Reflexivity over and above convention: the new orthodoxy in the sociology of personal life, formerly sociology of the family

There is a new orthodoxy in the field that was once understood as the sociology of the family, and is increasingly understood as the sociology of 'personal life', 'intimacy', 'relationships' and 'families'. The orthodoxy highlights the open-endedness of intimate relations at the expense of the family as an institution; that is, reflexivity over and above convention. This article argues that the new orthodoxy not only overstates reflexivity at the expense of convention, but abdicates understanding to frameworks grounded in biologistic and economistic understandings of human behaviour. The article makes its point through attention to three areas of research at odds with the new orthodoxy: paternity uncertainty, inheritance and family business. It then proposes that conceptualization of the family as an institutional regime gives due weight to the reflexive reconfiguration of family relationships and practices on the one hand, and their institutional embeddedness on the other.     

Stratified structural and epistemic aspects of the care manager's discretion—a theoretical approach to social work related to older people's potential relocation to a residential home

By applying a theoretical point of departure, the overarching aim of this article is to describe, analyze, and try to understand why care managers in their everyday occupational practice normalize the restrictive approach when older people consider relocation to a residential home. While earlier research to a large extent has drawn attention to how the care managers carry out the restrictive approach, this article pays attention to the circumstances paving its way. The focus is on influences from different sociological levels, thereby ‘stratified’, and from two aspects of discretion, where ‘structural aspects’ refer to choices between permitted alternatives and ‘epistemic aspects’ to practical reasoning under conditions of indeterminacy. With this combination, a multitude of circumstances contributing to the restrictive approach is revealed. Thus, the theoretical model includes levels as well as discretionary powers where formulas constitute the foundation at each level, subsequently related to multidisciplinary references in order to get the practice into perspective. The findings show that the priority given to home-based care in contrast to residential care is repeated and confirmed at each level and besides in an interchange between structural and epistemic aspects.     

Innovations in care for children separated from parents: Transitioning from residential to family models of service

Research suggests that children develop best in families, but millions currently reside in residential care centers. Many residential care centers have transitioned their programmes from a to a family care model. Using a mixed methods design, the current study examined (1) antecedents to transition, (2) key elements in the process and (3) outcomes of transitioning models of care. Participants included 39 non-government organizations that had fully or partially transitioned to family care. Programmes collectively served 12 325 children and 29 499 families in 22 countries annually. Data revealed programmes perceived the change in the model was better for the families and children served.     

Innovating adult social work practice—learning from the Named Social Worker for adults with learning disabilities pilots

In 2016, following the publication of the vision for adult social work in England, the Chief Social Worker for Adults at the Department of Health in England announced the intention to pilot a new social work role—that being a Named Social Worker supporting people with learning disabilities. Phase 1 of the pilot has tested a reframing of the social work role as a relational practitioner with an expertise in human rights, freed from transacting the management of care. Phase 2 is now underway testing key knowledge and skills requirements for post-qualifying practice in the field of social work supporting adults with learning disabilities. Heuristic approaches are capturing outcomes from generative learning processes throughout the pilot. The insight emerging from this national pilot is that at its heart, named social work is about qualifying and on-going post-qualifying social work education which promotes and maintains practitioner reflexivity and connection to their social work values. We are finding that self-advocates may be a critical influencing factor, positively affecting the sources of resistance through making explicit the connection between social work values and lived experience of practice from the people social workers are there to serve.     

“去制度化”问题研究——基于风险社会理论的启发

现代社会中制度缺场、制度隐在、制度骤变、制度式弱等都是制度功能无法发挥的制度存在样态,统称去制度化。去制度化风险是无穷多之社会风险中的一个,具有风险社会理论所述的社会风险之共性,即归因宏大、影响扩大、治理措施多元等。应对去制度化问题,主观方面应关注价值、理念问题,客观方面,应关注制度体系建构、制度运行中的权力异化和监督机制。     

Eldercare Service Redesign in Finland: Deinstitutionalization of Long-Term Care

ABSTRACT

Deinstitutionalization is an important trend in the redesign of long-term eldercare in Finland. It refers to a process where traditional institutional care is partly replaced by home care services and the creation of homelike housing units. The first part of this article provides an overview of eldercare service redesign by using national statistics. The second part consists of qualitative analysis of the deinstitutionalization of eldercare. The data consist of 27 interviews conducted among municipal care administrators and is analyzed using thematic and discourse analysis. Main findings show a deep policy change taking place in eldercare deinstitutionalization discourse lying at its center. A distinction between explicit and implicit deinstitutionalization discourse is made. The former clearly states that institutional care needs to be cut back making it possible for all older people to live at home or in homelike housing facilities. Implicit deinstitutionalization discourse is underpinned by comments of a different type, more critical and problem-centered. Within intensive service housing, for instance, fee policy is reformed. The main results include the observation that explicit deinstitutionalization discourse is in line with the national policy aims of putting home first, while implicit discourse deals with hidden or unexpected consequences. The article discusses future research in the conclusion.     

Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

生命伦理视角下精神病患者回归社会研究

精神病患者长期以来被污名化、标签化和边缘化,使其难以真正回归社会。除了精神病患者自身的原因,家庭不堪重负、医疗机构的科层体制、社区民众的排斥是精神病患者回归社会面临的主要障碍。从关爱生命、关注尊严、尊重人权的视角看,社区和家庭应对精神病患者真正实现回归社会担负起更多的社会责任与伦理责任,从而使其感受尊严、重拾自信、融入社会。在具体实践中,不仅要靠患者的自我觉醒,还需要有家属的支持、邻里的包容和医护方面的投入,构建以“去机构化”为特征的社区治疗体制,通过各种媒介宣传努力实现精神病患的去污名化,满足精神病患者“回家看看”的心理需求,使其最终能真正融入社会。     

A Leadership Role for Social Work in the Mental Health Transition to Local Care

Current philosophy, policy, and practice involving care of persons with serious mental illnesses are reviewed, with a focus on the movement that is usually called deinstitutionalization. Past efforts and future trends are discussed within the context of public mental health systems at the state level. The paper argues for a greater leadership role for social work in providing mental health care in local communities because of the social work tradition of client empowerment, family involvement, and systems intervention.