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Qualitative Social Work最新文献

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IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2024-01-16 DOI: 10.1177/14733250241228679
Yun Chen
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引用次数: 0
Rethinking comorbidity: A case study of syndemic risk, eating disorders, and suicidal behaviors in adolescent girls of color 重新思考合并症:有色人种少女的综合症风险、饮食失调和自杀行为案例研究
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2024-01-08 DOI: 10.1177/14733250231225170
Lauren E. Gulbas, ClaraGrace Pavelka, Carolina Hausmann-Stabile, Luis H. Zayas
Decades of research have established a significant association between people struggling with an eating disorder and suicidal thoughts and behaviors. Despite a robust literature indicating a link between these two mental health conditions, few studies have explored how differential risk factors interact over time to produce this comorbidity. Using the lens of syndemic risk, this study applied a critical case study design to identify the social and contextual conditions that give rise to the circumstances in which eating disorders and suicidal behaviors cluster together. Specifically, we draw on life history and clinical ethnographic interviews with an adolescent and her mother to illustrate the intersections between psychosocial and structural processes. Through our analysis, we develop a model for syndemic risk that foregrounds poverty, racism, heterosexism, and gender oppression as critical to the production of mental health comorbidities. As we delineate in our findings, multiple forms of oppression led to a higher risk of exposure to stressful and traumatic experiences, including physical maltreatment, emotional abuse and neglect, sexual coercion, and peer victimization. These events contributed to the emergence of psychological and social vulnerabilities associated with heightened eating disorder and suicide risk. Ultimately, our qualitative study contributes to understanding how syndemic risk factors interact and mutually reinforce one another over time to shape comorbid psychopathology. In doing so, our findings shift understandings of mental illness as emerging from individual vulnerabilities to a conception of mental health that is framed within a multidimensional perspective.
数十年的研究证实,饮食失调症患者与自杀想法和行为之间存在着显著的关联。尽管有大量文献表明这两种精神疾病之间存在联系,但很少有研究探讨不同的风险因素是如何随着时间的推移相互作用而产生这种合并症的。本研究从综合症风险的视角出发,采用关键案例研究设计,以确定导致饮食失调和自杀行为聚集在一起的社会和背景条件。具体来说,我们通过对一名青少年及其母亲的生活史和临床人种学访谈,来说明社会心理和结构过程之间的交集。通过分析,我们建立了一个综合症风险模型,该模型将贫困、种族主义、异性恋和性别压迫作为产生心理健康合并症的关键因素。正如我们在研究结果中所描述的,多种形式的压迫导致了更高风险的压力和创伤经历,包括身体虐待、情感虐待和忽视、性胁迫和同伴伤害。这些事件导致了与饮食失调和自杀风险增加相关的心理和社会脆弱性的出现。最终,我们的定性研究有助于理解综合风险因素是如何随着时间的推移相互作用、相互加强,从而形成合并心理病理学的。因此,我们的研究结果改变了人们对精神疾病的理解,即精神疾病是由个体脆弱性引起的,而是从多维角度来看待心理健康问题。
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引用次数: 0
Age logics in social work: The case of harm reduction for people over the age of 50 with long-term substance use problems residing in wet eldercare facilities in Sweden 社会工作中的年龄逻辑:瑞典为居住在湿式老年护理机构的 50 岁以上有长期药物使用问题的人减少伤害的案例
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2024-01-03 DOI: 10.1177/14733250231224364
Håkan Jönson, T. Harnett
Age is a commonly used criterion in social work, whether for entry and exit or for decisions about the appropriate measures for clients. This study introduces the concept of age logics in social work and investigates the use of age in ‘wet’ eldercare facilities. Wet eldercare facilities are harm reduction arrangements open to people over the age of 50 with long-term substance misuse. No treatment is provided, and residents can continue to consume alcohol and other substances for the rest of their lives. At wet eldercare facilities, age is used to mark a shift in ambition: earlier efforts to treat are replaced by attempts to provide care and dignity. The article uses wet eldercare facilities as the example with which to ( i) introduce age logics as an analytical tool for critical studies of age in social work; ( ii) understand how age logics are used in harm reduction arrangements for older people; and ( iii) propose a method to increase age awareness and identify and challenge problematic uses of age in social work. The empirical data consists of interviews with 31 residents, 11 caseworkers and 12 staff members at two Swedish wet eldercare facilities. The analysis identifies four types of age logics linking chronological age with its meanings: ( a) the logic of changeability; ( b) the logic of lifestyle; ( c) the logic of function; and ( d) the logic of administrative fit. Together they construct an ideal type of the ‘older addict’, which justified existing arrangements.
