scholarly journals Trouble in Direct Payment Personal Assistance Relationships

2021 ◽  
pp. 095001702110169
Author(s):  
Tom Porter ◽  
Tom Shakespeare ◽  
Andrea Stockl

Personal assistance (PA) is a model of support where disabled people take control of recruiting, training and managing their support staff. Direct payment relationships and symbolism borrowed from the corporate world frame PA relationships as instrumentally focused and largely free from emotional entanglements. Yet complicating this picture is research showing that PA often involves moral dilemmas and interpersonal conflict. We report on data from 58 qualitative interviews with disabled people and PAs. Findings reveal PA to be an embedded form of work, which entails convergent interpretive schemes informed by the world of work and also by indeterminate social relations. Applying Emerson and Messinger’s micro-politics of trouble, we outline how trouble comes to be framed in either conflict-resonant or deviant-resonant ways. This focus upon the moral dimensions of trouble sheds light on the relational dynamics of this prevailing model of care and embedded work more broadly.

2011 ◽  
Vol 31 (4) ◽  
pp. 562-582 ◽  
Author(s):  
Christine Kelly

Disability scholars and activists argue that ‘care’ is a complex form of oppression and reject it as a term and concept. I explore the possibility of salvaging care from its oppressive medical and charitable legacies through a discussion of personal assistance. While not arguing for a return to terming personal assistance ‘care’, I argue care can be made accessible in policies and discussions of attendant services and in more general discussions related to care. Like the built environment, care requires ‘retrofitting’ as in updating existing structures to fully include disability perspectives. This requires redefining care as a complex tension. Accessibility also evokes the sense of ‘at hand’; keeping care at hand in policy discussions allows us to consider transformative feminist conceptualizations of care and captures intricate relationships between attendants and disabled people, including people with intellectual disabilities. Most importantly, accessible versions of care always acknowledge the oppressive legacies and coercive potentials of care.


2016 ◽  
Vol 18 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Martin Stevens ◽  
John Woolham ◽  
Jill Manthorpe ◽  
Fiona Aspinall ◽  
Shereen Hussein ◽  
...  

Summary This paper reports on part of a research study carried out in three local authority adult social care departments in England, which explored links between adult safeguarding and personalisation. The study included statistical analysis of data on safeguarding referrals and the take up of personal budgets and qualitative interviews with managers, social workers, other staff working on safeguarding and with service users. The paper reports the findings from 16 interviews with managers and social workers, highlighting their perspectives and experiences. Findings Five main themes emerged from our analysis: contexts and risk factors; views about risks associated with Direct Payments, approaches to minimising risk; balancing risk and choice; and weaving safeguarding and personalisation practice. Social workers identified similar ranges and kinds of risks to those identified in the national evaluation of Individual Budgets. They described a tension between policy objectives and their exercise of discretion to assess and manage risks. For example, some described how they would discourage certain people from taking their personal budget as a Direct Payment or suggest they take only part of a personal budget as a Direct Payment. Application This exploratory study supports the continued need for skilled social workers to deliver outcomes related to both safeguarding and personalisation policies. Implementing these policies may entail a new form of ‘care and control’, which may require specific approaches in supervision in order to ensure good practice is fostered and positive outcomes attained.


Urban Studies ◽  
2016 ◽  
Vol 53 (16) ◽  
pp. 3405-3422 ◽  
Author(s):  
Martine August

