Vård i livets slut av personer med demens. Personal och anhörigas upplevelse av given vård : En metasyntes

Palliativt förhållningssätt kännetecknas av helhetssyn av människan och uppnås genom stöttning av individen att leva med värdighet och största möjliga välbefinnande till livets slut oavsett diagnos eller ålder. Demens är en sjukdom som är svårt handikappande för den som drabbas och för de anhöriga är sjukdomen förödande. Den palliativa vården av personer med demens är inte optimerad. Studier visar att det dels beror på demenssjukdomen som är svår att vårda och dels för att stöd till de personer som vårdar sina anhöriga och det sociala kommunala nätverket har brister. Syfte: Att analysera upplevelsen av given vård i livets slutskede hos personer med demensdiagnos ur personalens och anhörigas perspektiv. Metod: Metasyntes utförd med Howell Major och Savin-Badins analysmodell, Qualitative Research Synthesis. Resultat: Kunskap och personcentrering var de två begrepp som blev produkten av syntesen. Begreppen fungerar som motsatser, om det finns kunskap och personcentrering så finns en bra upplevelse av given vård hos personal och anhöriga och om det brister i kunskap och personcentrering blir upplevelsen sämre. Diskussion: Kunskap om demens bland personal har i syntesen visats vara en indikator för god vård vid livets slut. Utbildning i demenssjukdom bör ske kontinuerligt och på olika nivåer beroende på vilken personalkategori som utbildas. Konklusion: Palliativ vård och demens måste få utrymme i utbildningarna av all personal, från undersköterska till specialistläkare.

Supervision as control system : the design of supervision as a regulatory instrument in the social services sector in Sweden

In this article, the prevailing official view of supervision as a regulatory instrument is examined as it applies to the social services sector in Sweden. The study is based on a comparison of the views expressed on the design of supervision as a regulatory instrument by two government commissions, the Supervision Commission and the Commission on Supervision within the Social Services (UTIS), and on the positions taken by the Government regarding the definitions of the concept of supervision proposed by these commissions. The view of supervision as a regulatory instrument expressed in these policy documents is analysed with the help of a theoretical framework describing the components, their functions and the governance characteristics of control systems. In the framework separate interrelated characteristics of the components are identified and summarized into two models of control systems. The analysis shows that supervision in the Swedish social services sector can be described in terms of both a disciplinary and non-disciplinary system. By its system theoretical basis and the identification of interrelated characteristics the study contributes to a broadened understanding of the construction and functions of supervision as a regulatory instrument and of how supervision within the Swedish social sector is meant to be designed.

Rapport GIH 2008-projektet : Kartläggning av idrottslärarstudenters bakgrundsfaktorer, fysiska prestationsnivå samt implementering av metoder för integrering av teori och praktik samt idrottslig kompetensutveckling i GIH-utbildningen

Lärarstudenter GIH 2008

Vad kommunikation vill säga : En iscensättande studie om specialpedagogers yrkesroll och kunskapande samtal

This thesis is about the role of special educators in (pre)school and about developing democratic communication. It is based on the theory of argumentation developed by Jürgen Habermas. The aim of the study was to describe the conditions that create possibilities for deliberative communication between special educators, parents, students and colleagues in (pre)school. My overarching aim was to contribute to a more distinct description of special educators´ field of knowledge. I have used a social constructionist approach. The project has been based in the field of action research. A precondition for deliberative dialogues in (pre)schools is to start out from a communicative perspective. That means that (1) some theoretical conditions have been made apparent, (2) knowledge about these conditions have been shown to be crucial for using an aware communicative perspective in a speech act, (3) an aware communicative perspective is revealed through procedures of knowledge. These procedures were understood by and made evident to me as a result of network meeting discussions. A communicative perspective, a special educator as facilitator and procedures of knowledge are found to be crucial for collaboration using a deliberative attitude in (pre)schools. Today there is often a lack of pedagogical professionals in (pre)schools who can act as a link between authorities, organisations, professionals and parents, and who have the authority to pose challenging pedagogical questions. This can be changed if the role of special educators is, instead of teacher, defined as communicative special educators working with dialogues on different levels.

