Household "ethnoscapes" and rite of passage: meaning and chronicity of the diagnosis in schizophrenia

Based on the results of an ethnographic study with people diagnosed with schizophrenia and their relatives in Barcelona and Tarragona along one year, I problematize the transformation of roles and relationships inside the household from the first burst and the assignation of a diagnosis as rite of passage. I appeal to a cultural interpretation of family, understanding the family group as a specific ethnoscape. I analyze the chronicity meaning, and its consequences in the conformation of the “role of sick person” in the context of parental relationships. I also discuss the paradoxes in terms of autonomy for the affected persons because of the projection of cultural connotation of chronicity.

Of Marx and Makers: an Historical Perspective on Generative Justice

In Marxist frameworks “distributive justice” depends on extracting value through a centralized state. Many new social movements—peer to peer economy, maker activism, community agriculture, queer ecology, etc.—take the opposite approach, keeping value in its unalienated form and allowing it to freely circulate from the bottom up. Unlike Marxism, there is no general theory for bottom-up, unalienated value circulation. This paper examines the concept of “generative justice” through an historical contrast between Marx’s writings and the indigenous cultures that he drew upon. Marx erroneously concluded that while indigenous cultures had unalienated forms of production, only centralized value extraction could allow the productivity needed for a high quality of life. To the contrary, indigenous cultures now provide a robust model for the “gift economy” that underpins open source technological production, agroecology, and restorative approaches to civil rights. Expanding Marx’s concept of unalienated labor value to include unalienated ecological (nonhuman) value, as well as the domain of freedom in speech, sexual orientation, spirituality and other forms of “expressive” value, we arrive at an historically informed perspective for generative justice. 

Continuidades y rupturas en el proceso de centralización de la administración sanitaria argentina (1880-1945)

El objetivo del trabajo es presentar el proceso de centralización administrativa de la repartición sanitaria nacional. Para ello se analizan, en primer lugar y con la intención de situar el problema en un plazo más largo, los límites que debió afrontar el Departamento Nacional de Higiene desde el momento de su creación, en 1880, para avanzar en sus intenciones centralizadoras. Entre ellos se encuentran su escasa autonomía administrativa, las superposiciones jurisdiccionales con otras dependencias del Estado, las indefiniciones respecto de su supremacía jerárquica, la resistencia de las provincias, los municipios fuertes y las asociaciones benéficas y los conflictos de proyectos al interior mismo de la repartición. En segundo lugar se muestra cómo los sucesivos presidentes del Departamento Nacional de Higiene asumieron ese límite para su gestión y apostaron a la organización interna de la repartición antes que al desafío de la centralización de la asistencia sanitaria. Su estrategia fue el fortalecimiento de nuevas áreas de incumbencia que constituyeron una agenda que sirvió como base de la definitiva centralización de la administración sanitaria. En esta tarea contaron con el apoyo parlamentario, fundamentalmente de la bancada socialista, que logró convertir en ley durante los años 30 a una serie de nuevas atribuciones del Departamento en aspectos que ligaban la salud con la asistencia social. Por último se analiza un momento clave de este proceso, el primer ensayo de centralización sanitaria a través de la creación, en 1943, de la Dirección Nacional de Salud Pública y Asistencia Social.

Fruktansvärd, ospelad och nyskriven - kriser och konflikter kring ny svensk dramatik : från Gustav III:s originaldramatik till dagens beställningsdramatik

The issue of this thesis concerns a selection of historical debates in which new Swedish drama is under discussion. The studied debates take place in the cultural and political fields and within the fields of theater and literature and deal with a recurring assumption in Swedish theatre history – that new Swedish drama is insufficient. The primary object of this thesis is to find explanations to: why is the Swedish new drama so often described as defective? The following questions, guiding the analysis, are: How are the crises described? What are the stakes? How has the dramatic text been influenced by being judged either as literary product or a product for the stage? How is the playwright’s role described, and perhaps changed, in the crises? The aim of the analysis is to understand how traditions and conventions are shaping the debates and contribute to perpetrate the myth of the malfunctioning Swedish new play. In a historical perspective several attempts have been made to govern new Swedish drama by legislative and political power. New Swedish drama has, for example, been viewed as a possible expression of the nation, as part of shaping the Swedish Welfare state or creating interactive communication with the audience. Despite its many uses, new Swedish drama continues to be describes as flawed. The study starts with King Gustav III:s Swedish theatre where the purpose was to produce Swedish original plays. The study ends with an analysis of a new government grant for new Swedish drama, which was installed in 1999. The chosen debates are analyzed with the help of concepts borrowed from the French sociologist Pierre Bourdieu, looking at each historical situation as a possible moment for the establishment of the field ”new Swedish drama”. The survey ends with eight interviews with playwrights, who are active today. The conditions for the new Swedish drama are the guiding line in this thesis. These conditions are found in the cultural, social and historical contexts that cooperate when a taste or convention is being shaped. They are part of the discourses in the field, where criteria for the new Swedish drama is formulated. In order to understand the significance of, for example, the expression, ”the newly written Swedish drama” research has been pursued in biographical material, historical surveys, and debates in the daily press and in professional journals. Without being a full bourdieuan analysis, the thesis is using concepts from Bourdieu. The work of British feminist theatre historian Tracy C Davis inspires the critical historic perspective.