在社会工作中,年龄是一个常用的标准,无论是在入职和离职时,还是在决定对服务对象采取适当措施时都是如此。本研究介绍了社会工作中年龄逻辑的概念,并调查了 "湿 "老年人护理机构中年龄的使用情况。湿式老年护理机构是一种减少伤害的安排,面向 50 岁以上长期滥用药物的人开放。这些机构不提供治疗,入住者可以在有生之年继续消费酒精和其他物质。在湿老年护理机构中,年龄被用来标志雄心壮志的转变:先前治疗的努力被提供护理和尊严的尝试所取代。文章以湿润老年护理机构为例,旨在(i)介绍年龄逻辑,将其作为社会工作中年龄批判研究的分析工具;(ii)了解年龄逻辑如何被用于为老年人减少伤害的安排中;(iii)提出一种方法,以提高年龄意识,并识别和挑战社会工作中对年龄的有问题的使用。实证数据包括对瑞典两家湿老年护理机构的 31 名居民、11 名个案工作者和 12 名工作人员的访谈。分析确定了四种类型的年龄逻辑,将计时年龄与其含义联系起来:(a)可变性逻辑;(b)生活方式逻辑;(c)功能逻辑;以及(d)行政契合逻辑。这些逻辑共同构建了 "老年瘾者 "的理想类型,为现有的安排提供了依据。
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引用次数: 0
‘I’m going to take my power back and do whatever I can’: The self-efficacy of survivors of intimate partner strangulation and their engagement in research interviews 我要夺回我的权力,尽我所能":亲密伴侣勒死幸存者的自我效能感及其参与研究访谈的情况
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2023-12-26 DOI: 10.1177/14733250231225156
Vicki Lowik, Nicola Cheyne, Heather Lovatt
Purpose: Existing literature identifies the agency used by survivors of domestic violence when they participate in research. However, some human research ethics committees act as gatekeepers on research into survivors’ lived experience due to their perceived vulnerability. This article explores factors that influence survivors’ decision-making when they participate in research interviews. Methods: Sixteen survivors of intimate partner strangulation participated in interviews about their lived experience. The analysis of the interview transcripts was guided by the research question: What factors influence the agency that survivors of domestic violence draw on when making decisions about participating in research interviews? Results: The findings revealed four processes through which the self-efficacy of participants became apparent – cognitive, motivational, affective and selection processes. Self-efficacy underpins a person's agentic behaviours, particularly their decision-making. Conclusion: This article highlights how survivors of intimate partner strangulation, notwithstanding their lived experience of extreme violence, exercise self-efficacy. Knowledge in this area is valuable because it indicates survivors who have left the abusive relationship and have engaged in support can make informed decisions about their participation in research interviews. Such understandings can provide researchers with an increased awareness about the wellbeing of participants during interviews and human research ethics committees can be confident that research participants, who may be considered ‘vulnerable’, have the ability to assess their capacity to engage in research, if the caveats of having left the abusive relationship and having sought support are satisfied.