Förståelse, bedömningar och hjälpinsatser : Socialarbetares arbete med män som våldsoffer

This report outlines the background to, and presents the results from the Crime Victim Compensation and Support Authority funded project "Social Workers' understanding of men as victims of crime". The project aimed at describing and analyzing how social workers understand and work with male victims of violence. More precisely, the research has focused on how social workers describe men's vulnerability and how they understand men's needs for assistance, what assistance that is provided and the way the constellations of perpetrators and victims of different gender and contexts in which the violence occurs in affect the understanding of male victims of violence. The study has also been devoted to the question of whether the Support Centers for young crime victims in Sweden provide different types of and different amount of help to young men and women afflicted of violence. The project was conducted in three substudies. The results from substudy 1 show that more young men than women seek support from the Support centers studied. Men predominate in number of cases and in the different categories of crime. The results also show that young men on average receive less assistance over a shorter average duration than young women. This applies irrespective of the category of offense that the vulnerability applies to. Furthermore, the young men, compared to the women, proportionally receive fewer interventions characterized as support and a greater proportion of interventions in the form of information. The results also show that the young men are referred on for further action to a lesser extent than is the case for women. The results from substudy 2 show that social workers tend to focus on whether, and to what extent, young men who are victims of violence themselves have behaved provocatively before the violence incident and if they have put themselves in a social situation that could be interpreted as having contributed to an escalation of the violence they have been subjected to. The results from substudy 2 also show that social workers talk about the men as active in the violent situations they have been involved in and dwell on the extent to which the young men's own actions have contributed to the violence. The results also show that young men who are victims of violence are described as "reluctant" victims who are trying to cope with their situation on their own without the involvement of professional or other helper. The young men are also described as reluctant to talk about their feelings. The results of substudy 3 show that social workers believe that young men, when they become victims of violence, risks losing their sense of autonomy, initiative and decisiveness, that is, attributes that are often linked to the dominating cultural image of masculinity. Furthermore, the results show that social workers estimate that men's practicing of their masculinity, but also the response that men who are traumatized get from society, creates difficulties for them to get help. The results from substudy 3 also shows that attributes and actions that can be connected to the masculinity of young men's, as well as a lack of such attributes and actions are considered to be adequate explanations for the violence the men has suffered. When it comes to violence in public places it is the masculinity that explains the violence and its escalation. When it comes to domestic violence it is the lack of expected male attributes and actions that are used as explanations for the violence that have occurred. The discussion is devoted to the question of how the results should be understood based on the concepts of self-performance, interpretation, negotiation and categorizations, and the consequences the results obtained should have for gender sensitive social work given to abused men.

Vem är den ekonomiske brottslingen? : En jämförelse mellan länder och brottstyper

Who is the economic criminal? A comparison between countries and types of crime In white collar crime research two particularly competing definitions (Sutherland versus the Revisionists) have dominated the field during the last two decades. Sutherland’s definition states that the sociodemographic profile is homogeneous (entrepreneur with high education and high or regular income), despite type of white collar crime or context. The definition given by the Revisionists states that white collar criminals’ demographic profile is heterogeneous (everyone can be convicted for white collar crime). As a consequence of this divided definitional approach we have a contradictive outcome of who the white collar criminal is. Our purpose is to investigate the qualification of the two definitions by analyzing heterogeneity/ homogeneity based on crime type and national context. The investigation is based on seven countries from the EES 2004 (European Social Survey). We use four types of crime. The results show a rather homogeneous demographic profile but there is also a certain substantial heterogeneity depending on kinds of crime and context. The results altogether indicate that the Revisionists’ definition is more correct in its description of the white collar criminal than Sutherland’s definition. The demographic profile of the white collar criminal seems to be more complex than a profile confined to just one social category would be and the contextual factor has an impact on the variety of the demographic profile. An important task for future research is to hold the door open for further demographic investigations depending on the type of crime and country that the study is based on. 

