Pub Date : 2022-09-04DOI: 10.1080/17496535.2022.2117013
Zoë Bourke
ABSTRACT This critical review of the literature examines recovery from borderline personality disorder to inform a deeper understanding, identifying supports and barriers to recovery, through the exploration of historical and socio-political influences. It critically evaluates research literature for the effectiveness of recovery concept implementation. This review presents the strengths of current evidence and suggestions for future considerations to better support the recovery of whaiora (people seeking wellness) by taking concepts of connection, empowerment, hope, identity and meaning-making, and interweaving them with aspects of established therapies, such as Dialectal Behaviour Therapy, focussing on interpersonal effectiveness, distress tolerance, creating a life worth living, the reconstruction of stable self-image and the use of mindfulness practice. The focus is on developing interventions and responses that support self-management.
{"title":"Recovery for Whaiora Diagnosed with Borderline Personality Disorder: A View from Aotearoa New Zealand","authors":"Zoë Bourke","doi":"10.1080/17496535.2022.2117013","DOIUrl":"https://doi.org/10.1080/17496535.2022.2117013","url":null,"abstract":"ABSTRACT This critical review of the literature examines recovery from borderline personality disorder to inform a deeper understanding, identifying supports and barriers to recovery, through the exploration of historical and socio-political influences. It critically evaluates research literature for the effectiveness of recovery concept implementation. This review presents the strengths of current evidence and suggestions for future considerations to better support the recovery of whaiora (people seeking wellness) by taking concepts of connection, empowerment, hope, identity and meaning-making, and interweaving them with aspects of established therapies, such as Dialectal Behaviour Therapy, focussing on interpersonal effectiveness, distress tolerance, creating a life worth living, the reconstruction of stable self-image and the use of mindfulness practice. The focus is on developing interventions and responses that support self-management.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41696138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.1080/17496535.2022.2117011
Ruta Sale
ABSTRACT Tongan people in Aotearoa New Zealand experience higher rates of mental health challenges than Tongans born in Tonga. Engagement with services is lower for Pacific Island groups than it is for the dominant population in Aotearoa New Zealand. Meanwhile, the Pacific population is growing in Aotearoa New Zealand year after year. This paper explores how services could use evidence to support more appropriate responses for Pacific Islanders, in particular, Tongan communities. It takes recovery in mental health and explores the relevant concepts that would better support engagement and response for Tongans in Aotearoa New Zealand.
{"title":"Exploring ‘Recovery’ in Practice in a Pacific Mental Health Service","authors":"Ruta Sale","doi":"10.1080/17496535.2022.2117011","DOIUrl":"https://doi.org/10.1080/17496535.2022.2117011","url":null,"abstract":"ABSTRACT Tongan people in Aotearoa New Zealand experience higher rates of mental health challenges than Tongans born in Tonga. Engagement with services is lower for Pacific Island groups than it is for the dominant population in Aotearoa New Zealand. Meanwhile, the Pacific population is growing in Aotearoa New Zealand year after year. This paper explores how services could use evidence to support more appropriate responses for Pacific Islanders, in particular, Tongan communities. It takes recovery in mental health and explores the relevant concepts that would better support engagement and response for Tongans in Aotearoa New Zealand.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46946447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-23DOI: 10.1080/17496535.2022.2112409
Amy Mullin
ABSTRACT Social inclusion can refer to the ability of individuals and groups to participate in social activities and the extent to which they feel included and recognized as valuable and able to make contributions. I explore the social inclusion of children in K-12 education (ages 4 - 18), and argue it is vital for the development and exercise of attitudes and capacities such as hope and local autonomy. Since schools are tasked with developing children's skills and knowledge, the extent to which they succeed will play a large role in limiting or enabling children's social inclusion both when they become adults and as children. Children's relationships are an important aspect of their school experiences, as they affect not only whether they feel connected to others but also what they deem to be the grounds of their inclusion. Schools can also equip children with the skills and experiences required for social interactions with others in better and worse ways, fostering children's attitudes towards themselves, others, and the world and affecting whether they think they have the resources to have an impact on their environment and society and can achieve both personal and shared goals.
