Difficult decisions on care and services for elderly people: the dilemma of setting priorities in the welfare state

The aging of the population combined with restricted economic resources is leading to an increasing gap between care needs and care resources. The first strategy to cope with this growing disparity is often the rather non-controversial attempt to optimize the use of the resources. At some point in time, however, more crucial decisions are needed. Four levels of decision-making in the system of care services may be identified - from decisions regarding national resource allocation to decisions regarding individual users. The different conditions for making decisions and setting priorities at each level must be considered when studying the decision-making process and the consequences - including the repercussions for other levels and sectors. With Sweden as a case, four trends in decision-making can be seen: decentralization of many controversial decisions; redefining of the lines of responsibility between sectors; increasing inequality in the accessibility, cost, and quality of care; and a general lack of public discussion and debate about central welfare issues.     

Race, Local Life Circumstances, and Criminal Activity

Objective . Life–course researchers suggest that changes in local life circumstances explain changes in criminal activity in adulthood. Although the extent to which local life circumstances propel offenders toward/away from criminal behavior is a subject of considerable debate, the issue of race has largely been ignored. The objective in this research is to incorporate race into a life–course perspective that examines the influence of changes in life circumstances on changes in criminal activity. Methods . This objective is met by using longitudinal data on 524 parolees released from the California Youth Authority (CYA) who were followed for seven consecutive years after release. Results . The results suggest that changes in local life circumstances are related to changes in criminal activity, but do not eliminate the race/crime relationship for violence. At the same time, the effect of local life circumstances on criminal activity appears more similar than different across race, with the exception that common–law marriages are crime–generating among nonwhites as compared to whites. Conclusions . Because race continues to be associated with criminal activity over the life course, future research should increase efforts to better understand how race might condition life circumstances when influencing criminal activity. Implications of these findings for life–course theory are discussed.     

Between sociology and the business school: critical studies of work,employment and organization in the UK

This is a paper about what happens when a form of knowledge moves to another part of the university. The author, identifying himself as an ‘ex‐sociologist’, investigates the relationship between the sociology of work, employment and organization and various ‘critical’ traditions within the business school. I argue that the contemporary divide between sociologies of work and employment, and Critical Management Studies (CMS) within the business school rests in part on developments in UK sociology in the 1960s and 70s. This means that divergent understandings of the role of sociology and its relevant theoretical resources provided the deep structure for the current tension between CMS on the one hand and research on work and employment on the other. The movement of sociologists and industrial relations academics to the business school provided the preconditions for two very different critical traditions. The paper concludes with thoughts on what it means to be an outsider inside an institution, and on the future prospects for Burawoy's ‘critical’ or ‘public’ sociologies in UK business schools.     

Questioning Consilience and Autonomy in Self-Determination Theory: A Critique and Hermeneutic-Phenomenological Alternative

This paper offers a theoretical analysis of Self-Determination Theory (SDT) and its claims regarding human autonomy. Self-determination theorists have advanced a form of self-regulated, engaged behavior (i.e., autonomy), founded upon on a consilient account of human motivation that assumes multiple, hierarchical levels of organization and causation (e.g., biological, psychological, and social). Autonomy, from this perspective, is taken to emerge from underlying biological mechanisms, but also able to exert its own causal effects in the world as a unique psychological phenomenon. We contend that in theorizing this way, self-determination theorists have invoked a mixed discourse of mechanism and autonomy that leaves important questions unanswered, perhaps most importantly those concerning how autonomy as a kind of volition can fit coherently in the mechanistic account of world that they advocate. We then offer an alternative perspective based upon the work of various hermeneutic-phenomenological thinkers in philosophy and psychology. This alternative perspective conceptualizes human phenomena such as autonomy and motivation in agentic terms, emphasizing meaningful participation in possibility-laden contexts of everyday practices.