The central topic of this investigation is power in community care accommodation for adults with learning difficulties. Specifically, it undertakes a qualitative psychological investigation into how people living in such accommodation experience power acting upon them, how they relate to themselves as subjects, and what problems they experience with these issues. In addressing these questions, the research draws upon the work of Michel Foucault. Crucially, Foucault (e.g. 1983, 1993), in his later life, understood his work as comprising three inter-related domains of critical enquiry – into truth, power and ethics. It is these three domains that are drawn upon in this research to examine how people talk about their situation. The research thus aims to build up a picture of how people living in care become objects of knowledge, how they are situated in specific power relationships in their homes, and how they understand their own identity and relate to themselves as subjects. This represents a much more detailed investigation into the situation of people living in community care than can be found in the existing literature, and in particular it moves beyond concerns for normalisation or quality of life.
The research proceeded through a qualitative discursive analysis of individual accounts of life in community care accommodation. Seventeen interviews were conducted with people who were living in such accommodation, or who had lived there previously. The aim of the interviews followed interpretative phenomenological analysis (IPA) (Smith, Jarman & Osborn, 1999) in attempting to explore and understand participants’ experiences of life in care. The accounts produced from the interviews were analysed using a combination of IPA and an adaptation of a post-structuralist approach to discourse analysis (Banister, Burman, Parker, Taylor & Tindall, 1994) based around Foucault’s three domains of critical inquiry.
Through these analyses, a number of themes (recurring topics in the interviews that related to the domains of analysis) emerged from participants’ accounts. The interviews showed, firstly, an awareness of processes of observation and assessment by a specific, usually only vaguely-referenced, group of people. There was a lack of understanding or detailed knowledge of these processes, but there was an awareness that they make available negative ways of thinking about people deemed to have learning difficulties and specific decisions and judgements about their care needs. Also, the interviews revealed a set of power relationships in which residents of the homes are conceptually divided from the staff. These power relationships are manifest in such things as residents having prohibitions and imperatives imposed on their conduct, being subject to the decisions of the staff, and being subject to reprimands and punishments for certain types of behaviour. What emerged from the analysis of participants’ discussion of these themes were areas of disagreement and resistance to their positions in power relationships. It was noted that participants were not passively positioned by power, but actively related to themselves as “liberal”, self-expressing and self-determining subjects. This self-relationship clashed with their position in differential power relationships, and created problems that they experienced with their lives in care and with their self-identity. The crucial findings, then, are that care residents’ lives are characterised by differential power relationships in which they occupy a subordinate “place” in their homes, and that they struggle with this position and experience problems with it in relation to their own self-understanding. The research thus demonstrates the importance of attending to individuals’ accounts of their own situation, producing a close reading of what they say, and placing this within the context of the breadth of Foucault’s work, and in particular, his work on ethics and self-relationships.