What Do We Need To Do To Keep People Safer?

This paper explores what it might take to narrow the implementation gap between the evidence base and advice about what keeps people safe and the actual practice close to the patient and client. We describe what we have learnt about facilitating conversations with clinicians about times when their practice ‘fell short’ and how attention to the framing assumptions embedded in these stories can tell us more about what it takes to keep people safer.     

Is the subaltern resilient? Notes on agency and neoliberal subjects

ABSTRACT

This essay engages the question of where Gayatri Spivak’s understanding of subalternity is to be located today, and it does so by first establishing a brief genealogy of thinking the outside of modern, capitalist economic and cultural modes of production. This genealogy reaches back to the classic Marxist figure of the lumpenproletariat, moves through its postcolonial reappropriation by Fanon as well as Gramsci’s original articulation of the subaltern, and arrives at Subaltern Studies’ re-articulation of Gramsci’s notion of the subaltern as well as Spivak’s critical dialogue with Subaltern Studies. This first part of the essay lays the ground for an argument that pertains to the relation between subalternity, agency, resistance, and resilience, within a context of neoliberalism in which agency is particularly salient as a way of accounting for the world. The discussion on subalternity and agency builds on Spivak’s critical engagement with the task of ‘giving voice’, as well as on Saba Mahmood’s work on the conceptual entanglement of agency and resistance. This leads me to the central argument that we may be witnessing a shift in the conceptualization of agency, which is particularly salient to a contemporary understanding of subalternity and the shift that the ‘new subaltern’ [Spivak, G., 2012. The new subaltern: a silent interview. In: V. Chaturvedi, ed. Mapping subaltern studies and the postcolonial. London: Verso] indicates: in current neoliberal times, it is perhaps less agency-as-resistance that informs an understanding of the subaltern’s agency, but rather agency-as-resilience. The essay concludes with a critique of resilience.     

Living with Duchenne Muscular Dystrophy: Relational Autonomy and Decision‐Making

Interviews were conducted with boys and young men who have Duchenne muscular dystrophy, exploring their thoughts on making a decision to participate in medical research. This article focuses on one of the key findings, discussing how the participants identified their parents as carers, spokespersons and advisors. The term ‘relational autonomy’ encapsulates these co‐operative relationships, illustrating how they can help young people living with a degenerative disability to exercise some agency and autonomy. The boys and their families have demonstrated how disabled children who are physically dependent can be supported by their parents, without compromising independence.     

Spousal Choice among the Children of Turkish and Moroccan Immigrants in Six European Countries: Transnational Spouse or Co‐ethnic Migrant?

Transnational marriages of migrants in Western Europe tend to be seen as hampering integration. In response, policies have been tightened, despite little knowledge on transnational marriages and the effects of such measures. This paper investigates the role of individual preferences and contextual factors such as family reunification policies, group size and development levels of the regions of origin in partner choice of the children of Turkish and Moroccan immigrants. We draw on a novel dataset collected in Austria, Belgium, France, Germany, the Netherlands, and Sweden. Our findings suggest that transnational marriages are partly associated with contextual factors such as a rural origin and family reunification policies. The analysis indicates higher rates of transnational marriages under open family reunification policies, providing tentative evidence of policy effects. On the individual level, the choice of a partner from the parents' origin country is associated with religiosity.     

Working with Older People with Alcohol Problems: Insight from Specialist Substance Misuse Professionals and their Service Users

Significant numbers of older people worldwide have a drinking level or pattern which places them at risk of harm. In England, older people are more likely to be admitted to hospital for an alcohol-related condition than younger people and levels of alcohol-related harm are increasing fastest in this population. Whilst alcohol problems in older people are highly treatable, they frequently go undetected or ignored. The aim of this study was to develop guidelines for health and social care workers on what intervention strategies are likely to work best with older drinkers. Insight from alcohol practitioners who specialise in working with older people and the perspectives of older people receiving alcohol treatment were gained through focus groups and individual interviews. This paper reports some of the key findings including a perception that health and social care workers often did not intervene when alcohol misuse was suspected because of ageist attitudes and false beliefs about older people's drinking. Participants however acknowledged that social workers faced difficult choices in relation to the ‘right’ of older people with alcohol problems to continue to drink and the ‘risk’ associated with them doing so. The implications for social work education and training are discussed.     

