Traditional midwifery practice: the limits of occupational autonomy

La théorie sociale classique et contemporaine s'est beaucoup preoccupee de la question de la mobilité occupationnelle. Selon les sociologues fonctionnalistes, la modernisation de la société a entraîné la professionnalisation, laquelle a permis à diverses occupations déjàétablies ou emergentes au sein du secteur des services d'acquérir plus d'autonomie dans l'organisation de leur travail. La tradition critique, par ailleurs, soutient qu'une déprofessionnalisation est en cours, caractérisée par une perte d'autonomie et resultant du plus grand nombre d'emplois tributaires de l'État et des corporations. Cette seconde interprétation caractérise aussi la théorie féministe, qui met l'accent sur la domination masculine d'occupations traditionnellement artisanales et féminines. Ma recherche sur les sage-femmes de Terre-Neuve et du Labrador me permet d'établir un portrait plus précis du degré d'autonomie dont jouissaient les sage-femmes dans des conditions pré-modernes. A ce titre, la thése de la déprofessionnalisation peut aider à comprendre la situation actuelle des sage-femmes, mais elle donne une vue déformée de la situation des sage-femmes du passe-dont les pratiques indépendantes tendent àêtre idéalisées par cette littérature. En effet, bien que libres de tout controle bureaucratique, les sage-femmes traditionnelles etaient bien peu autonomes dans la plupart des aspects de leur travail. The issue of occupational autonomy has been widely debated among classical and modern social theorists. Functionalist sociologists have maintained that professzonatization, a n outcome of modernization, has allowed established and emerging service occupations increasing freedom to organize their work activities. Critical sociologists, by contrast, have argued that employment by state and corporate organizations has involved a loss of autonomy, a deprofessionalization, for service workers, and this perspective has been shared by feminists, who stress the male dominance of traditionally autonomous female craft work. Research on Newfoundland and Labrador midwifery makes it possible to form a better picture of the degree of autonomy midwives actually enjoyed under premodern conditions of practice. While the deprofessionalization thesis may help to illuminate the situation of contemporary midwives in large complex organizations, it gives a misleading view of the lay midwives of the past, whose independent practice this literature tends to glorify. Although free of contemporary forms of bureaucratic control, traditional lay midwives lacked autonomy in most areas of their work.     

Shaping ethics: youth workers matter

The authors propose that youth workers and educators committed to informing and shaping the ethical understandings of young people first need to explore and become aware of their own ethics. This requires front-line staff and caregivers to critically reflect on the impact their day-to-day choices and decisions have on youth. Once they become clearer about their own ethics and the consequences of their decisions, youth workers are then in a position to promote opportunities for youth to make ethical choices. The authors use observations and ideas from their experiences with the Minnesota Youth Work Institute. Their overarching aim is to promote ethical congruence between what is taught, how it is taught, and how it is practiced in daily work with youth.     

Beliefs, death, anxiety, denial, and treatment preferences in end-of-life care: a comparison of social work students, community residents, and medical students

This study examined cultural and religious beliefs, death anxiety, denial, and medical treatment preferences in end-of-life care in a sample of social work students, community residents, and medical students in a mid-western city of 49,000. Results indicated that most social work students, community residents, and medical students preferred palliative as opposed to life-prolonging care during terminal illness. The three groups differed in cultural and religious beliefs and all three reported a moderate amount of death anxiety. Students reported less denial of terminality than community residents. Implications for personal and professional preparation to provide end-of-life care are discussed.     

Commuters' eye contact with strangers in city and suburban train stations: Evidence of short-term adaptation to interpersonal overload in the city

In the present study experimenters attempted to make eye contact with commuters as they approached an express train linking city and suburb and, 20 minutes later, as commuters left the same train. During both the morning rush from suburb to city and the evening rush from city to suburb, commuters were less willing to meet an experimenter's eye at the city train station than at the suburban station. These results support the hypothesis that reduced eye contact with strangers in the city is a short-term adaptation to interpersonal overload in the city. Most generally the results indicate a convergence of laboratory and field data toward the conclusion that crowding effects on behavior are best understood as adaptation to interpersonal overload.     

The Informal ‘Guanxi’ Institutional Culture of the Malaysian Housing Development Industry

There has been limited understanding of the relationship between private developers and the housing delivery mechanism in Malaysia. This paper seeks to bridge the research gap by analysing the social relationships and informal institutions embedded in the Malaysian housing development industry. Empirical data were collected for Kuala Lumpur and Johor to compare and contrast developers’ views and their working relationships with government departments. Informed by various arguments that ‘guanxi’ can reduce transaction costs and supplement/complement the formal legal regime, this paper examines the ways developers are engaged in such transaction cost reduction activities. Policy and theoretical implications of the informal cultural practice in the housing development industry are then drawn out.     