Sociologin i Grekland : från 1907 fram till Metaxas-diktaturen (1936–1940) och andra världskriget

Sociology in Greece from 1907 to the Metaxas dictatorship (1936–40) and the Second World War This paper focuses on pre-conditions for sociology to develop and the subject matters of emerging sociology in Greece. Pre-conditions were at hand but without continuity, and the opportunity for sociology to develop was lost. Sociology is said to have started in 1907 with the book The Social Question by Georgos Skliros. He presented sociology and Marxism as identical and deals with Greek society and (among other things) the language issue, all of which triggered off a vibrant debate. Sociological associations and journals were started. However, the initially reformist perspective of social science was gradually replaced by an approach that was more socio-philosophical, influenced by classical sociology, German sociology in particular. This turn was associated with the institutionalization of sociology at the universities during the 1920’s. The Metaxas dictatorship in 1936 put a stop to any further development of sociology for a long time.

Pedagoger i det sociala uppdragets gränstrakter : Att hantera familjerättsliga processer, hot och våld

Pedagogues in the borderland of their social task: dealing with family law proceedings, threats and violence Drawing upon an explorative study of family law proceedings from a school perspective, the aim of this paper is to examine the school staff’s strategies for solving or coping with problematic situations in this context. Gendered conflicts between adults and violence are extreme cases for pedagogues in school and preschool. How do the staff cope with their own and the children’s vulnerability? Based upon interviews with 22 informants, the staff’s strategies are outlined and discussed in relation to organizational and professional circumstances and intersecting social relations of power. An analytical construction of six types of proactive and reactive strategies, ranging from distance keeping to normalization of own exposure, is utilized in the analysis. Findings suggest that the staff’s strategies to handle challenging events in this context vary with the parent’s gender, class position and ethnicity. Further, it is argued that creating a sense of safety and promoting learning among the children may be obstructed by lack of support from the school’s organization, demands on staff to perform customer oriented attitudes towards parents and lack of clarity concerning the limits of the social task. Conflicts between the organization and profession on the one hand and the educational and the social task on the other hand, are thus illuminated. In conclusion, a further aim of this article is to contribute to broader discussions on men’s violence against women and children – in families as well as in workplaces and in the intersection between these two areas. 

Utbrändhet som arbetsskada och motståndsberättelse

Burnout as occupational injury and narrative of resistance During the last years of the 1990s and the first years of the 2000s, burnout was a common diagnosis for sick listing in Sweden. That burnout is directly related to working life was acknowledged by medical experts as well as in the public debate. The number of applications for occupational compensation due to social and organizational factors in work rose from a very modest degree to nearly a forth of the claims among occupational diseases. In this article 48 individual claims for compensation in cases of burnout as occupational disease are analyzed as narratives of resistance. In this respect they are seen as alternative accounts of risk in working life, but also as narratives about resistance. The concept, narratives of resistance, is used to understand the claimants’ argumentation for rights to compensation, as well as how the claimants draw upon public narratives of societal transformation to understand how they themselves have become ill from occupations that normally are not thought to be hazardous. One conclusion from the analysis is that the claimants regard their illness as the resistance of the body against changes in society and working life. 

”En aktiemarknad för alla” : Integritet och marknadsomsorg i (själv)regleringen av den svenska värdepappersmarknaden

”A stock market for all”. Integrity and concern for the market in the (self-)regulation of the Swedish securities market This article deals with the transformation process that led to the substantial growth of the securities markets, and also led to a situation where Sweden became one of the leading countries when it comes to ordinary people investing in shares and mutual funds. The article discusses how social control and regulation of the market changed as a result of this process. A sudden and strong unanimity for knowledge tests in order for a stockbroker to be allowed to conduct brokerage, advisory services and asset management was the significant change in this transformation process. Knowledge tests were first introduced on a voluntary basis by the industry itself, but is now a mandatory requirement by the State. This article argues that the unanimity for knowledge tests best can be understood by studying the broadening of the financial markets. The broadening meant that more groups in society – with very varying capabilities – had started to place their assets in the security markets. They were encouraged to do so since this was considered to be the solution to the growing number of socioeconomic problems. This article is mainly based on market statistics and document analysis supplemented by interviews.

