Pub Date : 2022-10-09DOI: 10.1177/14733250221124212
Val Williams, Jon Symonds
Social care assessments in England are envisaged as conversations, implying an informal and congenial encounter, in which both parties have equal roles. However, a fundamental task during an assessment is to gauge eligibility for resources. This article uses conversation analysis to consider audio recorded data of seven social care assessments in England. The article focuses on topic shifts, where the assessor introduces an ‘assessment relevant’ topic, and we examine how these shifts are managed. Sometimes assessors used what was said by the client or by the carer as a ‘pivot’, which could produce a feeling of friendly conversation, but simultaneously lead to an intrusion into the client’s personal knowledge domain. Assessors also had other strategies for framing a ‘next question’, such as noticing something in the environment, referring to previous notes or to previous conversations. The conversation might feel ‘friendly’, but these tactics could lead to the personal life domain of the client being inadvertently revealed and used as relevant for their assessment.
{"title":"Who knows what about you? Managing topic shifts during ‘conversational’ social care assessments in England","authors":"Val Williams, Jon Symonds","doi":"10.1177/14733250221124212","DOIUrl":"https://doi.org/10.1177/14733250221124212","url":null,"abstract":"Social care assessments in England are envisaged as conversations, implying an informal and congenial encounter, in which both parties have equal roles. However, a fundamental task during an assessment is to gauge eligibility for resources. This article uses conversation analysis to consider audio recorded data of seven social care assessments in England. The article focuses on topic shifts, where the assessor introduces an ‘assessment relevant’ topic, and we examine how these shifts are managed. Sometimes assessors used what was said by the client or by the carer as a ‘pivot’, which could produce a feeling of friendly conversation, but simultaneously lead to an intrusion into the client’s personal knowledge domain. Assessors also had other strategies for framing a ‘next question’, such as noticing something in the environment, referring to previous notes or to previous conversations. The conversation might feel ‘friendly’, but these tactics could lead to the personal life domain of the client being inadvertently revealed and used as relevant for their assessment.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"1104 - 1122"},"PeriodicalIF":1.7,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46901913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-06DOI: 10.1177/14733250221132239
Eve Mullins, Steve Kirkwood, E. Stokoe
Communication is at the heart of social work. As Baldock and Prior (1981) go on to highlight, it is through discussions and interactions that social work is done. To understand social work practice is to understand what is happening when social workers and clients meet; what is happening when they are ‘ talking to one another ’ . The aim of this special issue is to showcase the value and potential of conversation analysis to understand how the process, practice and outcomes of social work are achieved through communication. For over 50 years, conversation analysts have built up a vast body of research fi ndings about the sys-tematic nature of social interaction and what constitutes effective communication, informing guidance and policy. From medicine to policing, and from education to service encounters, conversation analysts have made powerful interventions in shaping our understanding of how conversation works. In this special issue, we bring together fourteen articles from international researchers which examine different aspects of social work practice (e.g. relationship-building skills, decision-making, assessment and child protection) to demonstrate how conversation analysis can help us to understand, and inform, social work practice. a social self-professed ‘ non-academic)
{"title":"An introduction to conversation analysis in social work research","authors":"Eve Mullins, Steve Kirkwood, E. Stokoe","doi":"10.1177/14733250221132239","DOIUrl":"https://doi.org/10.1177/14733250221132239","url":null,"abstract":"Communication is at the heart of social work. As Baldock and Prior (1981) go on to highlight, it is through discussions and interactions that social work is done. To understand social work practice is to understand what is happening when social workers and clients meet; what is happening when they are ‘ talking to one another ’ . The aim of this special issue is to showcase the value and potential of conversation analysis to understand how the process, practice and outcomes of social work are achieved through communication. For over 50 years, conversation analysts have built up a vast body of research fi ndings about the sys-tematic nature of social interaction and what constitutes effective communication, informing