{"title":"Dimensions of vulnerability salient for health: a sociological approach","authors":"G. Scambler","doi":"10.1080/20021518.2018.1557467","DOIUrl":"https://doi.org/10.1080/20021518.2018.1557467","url":null,"abstract":"ABSTRACT In this explicitly sociological contribution I discern and explore a number of dimensions of vulnerability with potential relevance to people’s health, health-related quality of life and longevity. Reference is made here to (a) anomie, (b) alienation, (c) powerlessness, (d) marginalisation, (e) exclusion, (f) stigmatisation, (g) deviance, (h) cultural imperialism, (i) loneliness, and (j) symbolic violence. These are then explored further in light of the core sociological concepts of structure, culture and agency. In the penultimate part of the paper the mechanisms – or, “media of enactment” – that convert vulnerability into sickness, impairments and premature death are listed and discussed. The concluding paragraphs are committed to a consideration of the ramifications of the analysis for the effectiveness of policy interventions designed to protect people’s health.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"132 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113996905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula Sofie Haugan, M. Berge, Vegard Breiseth, E. Sund, M. Hedlund
{"title":"“Does training in Motivational Interviewing affect the ability to build working alliance? – an intervention study”","authors":"Paula Sofie Haugan, M. Berge, Vegard Breiseth, E. Sund, M. Hedlund","doi":"10.1080/20021518.2019.1595365","DOIUrl":"https://doi.org/10.1080/20021518.2019.1595365","url":null,"abstract":"ABSTRACT Higher education in health science and social work are examples of professional educations were it is vital to continue to learn and develop professional knowledge. This study focused on a specific education program which is of relevance to such professionals. Professional studies in health and social work demand insight into and knowledge of disciplines that embrace physical and mental health, as well as social issues. The aim of this study was to find out whether training in Motivational Interviewing contributed to the development of the ability to build a working alliance. N = 72 students within health and social work were surveyed with the Working Alliance Inventory, a questionnaire on thoughts and feelings in relation to clients (Horvath & Greenburg, 1989). They were surveyed (in 2014 and 2015) before and after a 1-year course in MI, and 73.6% (53/72) responded at both measurement points. Analyses were conducted both on each item (Wilcoxon matched-pairs signed ranks test) and on the three sub-scales: goals, tasks and bonds (paired samples t-test). The study showed no significant association between training in MI and increased the ability to build working alliances; however, an association between training in MI and decreased scoring on the sub-scale, goals, was found.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127947177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-worker dialogue – a tool for health, personal development, and an empowering development culture in the workplace","authors":"Petra Nilsson Lindström, Åsa Bringsén","doi":"10.1080/20021518.2018.1516095","DOIUrl":"https://doi.org/10.1080/20021518.2018.1516095","url":null,"abstract":"ABSTRACT This study explores managers’ perspective on how co-worker dialogue [CWD] can foster co-worker health and personal development, and contribute to an empowering development culture in the workplace. The interview study was performed at a hospital in Sweden. Seventeen hospital managers participated. The managers, both men and women, worked in different areas, and a majority had 30–40 co-workers. To uncover underlying pattern phenomena in the interview data, a six-step inductive qualitative thematic analysis was conducted. The findings present three themes, each highlighting different prerequisites for CWD to function as a resource for the co-workers and the workplace: (1) Utility; (2) Content, and (3) Implementation. The study provides suggestions for and problems of practical implications from the findings. To make the findings useful in other organizations, practical implications are presented and discussed in the light of workplace health promotion [WHP]. The CWD is not focusing on performance the way traditional PA does. The CWD is therefore an important complement to PA in annual co-worker meetings, to also highlight the co-worker perspective. If managers realize the value of working with both PA and CWD, opportunities for health, personal development, and an empowering development culture are created.