72 research outputs found

    “Isn’t it funny the children that are further away we don’t think about as much?”: Using GPS to explore the Mobilities and Geographies of Social Work and Child Protection Practice

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    Social work is an inherently mobile and spatial profession; child protection social workers travel to meet families in diverse contexts, such as families' homes, schools, court and many more. However, rising bureaucracy, managerialism and workloads are all combining to push social workers to complete increasing volumes of work outside their working hours (Broadhurst et al., 2009, 2010; Unison, 2017). Such concerns lead to the perception that social workers are increasingly immobilised, finding themselves desk-bound and required to spend much of their working day navigating time-consuming computer systems. This immobilisation of social workers has considerable implications, restricting professionals' abilities to undertake the face-to-face work required to build relationships with families. However, until now, the actual movements of social workers, and how (lack of) movement affects ability to practice, remain unknown. In this paper we report on innovative research methods using GPS [Global Positioning System] devices that can trace social workers' mobilities and explore the use of office space, home working and visits to families in two English social work departments. This article presents unique findings that reveal how mobile working is shaping social care practitioner wellbeing and practice

    The orphanage as an institution of coercive mobility

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    This article reconsiders children’s mobilities through the relationship between care and control in the context of Russia’s disability orphanages. Drawing upon the lens of carceral mobilities, the article challenges the dominant conceptualisations of children’s mobilities as ‘independent’ or necessarily intertwined with notions of ‘wellbeing’. Instead this piece draws upon ethnographic research into the Russian disability orphanage system to present three typologies of multi-scalar carceral mobilities which children experience in this context; firstly as a form of spatial segregation and containment, secondly as a form of punishment and finally enforced stillness and restraint as a form of care. In doing so it provides new insights into the nature of the everyday for children in restricted institutional environments, largely absent from the wider geographical literature. Through the lens of carceral mobility this article provides a more nuanced geographical reading of the orphanage beyond an environment variously understood to harm or problematically to provide shelter, but as an institution enmeshed in biopolitical processes of power and control

    “You're all so close you might as well sit in a circle…” carceral geographies of intimacy and comfort in the prison visiting room

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    This paper considers the intimate exchanges taking place in a space whose public/private designation is indistinct; the prison visiting room. Drawing on extensive research with serving prisoners, their visitors, and prison staff in the UK, and using as an interpretive lens recent geographical conceptualizations of comfort as affective complex, it seeks to better understand how the spaces provided for prison visitation affect the ‘doing’ of intimacy in ways that arguably detract from the potential benefits of prison visitation in supporting the well-being of both prisoners and visitors. The paper suggests that the bodily practices involved in achieving comfort-as-condition-of-possibility may simultaneously undermine the propensity for the resultant corporeal comfort to deliver this effect

    Making Space for Failure in Geographic Research

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    The idea that field research is an inherently “messy” process has become widely accepted by geographers in recent years. There has thus far been little acknowledgment, however, of the role that failure plays in doing human geography. In this article we push back against this, arguing that failure should be recognized as a central component of what it means to do qualitative geographical field research. This article seeks to use failure proactively and provocatively as a powerful resource to improve research practice and outcomes, reconsidering and giving voice to it as everyday, productive, and necessary to our continual development as researchers and academics. This article argues that there is much value to be found in failure if it is critically examined and shared, and—crucially—if there is a supportive space in which to exchange our experiences of failing in the field

    Revealing the hidden performances of social work practice:the ethnographic process of gaining access, getting into place and impression management

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    Whilst the empirical process of research highlights substantive findings, understanding the methodological approach in which access is gained and sustained on field sites is also an integral part of the data. Gaining access in ethnographic studies, in particular, is a complex task which requires researchers to continually negotiate systems and processes in order that they may reflect on the socially embedded practices of their chosen fields. However, once the researchers are accepted, the ethnographer then has to be aware of the effect their presence has on the field and that access is a continual process of negotiation and contestation. Based on a longitudinal study, which conducted a 15-month ethnography in two social work organizations, this article will explore the dilemmas various members of a research team experienced when trying to blend into the different sites. And then, once having achieved their desired position, the challenges they encountered when they realized that their presence was affecting the performances of their participants. We conclude by discussing the importance of reflexivity, power and ethics. Ethnographic research may be a more natural way for researchers to collect data, but it is also a method which positions researchers in situations, where they can easily influence encounters and, in effect, become part of the findings as well

    Supervision in child protection: A space and place for reflection or an excruciating marathon of compliance?