This article challenges the presumed benevolence of mixed-income public housing redevelopment, focusing on the first socially-mixed remake of public housing in Canada, at Toronto’s Don Mount Court (now called ‘Rivertowne’). Between 2002 and 2012 the community was demolished and replaced with a re-designed ‘New Urbanist’ landscape, including replacement of public housing (232 units) and 187 new condominium townhouses. While mixed redevelopment is premised on the hope that tenants will benefit from improved design and mixed-income interactions, this research finds that many residents were less satisfied with the quality of their housing, neighbourhood design, and social community post-redevelopment. Drawing on in-depth qualitative interviews and ethnographic participant observation, this article finds that tenant interviewees missed their older, more spacious homes in the former Don Mount, and were upset to find that positive community bonds were dismantled by relocation and redevelopment. Challenging the ‘myth of the benevolent middle class’ at the heart of social mix policy, many residents reported charged social relations in the new Rivertowne. In addition, the neo-traditional redesign of the community – intended to promote safety and inclusivity – had paradoxical impacts. Many tenants felt less safe than in their modernist-style public housing, and the mutual surveillance enabled by New Urbanist redesign fostered tense community relations. These findings serve as a strong caution for cities and public housing authorities considering mixed redevelopment, and call into question the wisdom of funding welfare state provisions with profits from real estate development.


2021 ◽  
Vol 6 ◽  
Author(s):  
Lise Herslund ◽  
Gry Paulgaard

The paper investigates how refugees settled in rural Norway and Denmark experience and interact with their new rural places of residence. Theoretically, the paper finds inspiration in “phenomenology of practices” (Simonsen, Prog. Hum. Geogr., 2012, 37, 10–26), which emphasizes the bodily and sensory experiences of daily life that spur feelings of, for example, “orientation” or “disorientation”. The empirical material is based on fieldwork and qualitative interviews with refugees and local volunteers in 2016/2017/2019 in small towns in the rural north of Norway and rural Denmark. There are several differences between the Norwegian and Danish rural areas, in relation to distances, climate and population density. Nonetheless, the ways in which the rural areas are experienced from within, by refugees settled there, show surprisingly many similarities. Many of the informants, in both the Norwegian and Danish cases, initially expressed frustration at being placed in rural areas without having any say in the matter. Those who were former city-dwellers especially experienced moments of disorientation, as their encounters with Nordic rural life were experienced as the opposite of their urban backgrounds. Limiting structural conditions very much shape the everyday lives of refugees in the first years, when they do not have a car or the financial capacity to find their own house. They feel stressed, with busy everyday lives made up of long commuting hours on public transport. In these first years of uncertainty, the dark and harsh weather very much adds to the feeling of stress and insecurity. What seem to add “orientation” are social relations with other refugees and local volunteers organizing activities.


2021 ◽  
Vol 8 (2) ◽  
pp. 1
Author(s):  
Guillermo Enrique Delgado ◽  
Susana Frisancho

This paper focuses on the moral reasoning of Ashaninka leaders about the burning of witches, a cultural practice that has received scant attention from intercultural scholars. We first contextualize burning witches as a cultural practice of the Ashaninka people. Then, based on qualitative interviews, we present the experience of six Ashaninka leaders with witchcraft and witchcraft accusations, as well as their moral reasoning about the social mechanisms that the Ashaninka people have traditionally used to control evil sorcery. The participants are three men and three women from the Ucayali and Junín regions in Peru’s Amazon basin. Finally, we discuss intercultural moral education and the need to analyze the reasons behind cultural practices in order to understand the rationality and reasonableness of others.


2013 ◽  
Vol 5 (10) ◽  
pp. 197-235
Author(s):  
Gloria María Cañez De la Fuente ◽  
Juana María Meléndez Torres