De sociala konstruktionerna av hög ålder och funktionsförmåga : exemplet intellektuellt funktionshinder

The social constructions of old age and ability – the example of intellectual disability The aim of this article is to analyse and discuss constructions of old age as they are reflected in disability research with the focus on ageing and what it means to be elderly. The results of this study show three tendencies. First, the consequences of the impairment tend to be at forefront in studies of experiences of ageing among persons with intellectual disabilities. This obscures the fact that people with intellectual disabilities partake in a common idealisation of youthfulness that often contains ambivalence towards old age. Second, the concept of old age in disability research embraces significantly wider chronological age groups than those considered in ageing studies. Third, both disability and ageing research tend to use a late modern perspective of individualization as a way to illustrate new options and strategies, including resistance against stigmatisation. This article illustrates that social constructions of disability and old age are tightly interwoven, and constitute negations of normatively defined ideals of normality in a society where ability are highly regarded.

En sociologisk förståelse av förlåtelse och försoning

Forgiveness and reconciliation in a sociological context Are forgiveness and reconciliation left to the theologians to define or can these concepts also be genuine concepts in sociology? In spite of the fact that sociology and social psychology have a lot of research about relationship, interaction and groups, there is not much research about forgiveness and reconciliation. This article presents the understanding of how relations can be revived, if once broken, if using these conceptions. The discussion also includes the concepts of shame and guilt and even confidence, particularly in relations where you find victim and perpetrator. The discussion is developed in a perspective of symbolic interactionism with examples from sociological research about men´s violence against women and adults, especially fathers, abuse to their daughters. In this article the perpetrator feels guilt and the victim shame and the feeling of guilt makes the perpetrator to ask for forgiveness. When hate and hard feelings have come to an end, the reconciliation can occur as a consequence of the forgiveness.

Föreställningar om klass och kön i Arbetsförmedlingens yrkesbeskrivningar?

Notions of Class and Gender in the Employment Service Job Descriptions This article examines whether job descriptions emphasize different characteristics and competences depending on the occupations’ social class and gender relations. The study is partly a replication of a similar analysis conducted by Gesser in the 1970s. The purpose is to examine the prevalence of stereotypes in occupational descriptions provided by the Swedish state, and if the descriptions contribute to class and gender labeling of occupations and, by extension, its practitioners. Previous research has shown that career guiding materials are characterized by notions of the appropriate practitioner’s class and gender. In this study we depart from the concept of doxa and argue that stereotypical images of occupations are based on common sense that remains unquestioned. The study draws on a quantitative content analysis of 420 job descriptions analyzed by various statistical methods. The overall results show that there are systematic differences. In general, social class seems to have greater impact than gender on what kind of competences that are emphasized in the descriptions. Social skills are emphasized in female dominated occupations, while physical abilities are highlighted in male-dominated occupations. To some extent, these results are uncontroversial, as it also portraits abilities necessary to do the work in different kind of occupations

”Jag tror på något” : Konstruktioner av tro och tilltro

”I believe in something”: Constructions of Beliefs in Sweden Research results are dependent on how social phenomena are conceptualized. In the present article, consequences are discussed of the standardized conceptualization of religiosity as ”church-oriented”. In its place, a multifaceted approach to the phenomenon of religious belief is suggested. This approach was used for an analysis on how eleven Swedish women and men with different religious and spiritual as well as non-religious and atheist affiliation talk about beliefs. The results suggest that beliefs were meaningful because they related to specific perceptions of a Zeitgeist. It was hereafter underlined that belief in ”something” or other brief descriptions of the sacred placed the sacred outside of the individual. Finally, while subjective authority is valued for choosing to believe, this subjectivity seems in part to be dependent on collective dimensions of recognition. The value of choosing beliefs can be conceptualized as a meaningful yet analytically distinct aspect of belief co-existing with descriptions of the sacred. Thus, it is concluded that a multifaceted approach to religious belief may develop our understanding of religion and religiosity in contemporary society