Circumstances Change Cases: Local Government and the NHS

The role of local government in health care matters in Britain has never been trouble-free. From the dissolution of the Boards of Guardians in 1929, through to the creation of the NHS in the 1940s and the introduction of the internal market in the 1990s, there have been political and professional arguments surrounding the issue and, for the most part, the case for democratic local governance of health care has failed to carry the day. This paper looks back to earlier debates, examines the current policy context, and looks ahead to possible future scenarios. It argues that the changing circumstances of both the NHS and local government makes this an apposite time to rethink established structures.     

The journey effect: how travel affects the experiences of mental health in-patient service-users and their families

The qualitative study presented in this paper explored the perspectives of service-users, family members and staff about the impact of travel issues on the lives of mental health in-patients and carers. This topic was chosen because it was prioritised by members of Xplore, a service-user and carer research group, and has received little research attention. Travel problems were a significant issue for many service-users and carers, bound-up with mental health issues and the recovery experience. Travel facilitation through the funding of taxis and the provision of guides was appreciated. A few service-users and carers positively valued distancing from their previous home environment. The meaning of travel issues could only be understood in the context of individuals’ wider lives and relationships. The significance of the findings is discussed in relation to the social model of disability.     

Parents’ Perceptions of Services for Young Children with Faltering Growth

This article reports on a qualitative study exploring the experiences of parents of young children with faltering growth and feeding difficulties. They were interviewed as part of an evaluation of two projects using a behavioural model to resolve persistent feeding problems. The 22 respondents provided valuable insights into their experiences of parenting such children and of the various services they had received. One important finding was the extent to which they found input by some professionals unhelpful. It concludes by suggesting how workers in this field might better support parents, using the principles of partnership combined with behavioural techniques. © 2006 The Author(s). Journal compilation © 2006 National Children's Bureau     

'Normal' Life in a Hazardous World: How Adults with Moderate Learning Difficulties and Their Carers Cope with Risks and Dangers

Semi-structured interviews were conducted with 20 adults with moderate learning difficulties attending Adult Training Centres and with their informal carers. Interviews covered friendships, relationships with the opposite sex, leisure and independent living and were analysed using a grounded theory approach. Ways of dealing with hazards emerged as an important theme. Hazards could be seen as dangers to be avoided or as risks to be calculated and minimised. Adults and informal carers usually viewed hazards in a similar way but there were conflicts of view in some families. Treating hazards as dangers to be avoided appeared to be associated with professional or skilled manual social background and the presence of both parents in the household.     

Rethinking Empowerment: A Postmodern Reappraisal for Emancipatory Practice

Summary This article is concerned with the implications of the postmodernchallenge to critical theory for the practice of empowerment.How do we conceptualize empowerment from a postmodern perspective?It is argued that the modernist concept of power upon whichempowerment rests, can have unintended disempowering effects.By conceptualizing power as a commodity, identities are forcedinto a powerful–powerless dualism which does not alwaysdo justice to diverse experiences. Thus we can sometimes contributeto dominance in spite of our liberatory intentions. It is arguedthat social workers need to become more aware of the self-discipliningand self-regulatory processes involved in professional workto address the social relations of power embedded in professionalpractices. Foucault's analysis of how marginalized knowledgesare affected by dominant cultural practices suggests a redefiningof empowerment as the insurrection of subjugated knowledge.The implications of this redefinition for practice is illustratedby reference to work with indigenous people in Australia.     

Social Enterprises as Hybrid Organizations: A Review and Research Agenda

The impacts of the global economic crisis of 2008, the intractable problems of persistent poverty and environmental change have focused attention on organizations that combine enterprise with an embedded social purpose. Scholarly interest in social enterprise (SE) has progressed beyond the early focus on definitions and context to investigate their management and performance. From a review of the SE literature, the authors identify hybridity, the pursuit of the dual mission of financial sustainability and social purpose, as the defining characteristic of SEs. They assess the impact of hybridity on the management of the SE mission, financial resource acquisition and human resource mobilization, and present a framework for understanding the tensions and trade‐offs resulting from hybridity. By examining the influence of dual mission and conflicting institutional logics on SE management the authors suggest future research directions for theory development for SE and hybrid organizations more generally.     

From Public Housing to Welfare Housing

This paper examines the shift in housing policy from public housing to welfare housing during the 1970's and the period of the Fraser government in particular. The period saw a series of new Commonwealth State Housing Agreements directed toward market pricing of public rental stock; at the same time Federal funds were declining, with marked effects on the public housing sector. The paper reflects on these trends and highlights certain contradictions in public housing policy.     

The politics of gendered emotions: disrupting men's emotional investment in privilege

This paper explores the implications of the neglect of emotions in critical masculinity studies and profeminist masculinity politics. This neglect in part results from feminist and profeminist critiques of the literature on emotional inexpressiveness as a tragedy for men that ignores male privilege and men's social power. To focus on men's emotions is seen by some profeminist commentators as psychologising men at the expense of sociological understandings of men's social power. However, in neglecting the place of emotions in men's lives, critical masculinity studies has overlooked the ways in which men's emotional attachment to privilege can perpetuate oppressive gender relations and male violence against women. By exploring men's emotional investment in unequal gender relations, the article outlines ways in which emotions can also be used as a catalyst to disrupt men's attachment to male privilege.