Este artículo aborda el estudio de caso de un grupo de campesinos desplazados de sus pueblos en la región serrana, como resultado de la política modernizadora agrícola-ganadera en el noroeste de México. Se analizan, desde una perspectiva socio-antropológica e histórica, los aspectos que afectaron tanto el desarrollo de acciones y relaciones sociales dirigidas al mejoramiento de sus condiciones de vida, como de su actividad productiva bajo las nuevas circunstancias que les imponía dicha modernización, en una región semidesértica, durante la segunda mitad del siglo XX. Se realizaron entrevistas a profundidad, con la finalidad de recuperar sus propias experiencias y los significados de sus acciones. Encontramos que el nuevo esquema productivo y financiero, la exclusión de la ganadería tradicional, y los cambios en el uso y control de los recursos agua y tierra, fueron elementos que propiciaron conflictos internos entre estos campesinos y que al mismo tiempo, contribuyeron a la reconfiguración del complejo de relaciones sociales e identitarias existentes.Palabras Clave: campesinos, ganadería, relaciones entre grupos, identidad, estudio de caso, Noroeste de México. Modernization and Socio-Productive Reconfiguration  in a Group of Cattle Raisers Peasant in the Northwest of Mexico, 1964-2000AbstractThis article approaches the study of case of a group of cattle raisers in the northern of Mexico. They are analyzed from a socio-anthropological and historical perspective, which were the aspects that affected so much the development of actions and social relations directed the improvement of his conditions of life as of his productive activity under the modernization process in a semidesert region, during the second half of the 20th century. Qualitative interviews were realized, with the purpose of recovering his experiences and the explanation or meaning of his actions in his own terms. We find that the new productive and financial scheme, the exclusion of the traditional ranching, and the changes in the use and control of the resources water and land, they propitiated internal conflicts between these peasants concerning the control and use of it, as well as the reconfiguration of the existing social relations and identities complex.Keywords: peasantry, cattle ranching,intergroup relation, identity, study of case, northern of Mexico.


2009 ◽  
Vol 16 (6) ◽  
pp. 759-774 ◽  
Author(s):  
Barbro Wadensten ◽  
Gerd Ahlström

The aim of this study was to investigate the experiences of persons with severe functional disabilities who receive personal assistance in their homes, the focus being on their daily life in relation to the ethical principles represented in the Swedish Disability Act: autonomy, integrity, influence and participation. Qualitative interviews were performed with 26 persons and thereafter subjected to qualitative latent content analysis. The experiences of personal assistance were very much in accordance with the said principles, the most important factor being that one is met with understanding. The participants described situations in which their integrity was violated in that they were not treated as competent adults. This indicates the importance of future efforts in nursing to support personal assistants with ethical knowledge and supervision so that they can empower people with disabilities and thereby enable them to maintain their self-esteem and dignity.


2021 ◽  
Vol 13 (14) ◽  
pp. 7563
Author(s):  
Morven G. McEachern ◽  
Gary Warnaby ◽  
Caroline Moraes

Our research examines the extent to which community-led food retailers (CLFRs) contribute to the resilience and sustainability of urban retail systems and communities in the UK, contributing to existing debates on the sustainability and resilience of the UK’s urban retail sector. While existing literature has predominantly focused on larger retail multiples, we suggest more attention be paid to small, independent retailers as they possess a broader, more diffuse spatiality and societal impact than that of the immediate locale. Moreover, their local embeddedness and understanding of the needs of the local customer base provide a key source of potentially sustainable competitive advantage. Using spatial and relational resilience theories, and drawing on 14 original qualitative interviews with CLFRs, we establish the complex links between community, place, social relations, moral values, and resilience that manifest through CLFRs. In doing so, we advance the conceptualization of community resilience by acknowledging that in order to realise the networked, resilient capacities of a community, the moral values and behavior of the retail community need to be ascertained. Implications and relevant recommendations are provided to secure a more sustainable set of capacities needed to ensure resilient, urban retail systems which benefit local communities.


2021 ◽  
pp. 088740342110305
Author(s):  
Esther Nir ◽  
Siyu Liu

Mandatory minimums limit judicial discretion in many jurisdictions in the United States, often compelling judges to impose harsh incarcerative terms. Using qualitative interviews with 41 criminal term judges presiding in a state in the United States, we explore how mandatory minimums influence the judicial sentencing function. We find that judges vary in their approaches to sentencing and that their approaches correspond with their perceptions of mandatory minimum statutes. While our respondents consider case-level, systemic, and pragmatic factors, the majority of judges are focused on the case level and perceive that mandatory minimums often strip away the flexibility they need to craft appropriate sentences in individual cases, leading to punishments that are unduly harsh, and sometimes preventing the imposition of promising alternatives to incarceration. Some judges experience moral dilemmas and guilt feelings during this process. In contrast, judges who highlight pragmatic factors (e.g., public perceptions) are more receptive to statutory restrictions.


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