A Case for the Case Study: How and Why They Matter

In this special issue we have asked the contributors to make a case for the case study. The guest editors, Jeffrey Longhofer, Jerry Floersch and Eric Hartmann, intergrate ideas from across the disciplines to explore the complexties of case study methods and theory. In education, Gary Thomas explores the importance of ethnographic case studies in understanding the relationships among schools, teachers, and students. Lance Dodes and Josh Dodes use the case study to articulate a psychoanalytic approach to addiction. In policy and generalist practice, Nancy Cartwright and Jeremy Hardie elaborate a model for a case-by-case approach to prediction and the swampy ground prediction serves up to practitioners. Christian Salas and Oliver Turnbull persuasively write about the role of the case study in neuro-psychoanalysis and illustrate it with a case vignette. In political science, Sanford Schram argues for a bottom up and ethnographic approach to studying policy implementation by describing a case of a home ownership program in Philadelphia. Eric Hartman queers the case study by articulating its role in deconstructing normative explanations of sexuality. In applied psychology, Daniel Fishman describes a comprehensive applied psychology perspective on the paradigmatic case study. Richard Miller and Miriam Jaffe offer us important ways of thinking about writing the case study and the use of multi-media. Each contributor brings a unique perspective to the use of the case study in their field, yet they share practical and philosophical assumptions.     

Gendering the Management of Change in Higher Education: A Case Study

This article reports an investigation into the influence of gender at a pre-1992 UK university. Interviews with Heads of Departments and others defined as occupying ‘middle management’ positions reveal three distinct stances to the new higher education, of ‘collaboration’, ‘resistance’ and ‘transformation’ and the article explores how gender influences these stances. It attempts to move beyond a simple focus on gender differences, towards answering Bacchi's (1990) call for ‘a more useful political analysis (which) would draw attention to the way in which the current economic system encourages certain behaviours and discourages others’. It shows that women academics are taking a transformational stance, but that the stances are not gender-specific. Gender is institutionally embedded with other organizational characteristics, such as academic discipline, departmental size, compatibility with external commercial activity, and the ability or otherwise to generate funds. Questions are raised about the contribution of such stances to the future of the new educational order.     

Invitations to Collusion: A Case for Greater Scrutiny of Men's Behaviour Change Programs

Men's behaviour change groups have been operating in Victoria since the early 1980s. Unlike their criminal justice‐based counterparts in the USA, Canada and the UK, groups in Victoria arose as stand alone voluntary programs within the community health and family support sectors. Their focus on therapeutic engagement, education and invitations to responsibility has at times failed to include consequences for men who continue to use violence and abuse while attending the group. This article argues that unless facilitators build in consequences for men whose violence continues, they can inadvertently collude with the violent behaviour. Including women partners in ongoing evaluation is one means of reducing this collusion. This view is drawn from research into behaviour change groups in Melbourne over the last decade.     

Systems Theory and Organization Change: A Case Study

A case study of a social welfare agency demonstrates that this organization can control its development as an autonomous system and need not merely shift with the times in response to the changing involvement of the federal government in social welfare programs. A theoretical framework of organizational change utilizes Parson's AGIL for this analysis.     

What People Want,Why They Move,and What Happens After They Move:

No abstract available for this article.     

From Non-Believer to Believer: What Leads People to Change Their Climate Views

Studies have highlighted the political, economic, and psychological factors in the debate over anthropogenic climate change—a hegemony approach—but have rarely focused on the stories and possibilities of people's transitions from climate change non-believer to climate change believer. Based on publicly accessible narratives, this study examines the stories of those who have switched from non-believer to believer—a narrative approach—and the dilemmas involved in those switches. Our investigation illuminates that a transition to climate change believer is a cultural and moral matter based on changing social relations of knowledge and what people regard as ignorable. We find that narratives of transition commonly describe interrelated shifts in three social relational factors: the narrator's notions of self, material reality, and justice. We term this contextualized transformative experience a relational rupture. Our narrative approach thus contextualizes climate change denialism within a person's web of social relations, not the hegemony of climate change communication alone. Moreover, we suggest that, since public debate and polarization on scientific topics such as climate change, vaccination, and COVID-19 are socially situated, they may potentially be socially bridged.     

