Tackling Inequalities in Physical Health: A New Objective for Social Work

Correspondence to Eileen McLeod, Department of Social Policy and Social Work, University of Warwick, Coventry, CV4 7AL, UK. Summary We argue that tackling the impact of social inequality on physicalhealth should become a central objective of social work andintrinsic to the development of anti-oppressive practice. Thisis on three grounds. First, the suffering embodied in inequalityin physical health should be a cause of concern to social workers,as a pervasive social problem. Secondly, awareness of socialwork's complicity in contributing to such a problem, throughits historical role in implementing state policies, needs toinform assessment of social work outcomes. Nevertheless, thirdly,social work—not confined to health care settings—whichredresses social disadvantage and tackles its consequences forphysical well-being can contribute to greater equity in health.Indicative examples of such practice are provided in relationto health maintenance, living with ill health and terminal illness.Finally, consideration is given to the current wider politicalcontext in which social work addressing health inequalitiesis embedded and to the need for complementary organizational,professional and political initiatives to buttress its development.     

Working with Prostitutes: Probation Officers' Aims and Strategies

Summary This small sample survey examines probation officers' aims andstrategies when working with street prostitutes within the contextof the Street Offences Act, and the results of their work. Itindicates that the officers fail in their main aim of encouragingstreet prostitutes to stay within the law because of the women'sintention to do otherwise. The officers' strategy of definingand tackling prostitutes' legal, emotional and material problemson an individual basis also leads to little impact being madeon such problems. The article suggests that probation officersmight more profitably adopt non-correctional aims when workingwith street prostitutes and consider alternative social workstrategies.     

Public Opinion du Jour: An Examination of the Spiral of Silence

This study investigates the spiral of silence theory using perceivedvote outcomes as well as actual vote behaviors. The first majorhypothesis—that those who see their position as gainingsupport will be more likely to discuss while those who see theirposition as losing support will be less likely to discuss—wassupported by the data. Some support was also found for the hypothesisthat individuals perceiving support for a certain candidatewould be more likely to express a preference for the candidate.Results also seemed to justify the Noelle-Neumann distinctionbetween the resistant hardcore and other types of citizens.The relative independence of perception of opinion judgmentsfrom own preferences also was investigated and support was foundfor this difference.