guidance and policy. From medicine to policing, and from education to service encounters, conversation analysts have made powerful interventions in shaping our understanding of how conversation works. In this special issue, we bring together fourteen articles from international researchers which examine different aspects of social work practice (e.g. relationship-building skills, decision-making, assessment and child protection) to demonstrate how conversation analysis can help us to understand, and inform, social work practice. a social self-professed ‘ non-academic)","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"997 - 1010"},"PeriodicalIF":1.7,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43414118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.1177/14733250221124219
David Monteiro
Interactional closings constitute a crucial aspect of social interaction and, in social work practice, are organized around participants’ orientation to an asymmetrical distribution of tasks between professional and client, informed by a “dialectics of care and control.” Proceeding from a conversation analytic framework, and grounded on video recordings of encounters between social workers and clients in diverse institutional settings in Portugal, the present paper investigates how the routine of closing social work encounters is carried out through professionals’ and clients’ joint and progressive orientation toward bringing the encounter to an end, and examines some of the interactional and embodied practices mobilized by them for accomplishing this task. By providing a detailed analysis of participants’ audible and visible conduct and their interactional practices, this study shows how social workers orchestrate clients’ leave-taking through the concerted mobilization of linguistic, bodily and material resources, shedding light into how the dialectics of care and control are managed in the everyday exercise of social intervention.
{"title":"Assisting clients’ departure: On the multimodal organization of closings in social work","authors":"David Monteiro","doi":"10.1177/14733250221124219","DOIUrl":"https://doi.org/10.1177/14733250221124219","url":null,"abstract":"Interactional closings constitute a crucial aspect of social interaction and, in social work practice, are organized around participants’ orientation to an asymmetrical distribution of tasks between professional and client, informed by a “dialectics of care and control.” Proceeding from a conversation analytic framework, and grounded on video recordings of encounters between social workers and clients in diverse institutional settings in Portugal, the present paper investigates how the routine of closing social work encounters is carried out through professionals’ and clients’ joint and progressive orientation toward bringing the encounter to an end, and examines some of the interactional and embodied practices mobilized by them for accomplishing this task. By providing a detailed analysis of participants’ audible and visible conduct and their interactional practices, this study shows how social workers orchestrate clients’ leave-taking through the concerted mobilization of linguistic, bodily and material resources, shedding light into how the dialectics of care and control are managed in the everyday exercise of social intervention.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"1211 - 1228"},"PeriodicalIF":1.7,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47919768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.1177/14733250221131598
N. Moulding, Michele Jarldorn, Kate Deuter
Intersecting gender and other social inequalities are pertinent to women’s mental health across the life course. Gendered violence and other forms of gender inequality in particular play a key role in the higher burden of psychological distress carried by young women. However, the context of gendered violence is often minimised or overlooked entirely when young women seek help or advice around mental health concerns. This is especially the case for young women under the age of 30 years. This paper reports on a research study exploring how young women in Australia understand their mental health, and the scope for new approaches to support that better address their needs. A qualitative survey undertaken with 52 Australian young women was used to explore the nature of their mental health experiences, sought to learn about the strategies they used when experiencing poor mental health and the scope for mental health peer support as an alternative approach to intervention. Responses from a diverse group of young women demonstrated that they understood the role that gendered violence and gender inequality played in their mental health. Findings point to the risk of slippage between young women’s understandings of their lived experience and those of traditional service providers, demonstrating the risks associated with minimising or ignoring of the gendered nature of young women’s mental health problems.