{"title":"Children, Social Inclusion in Education, Autonomy and Hope","authors":"Amy Mullin","doi":"10.1080/17496535.2022.2112409","DOIUrl":"https://doi.org/10.1080/17496535.2022.2112409","url":null,"abstract":"ABSTRACT Social inclusion can refer to the ability of individuals and groups to participate in social activities and the extent to which they feel included and recognized as valuable and able to make contributions. I explore the social inclusion of children in K-12 education (ages 4 - 18), and argue it is vital for the development and exercise of attitudes and capacities such as hope and local autonomy. Since schools are tasked with developing children's skills and knowledge, the extent to which they succeed will play a large role in limiting or enabling children's social inclusion both when they become adults and as children. Children's relationships are an important aspect of their school experiences, as they affect not only whether they feel connected to others but also what they deem to be the grounds of their inclusion. Schools can also equip children with the skills and experiences required for social interactions with others in better and worse ways, fostering children's attitudes towards themselves, others, and the world and affecting whether they think they have the resources to have an impact on their environment and society and can achieve both personal and shared goals.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47058696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-18DOI: 10.1080/17496535.2022.2089710
B. Bogaert, J. Pierron
ABSTRACT This article focuses on the experiences of social care workers during the first wave of the Covid pandemic. The method involved analyzing diaries kept by 65 professionals in 8 French regions during the first lockdown in France in the spring of 2020. As a form of non-binding, narrative expression, keeping diaries breaks with traditional models of reporting common in social care structures and allowed professionals to reflect on the experience as it was lived. In the diaries, professionals explored how the crisis disrupted and challenged their personal and professional values but also allowed innovation in care practices for vulnerable populations that will continue beyond the pandemic period. Five care values were put to forefront by professionals: (1) spontaneity/flexibility; (2) respect for persons; (3) team reflexivity; (4) innovation; (5) solidarity. Mobilizing philosopher Paul Ricoeur’s ideas on recognition, Payet and Laforgue’s analysis of weak actors, as well as research on moral distress, we discuss how these values were tested during the crisis and what effect they had on professionals’ and users’ vulnerabilities. We will also elaborate the interest of keeping account of social care work through narrative methods.
{"title":"From Moral Distress to Mutual Recognition: Diaries Kept by French Care Professionals During the Covid Crisis","authors":"B. Bogaert, J. Pierron","doi":"10.1080/17496535.2022.2089710","DOIUrl":"https://doi.org/10.1080/17496535.2022.2089710","url":null,"abstract":"ABSTRACT This article focuses on the experiences of social care workers during the first wave of the Covid pandemic. The method involved analyzing diaries kept by 65 professionals in 8 French regions during the first lockdown in France in the spring of 2020. As a form of non-binding, narrative expression, keeping diaries breaks with traditional models of reporting common in social care structures and allowed professionals to reflect on the experience as it was lived. In the diaries, professionals explored how the crisis disrupted and challenged their personal and professional values but also allowed innovation in care practices for vulnerable populations that will continue beyond the pandemic period. Five care values were put to forefront by professionals: (1) spontaneity/flexibility; (2) respect for persons; (3) team reflexivity; (4) innovation; (5) solidarity. Mobilizing philosopher Paul Ricoeur’s ideas on recognition, Payet and Laforgue’s analysis of weak actors, as well as research on moral distress, we discuss how these values were tested during the crisis and what effect they had on professionals’ and users’ vulnerabilities. We will also elaborate the interest of keeping account of social care work through narrative methods.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41340444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-03DOI: 10.1080/17496535.2022.2106695
D. Clifford
experience of rejection by an ethics committee, and how she reacted as positively as she could, whilst coping with the emotions of a complex situation. The paper by Annick Richterich examines her experience of using the ‘ recovery approach ’ to mental health, and applying it in work with people living with dementia. Working out of the University of Aukland, Aotearoa/New Zealand, she bases herself on a critical review of rel-evant literature as well as her experience of dementia care in her part of the world, but as so often, the topic is widely relevant. Her concern is with caring well for dementia patients, and she concludes by suggesting that the literature and her experience supports the importance of ethical concepts summed up in her recommended focus on: connectedness, hope, identity, meaning and empowerment.