Os Deputados Assistentes Sociais na Assembleia Nacional e na Assembleia da República Portuguesa: principais intervenções parlamentares entre 1949 e 2011

A presente dissertação é relativa aos assistentes sociais que exerceram funções de deputados em Portugal Continental, na Assembleia Nacional e na Assembleia da República Portuguesa. Procedeu-se à sua caracterização e à análise dos seus principais discursos parlamentares. A pertinência da investigação é justificada pela inexistência de trabalhos acerca da temática escolhida e pela reduzida produção académica no que respeita à vasta dimensão política do Serviço Social em Portugal. A investigação alicerçou-se numa pesquisa bibliográfica sobre os temas em foco, e documental, na análise das fichas biográficas dos deputados identificados e das transcrições textuais das sessões da Assembleia Nacional e da Assembleia da República Portuguesa, onde constam os discursos destes deputados. Estas fontes primárias estão acessíveis no sítio oficial da Assembleia da República (www.parlamento.pt). Pretende-se com este estudo abordar o lugar atribuído à Assembleia Nacional e à Assembleia da República Portuguesa nos respetivos regimes de ditadura e democracia e identificar e caracterizar académica, profissional e politicamente os assistentes sociais que exerceram estas funções. Objetiva-se ainda a análise das principais intervenções destes deputados no contexto da Assembleia Nacional e da Assembleia da República Portuguesa. Apurou-se que o número de deputadas à Assembleia Nacional e à Assembleia da República Portuguesa não variou significativamente nos regimes políticos abordados. Foram identificadas cinco deputadas à Assembleia Nacional, da V à XI legislatura (de 1949 a 1974 – 25 anos), sendo que a primeira deputada identificada exerceu funções ao longo da V e VI legislaturas da Assembleia Nacional. Após a queda do regime ditatorial e depois de 21 anos em democracia, assistentes sociais voltaram a exercer funções de deputados. Entre 1995 e 2011 exerceram funções seis deputados à Assembleia da República Portuguesa. Um deles desenvolveu atividades ao longo da X e XI legislaturas. Os resultados da investigação mostram que a maioria destes deputados são mulheres, havendo apenas um homem. Relativamente à formação académica dos deputados constatou-se que antes de 1974 o estabelecimento que formou mais assistentes sociais deputadas foi o Instituto de Serviço Social de Lisboa (3), seguido do Instituto Superior de Ciências Sociais e Políticas Ultramarinas (1) e do Instituto Superior de Serviço Social Pio XII, em Luanda (1). Os deputados à Assembleia da República formaram-se no Instituto Superior de Serviço Social de Coimbra (2); no Instituto Superior Bissaya Barreto, Coimbra (1); no Instituto Superior de Serviço Social do Porto (1); no Instituto Superior de Serviço Social de Lisboa (1) e no Instituto Superior de Serviço Social Pio XII, Luanda (1). As deputadas que exerceram funções durante o Estado Novo pertenciam à União Nacional e Acção Nacional Popular, sendo que uma delas pertencia à Ala Liberal da ANP. Quanto aos deputados que exerceram funções no período democrático percebe-se que todos eram vinculados a partidos do bloco central e da direita: uma deputada do PSD, uma do CDS e quatro deputados do PS. No que respeita às intervenções parlamentares dos deputados identificados, observou-se que as deputadas à Assembleia Nacional apresentaram e fundamentaram propostas de medidas de política social apoiando-se na sua experiência profissional, principalmente em debates em que o tema foi a família ou a pobreza. Os deputados à Assembleia da República direcionaram os seus discursos para o apoio e/ou complemento das iniciativas propostas pelo governo, pois quatro destes deputados exerceram funções enquanto o partido a que pertenciam estava na liderança do governo. Face á vastidão da temática abordada, a presente dissertação constitui-se como um primeiro contributo para a produção de bibliografia no âmbito da dimensão política do Serviço Social, reconhecendo-se a necessidade de aprofundar mais o tema. / This thesis is on social workers who acted as deputies in Portugal, on the National Assembly and the Assembly of the Portuguese Republic. Characterization and analysis of its key parliamentary speeches was the chosen procedure. The relevance of the research is justified by the lack of previous work on the chosen theme and the reduced academic outputs with respect to the vast political dimension of social work in Portugal. Research has its foundations in a literature research on the topics in focus, and also documentary, by the analysis of the biographical records of Members discussed and the verbatim transcripts of the sessions of the National Assembly and the Assembly of the Portuguese Republic, which contains the speeches of such Members. These primary sources include legislative sessions and are available on the Assembly of the Republic (www.parlamento.pt) official website. The study aims to address the place assigned to the National Assembly and the Assembly of the Portuguese Republic, regarding the respective regimes of dictatorship and democracy and to identify and characterize academically, professionally and politically, the social workers who have exercised these functions. Furthermore on the objective is the analysis of the main interventions in the context of such Members of the National Assembly and the Assembly of the Portuguese Republic. It was found that the number of deputies to the National Assembly and the Assembly of the Portuguese Republic did not significantly vary in both political regimes. Five deputies to the National Assembly were identified on the legislatures V to XI (1949-1974 - 25 years), with the first identified lady holding positions along the V and VI legislatures of the National Assembly. After the fall of the dictatorship and after 21 years of democracy, social workers returned to act as deputies. Between 1995 and 2011 held office six members of the Assembly of the Portuguese Republic. One developed activities along the X and XI legislatures of the Assembly of the Portuguese Republic. Research results show that the majority of these are women, and only one man. Regarding the academic training of the deputies, it was found that before 1974 the establishment that formed most of the social workers was, the Institute of Social Service of Lisbon (3), followed by the School of Social Science and Policy Overseas (1) and the Higher Institute of Social Service Pius XII in Luanda (1). Members of Parliament formed in the Institute of Social Service of Coimbra (2), the Higher Institute Bissaya Barreto, Coimbra (1), the Institute of Social Service of Porto (1), the Higher Institute of Social service of Lisbon (1) and the Institute of Social service Pius XII, Luanda(1). Deputies who held office during the New state belonged to the National Union and National People's Action parties, one of which belonged to the Liberal Wing of the ANP. As for the deputies who held office in the democratic period one realizes that all parties were bound to the central block and right wing: A Member of the PSD, one of CDS and four members of the PS. Regarding the parliamentary speeches of identified Members, it was noted that the National Assembly deputies presented and substantiated proposals for social policy measures relying on their professional experience, primarily on the debates in which the theme was family or poverty. Members of Parliament have directed their speeches to support and / or complement the initiatives proposed by the government, since four of these deputies exercise their functions while the party they belonged was in governmental leadership. Given the vastness of the topic addressed in this thesis, it constitutes itself as a first contribution to the production of literature within the political dimension of social work, recognizing the need to go deeper into the subject.