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    Supervision is promoted as an essential element of effective professional practice in social work. Its benefits include promoting reflective social work and assisting with the management of the emotions generated in challenging practice. This article reports on the observations of supervision in a 15-month ethnographic study of social work teams on two very different sites in England, one using hot-desking the other a small team design. Our findings show how supervision is constituted by temporal, spatial and relational elements and that some current organisational designs do not create the ideal environment for reflective supervision to flourish. Far from providing an opportunity for containment of challenging emotions, supervision was sometimes a source of stress. It was experienced as reflective and containing where managers were accessible and space was made for thinking in a context of openness that encouraged regular deep conversations about current work. By experiencing the atmospheres of supervisory encounters and organisational cultures, this study has enabled us to produce new insights into the embodied nature of supervision as it is lived

    Hostile relationships in social work practice:Anxiety, hate and conflict in long-term work with involuntary service users

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    While recognition that some service users do not want social work involvement has grown in recent years, little research has explored what relationships between social workers and ‘involuntary clients’ look and feel like in practice and how they are conducted in real time. This paper draws from research that observed long-term social work practice in child protection and shows how relationships based on mutual suspicion and even hate were sustained over the course of a year, or broke down. Drawing on a range of psycho-social theories, the paper adds to the literature on relationship-based practice by developing the concept of a ‘hostile relationship’. The findings show how hostile relationships were enacted through conflict and resistance–especially on home visits–and how anxiety and other intense feelings were often avoided by individuals and organisations. Much more needs to be done to help social workers recognise and tolerate hostility and hate, to not retaliate and to enact compassion and care towards service users. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

    Case Reports1. A Late Presentation of Loeys-Dietz Syndrome: Beware of TGFβ Receptor Mutations in Benign Joint Hypermobility

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    Background: Thoracic aortic aneurysms (TAA) and dissections are not uncommon causes of sudden death in young adults. Loeys-Dietz syndrome (LDS) is a rare, recently described, autosomal dominant, connective tissue disease characterized by aggressive arterial aneurysms, resulting from mutations in the transforming growth factor beta (TGFβ) receptor genes TGFBR1 and TGFBR2. Mean age at death is 26.1 years, most often due to aortic dissection. We report an unusually late presentation of LDS, diagnosed following elective surgery in a female with a long history of joint hypermobility. Methods: A 51-year-old Caucasian lady complained of chest pain and headache following a dural leak from spinal anaesthesia for an elective ankle arthroscopy. CT scan and echocardiography demonstrated a dilated aortic root and significant aortic regurgitation. MRA demonstrated aortic tortuosity, an infrarenal aortic aneurysm and aneurysms in the left renal and right internal mammary arteries. She underwent aortic root repair and aortic valve replacement. She had a background of long-standing joint pains secondary to hypermobility, easy bruising, unusual fracture susceptibility and mild bronchiectasis. She had one healthy child age 32, after which she suffered a uterine prolapse. Examination revealed mild Marfanoid features. Uvula, skin and ophthalmological examination was normal. Results: Fibrillin-1 testing for Marfan syndrome (MFS) was negative. Detection of a c.1270G > C (p.Gly424Arg) TGFBR2 mutation confirmed the diagnosis of LDS. Losartan was started for vascular protection. Conclusions: LDS is a severe inherited vasculopathy that usually presents in childhood. It is characterized by aortic root dilatation and ascending aneurysms. There is a higher risk of aortic dissection compared with MFS. Clinical features overlap with MFS and Ehlers Danlos syndrome Type IV, but differentiating dysmorphogenic features include ocular hypertelorism, bifid uvula and cleft palate. Echocardiography and MRA or CT scanning from head to pelvis is recommended to establish the extent of vascular involvement. Management involves early surgical intervention, including early valve-sparing aortic root replacement, genetic counselling and close monitoring in pregnancy. Despite being caused by loss of function mutations in either TGFβ receptor, paradoxical activation of TGFβ signalling is seen, suggesting that TGFβ antagonism may confer disease modifying effects similar to those observed in MFS. TGFβ antagonism can be achieved with angiotensin antagonists, such as Losartan, which is able to delay aortic aneurysm development in preclinical models and in patients with MFS. Our case emphasizes the importance of timely recognition of vasculopathy syndromes in patients with hypermobility and the need for early surgical intervention. It also highlights their heterogeneity and the potential for late presentation. Disclosures: The authors have declared no conflicts of interes
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