目的:现有文献指出了家庭暴力幸存者在参与研究时所使用的机构。然而,一些人类研究伦理委员会在对幸存者的生活经历进行研究时充当了 "守门人 "的角色,因为他们认为幸存者很脆弱。本文探讨了影响幸存者在参与研究访谈时做出决策的因素。研究方法16 名亲密伴侣勒杀的幸存者参与了有关其生活经历的访谈。访谈记录的分析以研究问题为指导:在决定是否参与研究访谈时,哪些因素会影响家庭暴力幸存者的代理权?结果:研究结果表明,参与者的自我效能感可以通过认知过程、动机过程、情感过程和选择过程这四个过程体现出来。自我效能感是一个人代理行为的基础,尤其是他们的决策。结论这篇文章强调了亲密伴侣勒死事件的幸存者是如何在遭受极端暴力的情况下行使自我效能感的。这方面的知识很有价值,因为它表明已经离开虐待关系并获得支持的幸存者可以在知情的情况下决定是否参与研究访谈。这种认识可以让研究人员在访谈过程中提高对参与者福祉的认识,人类研究伦理委员会也可以确信,如果已经脱离虐待关系并寻求支持的注意事项得到满足,可能被视为 "弱势群体 "的研究参与者有能力评估自己参与研究的能力。
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引用次数: 0
Governing failed neoliberal subjects: Representations of women’s mental health in Australian mental health policies 治理失败的新自由主义主体:澳大利亚心理健康政策中对妇女心理健康的表述
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2023-12-22 DOI: 10.1177/14733250231222020
Caitlin Angela O'Connor, Carole Zufferey, Helena de Anstiss
This paper uses Carol Bacchi’s ‘What’s the problem represented to be?’ (WPR) framework to explore representations of women’s mental health in federal and South Australian mental health policies. It argues that mental health policies govern women through neoliberal discourses that individualise mental health and illness while neglecting the social structural factors which significantly influence mental health outcomes and health equity. In a ‘self-monitoring’ neoliberal society, people are increasingly required to seek medical and pharmaceutical intervention to promote ideal personhoods, with women overrepresented in this group. The disciplinary power of the medicalisation discourse categorises women as either ideal or failed neoliberal subjects. This is concerning for social workers because neoliberal and medicalisation discourses shape how women’s mental health is represented in policy and responded to in practice. This paper challenges biomedical and neoliberal discourses underpinning policy representations and identifies the implications for social work and social policy.
本文采用卡罗尔-巴奇(Carol Bacchi)的 "问题是什么"(WPR)框架来探讨联邦和南澳大利亚州心理健康政策中对妇女心理健康的表述。本文认为,心理健康政策是通过新自由主义话语来管理妇女的,这些话语将心理健康和疾病个体化,却忽视了对心理健康结果和健康公平有重大影响的社会结构性因素。在一个 "自我监控 "的新自由主义社会中,人们越来越需要寻求医疗和药物干预来提升理想人格,而女性在这一群体中所占比例过高。医疗化话语的惩戒力量将女性归类为理想或失败的新自由主义主体。这让社会工作者感到担忧,因为新自由主义和医疗化话语决定了女性心理健康在政策中的表现形式和在实践中的应对方式。本文对政策表述中的生物医学和新自由主义论述提出了质疑,并指出了这些论述对社会工作和社会政策的影响。
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引用次数: 0
Book Review: How Social Workers Assess and Manage Risk and Uncertainty 书评:社会工作者如何评估和管理风险与不确定性
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2023-12-12 DOI: 10.1177/14733250231220138
Sarah Vicary
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引用次数: 0
What it means to be human, what it means to be hurt, and what it means to thrive 做人的意义、受伤的意义以及茁壮成长的意义
IF 1.7 3区 社会学 Q1 Social Sciences Pub Date : 2023-12-02 DOI: 10.1177/14733250231220140
Caroline Leah
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引用次数: 0
Stress and trauma among police officers: Implications for social work research and practice 警察的压力和创伤:对社会工作研究和实践的启示
3区 社会学 Q1 Social Sciences Pub Date : 2023-11-11 DOI: 10.1177/14733250231214512
Jacob Eikenberry, Michael Mancini, Donald M Linhorst, Joseph A Schafer, Jasmine Brown