Economic Evaluations of State Policies

Thesis (Ph.D.)--University of Washington, 2016-08

As Santas Casas da Misericórdia na República Brasileira 1922-1945

O principal objectivo desta dissertação é o de conhecer um pouco melhor o processo de implementação das Santas Casas de Misericórdia no Brasil, dando especial ênfase à sua expansão durante o período de consolidação da República brasileira, mais concretamente entre 1922 a 1945. A necessária contextualização levou a pesquisa sobre as Misericórdias até à fase colonial e imperial do Brasil, acabando por demonstrar que as mesmas se fortaleceram no segmento de assistência médica, durante o período em análise, tomando o Estado brasileiro dependente das suas actividades. Este trabalho discute ainda o imaginário social da caridade e filantropia e a forma como tais preceitos configuraram a assistência médico-social no país. ABSTRACT; This dissertation aims to better know the implementation process of the Santas Casas de Misericórdia in Brazil, highlighting their expansion during the Republic, mainly between 1922 and 1945. For a better historical contextualization the study explores the Brazil's colonial and imperial phases, demonstrating that the Misericórdias progressively strength their power in the medical assistance segment, becoming the State dependent of their activities. The dissertation also discusses the philanthropy and charity's collective social imagery, as well as the way in which such concepts shaped the medico-social assistance in the country.