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117304450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interactional facilitators and barriers to social relationships between students who use AAC and fellow students","authors":"Jørn Østvik, S. Balandin, B. Ytterhus","doi":"10.1080/20021518.2018.1438692","DOIUrl":"https://doi.org/10.1080/20021518.2018.1438692","url":null,"abstract":"ABSTRACT Purpose: This paper investigates the perceptions among parents and staff of how relational aspects among students who use AAC, fellow students, and staff may affect the students’ social relationships. Methods: The study included semi-structured interviews of 6 parents and 18 staff to 7 students using AAC. The interviews were audio-recorded, transcribed verbatim, and analyzed by using a constructivist grounded theory approach. Results: The analysis identified several interactional facilitators and barriers to social relationships between students using AAC and fellow students. Conclusions: The results demonstrated the importance of considering personal as well as environmental facilitators and barriers to the student using AAC’s social relationships. The complexities in how these interactional facilitators and barriers interact with each other are discussed in relation to previous research. Of special importance for the development of the students’ social relationships was shared experiences between students using AAC and fellow students, environmental adaption and support provided by staff and fellow students, staff’s efforts in building goodwill for students using AAC, and fellow students’ confidence in using AAC. As confidence in communicating was associated with reduction of the consequences of challenging communication with students using AAC, the results indicated the importance of providing communication training to fellow students.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132337917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophie Schön Persson, Petra Nilsson Lindström, P. Pettersson, Ingemar Andersson, K. Blomqvist
{"title":"Relationships between healthcare employees and managers as a resource for well-being at work","authors":"Sophie Schön Persson, Petra Nilsson Lindström, P. Pettersson, Ingemar Andersson, K. Blomqvist","doi":"10.1080/20021518.2018.1547035","DOIUrl":"https://doi.org/10.1080/20021518.2018.1547035","url":null,"abstract":"ABSTRACT Relationships at work are important to the psychosocial work environment and may be resources for the employees’ well-being. There is a need for a better understanding of what generate positive relationships at work. The aim of the study was to gain a better understanding of the relationship between employees and managers in municipal healthcare. A qualitative study with twenty-seven individual interviews was conducted with healthcare employees and managers in municipal healthcare. The relationship between manager and employees and its possible contribution to well-being was a key focus. A comparison and tentative analysis, inspired by hermeneutics, was used in order to analyse similarities and differences in employee and manager experiences. The findings revealed similarities as well as considerable differences between employees and managers in their experiences. Two themes emerged from the interpretation of the text: (i) Health-promoting relationships are characterized by asymmetry and by a manager that stands outside the group; and (ii) Health-promoting relationships are characterized by mutuality and symmetry and by a manager that is part of the group. The relationship between the employees and the managers are both a resource for doing a good job and a means for achieving belongingness at work. To highlight well-working aspects of relationships at work, may contribute to a better psychosocial work environment and, ultimately, the well-being among healthcare recipients.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121584586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equality and differences: group interaction in mixed focus groups of users and professionals discussing power","authors":"Ingrid Femdal, Marit Solbjør","doi":"10.1080/20021518.2018.1447193","DOIUrl":"https://doi.org/10.1080/20021518.2018.1447193","url":null,"abstract":"ABSTRACT Using focus groups, the group interaction provide an important source of data about the group process. The aim of this study is to explore how users and professionals in mixed focus groups interact when discussing power in user-professional relationships. By analysing three mixed focus group discussions where both mental health service users and professionals participate, the article contributes to the discussion on focus group interaction in mixed focus groups. The analysis is inspired by Stevens’ twelve-question guide for group interaction. The results show how the participants related to the vignettes, how they related to each other, and contradictions and disagreements in the focus groups discussing the vignettes. Despite the participant’s background as users and professionals, the vignettes engaged the group discussions and became a tool for equality within the groups. By discussing power in user-professional relationships in mixed focus groups, the vignettes were interpreted from perspectives as user, mental health workers and researchers. Mixed focus group interaction can make a valuable contribution to developing knowledge in the field of mental health service research.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125752818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe","authors":"S. S. Hovdenak, Eline Wiese","doi":"10.1080/20021518.2018.1451174","DOIUrl":"https://doi.org/10.1080/20021518.2018.1451174","url":null,"abstract":"ABSTRACT In international research on medical education the concepts of professionalism and professional development have been increasingly focused. The article problematizes and discusses these concepts in relation to the Aristotelian concepts of episteme, techne and phronesis. Phronesis as a form of knowledge is of fundamental importance regarding professionalism and professional development, and can be regarded as a response to an instrumentalist understanding of medical education. The article reports from an ongoing qualitative study following the revision of the study programme in medicine at the Medical School University of Tromsoe, The Arctic University of Norway. In the renewed programme the concept of phronesis is paid attention to, and the article discusses how phronesis is focused on different learning arenas. The data presented builds on the students’ perspectives on phronesis as a form of knowledge in medical education.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115666810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annette Björk, Ylva Rönngren, J. Selander, S. Vinberg, O. Hellzén, N. Olofsson