Case Management for the Elderly:

Case management is proposed frequently as an all-purpose solution to the problems of access, fragmentation, unnecessary institutionalization, and excessive costs in long-term care of older persons. Case management, however, is not a particular structure or process but rather a complex arrangement of goals, client groups, agency settings, and procedures. Fifteen years of research on community-based care management fails to support most of the claims of its effectiveness in solving the problems for which it was intended. Long-term care policy, in the future, must consider a wide range of strategies including enhancing consumer decision making through disseminating information and expanding income supplements, and modifying the delivery system by encouraging more comprehensive organizations in which elders can enroll.     

Developing a New Approach to Case Management in Youth Mental Health: Strengths Model for Youth Case Management

Strengths Model (SM) case management has been utilized as a community based intervention with adults diagnosed with a mental illness since the 1980s. This paper describes the developmental, familial, and systemic adaptations made to the model so that it can be used with youth with mental illness. The resulting SM for Youth provides an alternative framework for providing case management to youth with mental illness which allows the youth to drive goal development and attainment by identifying and capitalizing on the youth’s strengths and resources. The model has the potential to positively impact youth mental health services by equipping supervisors and case managers with a formal model and tools, helping the case managers to feel more prepared and less stressed in their roles, and by empowering youth to engage in services that are positive and driven by their desires.     

What Neurobiology has to Say About Why People Abuse Alcohol and Other Drugs

Abstract

Four major hypotheses have been formulated to address the issue of why some people develop compulsive use of particular drugs. These hypotheses include: (1) Drugs that are abused sensitize the motivational systems of the brain such that the behavioral routines for acquisition of the drug become compulsive, (2) Drugs that are abused stimulate the pleasure centers in the brain, (3) People who abuse drugs are naturally in an aversive state that their drug use enables them to escape, and (4) Drugs of abuse are associated with aversive withdrawal phenomena which can be elicited by conditioned stimuli, therefore people continue to take drugs to avert conditioned withdrawal states. This paper examines each of these hypotheses in light of research findings from neurobiology.     

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.     

Spiritual Competence: What It Is,Why It Is Necessary,and How to Develop It

Various professional standards underscore the importance of providing effective services to all people, including those from diverse religious backgrounds. Yet despite these standards, studies have repeatedly found that most social workers receive little training in navigating this aspect of diversity during their graduate educations. To address this lack of training, the present article discusses a concept that is foundational for effective service provision with spiritual clients from diverse religious backgrounds—spiritual competence. More specifically, this article outlines what spiritual competence is and why it is important in therapeutic work, and then offers a number of strategies for developing spiritual competence. As such, this article helps equip practitioners to provide more ethical, effective services in a nation characterized by increasing religious diversity.     

Change is an Ongoing Ethical Event: Levinas,Bakhtin and the Dialogical Dynamics of Becoming

In this article, we use the intersubjective ethics of Bakhtin and Levinas and a case illustration to explore change in therapy as an ethical phenomenon. We follow Lakoff and Johnson in their emphasis on the way our conceptions of change seem permeated by metaphors. Bakhtin and Levinas both suggest through a language in which metaphors play a crucial role, that human existence—the consciousness and the subject—emerge within the dialogue of the encounter. They both describe the dynamics of human existence as ethical in their origin. Following this, we argue that change may be seen as an ongoing ethical event and that the dynamics of change are found in the ways we constantly become in this event. We investigate the ethical dynamics of this ongoing event through three themes illuminating the contributions of both Bakhtin and Levinas: (1) we become as responsible, (2) we become in speaking, (3) we become in answering the unknown. We explore these themes through a case illustration. Finally, we briefly point out some possible implications for mental health practice.     