Imagined communities, contested watersheds: Challenges to integrated water resources management in agricultural areas

Integrated water resources management is one of the major bottom-up alternatives that emerged during the 1980s in North America as part of the trend towards more holistic and participatory styles of environmental governance. It aims to protect surface and groundwater resources by focusing on the integrated and collaborative management of land and water resources and interests on a watershed basis. In this paper, we draw on the policy network perspective on governance to shed light on the strengths and weaknesses of watershed-based processes of collaboration and integration for water quality protection in agricultural areas. The policy network perspective focuses on the interaction of actors, institutions and ideas within and among policy sectors to capture the intricacies of the policy process in increasingly complex and fragmented societies. Empirically, this study is based on the analysis of agro-environmental strategies for water quality protection in the Province of Ontario over the last 15 years. The contamination of a rural municipal well in Ontario in 2000, with its tragic consequences, translated into an ongoing pluralistic debate and strong attempts to fundamentally change the provincial policy style for addressing drinking water threats, especially agricultural pollution. Based on our analysis, we suggest that meaningful scales for collaboration and integration of land and water resources and interests at the local level, from the point of view of Ontario's agricultural policy network, do not currently include the watershed. We conclude that, instead of forcing watershed-based governance structures, the exploration and examination of more creative and flexible ways of linking watershed imperatives to existing socially and politically meaningful scales in agricultural areas of Ontario and elsewhere is warranted.     

The myths and politics of housing in Hong Kong: The controversy over the demolition of the Hunghom Estate

This paper explores the post-handover surge of civic activism in Hong Kong by examining the controversy over the demolition of the Hunghom Estate—a government subsidized housing project that was sold to private developers during a recession in early 2004. In a departure from “business as usual,” the high-profile demolition was stopped 10 months later after a series of protests mobilized by environmental activists. This result was widely hailed as a triumph of corporate responsibility and environmental consciousness. By tracing the competing narratives over the course of the controversy, this paper attempts to elucidate this “success” story by revealing the inherent conflicts between different stakeholders, and how these narratives nevertheless share and sustain a number of long-held myths about Hong Kong's economy and housing market. It argues that these myths obscure the ongoing political choices of an interventionist administration, which maintains legitimacy by tightly controlling urban development and securing support from powerful economic actors. By connecting the various claims of the present case with historic discourses of the territory, the paper aims to shed light on the power relations embedded in the development policies that characterized Hong Kong over the colonial period, and which continues to shape the practices of housing in the present.     

The vital package living on the streets in global cities: São Paulo,Los Angeles and Tokyo

The main objective of this article is to acknowledge and examine the material culture of the homeless in the urban context of downtown areas in Sao Paulo, Los Angeles and Tokyo. Firstly, I introduce some aspects of the complex process of vital package production, which concerns the social function of design and the role of products in our late industrial society. In exploring this process of homeless material culture, I then describe the reverse sense of some of the products and materials re‐functionalized by the homeless. Then, in a brief analysis of design, wasteful culture, products, life cycle and obsolescence, I claim that homelessness and design are linked to the public spaces of metropolitan areas and global cities, as a consequence of the social‐spatial exclusionary processes due to spatio‐economic conflicts that constitute contemporary urban restructuring.     

But Is It Good for Non‐Urban Women's Health? Regionalizing Maternity Care Services in British Columbia*

La Colombie‐Britannique, comme la plupart des autres provinces ou territoires canadiens, s'est orientée au cours de la dernière décennie vers une régionalisation de ses services de santé. Il en a résulté un glissement dans la planification et la prestation de services du centre vers la périphérie et un accent plus important mis sur la prise de décision locale. Cette étude explore les effets de la régionalisation sur la planification et la prestation de soins en maternitéà l'extérieur des grands centres urbains en Colombie‐Britannique. L'article fait la lumière sur la perception qu'ont les futures mères des répercussions de la régionalisation et établit des comparaisons avec les attentes des artisans de réformes à l'endroit du processus mené par le gouvernement. British Columbia, like most other Canadian provinces and territories, has in the last decade moved towards regionalization of health care services. This process has resulted in a shift in service delivery and planning from the core to the periphery, and a greater emphasis on local control and decision making. This study explores the impact of regionalization on the planning and delivery of maternity care services outside of large metropolitan areas of B.C. The paper sheds light on how birthing women perceive the impact of regionalization and compares this information to reform makers' expectations about the government‐led process.     

Who knows what? Reconfiguring the governance and the capabilities of the supply chain between physical and digital processes in the fashion industry

Abstract

On the basis of an exploratory multiple-case qualitative longitudinal study in the fashion industry, this article describes how digital technologies enabled choices among different types of supply chain governance. In doing so, this study responds to calls for governance-oriented longitudinal explorations and suggests an alternative path of governance choices in which the digital technologies become the platform that allows a dynamic discourse between outsourcer and outsourcee. Our results show that, when firms decide to leverage their performances through the adoption of information technology, they need to define their knowledge transfer capacities in order to adopt the appropriate type of governance model. With this article, we contribute to the global value chain literature adding to the knowledge transfer dimension.