Racial justice movements sparked by police killings of Black and Brown persons have led to a reassessment of the role of policing in America. This has promoted important conversations about how best to improve public safety and design law enforcement practices that are equitable and just across communities. A component of this conversation is addressing stress and trauma faced by police as a routine part of their duties, as it can affect the quality of policing. Job-related stress and trauma experienced by police officers are an international phenomenon, yet underexplored areas in social work research and practice. Police officers experience high levels of stress from routine exposure to traumatic situations, leading to high rates of post-traumatic stress disorder, substance use, and depression. Officers who are actively experiencing symptoms of stress and trauma are more likely to engage in misconduct, including the unnecessary use of force. This study explores the stress and trauma-related experiences of police officers. We conducted one-on-one, semi-structured interviews with 23 officers from an urban police department in St Louis, Missouri. Analysis of interviews addressed three areas: (1) stress and trauma experiences associated with police work, (2) negative effects of stress and trauma on officers, and (3) factors impacting officer access to treatment. We conclude that social work can contribute to improved policing outcomes by helping officers address their job-related stress and trauma through engaged research and practice.
由警察杀害黑人和棕色人种引发的种族正义运动导致了对美国警察角色的重新评估。这促进了关于如何最好地改善公共安全和设计跨社区公平和公正的执法实践的重要对话。这次对话的一个组成部分是解决警察作为其日常职责的一部分所面临的压力和创伤,因为它会影响警务质量。警察所经历的工作压力和创伤是一个国际现象,但在社会工作研究和实践中尚未得到充分探索。由于经常暴露在创伤情景中,警察承受着高度的压力,导致创伤后应激障碍、药物使用和抑郁症的高发率。正在经历压力和创伤症状的警官更有可能从事不当行为,包括不必要地使用武力。本研究探讨警察的压力与创伤相关经验。我们对密苏里州圣路易斯市一个城市警察局的23名警官进行了一对一、半结构化的采访。访谈分析涉及三个方面:(1)与警察工作相关的压力和创伤经历,(2)压力和创伤对警察的负面影响,以及(3)影响警察获得治疗的因素。我们的结论是,通过参与研究和实践,社会工作可以帮助警察解决与工作相关的压力和创伤,从而有助于改善警务结果。
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引用次数: 0
Exploring the use of focused ethnography in social work research: A scoping review 探索聚焦人种学在社会工作研究中的应用:范围审查
3区 社会学 Q1 Social Sciences Pub Date : 2023-11-11 DOI: 10.1177/14733250231214199
Patricia J Shannon, Laura Soltani, Erin Sugrue
Focused ethnography (FE) is an emerging method for social work researchers who examine social justice issues within specific sub-cultures and service systems. FE methods may include researchers with background knowledge, specific research questions, and the use of intensive, short-term data collection methods in time-limited settings. Although relevant to applied studies in social work, FE methods remain underspecified. This scoping review examines the extent, variety, and characteristics of FE in social work research. The protocol follows the PRISMA Extension for Scoping Reviews Checklist and Explanation (PRISMA-ScR). We searched Social Science databases between 2018 and 2022. The critical appraisal of articles is guided by published FE methodology and American Psychological Association (APA) journal reporting standards for qualitative research. Researchers justified the use of FE in relation to their ethnographic goals, research populations, and specific questions. However, they were inconsistent in their discussion of the integration of theory and reflexive processes in research methods. While most studies used thematic analysis or coding of qualitative data, some lacked the recommended elements outlined in the journal reporting standards for qualitative research. In particular, they lacked transparency when discussing the impact of background knowledge and positionality on data analytic processes and findings. In this review, we discuss the strengths and limitations of FE for social work research and offer recommendations for methodological improvement. To enhance understanding and trustworthiness of reported findings, we recommend transparency in discussions of data analytic and reflexive processes, as well as uniform reporting in accordance with APA standards for qualitative research.
