The Needle and the Damage Done: Research, Action Research, and the Organizational and Social Construction of Health in the “Information Society”

This paper critically reviews the actionresearch paradigm that has evolved over the last 50years within and outside The Tavistock Insitute, withreference to radical shifts in the social construction of medicine and health that are occurring as aresult of the transition toward the informationsociety. The medical domain has been chosen as anappropriate space within which to review the actionresearch paradigm because it bridges both the past andfuture of the Institute. The paper firstly considers theoriginal conception of action research andsociotechnical systems, and the role of consultants, in relation to Foucualt's analysis of powerrelations, social control, and dividingpractices. It then describes and analyzes recentdevelopments in the field of medicine and healthcareservice provision that, on the one hand, offer opportunities forincreased self-management and control by consumers overphysical, social, and emotional self-hoodand on the other could lead to further socialsurveillance and the domination and subjectification of theindividual. Drawing on recent work using innovativemodels of action research in the field of HIV/AIDS, thepaper concludes by discussing ways in which action research could harness developments ininformation and communication technologies to maximizeindividual and collective engagement in new forms oforganizational and social relations.     

Information for Clinical Social Work Practice: A Potential Solution

The field of social work requires knowledgeable, skilled and self-confident professionals. We assume that many of these social workers will have less than optimal access to professionally relevant information, within and outside of their workplaces. We also assume that they, like others searching for information, will have a limited set of search skills yet will want to obtain the information for practice they need as easily as possible. Finally, we assume they will continue turning to the Internet to access relevant information. This paper describes Information for Practice (IP), an Internet service designed for social work practitioners based on these assumptions. Data regarding use of this service are presented.     

Examination of computer task exposures in radiologists: a work systems approach

Radiologists are intensive computer users as they review and interpret radiological examinations using the Picture Archiving and Communication Systems (PACS). Since their computer tasks require the prolonged use of pointing devices, a high prevalence of Musculoskeletal Disorders (MSDs) is reported. The first phase of this study involved conducting a Cognitive Work Analysis in conjunction with a Participatory Ergonomics approach to perform a total work system analysis. We also conducted an ergonomic survey as well as collected computer use data, specifically for the mouse and keyboard. The goal of the study was to reduce the physical exposures for radiologists. This paper presents Phase I results describing the analyses and redesign process of the radiologists tasks, training design, computer use, and selected survey results.     

Variability in measures of health and health behavior among emerging adults 1 year after high school according to college status

Objective: To examine changes in health behaviors among US emerging adults 1 year after high school. Participants: The national sample of participants (N = 1,927), including those attending 4-year college/university (n = 884), 2-year colleges/technical schools (n = 588), and no college (n = 455), participated in annual spring surveys 2013–2014. Methods: Health behaviors were assessed the last year of high school and first year of college; differences by college status controlling for previous-year values were estimated using regression analyses. Results: Relative to 4-year college attendees, those attending technical school/community college were less likely to binge drink (odds ratio [OR] = 0.57, confidence interval [CI] = 0.38–0.86) but more likely to speed (OR = 1.26, CI = 1.0–2.84), consume sodas (OR = 1.57, CI = 1.0–2.47), and report lower family satisfaction (p < .01), with marginally more physical and depressive symptoms. College nonattendees reported more DWI (driving while intoxicated; OR = 1.60, CI = 1.05–2.47), soda drinking (OR = 2.51, CI = 1.76–3.59), oversleeping (OR = 4.78, CI = 3.65–8.63), and less family satisfaction (p < .04). Conclusions: Health risk behaviors among emerging adults varied by college status.     

Racial Disparities in Welfare Dependence and Financial Independence: Links to Human Capital,Local Economy,and State Temporary Assistance for Needy Families Policies

This secondary data analysis examined racial disparities in associations betwen welfare dependence/financial independence and human capital, local economy, and state TANF policies. A sample of 6,737 parents was extracted from the public-use data set titled “National Longitudinal Survey of Youth.” Results showed that restrictive TANF policies reduced African Americans’ likelihood of welfare use and increased likelihood of their financial independence. Multinomial logistic results also showed that, among Hispanics, employment growth in neighboring counties promoted welfare use; whereas among Caucasians such growth promoted financial independence. County poverty increased (a) Caucasians’ likelihood of welfare use and (b) Hispanics’ likelihood of being working poor; it decreased Caucasians’ and African Americans’ likelihood of financial independence. Across ethnic groups, education reduced likelihood of welfare use and working poor status; across minority groups, education increased likelihood of financial independence, but among Caucasians it decreased such likelihood. Across ethnic groups, occupational skills hindered dependence and improved odds of employment (regardless of welfare or poverty status). This study concluded the studied TANF policies and job markets were not color-blind. Interventions this study implies include less-restrictive TANF policies, generous support services, TANF staff cultural-competence training, and antidiscrimination rules. Research investigating particular TANF policies’ and services’ effects by ethnicity might prove useful.     

Birth parents’ perceptions of professional practice in child care and adoption proceedings: implications for practice

This paper explores non‐relinquishing birth parents’ experiences of contested child care and adoption proceedings. It highlights the perceptions and voices of birth parents which are rarely prioritized in dominant discourses of professional practice in this area. The paper reviews previous related research and also discusses a small‐scale empirical study which elicited the perspectives of three birth parents whose children had been made subject to care proceedings and placed for adoption in England. Drawing on previous research and this study, the paper makes range of practice recommendations for sensitive professional practice with birth parents during contested child care and adoption proceedings.     

Professional perpetrators: sex offenders who use their employment to target and sexually abuse the children with whom they work

Professionals who use their work as a cover for targeting and sexually abusing children have become the focus of public, media and legislative concerns in recent years. In the past 15 years, scandal after scandal has led to review investigations and public inquiries. These in turn have led to legislative changes to help improve childcare practices and prevent perpetrators from gaining access to children through institutions and organizations. This paper explores the literature and research studies which examine institutional abuse and professional perpetrators. Copyright © 2002 John Wiley & Sons, Ltd.     

Dangerous News: Media Decision Making about Climate Change Risk

This article explores the role of broadcast news media decision makers in shaping public understanding and debate of climate change risks. It locates the media within a "tangled web" of communication and debate between sources, media, and publics. The article draws on new qualitative research in the British context. The main body of it focuses on media source strategies, on climate change storytelling in news, and the "myth of detachment" sustained by many news decision makers. The empirical evidence, gathered between 1997 and 2004, is derived primarily from recordings and notes drawn from a series of seminars that has brought together equal numbers of BBC news and television decision makers and environment/development specialists. The seminars have created a rare space for extended dialogue between media and specialist perspectives on the communication of complex climate change science and policy. While the article acknowledges the distinctive nature of the BBC as a public sector broadcaster, the evidence confirms and extends current understanding of the career of climate change within the media more broadly. The working group discussions have explored issues arising out of how stories are sourced and, in the context of competitive and time-pressured newsrooms, shaped and presented in short news pieces. Particularly significant is the disjuncture between ways of talking about uncertainty within science and policy discourse and media constructions of objectivity, truth, and balance. The article concludes with a summary of developments in media culture, technology, and practice that are creating opportunities for enhanced public understanding and debate of climate change risks. It also indicates the need for science and policy communities to be more active critics and sources of news.