Self‐Help Groups in the Welfare State: Treatment Program or Voluntary Action?

This article identifies two different perspectives used when studying self‐help groups: the professional treatment perspective and the voluntary action perspective. An outline of the perspectives leads to a discussion of their consequences for self‐help group research. The authors categorize about five hundred scientific publications from all over the world on the basis of the perspectives they present on self‐help groups; the results indicate that different perspectives seem to be preferred in different countries and when discussing different subjects. Finally, the authors suggest questions and concepts that the perspectives generate, and they emphasize the importance of being aware of which perspective is used in the study of self‐help groups.     

Is Risk Analysis Scientific?

This article discusses to what extent risk analysis is scientific in view of a set of commonly used definitions and criteria. We consider scientific knowledge to be characterized by its subject matter, its success in developing the best available knowledge in its fields of study, and the epistemic norms and values that guide scientific investigations. We proceed to assess the field of risk analysis according to these criteria. For this purpose, we use a model for risk analysis in which science is used as a base for decision making on risks, which covers the five elements evidence, knowledge base, broad risk evaluation, managerial review and judgment, and the decision; and that relates these elements to the domains experts and decisionmakers, and to the domains fact‐based or value‐based. We conclude that risk analysis is a scientific field of study, when understood as consisting primarily of (i) knowledge about risk‐related phenomena, processes, events, etc., and (ii) concepts, theories, frameworks, approaches, principles, methods and models to understand, assess, characterize, communicate, and manage risk, in general and for specific applications (the instrumental part).     

Social Work Responses to Domestic Violence During the COVID-19 Pandemic: Experiences and Perspectives of Professionals at Women’s Shelters in Sweden

Clinical Social Work Journal - This study explores how social work professionals at women’s shelters in Sweden experience, understand, and are responding to domestic violence under the impact...     

技术哲学视阈中的风险和安全

对风险和安全哲学进行了概述,对与之相关的风险、不确定性、安全性和预防等核心概念进行了界定,特别强调了风险和不确定性的区分,并且论述了这种区分的重要性。以对科学中不确定性信息的处理的讨论为基础,论述了在科学的不确定性情形下进行决策的问题,澄清了预防原则的作用。探讨了如何实施安全工程的主要方法,强调了诸如内在安全性、安全因素和多重安全阻抗等安全原则的作用。在此基础上,指出风险性和安全性问题是技术哲学研究中的重要领域。     

No longer a one-man job?: On day activities in mental health care in Sweden

Swedish psychiatry is organizationally in line with the international development of closing down the old large mental hospitals. As in other countries, problems of provision of care for severely mentally ill people can be observed. An organizationally new field focusing on the activities of daily living is developing, however. This was surveyed nationally (spring 1991) and parts of these results are presented and discussed. The field is characterized by profound uncertainty manifested in the fact that psychiatry is no longer doing the work alone. Local social services take on a growing responsibility trying to make claims on how to define the work even if psychiatry is dominant, both in organizational and discursive power. Promising characteristics in joint venture units set up between psychiatry and local social services opens up for discussions on who, in what ways and with what means these new forms of care are going to be pursued.     

Rights and the liberal paradoxes

Traditional social choice theory does not distinguish between the choices and the preferences of an individual. However, it is often rational for an individual to make choices that do not follow his preferences, e.g. when he makes compromises with other individuals. A social choice format is introduced with separate representations for choice and preference. It is shown how different types of rights and other legal positions can be expressed in this format. Definitions are given of what it means for rights to be compatible and for a set of rights to be respected. Further, it is shown that much weaker (and fully plausible) conditions are needed to avoid Sen's paradox (the impossibility of a Paretian liberal) in this social choice format than in a traditional format that does not distinguish between choices and preferences. As an example of this, Sen's paradox can be avoided if each individual, ceteris paribus, prefers that her choices be respected in matters that belong to her own personal sphere.An earlier version of this paper has been discussed at a Swedish-English Symposium on Rights and Rationality. I would like to thank the participants, Peter Gärdenfors, William Hart, Stig Kanger, David Kelsey, Prasanta Pattanaik, and Robert Sugden for valuable comments.     

To be or to be trained to be: On emerging and diverging ideological traditions in organizing day care activities for people with severe mental disorders in Sweden

Organized activities for people with severe mental disorders have until recently been the societal task of one human service organization, the medical speciality of psychiatry. With former psychiatric impatients moving out into the local community and with heavier dependence on outpatient polyclinic care, the situation is slowly changing. Day care activities for people with severe mental disorder are organized with an increasing involvement of the social services. The aim of this article is, using data from a national survey carried out in 1991 in Sweden, to describe and categorize how day care units interpret their task. Results show that claims-making activities still adhere largely to a therapeutic paradigm in spite of the outspoken social character of the work of organizing everyday life activities.     

Treatment‐as‐usual in effectiveness studies: What is it and does it matter?

Andrée Löfholm C, Brännström L, Olsson M, Hansson K. Treatment‐as‐usual in effectiveness studies: What is it and does it matter? A hallmark of an evidence‐based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment‐as‐usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.