{"title":"Health, lifestyle habits, and physical fitness among adults with ADHD compared with a random sample of a Swedish general population","authors":"Annette Björk, Ylva Rönngren, J. Selander, S. Vinberg, O. Hellzén, N. Olofsson","doi":"10.1080/20021518.2018.1553916","DOIUrl":"https://doi.org/10.1080/20021518.2018.1553916","url":null,"abstract":"ABSTRACT Background: Persons with Attention Deficit Hyperactive Disorder (ADHD) represent a high-risk population according to health and lifestyles. In the present study, 48 adults with ADHD were recruited to a forthcoming lifestyle intervention. The ADHD sample was matched to a random sample of 42 persons from a Swedish general population that was selected from LIV (a Lifestyle-Performance-Health project). Objective: To identify potential differences in health, lifestyle habits, and physical fitness between adults with and without ADHD. Method: Self-reported questionnaires and physical fitness tests. Results: The ADHD group show worse health outcomes with higher odds ratios for bad general health (OR;13 CI; (3,4–50)), and poorer lifestyle habits with higher odds ratios for low weekly exercise (OR; 3,8 CI; (1,2–13)). When adjusting for education, employment status, and cash margin, the ADHD sample did not show decreased aerobic fitness (OR; 0,9 CI; (0,8–1,0), but lower odds ratios for doing less sit-ups (OR; 0,6 CI; (0,4–0,9)) compared to the general population group. Conclusion: It is not possible to prove that the ADHD diagnosis itself cause the worse health and lifestyle. Other lifestyle factors may have negative consequences of adult ADHD, such as lower levels of education, less succeed in working life, and minor financial margins.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126944979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inclusion, sustainability, and equality: how can research contribute?","authors":"A. Härenstam","doi":"10.1080/20021518.2017.1332856","DOIUrl":"https://doi.org/10.1080/20021518.2017.1332856","url":null,"abstract":"ABSTRACT Polarisation, segregation, exclusion, inequality, and vulnerability are real threats to our societies. What kind of research can identify and explain the mechanisms involved in creating what we need to strive for integration, inclusion, equality, and social sustainability? What kind of questions shall we raise? How can we decrease the gap between research and practice? In fact, striving to keep to the standards of excellent science might result in missing important aspects and new perspectives. There is a risk that within disciplines, science is too abstract and narrow-minded. My intention here is to share some reflections on how we can learn from earlier experiences of research on inequalities and to discuss some alternative ideas on approaches that might contribute applicable knowledge.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131747998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managers’ and employees’ views of critical aspects for alcohol abuse prevention at small and medium enterprises – the case of ski resorts in Northern Sweden","authors":"Maria Warne, E. Wall, S. Vinberg","doi":"10.1080/20021518.2017.1355719","DOIUrl":"https://doi.org/10.1080/20021518.2017.1355719","url":null,"abstract":"ABSTRACT Seasonal workers at tourism resorts, particularly young employees, represent a high-risk population for alcohol abuse and other negative lifestyles. This study explores how managers and employees at ski resorts in Northern Sweden experience critical aspects for hazardous alcohol use at small- and medium-sized enterprises. This analysis is based on one open-ended question about hazardous alcohol use prevention at the workplace answered by 153 employees, and semi-structured interviews about being a manager at a ski resort conducted with 13 managers. The analysis showed that managers’ views regarding hazardous alcohol use prevention were double-edged, which was confirmed by the employees’ answers. The managers contribute to the preservation of existing alcohol norms but simultaneously enforce policies and administer tests to control employees’ sobriety at work. Three themes emerged: reproducing existing alcohol norms, an alcohol-controlled working environment and care-taking managers. The results identified a need for early prevention initiatives focusing on the norms and work cultures of small- and medium-sized ski resorts. In relation to the theory of planned behaviour, the analysis illuminates how evaluations of behaviours related to alcohol consumption are communicated in policies and through leadership. In addition, the importance of social pressure regarding alcohol use is clarified in the material.","PeriodicalId":254363,"journal":{"name":"Society, Health & Vulnerability","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129251025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}