Health Staff Responses to Domestic and Family Violence: The Case for Training to Build Confidence and Skills

ABSTRACT

Domestic and family violence (DFV) is a serious, worldwide public health concern and the literature suggests that women who have experienced violence identify health care providers as the professionals they would most trust with disclosure of abuse. Social work is well positioned to respond to women presenting in hospitals after experiencing DFV and in advocating for systems and policy initiatives to support health staff in becoming adequately trained and supported to detect and respond appropriately. This paper reports on research that surveyed health staff in two hospitals in Queensland, Australia, to identify what DFV training they had received, whether this training increased their knowledge, skills and confidence to address DFV and what services they would access to support women presenting with DFV. The results showed that the respondents were an experienced staff group who had worked in the health sector for 10–20 years but despite having access to State-based training, the majority of them had not completed any in-house training and only 12% had received face-to-face training, and when they did undertake training, it was usually only a two-hour session. Seventy-five per cent of respondents would refer to their hospital-based social worker and 40% would make referrals to other support services, primarily social work.

IMPLICATIONS

• Hospitals need to prioritise, commit to, and resource appropriate and regular training to better equip health staff to identify and respond to DFV.

• Training needs to build the knowledge and skills of staff members to address their confidence to intervene and offer support.

• Social work can provide an important role in advocating and developing training and procedures to sustain health staff members’ capacity to respond appropriately to DFV.

     

Outre‐Manche/Across the Channel: Ongoing Training and Gender in France and Britain

The French state‐levy system of ongoing training at work has not provided greater access for women than the laissez‐faire British system. While headlines figures suggest that women receive more training than men in Britain and that the gap has also closed for well‐qualified women in France, qualitative analysis shows that this does not indicate greater gender equity. The societal effect approach is useful for cross‐national comparison within the sphere of economic organization but must be combined with analysis of the gender order to account for differences and similarities in social reproduction. The case of the insurance industry provides detailed empirical evidence of the issues underlying this, particularly women's availability for ongoing training at work. The situation of women in each country is inextricably linked to a complex interdependence of a multitude of variables, some of which are similar, such as the workings of patriarchy, and some of which are different, such as state configurations of childcare infrastructure.     

Racism, Rational Choice, and White Opposition to Racial Change: A Case Study of Busing

Despite significant declines in traditional prejudice, whiteresistance to desegregation and affirmative action has led someto argue that a new symbolic racism has emerged as the principalimpediment to racial change in America. Studies of oppositionto busing, however, suggest a nonracial or rational choice explanation;whites oppose busing because it is believed to have too manycosts and not enough benefits. Using data from a medium-sizedmidwestem city, this study estimates a multiple indicator modelfor the effects of traditional prejudice, symbolic racism, andrational choice on four types of opposition to busing—attitudestoward two-way busing, one-way busing, protest, and white flight.Traditional prejudice and symbolic racism are found to be partiallyindependent dimensions whose effects on busing opposition areentirely mediated by certain expected costs of busing. Thus,the findings support both racism and rational choice explanations.There is, however, no support for the notion that symbolic racismis a more important source of opposition to racial change thanis traditional prejudice.     

What to Expect: Information and the Management of Uncertainty in Parkinson's Disease

The onset of a chronic illness such as Parkinson's Disease (PD) demands an urgent response to life's fundamental questions. General practitioners (GPs) who care for people with PD may also face anxieties, but these affect their professional rather than their personal lives. However, uncertainty at whatever level requires managing. Both patients and GPs adopt various strategies to resolve their difficulties. One aspect of this process concerns coming to understand, and explaining what to expect of, the disease. Using data from in-depth interviews with people with PD and a separate group of GPs, this paper explores how the differing experience and management of uncertainty by both parties may, if unappreciated by doctors, hinder effective communication between them. Conversely, an imaginative understanding of what PD means may help transform people's experience of the illness. Training GPs to develop skills in understanding the special uncertainties of PD is considered.