焦点人种学(FE)是一种新兴的方法,用于社会工作研究人员在特定的亚文化和服务系统中研究社会正义问题。有限元方法可能包括具有背景知识的研究人员,具体的研究问题,以及在有限的时间内使用密集的短期数据收集方法。虽然与社会工作的应用研究相关,但FE方法仍然不明确。这个范围审查检查的范围,种类和社会工作研究FE的特点。该方案遵循PRISMA范围审查扩展清单和解释(PRISMA- scr)。我们检索了2018年至2022年的社会科学数据库。文章的批判性评价是由发表的FE方法和美国心理协会(APA)期刊报告标准的定性研究指导。研究人员根据他们的民族志目标、研究人群和具体问题证明了FE的使用是合理的。然而,他们在研究方法上对理论与反身过程的整合的讨论并不一致。虽然大多数研究使用专题分析或定性数据编码,但有些研究缺乏定性研究期刊报告标准中概述的建议要素。特别是,在讨论背景知识和立场对数据分析过程和结果的影响时,它们缺乏透明度。在这篇综述中,我们讨论了社会工作研究的优势和局限性,并提出了方法改进的建议。为了加强对报告结果的理解和可信度,我们建议在数据分析和反思过程的讨论中保持透明度,并按照APA的定性研究标准统一报告。
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引用次数: 0
The voices of Japanese and U.S. elementary-school aged children with disabilities: Navigating stigmatization within peer groups 日本和美国小学适龄残疾儿童的声音:在同伴群体中导航污名化
3区 社会学 Q1 Social Sciences Pub Date : 2023-11-11 DOI: 10.1177/14733250231214201
Misa Kayama, Wendy Haight
Children’s experience of disability-related stigmatization is a central social justice issue across cultures. Yet children’s voices are rarely heard by policy makers, and available programs for children with disabilities typically lack input from children’s own experiences. This paper presents a cross-cultural case study of how three children with disabilities in Japan and the U.S. responded to stigmatization from their “typically-developing” peers. We choose these cases for in-depth examination to contextualize and deepen our understanding of themes identified from our larger, ethnographic study. Similar to the participants in our larger study, these elementary school-aged children experienced disability-related stigmatization, including teasing and bullying. They actively responded to reduce their immediate exposure to stigmatization. Some of these responses, however, created additional challenges. For example, children’s physical fighting in response to teasing resulted in punitive discipline in the U.S. Children’s avoidance of peers undermined academic achievement and psychosocial development, especially in Japan where peer groups are central contexts for education. Furthermore, children’s responses to stigmatization often concealed their peer struggles or were misunderstood by educators, which delayed their access to appropriate support. We discuss social work implications for child-centered programs of support.
儿童遭受与残疾有关的污名化是跨文化的一个核心社会正义问题。然而,决策者很少听到儿童的声音,现有的残疾儿童项目通常缺乏儿童自身经验的投入。本文提出了一个跨文化的案例研究,研究了日本和美国的三个残疾儿童如何应对来自“正常发展”同龄人的耻辱。我们选择这些案例进行深入研究,以背景化和深化我们对从更大的民族志研究中确定的主题的理解。与我们大型研究中的参与者类似,这些小学适龄儿童经历了与残疾有关的污名化,包括戏弄和欺凌。他们积极回应,以减少他们直接受到污名化的影响。然而,其中一些反应带来了额外的挑战。例如,在美国,孩子们为了回应戏弄而进行的肢体斗争导致了惩罚性的纪律。孩子们对同伴的回避损害了学业成就和心理社会的发展,尤其是在同龄人群体是教育的核心背景的日本。此外,儿童对污名化的反应往往掩盖了他们与同龄人的斗争,或被教育工作者误解,从而推迟了他们获得适当支持的机会。我们讨论社会工作对以儿童为中心的支持项目的影响。
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引用次数: 0
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Qualitative Social Work
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