US Social Work Students' Attitudes Shift Favorably Towards a Harm Reduction Approach to Alcohol and Other Drugs Practice: The Effectiveness of Consequence Analysis

Given the increasing numbers of people in need of treatment for problems associated with Alcohol and Other Drugs (AOD) problems and the concomitant likelihood that social worker caseloads currently reflect this increase, a critical analysis of social work student attitudes towards different approaches to AOD treatment is warranted. Our study examined United States' social work students' (n = 100) attitudes towards treatment approaches to practice with people who misuse/abuse AOD and enlisted a Consequence Analysis (CA) intervention designed to shift attitudes towards considering a harm reduction approach. The Harm Reduction Acceptability Scale (HRAS), as well as a two-item response measure, measured pretest and posttest attitudes. Findings demonstrate that at pretest both intervention and comparison groups were willing to consider a goal of moderation (a proxy for the acceptability of a harm reduction approach and a client-centered perspective), and neutral on the effectiveness of an abstinence-oriented approach. At posttest, the intervention group became more flexible and open to the broader philosophical perspective of a harm reduction approach while the comparison group became less so. Consequence Analysis appears responsible for producing the observed changes in attitude towards harm reduction. Implications for international social work education and training are discussed.     

Financial Abuse of Older People by a Family Member: A Difficult Terrain for Service Providers in Australia

Financial abuse by a family member is the most common form of abuse experienced by older Australians, and early intervention is required. National online surveys of 228 chief executive officers and 214 aged care service providers found that, while they were well placed to recognize financial abuse, it was often difficult to intervene successfully. Problems providers encountered included difficulties in detecting abuse, the need for consent before they could take action, the risk that the abusive family member would withdraw the client from the service, and a lack of resources to deal with the complexities inherent in situations of financial abuse.     

Diversity and representation in infant research: Barriers and bridges toward a globalized science of infant development

Psychological researchers have become increasingly concerned with generalized accounts of human behavior based on narrow participant representation. This concern is particularly germane to infant research as findings from infant studies are often invoked to theorize broadly about the origins of human behavior. In this article, we examined participant diversity and representation in research published on infant development in four journals over the past decade. Sociodemographic data were coded for all articles reporting infant data published in Child Development, Developmental Science, Developmental Psychology, and Infancy between 2011 and 2022. Analyses of 1682 empirical articles, sampling approximately 1 million participants, revealed consistent under-reporting of sociodemographic information. For studies that reported sociodemographic characteristics, there was an unwavering skew toward White infants from North America/Western Europe. To address a lack of diversity in infant studies and its scientific impact, a set of principles and practices are proposed to advance toward a more globally representative science.     

Socioeconomic differences in parental financial support,coresidence, and advice: A portrait of undergraduate students in the Canadian Prairies

In this paper, we examine the intersections of parental support and family socioeconomic background within an undergraduate sample (N = 596) in a mid-sized Canadian Prairie city. Coresidence, financial support, and parental and professional financial advice are examined as types of ‘family capital’ that may be distributed unequally across socioeconomic groups. In keeping with previous literature, findings showed that students whose parents had university education and higher incomes received more robust coverage of their housing and school expenses. Students whose parents were university-educated were also more likely to be living with a parent, though no relationship was found between parental income and coresidence. Contrasting with previous literature, few relationships were found between socioeconomic background and receipt or influence of financial advice. These results contribute to the literature by generalising claims about family capital to a Canadian student sample, where relatively few studies have empirically examined intergenerational transfers as mechanisms for transmitting privilege during the transition to adulthood. With increasing demands for higher education and simultaneous declines in government subsidisation of its costs, disparate access to family capital is likely to intensify the reproduction of social inequality across generations.