{"title":"What do young women want? Using a qualitative survey to explore the potential for feminist-informed mental health peer support","authors":"N. Moulding, Michele Jarldorn, Kate Deuter","doi":"10.1177/14733250221131598","DOIUrl":"https://doi.org/10.1177/14733250221131598","url":null,"abstract":"Intersecting gender and other social inequalities are pertinent to women’s mental health across the life course. Gendered violence and other forms of gender inequality in particular play a key role in the higher burden of psychological distress carried by young women. However, the context of gendered violence is often minimised or overlooked entirely when young women seek help or advice around mental health concerns. This is especially the case for young women under the age of 30 years. This paper reports on a research study exploring how young women in Australia understand their mental health, and the scope for new approaches to support that better address their needs. A qualitative survey undertaken with 52 Australian young women was used to explore the nature of their mental health experiences, sought to learn about the strategies they used when experiencing poor mental health and the scope for mental health peer support as an alternative approach to intervention. Responses from a diverse group of young women demonstrated that they understood the role that gendered violence and gender inequality played in their mental health. Findings point to the risk of slippage between young women’s understandings of their lived experience and those of traditional service providers, demonstrating the risks associated with minimising or ignoring of the gendered nature of young women’s mental health problems.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49483591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.1177/14733250221131498
Rebecca Stockdale
This article examines the value of using ethnographic methodology in research with women involved in street sex work in an inner-city suburb of Melbourne, Australia. The aim is to draw attention to the importance of three fundamental elements of this type of research with marginalised populations: 1) researchers’ immersion into the field over a sustained period of time, 2) ethical considerations about informed consent for people with cognitive impairment as a result of chronic drug use, and 3) reflexivity and positionality in qualitative research. Data collected from two and a half years of ethnographic fieldwork, including participant observation and semi-structured interviews with women involved in street sex work, emphasises the importance of adopting these participatory methods to ensure authenticity, rigour and credibility of research findings with marginalised populations.
{"title":"Using ethnography to understand the lives of street sex workers","authors":"Rebecca Stockdale","doi":"10.1177/14733250221131498","DOIUrl":"https://doi.org/10.1177/14733250221131498","url":null,"abstract":"This article examines the value of using ethnographic methodology in research with women involved in street sex work in an inner-city suburb of Melbourne, Australia. The aim is to draw attention to the importance of three fundamental elements of this type of research with marginalised populations: 1) researchers’ immersion into the field over a sustained period of time, 2) ethical considerations about informed consent for people with cognitive impairment as a result of chronic drug use, and 3) reflexivity and positionality in qualitative research. Data collected from two and a half years of ethnographic fieldwork, including participant observation and semi-structured interviews with women involved in street sex work, emphasises the importance of adopting these participatory methods to ensure authenticity, rigour and credibility of research findings with marginalised populations.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48529869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1177/14733250221124210
Dorte Caswell, Tanja Dall
The need for professional reflection has been argued extensively in social work literature. A separate literature has demonstrated the potential of using conversation analytic research (CA) in interventions seeking to inform professional practice in social and health care. Nevertheless, we know little about how social workers actually do ‘reflection’ and how CA can be used to facilitate reflection, specifically. The objective of this paper is to examine how CA can be used in interventions that develop reflective professional practice. Our dataset consists of audio recordings of 21 mutual learning and innovation platforms, taking place as part of a collaboration between researchers and five Danish social work agencies. We use CA to examine how researchers and professionals reflect on social work interactions. We find that the use of CA (a) makes professionals aware of aspects of practice that are often performed in routinised ways and (b) provides concrete starting points for the non-evaluative reflection on such practice. The paper has implications for researchers and professionals looking to utilise CA in developing reflective practice as it outlines one model for intervention, demonstrates the detailed ways in which reflection may be accomplished in interaction and discusses the organisational requirements of such interventions.
