘spaces’.     

JUMPING ON SHADOWS: CATCHING THE UNCONSCIOUS IN THE CLASSROOM

This article discusses case material from a psychoanalytically informed ethnographic research project where the author had a dual role as a teaching practitioner and researcher in an infant school. It suggests that practitioner researchers can deepen a concern with reflexivity in the research process by transferring elements of the practice of the psychoanalytic clinician — specifically, attention to ‘counter‐transference’ — to their research practice. The article reviews the concept of counter‐transference. It suggests that working out the difference between transference and counter‐transference may be connected unconsciously to working out the distinctions between ego and superego. The article then goes on to provide an illustration of the way in which the author attempted to use her own counter‐transference to inform her research into young children's learning, specifically in relation to her experience of being a teacher. The discussion connects this to the teacher's transferential place as a parental and ‘superego’ figure for pupils. Observational extracts are drawn from the case study of ‘Lutfa’, a Bengali girl placed at the lower end of the ability group range. The article concludes by suggesting that attention to counter‐transference dynamics as a form of reflexivity can provide the practitioner‐researcher with valuable information about the research subjects and about dynamics in the setting, particularly the participants' relationships to ‘superego’ figures.     

Risky Experiences for Children Online: Charting European Research on Children and the Internet

Children’s online experience, especially the risks to which they might be exposed, is an increasingly important policy and research concern. This article reports an analysis of the amount, nature and range of empirical research concerning children’s online experiences across 18 European countries. Research teams in each country have collaborated, as part of the ‘EU Kids Online’ network, to identify, code and compare studies. In all, 235 studies were identified and coded in a publicly accessible data repository. All countries had some available evidence regarding children’s online risky experiences, with strengths mainly in relation to research into access and use; several countries were found to have a richer evidence base encompassing research into online learning, literacy, participation, parental mediation and so forth. Regarding risks, more research focused on potentially harmful content than on risky forms of contact. Key research gaps included research on younger children, into mobile online platforms, and into certain types of online risk. The article concludes by observing the challenges facing researchers in this field, including the time‐sensitivity of research that quickly dates, the difficulty of tailoring research to meet the needs of a demanding policy agenda, the complexity of designing projects that recognise the contextual and contingent factors that mediate children’s online activities, and the ethical considerations that apply when asking children about private, transgressive or upsetting experiences.     

Gutter to Garden: Historical Discourses of Risk in Interventions in Working Class Children’s Street Play

This article investigates interventions in the gutter play of British working class children in the first decade of the 20th century through their re‐location within Free Kindergartens. In contemporary literature, the street child was viewed through a binary lens, as both ‘at risk’ and ‘as risk’, reflecting wider societal discourses in a period of rapidly developing social policy. The paper interrogates the motivations of free kindergarten activists from the standpoint of a range of theory and builds on recent papers discussing 21st century urban childhoods. The findings suggest both historical continuities and discontinuities in the theorisation of risk, which have implications for current social policy, urban design and early childhood education. The questions raised include issues of children’s rights, citizenship, inclusion and cultural diversity.     

Children's Participation,Childhood Publics and Social Change: A Review

Progress in the implementation of children's participation rights in England is reviewed and situated within a broader agenda of social change. The article argues that much of the energy for ‘change for children’ has resided within a governance pathway across policy, practice and research. An alternative perspective is offered by re‐connecting children's rights debates to those of social movements and asking whether childhood publics are possible, what they might look like and where they might be found. It is concluded that a cross‐national and longitudinal perspective grounded in everyday life is likely to provide a more nuanced understanding of the change for children.     

The family culture of negotiation—a result of changing parent‐child relationships

Case studies of parent‐child relations in three different European regions—West Germany, East Germany and the Netherlands—offer material for the comparative analysis of the ongoing intra‐familial process of modernization and civilization in post‐war West European societies. The data are drawn from extended narrative interviews with twelve‐year‐olds and from parallel but separate semi‐structured ‘mirrored’ interviews with the same children and their parents. The results of the analysis show that family relations in general, and parent‐child relations in particular, are increasingly marked by a familial ‘culture of negotiation’. This suggests that the balance of intergenerational power relations is currently in the process of change. To a greater or lesser extent, contemporary family relations are characterized by situationally grounded processes of negotiation between parents and children.     

Meeting the needs of sexually exploited young people: the challenge of conducting policy‐relevant research

This article is concerned with the relationship between research, policy and service development. It outlines some of the findings of a two‐year research study exploring the extent of, and responses to, the service needs of young people at risk of sexual exploitation in London. The study is described as a case study in conducting policy‐relevant research into a ‘hidden’ social problem. Some challenges of such research are identified. In particular, we discuss our utilisation of the Multiple Indicator Method as a means of estimating a ‘hard to count’ population. Copyright © 2006 John Wiley & Sons, Ltd.     

Gambling and the risk society: the liberalisation and legitimation crisis of gambling in the Netherlands

The liberalisation of gambling is associated with gambling addiction; thus gambling markets can be interpreted in line with Ulrich Beck's thesis of the ‘risk society’. This article analyses the dynamics of the risk society in the case of Dutch gambling markets. It is argued that a paradigm shift relative to gambling policy—from the ‘alibi model’ to the ‘risk model’—has created a legitimation crisis of gambling policy in the Netherlands. This crisis is characterised by a chain of small but significant adjustments to market forces, justified by changing and often contradictory policy motives. Although gambling markets increasingly tend to be regulated with reference to risks, what exactly constitutes these risks is in many cases controversial. This article highlights the ambiguous nature of the risk society and commercialised gambling.     

Time,Space and Gender: Understanding ‘Problem’ Behaviour in Young Children

The following article reports on a small‐scale, exploratory study of aggressive and ‘problem’ behaviour in pre‐school children. This project was conceived in the wider context of anxieties about childhood and New Labour’s policy focus on ‘anti‐social’ behaviour in children. Based on interviews with nursery staff and parents in addition to participant observation undertaken in nursery playrooms, this article examines the relevance of time, space and gender for understanding problem behaviour in young children. Taking a social constructionist perspective and drawing on Foucault's ideas in particular, it examines the social processes which regulate and normalise behaviour in young children. © 2006 The Author(s) Journal compilation © 2006 National Children's Bureau.