被道德委员会拒绝的经历，以及她如何尽可能积极地应对，同时应对复杂情况的情绪。Annick Richterich的这篇论文探讨了她在精神健康方面使用“康复方法”的经验，并将其应用于痴呆症患者的工作中。她在新西兰奥克兰大学(University of auckland, Aotearoa/New Zealand)工作，对相关文献进行了批判性的回顾，并结合了她在自己所在地区的痴呆症护理经验，但与往常一样，这个话题具有广泛的相关性。她所关心的是如何照顾好痴呆症患者，她的结论是，文献和她的经历支持了伦理概念的重要性，她推荐的重点是:联系、希望、身份、意义和赋权。
{"title":"Editorial","authors":"D. Clifford","doi":"10.1080/17496535.2022.2106695","DOIUrl":"https://doi.org/10.1080/17496535.2022.2106695","url":null,"abstract":"experience of rejection by an ethics committee, and how she reacted as positively as she could, whilst coping with the emotions of a complex situation. The paper by Annick Richterich examines her experience of using the ‘ recovery approach ’ to mental health, and applying it in work with people living with dementia. Working out of the University of Aukland, Aotearoa/New Zealand, she bases herself on a critical review of rel-evant literature as well as her experience of dementia care in her part of the world, but as so often, the topic is widely relevant. Her concern is with caring well for dementia patients, and she concludes by suggesting that the literature and her experience supports the importance of ethical concepts summed up in her recommended focus on: connectedness, hope, identity, meaning and empowerment.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42597191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-15DOI: 10.1080/17496535.2022.2072519
S. Robinson, Anne Graham, Antonia Canosa, Tim Moore, N. Taylor, Tess Boyle
ABSTRACT In recent years there has been increased focus on supporting the safety and wellbeing of children and young people with disability. This paper reports on a study that asked children and young people with disability and adults who work with them about practices that support their wellbeing and safety, including barriers and enablers to ethical practice. We used the theory of practice architectures to unpack the practices. Findings point to a range of practices that both young people and adults regarded as important in creating the cultural conditions for young people to feel happy, safe and well, albeit placing different emphases on particular practices. Several tensions within and between these practices and the evolving requirements of disability and safeguarding policy environments were also apparent. While often not well articulated, the inherent tensions have implications when considering what children and young people need, particularly those with higher support needs. Findings suggest closer attention needs to be given to the intersection between individual and systemic factors in shaping ethical practice aimed at supporting the wellbeing and safety of children and young people with disability.
{"title":"Ethical Practice in Disability Services: Views of Young People and Staff","authors":"S. Robinson, Anne Graham, Antonia Canosa, Tim Moore, N. Taylor, Tess Boyle","doi":"10.1080/17496535.2022.2072519","DOIUrl":"https://doi.org/10.1080/17496535.2022.2072519","url":null,"abstract":"ABSTRACT In recent years there has been increased focus on supporting the safety and wellbeing of children and young people with disability. This paper reports on a study that asked children and young people with disability and adults who work with them about practices that support their wellbeing and safety, including barriers and enablers to ethical practice. We used the theory of practice architectures to unpack the practices. Findings point to a range of practices that both young people and adults regarded as important in creating the cultural conditions for young people to feel happy, safe and well, albeit placing different emphases on particular practices. Several tensions within and between these practices and the evolving requirements of disability and safeguarding policy environments were also apparent. While often not well articulated, the inherent tensions have implications when considering what children and young people need, particularly those with higher support needs. Findings suggest closer attention needs to be given to the intersection between individual and systemic factors in shaping ethical practice aimed at supporting the wellbeing and safety of children and young people with disability.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49535173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-19DOI: 10.1080/17496535.2022.2062021
Kathryn Muyskens
ABSTRACT Until now, it has mostly been assumed that the kind of health the human right to health is concerned with is clearly understood and universal. Here, I question this assumption and offer an explicitly political and pluralistic account of health that is designed to help guide international and cross-cultural interventions on behalf of health. In order to be a useful mechanism of accountability, the human right to health needs an enforceable minimum standard of health by which to judge situations and to determine if a violation of rights has occurred, but due to its international nature, it also needs to admit a large degree of cultural flexibility. With the account of health that I provide, I hope to clarify what makes up that minimum standard in a way that avoids unjustified parochial bias, while not being so permissive as to undermine the political force of a universal human right.
{"title":"A Human Right to What Kind of Health?","authors":"Kathryn Muyskens","doi":"10.1080/17496535.2022.2062021","DOIUrl":"https://doi.org/10.1080/17496535.2022.2062021","url":null,"abstract":"ABSTRACT Until now, it has mostly been assumed that the kind of health the human right to health is concerned with is clearly understood and universal. Here, I question this assumption and offer an explicitly political and pluralistic account of health that is designed to help guide international and cross-cultural interventions on behalf of health. In order to be a useful mechanism of accountability, the human right to health needs an enforceable minimum standard of health by which to judge situations and to determine if a violation of rights has occurred, but due to its international nature, it also needs to admit a large degree of cultural flexibility. With the account of health that I provide, I hope to clarify what makes up that minimum standard in a way that avoids unjustified parochial bias, while not being so permissive as to undermine the political force of a universal human right.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47302605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-06DOI: 10.1080/17496535.2022.2055772
Kelly Glubb-Smith
ABSTRACT Values are numerous, interrelated and hard to discern in professional practice. This article reports on key findings from research into locating professional values within health social work practice in Aotearoa New Zealand. The research explores how 15 health social workers experience and negotiate value demands when working with newborn infants. A staged methodology underpinned by constructivist grounded theory was utilised to generate theoretical knowledge through two phases of semi-structured individual interviews. The research firmly located health social workers practice in the middle ground of a complex, tension-ridden practice environment with health social workers courageously striving to balance competing requirements. Within a health model influenced by neoliberal policy, key tensions related to challenges faced due to professionals oversimplifying social circumstances in risk-laden situations. This resulted in issues of judgements, bias and racism being a central concern for the participants’ social work practice. Despite these tensions, the place of social justice as a primary organising value was affirmed by the research. A stronger focus on the profession’s values would strengthen the collective voice of health social workers and their identity, in order to better address the systemic drivers of health inequities.
