Three Voices: Reflections on Homophobia and Heterosexism in Social Work Education

This article reviews recent developments in interprofessional learning in health and social care with a view to identifying the strengths and weaknesses of current initiatives in this area. As the emphasis increases on interprofessional working as a central pillar of intervention across the social work and health professions, corresponding moves have been made to incorporate parallel learning objectives in curriculum guidance issued by accrediting bodies such as the General Social Care Council and the General Medical Council. It is important, however, not to take the assumed benefits of this development as a ‘given’, or to oversimplify the task of turning high‐level aspirations into practically achievable and pedagogically effective learning experiences. This article therefore gives an account of one attempt to deliver realistic and worthwhile practice‐based interprofessional learning opportunities. The development, implementation and evaluation phases of this initiative are considered in order to draw out the key messages as to the strengths and potential shortcomings of this model, and the positive messages for good practice we believe we can offer.     

The Accuracy of Age-specific Population Estimates for Small Areas in Britain

Population estimates play an important role in the allocation of resources at many levels of government and commerce but little is known about the accuracy of age-specific population estimates. Such knowledge is crucial, as resource allocation is often targeted at populations of particular age, and decisions need to be based on the reliability of the estimates. This paper presents a multi-level statistical analysis of the accuracy of age-specific population estimates made for British local authorities in 1991. The aim of this work is to identify the factors that influence accuracy, and to investigate how these influences interact. Our analyses show that the following area characteristics are key factors: true population size; intercensal population change; and percentages of unemployed residents, armed forces residents, and students. In addition, we find that the overall type of method used to calculate estimates is important, and that its effect varies both with area characteristics and with age-group. Local census methods are found to be generally superior, but a low-cost apportionment method, if implemented well, may be as effective.     

The Fount of All Knowledge: Training Required to Involve Service Users and Carers in Health and Social Care Education and Training

A modified Delphi study was carried out in order to obtain consensus regarding the content of a university training course to involve service users and carers at all stages of the health and social care educational process within a higher education environment. Telephone interviews were carried out with service users and carers, educationalists and leaders in the field of service user and carer involvement to generate curriculum ideas. A questionnaire was developed from their responses and sent to a purposive sample of 65 people (24 service users and carers, 28 health and social care educationalists and 13 leaders in the field of service user and carer involvement). Fifty‐five statements were generated with consensus being reached on 46 (84%) statements. Mismatches between service users and carers, educationalists and leaders in the field were explored. Key themes to be included in the curriculum were identified. This paper demonstrates that the best training is not imposed upon service users and carers by academics or others who think they know best; rather, that service users and carers themselves can play a leading role in identifying their training needs and devising strategies to ensure these needs are effectively met.     

The connections between disability and child abuse: A review of the research evidence

Two possible connections between disability and abuse are explored: that disability can be the outcome of abuse, and that children with disabilities are differentially vulnerable to abuse. Evidence supporting both propositions is presented and assessed. Major problems in research and research methods are highlighted: the differing definitions of disability and abuse, the reliance on data drawn from clinical samples and case files, and failure to develop innovative methods which would enable direct participation of children and adults with a range of disabilities. The paper concludes that our current knowledge base is inadequate to either distinguish between the two connections or provide clear guidance on a range of concerns within the child protection field.     

Negotiating the boundaries of intimacy: the personal lives of asexual people

This paper uses findings from research diaries to explore the use of practices of intimacy among asexual people. While much of the literature to date has focused on the supposedly transformative and political nature of uniquely asexual practices of intimacy, our findings suggest something different. Rather than seeking to transform the nature of intimate relationships, asexual people make pragmatic adjustments and engage in negotiations to achieve the forms of physical and emotional intimacy they seek. We discuss this in relation to three areas: friendships, sex as a practice of intimacy, and exclusion from intimacy. Our findings suggest the importance of not only considering the social context in which asexual people practise intimacy, but also how the practices in which they engage may be shared with non‐asexual people.     

The Long Goodbye: Women, Companion Animals, and Maternal Loss

Heightened and often anxious attachment to companion animals can be one of the sequela of women's unresolved grief over early maternal loss. Clinical data suggest that, especially among women, the death of pets can reactivate the unfinished mourning over the mother. Drawing on one extensive case study, this paper examines this little explored, but commonly experienced relationship. From the perspectives of attachment theory and feminist therapy, the paper addresses the human-animal bond, gender differences in grief, the long term effects of early maternal loss, later attachment style, and companion animals as internalized parent/child figures. Recommendations for treatment are offered to help women work through both losses.