{"title":"Using conversation analysis to develop reflective practice in social work","authors":"Dorte Caswell, Tanja Dall","doi":"10.1177/14733250221124210","DOIUrl":"https://doi.org/10.1177/14733250221124210","url":null,"abstract":"The need for professional reflection has been argued extensively in social work literature. A separate literature has demonstrated the potential of using conversation analytic research (CA) in interventions seeking to inform professional practice in social and health care. Nevertheless, we know little about how social workers actually do ‘reflection’ and how CA can be used to facilitate reflection, specifically. The objective of this paper is to examine how CA can be used in interventions that develop reflective professional practice. Our dataset consists of audio recordings of 21 mutual learning and innovation platforms, taking place as part of a collaboration between researchers and five Danish social work agencies. We use CA to examine how researchers and professionals reflect on social work interactions. We find that the use of CA (a) makes professionals aware of aspects of practice that are often performed in routinised ways and (b) provides concrete starting points for the non-evaluative reflection on such practice. The paper has implications for researchers and professionals looking to utilise CA in developing reflective practice as it outlines one model for intervention, demonstrates the detailed ways in which reflection may be accomplished in interaction and discusses the organisational requirements of such interventions.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"1290 - 1307"},"PeriodicalIF":1.7,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48314247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1177/14733250221124217
L. Bostock, J. Koprowska
Social workers carry much of the frontline authority to define risk to children and discuss it with families. Assessment reports and other institutional documents record professional views about family information, and also have the potential to convey the ‘voice’ of the family to institutions. Social workers have responsibility for sharing these documents with families, yet little is known about how they do this. This paper focuses on episodes when social workers introduce institutional documents in home visits, and on the family responses elicited. These are high-stakes encounters which, when they go seriously wrong, emerge in the press as tragedies and scandals. For families, these documents carry an emotional depth-charge as intimate, potentially shaming and sometimes inaccurate details of their lives are inscribed in them by and for others. Latour’s (1996) concept of interobjectivity sheds light on the use of documents, while concepts of epistemic authority (Heritage and Raymond, 2005) and epistemic injustice (Fricker, 2007) are employed to examine how social workers respond to parental testimony about themselves and their children. Learning how to present institutional documentation in ways that reduce the risk of emotional reactivity and treating family perspectives with epistemic justice may enhance social work practice. At a policy level, the design of documents warrants review, so that they facilitate rather than obstruct social workers’ efforts to build what are already fragile relationships with families.
{"title":"‘I know how it sounds on paper’ risk talk, the use of documents and epistemic justice in child protection assessment home visits","authors":"L. Bostock, J. Koprowska","doi":"10.1177/14733250221124217","DOIUrl":"https://doi.org/10.1177/14733250221124217","url":null,"abstract":"Social workers carry much of the frontline authority to define risk to children and discuss it with families. Assessment reports and other institutional documents record professional views about family information, and also have the potential to convey the ‘voice’ of the family to institutions. Social workers have responsibility for sharing these documents with families, yet little is known about how they do this. This paper focuses on episodes when social workers introduce institutional documents in home visits, and on the family responses elicited. These are high-stakes encounters which, when they go seriously wrong, emerge in the press as tragedies and scandals. For families, these documents carry an emotional depth-charge as intimate, potentially shaming and sometimes inaccurate details of their lives are inscribed in them by and for others. Latour’s (1996) concept of interobjectivity sheds light on the use of documents, while concepts of epistemic authority (Heritage and Raymond, 2005) and epistemic injustice (Fricker, 2007) are employed to examine how social workers respond to parental testimony about themselves and their children. Learning how to present institutional documentation in ways that reduce the risk of emotional reactivity and treating family perspectives with epistemic justice may enhance social work practice. At a policy level, the design of documents warrants review, so that they facilitate rather than obstruct social workers’ efforts to build what are already fragile relationships with families.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"1147 - 1166"},"PeriodicalIF":1.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45503575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-29DOI: 10.1177/14733250221124209
J. Webb, D. Wilkins, R. Martín
Supervision is widely recognised as a core activity for social work. In this paper, we explore the nature of decision-making in supervision, using a collection of twelve audio-recordings from one child protection team in England. We apply Conversation Analysis to see how potential actions are put ‘on the table’, by whom, and the interactional work that occurs before any final decision is made. Within these data we find that supervision may not be an especially key site for decision-making. When actions are proposed, we identify three primary patterns: unilateral decision making, bilateral decision making and polar questions which instigate decision making sequences. In each, it is almost always the supervisor who proposes a possible future action, and the social worker who responds. If the social worker is agreeable, there is often little further discussion. When the social worker resists the proposal or there is further talk around the future action, the subsequent conversation was likely to focus on how it reflects on the worker’s professional competence, rather than the merits of the action and implications for the family. These findings raise the question of how (and where) casework decisions are made in this social work team, if not in supervision. They also suggest we need to pay more attention to issues of professional standing and creating opportunities for shared decision making when thinking about supervision. Our analysis furthers current knowledge of what happens in social work supervision by demonstrating how epistemic and deontic domains, as well professional competency, are interactionally relevant forces shaping the decision-making process.