A house, not a home? Examining the use of the private rented sector to resolve homelessness in Scotland

Changes to homelessness legislation in post-devolution Scotland have resulted in an expansion of rights for homeless households seeking formal assistance from local authorities. These changes have led to Scotland’s homelessness arrangements being considered among the most progressive in Europe. In recent years, however, the Scottish Government has increasingly promoted homelessness prevention and Housing Options approaches as a means by which homelessness might be avoided or resolved without recourse to statutory rights. As part of that, they have promoted greater use of the private rented sector (PRS) as a key housing option, with the potential to meet the needs of homeless households. The arguments made to support use of the PRS have much in common with arguments for privatisation in other areas of social policy, notably greater choice for the individual promoting better welfare outcomes, and competition among providers encouraging improvements in quality of service provision. Critics have argued that such benefits may not be realised and that, on the contrary, privatisation may lead to exclusion or act to worsen households’ outcomes. This thesis considers the extent to which the PRS has been utilised in Scotland to accommodate homeless households, and the consequences of this for their welfare. The thesis uses a combination of quantitative and qualitative methods. To examine trends in the use of the PRS, it presents quantitative analysis of the data on the operation of the statutory system and Housing Options arrangements, and of data from a survey of local authority homelessness strategy officers. To examine the consequences of this for homeless households, the thesis uses qualitative research involving face-to-face interviews with 35 homeless households across three local authority areas. This research considers the extent to which households’ experiences of homelessness, housing need and the PRS reflect the arguments presented in the literature, and how settled accommodation has impacted on households’ ability to participate fully in society. The research found an increasing but still limited role for the PRS in resolving statutory homelessness in Scotland, with indications that the PRS is being increasingly used as part of the Housing Options approach and as a means of resolving homelessness outside the statutory system. The PRS is being utilised to varying degrees across different local authority areas, and a variety of methods are being used to do so. While local authorities saw clear advantages to making greater use of the sector, a number of significant barriers including affordability, available stock and landlord preferences - made this difficult in practice. Research with previously homeless households in the PRS similarly found broadly positive experiences and views of the sector, particularly with regard to enabling households to access good quality accommodation in desirable areas of their choosing, with many households highlighting improvements relating to social inclusion and participation. Nevertheless, concerns around the security of tenure offered by the sector, repairs, service standards and unequal power relations between landlord and tenant persisted. As such, homeless households frequently expressed their decision to enter the sector in terms of a trade-off between choice and security.

Policy Implications of Ageing Sexualities

This article aims to open up debate on the policy implications of ageing sexualities. The article begins by discussing the heteronormative perspective that frames current discourse on older people’s needs and citizenship. It then presents data from an empirical study to highlight the concerns that older lesbians and gay men have about housing, health and social service provision, work and job security, and relationship recognition. The article illustrates how the heterosexual assumption that informs policy making can limit the development of effective strategies for supporting older lesbians and gay men; and raises broader questions about policy making, social inclusion and citizenship.

Non-communicable diseases among children in Ghana: health and social concerns of parent/caregivers.

Background: Globally, there is a progressive rise in the burden of non-communicable diseases (NCDs). This paper examined the health and social concerns of parents/caregivers on in-patient care for children with NCDs in Ghana. Methods: This was a cross-sectional study in three large health facilities in Ghana (the largest in the South, the largest in the North and the largest in the Eastern part of Ghana. Data was collected with a structured questionnaire among 225 caregivers (≥18 years) of 149 children with NCDs in health facilities in the three regions. Data was analyzed with simple descriptive statistics. Results: Most caregivers 169(75.0%) were women, relatively young (median age 35years), mostly married and resided in urban areas. Sickle cell disease was the commonest NCD among the children. All 169(75.0%) caregivers believed children suffer NCDs because of sins of parents/ancestors, 29(12.9%) believed herbalists/spiritualists have insights into treating NCDs and 73(32.6%) have previously used herbs/traditional medicine for child's illness. NCD in children was a burden and caused financial difficulties for families. Most caregivers (>96.0%) indicated NCDs in children should be included in national health insurance benefits package and a comprehensive national NCD policy is needed. Conclusion: Absence of national NCD policy for children is a major challenge. The burden of care rests mainly on the parents/ caregivers. A national strategic intervention on the importance of awareness generation on the causes, risk factors, prevention and treatment of NCDs for families and communities is essential. Government support through national health and social policy initiatives are essential.

2011 annual report

The South Carolina Joint Citizens and Legislative Committee on Children publishes an annual report for the governor and the General Assembly with information on topics of concern about the well-being of children in the state and policy recommendations. The Annual Report contains selected data which present a compelling overview of those children in need and more specifically focuses on the children who have been placed in the custody of the State. Central to this theme are services for child protection and welfare, juvenile justice, and mental health.

Annual report 2012

The South Carolina Joint Citizens and Legislative Committee on Children publishes an annual report for the governor and the General Assembly with information on topics of concern about the well-being of children in the state and policy recommendations. The Annual Report contains selected data which present a compelling overview of those children in need and more specifically focuses on the children who have been placed in the custody of the State. Central to this theme are services for child protection and welfare, juvenile justice, and mental health.