{"title":"Realising Values: The Place of Social Justice in Health Social Work Practice in Aotearoa New Zealand","authors":"Kelly Glubb-Smith","doi":"10.1080/17496535.2022.2055772","DOIUrl":"https://doi.org/10.1080/17496535.2022.2055772","url":null,"abstract":"ABSTRACT Values are numerous, interrelated and hard to discern in professional practice. This article reports on key findings from research into locating professional values within health social work practice in Aotearoa New Zealand. The research explores how 15 health social workers experience and negotiate value demands when working with newborn infants. A staged methodology underpinned by constructivist grounded theory was utilised to generate theoretical knowledge through two phases of semi-structured individual interviews. The research firmly located health social workers practice in the middle ground of a complex, tension-ridden practice environment with health social workers courageously striving to balance competing requirements. Within a health model influenced by neoliberal policy, key tensions related to challenges faced due to professionals oversimplifying social circumstances in risk-laden situations. This resulted in issues of judgements, bias and racism being a central concern for the participants’ social work practice. Despite these tensions, the place of social justice as a primary organising value was affirmed by the research. A stronger focus on the profession’s values would strengthen the collective voice of health social workers and their identity, in order to better address the systemic drivers of health inequities.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48255584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-06DOI: 10.1080/17496535.2022.2058579
Merlinda Weinberg
ABSTRACT This paper explores racism specifically as an ethical concern in the field of social work and queries why it has been insufficiently emphasised in the discursive frames on ethics. The minimisation of racism as an ethical issue is illustrated utilising two research studies with racialised practitioners who highlighted experiences of racism. Epistemologies of ignorance by dominant groups contribute to norms that maintain dominance. These epistemological failings, as exemplified in social work, are delineated. Additionally, the utilisation of codes of ethics, based on the work of Kant, who was also an architect of a hierarchy of races, is considered. An exploration of this historical connection, and the traditional approach to ethics used in social work that followed, illuminates a difficulty with universal principles as they are interpreted in the Global North for primary guidance in social work ethics. The outcome of these problems results in testimonial and hermeneutic injustice for those affected by racism, causing significant harm.
{"title":"The Supremacy of Whiteness in Social Work Ethics","authors":"Merlinda Weinberg","doi":"10.1080/17496535.2022.2058579","DOIUrl":"https://doi.org/10.1080/17496535.2022.2058579","url":null,"abstract":"ABSTRACT This paper explores racism specifically as an ethical concern in the field of social work and queries why it has been insufficiently emphasised in the discursive frames on ethics. The minimisation of racism as an ethical issue is illustrated utilising two research studies with racialised practitioners who highlighted experiences of racism. Epistemologies of ignorance by dominant groups contribute to norms that maintain dominance. These epistemological failings, as exemplified in social work, are delineated. Additionally, the utilisation of codes of ethics, based on the work of Kant, who was also an architect of a hierarchy of races, is considered. An exploration of this historical connection, and the traditional approach to ethics used in social work that followed, illuminates a difficulty with universal principles as they are interpreted in the Global North for primary guidance in social work ethics. The outcome of these problems results in testimonial and hermeneutic injustice for those affected by racism, causing significant harm.","PeriodicalId":46151,"journal":{"name":"Ethics and Social Welfare","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47175347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/17496535.2022.2071698