{"title":"(How) are decisions made in child and family social work supervisions?","authors":"J. Webb, D. Wilkins, R. Martín","doi":"10.1177/14733250221124209","DOIUrl":"https://doi.org/10.1177/14733250221124209","url":null,"abstract":"Supervision is widely recognised as a core activity for social work. In this paper, we explore the nature of decision-making in supervision, using a collection of twelve audio-recordings from one child protection team in England. We apply Conversation Analysis to see how potential actions are put ‘on the table’, by whom, and the interactional work that occurs before any final decision is made. Within these data we find that supervision may not be an especially key site for decision-making. When actions are proposed, we identify three primary patterns: unilateral decision making, bilateral decision making and polar questions which instigate decision making sequences. In each, it is almost always the supervisor who proposes a possible future action, and the social worker who responds. If the social worker is agreeable, there is often little further discussion. When the social worker resists the proposal or there is further talk around the future action, the subsequent conversation was likely to focus on how it reflects on the worker’s professional competence, rather than the merits of the action and implications for the family. These findings raise the question of how (and where) casework decisions are made in this social work team, if not in supervision. They also suggest we need to pay more attention to issues of professional standing and creating opportunities for shared decision making when thinking about supervision. Our analysis furthers current knowledge of what happens in social work supervision by demonstrating how epistemic and deontic domains, as well professional competency, are interactionally relevant forces shaping the decision-making process.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"21 1","pages":"1252 - 1273"},"PeriodicalIF":1.7,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45128559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-29DOI: 10.1177/14733250221123332
K. Reid, Mark Brough
There’s a particular ‘common sense’ required of the contemporary neoliberal subject to ‘self-regulate, self-fashion, and self-produce’ ( Houghton, 2019 : 618). Crucially, this work on the self happens within a political context of a dominant discourse which valorises the resilient, self-regulating and enterprising individual. It is somewhat unsurprising then, that children who struggle to contain intense emotions are referred to therapy. Their experience of therapy, however, ought to then be examined within this broader socio-political context. This article examines the power dynamics of a therapeutic encounter with a child ostensibly in need of greater emotional self-regulation. To investigate how children are positioned in therapy, therapy transcripts are investigated, drawing on Derrida’s concepts of hospitality and deconstruction. Utilising a critical discourse analysis of therapy transcripts, we explored the tensions in hosting children in therapy interactions from a counselling session with a 9-year-old girl, Emily, along with her female caregiver, Kate, and her social worker, in the role of therapist. Our Foucauldian inspired power analysis revealed these tensions at work in the therapeutic encounter. We show how Emily enacted her own deconstruction of the story ‘The boy who cried wolf’, opening the door to a relational understanding of emotional regulation. The findings highlight the need for social workers to engage in reflexive practice; to be able to listen to children without transforming their insights into opportunities to reinforce dominant narratives.
