Home Care Workers’ Skills in the Context of Task Shifting: Complexities in Care Work

Task shifting, which involves the transfer of care work from regulated health‐care professionals to home care workers (HCWs), is a strategy to ensure the efficient delivery of home care services in Canada and internationally. Using a feminist political economy approach, this paper explores the effects of task shifting on HCWs’ skills. Task shifting may be understood as a form of downward substitution—and an effort to increase control over workers while minimizing costs—as some of health‐care professionals’ responsibilities are divided into simpler tasks and transferred to HCWs. Our interviews with 46 home health‐care providers in Ontario, which focused explicitly on HCWs’ role in care provision, problematize the belief that “low skilled” care workers have little control over their work. HCWs’ skills become more complex when they do transferred tasks, and HCWs sometimes gain greater control over their work. This results in increased autonomy and mastery for many HCWs. In turn, this serves to reinforce the intrinsic rewards of care work, despite the fact that it is low paid and undervalued work. Le transfert des tâches consiste à transférer certaines activités des professionnels de la santé aux travailleurs de soutien à domicile, et s'avère être une stratégie visant à assurer la prestation efficace des services de soutien à domicile au Canada et à l'étranger. En utilisant la théorie de l'économie politique féministe, cet article explore l'impact du transfert des tâches sur les compétences des travailleurs de soutien à domicile. Le transfert des tâches peut être interprété comme une forme de substitution à la baisse avec un contrôle accru des travailleurs et une minimisation des coûts des services. Ceci se produit lorsque certaines des responsabilités des professionnels de la santé sont fragmentées en tâches plus simples pour être ensuite transférées aux travailleurs de soutien à domicile. Pourtant, le contenu de 46 entrevues avec des travailleurs de soutien à domicile et professionnels de la santé vient ébranler l'hypothèse selon laquelle les travailleurs de soutien à domicile «peu qualifiés» auraient peu de contrôle sur leurs tâches de travail. Les résultats de cette étude suggèrent que les compétences des travailleurs de soutien à domicile se complexifient lorsqu'il s'agit de tâches transférées, et que ces travailleurs obtiennent parfois plus d'autonomie à l'emploi. Donc, les travailleurs de soutien à domicile acquièrent une plus grande autonomie et un contrôle plus significatif à l'emploi. Par conséquent, le transfert des tâches renforce les gratifications intrinsèques du travail en relation d'aide et ce, en dépit d'une piètre rémunération et de la sous‐valorisation du métier.     

Global Food Markets and Their Local Alternatives: A Socio-Ecological Economic Perspective

Growing globalization has changed the relationship between the economic institution market and its social contexts. Local alternatives have developed, as some would argue, as a response to this globalization trend. This paper examines the seeming contradiction between globalization and local market developments by examining a recent model of emerging local, more socially embedded markets, namely CSAs (Community Supported Agriculture). It argues that CSAs, which directly link agricultural producers and consumers, exemplify the search for market alternatives that are re-embedded in their physical, social, and ethical context. Thereby important dimensions of market interaction such as reliance on local experts, social interaction, and spatial/temporal feedback functions can be recovered.     

A general framework for path convexities

Journal of Combinatorial Optimization - In this work we deal with the so-called path convexities, defined over special collections of paths. For example, the collection of the shortest paths in a...     

After inclusion. Thinking with Julian Go's ‘Thinking against empire: Anticolonial thought as social theory’

This contribution engages Go's generative invitation to think against empire by thinking through the epistemic and disciplinary implications of such endeavour. I zoom in on the need to explicitly address the purpose and ethos of scholarly inquiry and how that translates into decolonial academic praxis. Thinking with Go's invitation to think against empire, I feel compelled to constructively engage the limitations and impossibilities of decolonising disciplines such as Sociology. I glean from the various attempts at inclusion and diversity in society and argue that adding or including Anticolonial Social Thought/marginalised voices and peoples in the existing corridors of power—such as canons or advisory boards—is at best a minimal rather than a sufficient condition of decolonisation or going against empire. This raises the question of what comes after inclusion. Rather than offer a ‘correct’ or single alternative anticolonial way, the paper explores the pluriversally inspired method(ological) avenues that appear when we commit to thinking about what happens after inclusion when the goal is decolonisation. I expand on my ‘discovery’ and engagement with the figure and political thought of Thomas Sankara and how this led me to abolitionist thought. The paper then offers a patchwork of methodological considerations when engaging the what, how, why?—questions of research. I engage with questions of purpose, mastery, and colonial science and turn to the generative potential of approaches such as grounding, Connected Sociologies, epistemic Blackness, and curating as methods. Thinking with abolition and Shilliam's (2015) distinction between colonial and decolonial science, between knowledge production and knowledge cultivation, the paper invites us to not only think of what we need to do more of or better when taking Anticolonial Social Thought seriously, but also what we might need to let go of.     

Using social media-based drama therapy and family counselling to treat symptoms of postpartum depression among women

This study examines the impact of social media-based drama therapy and family counselling in reducing symptoms of postpartum depression (PPD) in women aged 18–34. The researchers used a quasi-experimental design and randomly assigned the participants (n = 303) to the control, drama therapy, and family counselling groups. The key findings of the study are as follows. First, at baseline, women not only showed more symptoms of PPD than their male counterparts, but men also reached the PPD threshold of 12/13. Second, the difference between women and men regarding their PPD scores achieved statistical significance (p = 0.004). However, during the post-intervention assessment, men who received drama therapy intervention reported a significant drop in their PPD below the threshold of 12/13. Only women whose spouses received family counselling on spousal support reported a significant drop in their PPD. However, those whose partners did not receive family counselling on spousal support still reported PPD scores within the threshold. In both instances, women in the control group still had high PPD scores. Finally, during the 6-month follow-up assessment, even men in the control group did not have significant symptoms of PPD as their scores dropped below the threshold. On the contrary, women in the control group still had high PPD, indicating that PPD lasted more in women than in men. Also, women whose husbands received family counselling on spousal support reported PPD scores below the threshold. However, women whose husbands did not receive spousal counselling still had PPD scores at the threshold, even though their scores marginally dropped.