Corinne Schwarz, Corey S. Shdaimah, Erin O’Brien, Chrysanthi S. Leon
This special issue complicates the prevailing discourse and public policy surrounding sex work. The authors raise questions about sex workers’ personal agency, environmental and individual-level factors, and new policy regimes, such as hybrid penal and therapeutic approaches. This issue weaves traditional academic genres with research, teaching, and practice reflections. The diverse voices and perspectives in this special issue collectively shed light on the changing discourse, policy, and day-to-day landscape of sex work in a variety of contexts. Contributions focus on several different jurisdictions, offering contextual perspectives on both the macro and micro level experiences of sex work, and the ‘helping relationships’ that contribute to structuring understandings of sex work. Authors in this volume employ different terminology (e.g. ‘sex work,’ ‘prostitution,’ ‘sex trade’), reflecting a diversity of context-specific language and viewpoints. However, authors have in common the prevailing perspective that sex workers should be valued and supported. Challenging the influences behind the social construction of sex workers and sex work is a key theme in this special issue, highlighting the importance of centring sex workers’ voices and experiences. Alison Jobe, Kelly Stockdale and Maggie O’Neill examine the implications of stigma for service provision and access to justice for women selling sex in North East England. Centring sex workers’ voices as co-researchers through a peer-led participatory action research methodology, they demonstrate how the design of health services and approaches to justice need to recognise and ameliorate the stigma attached to sex work. Sharmila Parmanand critiques externally imposed constructions of sex work in the context of the Philippines. Contrasting policy approaches to domestic work and sex work, Parmanand draws upon ethnographic research with Filipino sex workers to challenge a false distinction that views domestic work as valuable and virtuous, while sex work is viewed as abusive and bad. The devaluing of sex work as labour, and the lack of recognition of stigma as an obstacle to service provision, represent failures to centre sex workers’ perspectives and experiences in the creation of policy and services. This can be partly addressed through the inclusion of sex workers as researchers and policy-makers, and the Sex Worker Syllabus is an essential tool in achieving this. The interview with co-creaters of the syllabus, Heather Berg, Angela Jones, and PJ Patella-Rey, reflects on the failures that led to the need for the syllabus, and on the process of collating resources on sex work by sex workers, that should be essential reading for ‘helping professionals’ to better understand the needs of the community. Building on the themes of ‘nothing about us without us’ from the Sex Worker Syllabus, authors in this special issue also dive into the complications of community and narrative control. Responses to violence
这一特殊问题使围绕性工作的主流话语和公共政策复杂化。作者对性工作者的个人代理、环境和个人层面的因素，以及新的政策制度，如混合惩罚和治疗方法提出了问题。本刊将传统学术流派与研究、教学和实践反思相结合。本期特刊中不同的声音和观点共同揭示了在各种背景下不断变化的话语、政策和性工作的日常景观。贡献集中在几个不同的司法管辖区，提供宏观和微观层面的性工作经验的背景观点，以及有助于构建性工作理解的“帮助关系”。作者在本卷中使用不同的术语(例如“性工作”，“卖淫”，“性交易”)，反映了上下文特定语言和观点的多样性。然而，作者们的共同观点是，性工作者应该受到重视和支持。挑战性工作者和性工作的社会建构背后的影响是这期特刊的一个关键主题，突出了集中性工作者的声音和经历的重要性。Alison Jobe, Kelly Stockdale和Maggie O 'Neill研究了在英格兰东北部提供服务和获得司法救助的女性所面临的耻辱。通过同行主导的参与性行动研究方法，将性工作者作为共同研究人员的声音集中起来，他们展示了卫生服务和司法方法的设计如何需要认识到并改善与性工作有关的污名。Sharmila Parmanand在菲律宾的背景下批评外部强加的性工作结构。对比对待家务劳动和性工作的政策方法，Parmanand利用对菲律宾性工作者的人种学研究来挑战一种错误的区分，即认为家务劳动是有价值的和高尚的，而性工作被视为虐待和不好的。贬低性工作作为劳动的价值，以及没有认识到耻辱是提供服务的障碍，都表明在制定政策和服务时未能将性工作者的观点和经验作为中心。这可以通过将性工作者纳入研究人员和决策者的行列来部分解决，性工作者教学大纲是实现这一目标的重要工具。对教学大纲的共同创造者Heather Berg, Angela Jones和PJ Patella-Rey的采访，反映了导致需要教学大纲的失败，以及整理性工作者性工作资源的过程，这应该是“帮助专业人士”更好地理解社区需求的必要读物。基于《性工作者教学大纲》中的“没有我们就没有我们”这一主题，本期特刊的作者还深入探讨了社区和叙事控制的复杂性。对暴力和伤害的反应不仅受到个人自我定义的经历的影响，而且受到污名化和刻板印象的影响，这可能会进一步将性工作与性贩运混为一谈。Nili Gesser描述了同伴支持在大费城地区的一组女性吸毒和性工作中的作用。在他们有意识的努力停止使用毒品和
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