scholarly journals Father Involvement, Care, and Breadwinning: Genealogies of Concepts and Revisioned Conceptual Narratives

Genealogy ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 14 ◽  
Author(s):  
Andrea Doucet

This paper addresses an enduring puzzle in fathering research: Why are care and breadwinning largely configured as binary oppositions rather than as relational and intra-acting concepts and practices, as is often the case in research on mothering? Guided by Margaret Somers’ historical sociology of concept formation, I conduct a Foucauldian-inspired genealogy of the concept of “father involvement” as a cultural and historical object embedded in specific histories, conceptual networks, and social and conceptual narratives. With the aim of un-thinking and re-thinking conceptual possibilities that might expand knowledges about fathering, care, and breadwinning, I look to researchers in other sites who have drawn attention to the relationalities of care and earning. Specifically, I explore two conceptual pathways: First the concept of “material indirect care”, from fatherhood research pioneer Joseph Pleck, which envisages breadwinning as connected to care, and, in some contexts, as a form of care; and second, the concept of “provisioning” from the work of feminist economists, which highlights broad, interwoven patterns of care work and paid work. I argue that an approach to concepts that connect or entangle caring and breadwinning recognizes that people are care providers, care receivers, financial providers, and financial receivers in varied and multiple ways across time. This move is underpinned by, and can shift, our understandings of human subjectivity as relational and intra-dependent, with inevitable periods of dependency and vulnerability across the life course. Such a view also acknowledges the critical role of resources, services, and policies for supporting and sustaining the provisioning and caring activities of all parents, including fathers. Finally, I note the theoretical and political risks of this conceptual exercise, and the need for caution when making an argument about fathers’ breadwinning and caregiving entanglements.

1997 ◽  
Vol 6 (4) ◽  
pp. 461-469 ◽  
Author(s):  
Tom Koch

The critical role of surrogates—commonly if erroneously called “Informal caregivers”—has been generally ignored by clinical and bioethical literatures. While assumed to provide no more than ancillary support, these patient representatives directly or indirectly affect patient care to the extent they inhibit or facilitate both home-based care and patient decisions regarding treatment alternatives. Members of this group include relatives and neighbors who may or may not act in consort as advisors, assistants, care providers, and surrogate decisionmakers acting on the patient's behalf with members of the medical community. Not only do they often possess a critical voice strongly influencing both patient care decisions and, after discharge, home care and rehabilitation, this paper argues they do so from a perspective that is often radically different from one endorsed by medical professionals.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (5) ◽  
pp. 735-737
Author(s):  
Mark Grabowsky ◽  
Walter A. Orenstein ◽  
Edgar K. Marcuse

There are five principal ways providers can raise immunization coverage levels among their patients. First, assure that all appropriate opportunities for vaccination are taken. Second, give patients all vaccines for which they are eligible. Third, use only valid contraindications. Fourth, assess immunization status and immunize at all visits, regardless of the reason the parent is seeking care. Fifth, implement aggressive reminder systems to notify parents when immunizations are due. The information presented here suggests that some changes in the way physicians deliver vaccinations are needed. Vaccination is one of the most beneficial services providers can give their patients. In addition to avoiding unnecessary suffering through prevention of disease, disability, and death, vaccination saves society from $6 for every $1 spent on oral poliovirus vaccine19 to $29.00 for every $1.00 spent on diphtheria-tetanus-pertussis vaccine.20 As health care providers, we have an opportunity to assure that our patients get the full benefit of this service. These results suggest that, once motivated, physicians and nurses should be able to determine the best way to get their patients vaccinated using a variety of techniques.


Author(s):  
Theresa A. Gaffney

Two decades after the Institute of Medicine Report, To Err is Human: Building a Safer Health System illuminated the high number of preventable deaths and adverse events associated with health care, medical errors remain a top global concern. To date, resources have been focused on preventing medical errors; however, the importance of error recovery must not be overlooked. Medical errors cannot be fully eliminated from our health care system, yet many errors can be recovered thus preventing patient harm. This chapter will (1) define and describe the error recovery process, (2) discuss the role of health care providers in error recovery, (3) explore strategies that enhance and prohibit error recovery, and (4) analyze characteristics that influence error recovery. Given the importance of patient safety within the health care industry, health care professionals and organizations must focus on both error prevention and error recovery as a key strategy in keeping patients safe.


2021 ◽  
Vol 13 (23) ◽  
pp. 13031
Author(s):  
Lu Wang ◽  
Rose Gilroy

This paper, drawn from a wider doctoral study that investigates how middle-class Chinese families manage and balance their resources to negotiate family duties across generations, focuses on the role of home ownership and property. The research considers intergenerational equity, which is a key part of social sustainability, and uses this to explore the shifting care expectations between generations and the inherent tensions between socioeconomic opportunities that have changed the shape of families and the belief in the importance of the family unit as a vehicle to deliver care. The research draws on the narratives of whole families in a ten-family study undertaken in the Chinese city of Tianjin. The findings reveal the critical role of housing resources in presenting alternative solutions to the performance of care. Firstly, the opportunity to make new choices in the face of shifting priorities across the life course is facilitated by property ownership. Secondly, it facilitates the possibility of living close by, but not together, maintaining the privacy of the nuclear family, but fulfilling care roles. Thirdly, housing resources promote variations on the traditional co-residence pattern for supporting frail elders and, finally, new forms of co-residences where care flows to the young family and their children.


2008 ◽  
Vol 15 (2) ◽  
pp. 50-59 ◽  
Author(s):  
Amy Philofsky

AbstractRecent prevalence estimates for autism have been alarming as a function of the notable increase. Speech-language pathologists play a critical role in screening, assessment and intervention for children with autism. This article reviews signs that may be indicative of autism at different stages of language development, and discusses the importance of several psychometric properties—sensitivity and specificity—in utilizing screening measures for children with autism. Critical components of assessment for children with autism are reviewed. This article concludes with examples of intervention targets for children with ASD at various levels of language development.


1998 ◽  
Vol 5 (1) ◽  
pp. 115A-115A
Author(s):  
K CHWALISZ ◽  
E WINTERHAGER ◽  
T THIENEL ◽  
R GARFIELD
Keyword(s):  

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