首页> 外文OA文献 >Empowering interventions in health and social care: recognition through 'ecologies of practice'.
【2h】

Empowering interventions in health and social care: recognition through 'ecologies of practice'.

机译:赋予健康和社会关怀干预权力:通过“实践生态学”得到认可。

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

This article considers findings from two recent qualitative studies in the UK, identifying parallels in the ways in which 'ecologies of practice' in two high-profile areas of health-related intervention underpin processes of empowerment and recognition. The first project focused on policy and practice in relation to teenage motherhood in a city in the North of England. The second project was part of a larger research programme, Changing Families, Changing Food, and investigated the ways in which 'family' is constructed through policy and practice interventions concerning food and health. While UK Government health policy stresses that health and social care agencies should 'empower' service users, it is argued here that this predominantly reflects a managerialist discourse, equating citizenship with individualised self-sufficiency in the 'public' sphere. Drawing critically on Honneth's politics of recognition (Honneth, A. (2001). Recognition or redistribution? Changing perspective on the moral order of society. Theory, Culture and Society, 18(2-3), 43-55.), we suggest that formal health policy overlooks the inter-subjective processes that underpin a positive sense of self, emphasising instead an individualised ontology. While some research has positioned practitioners as one-dimensional in their adherence to the current audit culture of the public sector in the UK, our study findings demonstrate how practitioners often circumvent audit-based 'economies of performance' with more flexible 'ecologies of practice.' The latter open up spaces for recognition through inter-subjective processes of identification between practitioners and service users. Ecologies of practice are also informed by practitioners' experiential knowledge. However, this process is largely unacknowledged, partly because it does not fall within a managerialist framework of 'performativity' and partly because it often reflects taken-for-granted, gendered patterns. It is argued here that a critical understanding of 'empowerment', in community-based health initiatives, requires clear acknowledgment of these inter-subjective and gendered dimensions of 'ecologies of practice'.
机译:本文考虑了英国最近两次定性研究的发现,确定了与健康相关的两个重要领域的“实践生态”在支持和认可过程中的相似之处。第一个项目侧重于英格兰北部某城市与青少年母亲有关的政策和实践。第二个项目是一个更大的研究计划的一部分,“改变家庭,改变食物”,并研究了通过有关食物和健康的政策和实践干预措施来构建“家庭”的方式。尽管英国政府的卫生政策强调卫生和社会护理机构应“赋予”服务使用者以权力,但据此认为这主要反映了一种管理主义话语,即公民身份等同于“公共”领域的个体自给自足。我们批判性地利用了霍纳斯的承认政治(Honneth,A.(2001)。承认还是重新分配?改变了社会道德秩序的观点。理论,文化和社会,第18(2-3)期,第43-55页),我们建议正式的健康政策忽略了主观自我的过程,而主体间过程则是建立积极自我意识的基础,而强调的是个体化的本体论。尽管一些研究已将从业人员定位为遵循英国公共部门当前审计文化的一维度,但我们的研究结果表明,从业人员通常如何通过更灵活的“实践生态”规避基于审计的“绩效经济”。 '后者通过从业者与服务使用者之间的主体间识别过程为识别开辟了空间。实践生态学也从实践者的经验知识中得知。但是,此过程在很大程度上未被认可,部分原因是它不属于“表现主义”管理主义框架之内,部分原因是它通常反映了理所当然的性别模式。本文认为,在基于社区的健康计划中,对“授权”的批判性理解需要明确认识到“实践生态”的这些主体间和性别层面。

著录项

  • 作者

    Fisher P; Owen J;

  • 作者单位
  • 年度 2008
  • 总页数
  • 原文格式 PDF
  • 正文语种 {"code":"en","name":"English","id":9}
  • 中图分类

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号