{"title":"‘Like the boy who cried wolf’: The tensions of hospitality and role of deconstruction in dyadic discursive therapy interactions with children and their caregivers","authors":"K. Reid, Mark Brough","doi":"10.1177/14733250221123332","DOIUrl":"https://doi.org/10.1177/14733250221123332","url":null,"abstract":"There’s a particular ‘common sense’ required of the contemporary neoliberal subject to ‘self-regulate, self-fashion, and self-produce’ ( Houghton, 2019 : 618). Crucially, this work on the self happens within a political context of a dominant discourse which valorises the resilient, self-regulating and enterprising individual. It is somewhat unsurprising then, that children who struggle to contain intense emotions are referred to therapy. Their experience of therapy, however, ought to then be examined within this broader socio-political context. This article examines the power dynamics of a therapeutic encounter with a child ostensibly in need of greater emotional self-regulation. To investigate how children are positioned in therapy, therapy transcripts are investigated, drawing on Derrida’s concepts of hospitality and deconstruction. Utilising a critical discourse analysis of therapy transcripts, we explored the tensions in hosting children in therapy interactions from a counselling session with a 9-year-old girl, Emily, along with her female caregiver, Kate, and her social worker, in the role of therapist. Our Foucauldian inspired power analysis revealed these tensions at work in the therapeutic encounter. We show how Emily enacted her own deconstruction of the story ‘The boy who cried wolf’, opening the door to a relational understanding of emotional regulation. The findings highlight the need for social workers to engage in reflexive practice; to be able to listen to children without transforming their insights into opportunities to reinforce dominant narratives.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47127633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-19DOI: 10.1177/14733250221128000
Brendon T. Holloway, D. Gerke, Jarrod Call, C. Hostetter, J. Greenfield, Brittanie Atteberry-Ash, N. E. Walls
Transgender and nonbinary (TNB) individuals experience a variety of systemic barriers that impact their ability to access healthcare, often leading to negative health outcomes. Previous research has suggested that improving health literacy among marginalized communities may help reduce existing health disparities. Yet few studies have examined health literacy among TNB people and how health literacy and healthcare access may differ by urbanicity. Using the capabilities theoretical approach, the current study uses data from six focus groups ( N=40) from metropolitan, urban, and rural areas in Colorado to examine geographic differences in health literacy and healthcare access. Findings show that geographic differences in accessing healthcare include transportation issues, having to travel far distances to access care, finding a TNB-affirming and competent provider, and needing to educate providers and staff. These differences were more prevalent among TNB people living in non-metropolitan areas. Additionally, our findings suggest that TNB individuals have high levels of health literacy due to having to self-educate and exist within a healthcare system that was designed for cisgender people.
{"title":"“The doctors have more questions for us”: Geographic differences in healthcare access and health literacy among transgender and nonbinary communities","authors":"Brendon T. Holloway, D. Gerke, Jarrod Call, C. Hostetter, J. Greenfield, Brittanie Atteberry-Ash, N. E. Walls","doi":"10.1177/14733250221128000","DOIUrl":"https://doi.org/10.1177/14733250221128000","url":null,"abstract":"Transgender and nonbinary (TNB) individuals experience a variety of systemic barriers that impact their ability to access healthcare, often leading to negative health outcomes. Previous research has suggested that improving health literacy among marginalized communities may help reduce existing health disparities. Yet few studies have examined health literacy among TNB people and how health literacy and healthcare access may differ by urbanicity. Using the capabilities theoretical approach, the current study uses data from six focus groups ( N=40) from metropolitan, urban, and rural areas in Colorado to examine geographic differences in health literacy and healthcare access. Findings show that geographic differences in accessing healthcare include transportation issues, having to travel far distances to access care, finding a TNB-affirming and competent provider, and needing to educate providers and staff. These differences were more prevalent among TNB people living in non-metropolitan areas. Additionally, our findings suggest that TNB individuals have high levels of health literacy due to having to self-educate and exist within a healthcare system that was designed for cisgender people.","PeriodicalId":47677,"journal":{"name":"Qualitative Social Work","volume":"1 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65629598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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