性产业中老年客人群体艾滋病风险及性网络状况——基于广西某边境县的实证分析

近年来,我国艾滋病疫情发展显示,50岁以上年龄男性报告病例数增加明显,且以性途径传播为主。研究采取定性和定量结合方法,深入广西某边境县当地低交易价格性服务场所进行观察和访谈,并针对40名小姐,108名客人发放问卷、进行梅毒、艾滋病病毒抗体检测。对当地性网络的研究发现,当地低交易价格性产业已经形成较为稳定的性网络。小姐在其间有着较高的邻连度,而部分活跃的客人表现出更大的桥梁作用。同时,网络成员之间保持了相当长期的交往,网络成员之间的"熟悉"成为采取安全性行为的消解因素。诸多因素构成了通过该网络将老年人群暴露于艾滋病风险的可能性。     

On the frontline or on the side-line? Homelessness care and care avoiders

Homelessness is a social problem that is subject to many definitional issues and problems. These problems can be discerned on both the conceptual and the practical level. Based on research carried out in Ghent, Belgium, this article deals with ways in which social workers involved in homelessness care construe the problem of ‘care avoiders’, who seem to be perceived as a separate category within the homeless population. We show that: (1) different categories of homelessness are created on an organisational and on an individual level (2) specific services have been developed for those who do not enter regular facilities and (3) a residual group has been created, which social work does not really know how to deal with.     

Supervising Social Workers in Involuntary Contexts: Some Considerations

ABSTRACT

This article outlines areas for reflection for those providing supervision to social workers working in involuntary and semivoluntary contexts. This includes clinical implications, impacts on social work identity, and potential impacts on the supervisory relationship itself. It suggests that there are some areas that could be considered for discussion and exploration that may be different in focus to other types of supervisory practice, encouraging supervisors to consider their own approach in response to the issues raised.

IMPLICATIONS

• Working in involuntary contexts raises specific challenges in relation to power and authority in practice, as well as a range of ethical dilemmas.

• Supervisors might wish to consider the issues raised with a view to exploring with their supervisees how working with involuntary clients changes their framework or approach.

     

Recognising Strategy and Tactics in Constructing and Working with Involuntary Social Work Clients

ABSTRACT

This paper reports on the author’s academic work on working with involuntary clients, which began with a knowledge exchange project in Scotland. I reflect back on this work and use it as a way to explore subsequent reflections on the field. These move beyond consideration of the skills required to undertake such work through locating the category of involuntary clients within wider, yet contradictory, governmental discourses on client engagement. These are identified as the strategy that sets the context for such work. But the strategy is enacted through the day-to-day tactics of social workers on the ground; such tactics, enacted in everyday encounters, are constitutive of effective but also ineffective engagement with clients. The discussion goes on to problematise the distinction between voluntary and involuntary clients and to suggest that effective social work practice, whatever the nature of that involvement, requires that clients are recognised at an ethical and relational level.

IMPLICATIONS

• The term involuntary client(s) cannot be taken for granted but is constructed and needs to be understood in particular and often contradictory policy and professional contexts.

• Effective but also ineffective ways of working with involuntary clients go beyond the acquisition or demonstration of particular skills but are embodied in the everyday relational practices of social workers.

• Ethical engagement with involuntary clients proceeds from a sense of mutual recognition.

     

The coping model: what is it and what might be its implications for social work practice?

This article examines whether a coping model developed as a framework for analysis of research interviews is useful in social work practice. The coping model emerged from a study involving qualitative interviews with social service clients in Norway, designed to explore how they coped with challenges in everyday lives, both on an individual level and in interacting with their environment. The model emerged from preliminary analysis and was then used in further analysis of the interview data. The study showed that the informants experienced two major challenges: (1) Unemployment and (2) living with a shortage of money over time, even though their life situations were heterogeneous. Some informants experienced potent coping strategies in finding employment and became independent of social services. Other informants experienced shortages in their capacities for work and continued to be dependent on allowances. They used their coping resources to achieve more meaningful life situations without employment. The coping model represents how coping is understood theoretically in the study and the present paper considers the model's relevance and implications for social work practice itself.     

Young Clients of Hotel-Based Sex Workers in Bangladesh: Vulnerability to HIV,Risk Perceptions,and Expressed Needs for Interventions

ABSTRACT

A qualitative study was conducted among key informants and 53 young clients (15 to 24 years of age) of commercial sex workers from nine hotels in Dhaka, Bangladesh. Respondents reported first sexual encounter before 18 years of age, and reasons for purchasing sex were to prove masculinity or to reduce wet dreams and masturbation, thought to be detrimental to health. Limited knowledge of HIV and sexually transmitted infections was linked to high-risk sexual practices. Condom use was related to perceptions of cleanliness, status, and trust in the sex worker.

A hotel-based, confidential intervention program promoting safe sex practices among clients of sex workers is warranted.     

Do social workers avoid the dilemmas of work with clients?

This article is devoted to Lipsky's suggestion that the purpose of street-level policies is to establish and justify patterns of behaviour that enable street-level bureaucrats to avoid the dilemmas provoked by uncertain working conditions. Based on a review of relevant literature as well as on case studies in the culture of social work service organisations by the authors, the article suggests that two kinds of street-level policies are described by the research. The first one is consistent with the aforementioned idea by Lipsky and follows the wish of social service workers to avoid the dilemmas of their work with clients without trying to change those uncertain conditions that provoke these dilemmas. The actors of the second kind of street-level policy try to negotiate with relevant partners and to change uncertain working conditions that are at the roots of their dilemmas. Both kinds of street-level policy are described by means of empirical examples and their substantive features are summarised.     

隐藏还是开放——心理治疗中的两难问题

在心理治疗中 ,当事人通过开放可以得到发泄 ,获得理解 ;但高度的开放 ,尤其是某些隐私的暴露 ,又容易使当事人建立起负面的自我形象。本文介绍了Kelly(2 0 0 0 )提出的在心理治疗中当事人自我展示的观点 ,对传统心理治疗理论中鼓励当事人彻底开放的做法提出了质疑 ,也为心理治疗的理论和实践提供了一条新的思路。     

Using Social Work Theory and Values to Investigate the Implementation of Community Treatment Orders

Abstract

This paper establishes the value of a social work investigation of good practice with people on Community Treatment Orders in the context of social work's longstanding interest in the ethical challenges of working with involuntary clients. The emancipatory values of social work were used to guide this research, thereby ensuring the participation of consumers and their families or carers. Critical social work theory provided an important theoretical base. A mixed methods approach was undertaken, including a cluster analysis and case studies. Five principles of good social work practice emerged from the qualitative data: (a) use and develop direct practice skills; (b) take a human rights perspective; (c) focus on goals and desired outcomes; (d) aim for quality of service delivery; and, (e) enhance and enable the role of key stakeholders. These principles are briefly presented along with recommendations for practice and service development.     

Client-led Spiritual Interventions: Faith-integrated Professionalism in the Context of a Christian Faith-based Organisation

Focused on the professional practice habits of Christian social workers and counsellors, this article explores the question of good practice when working therapeutically with clients asking to discuss spirituality and faith. Interviews with 10 senior practitioners who are practising Christians as part of a qualitative study revealed several common experiences when working with clients actively seeking to explore faith and spirituality: (1) using flexibility, discernment, and a client-led approach; (2) trust in God and spiritual receptiveness; and (3) managing tensions between professional, personal, and organisational values. The implications of the study highlight the requirement for professional integrity, to include practising within one’s range of competence, and the value of ongoing professional development to support good practices when working with religious clients.