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Social Work and the Quality of Life Politics - A Critical Assessment

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Abstract

The feature of this paper is a critical assessment of the current discourses about quality of life (QoL) and their implications for Social Work. At first it pictures some major historical backgrounds of the discussion on the improvement of life quality as an aim of societal development. In particular three crucial shifts in the politics of QoL - its 'individualisation', its 'informalisation' and its 'culturalisation' - and their implications for Social Work are critically examined theoretically and empirically referring to the results of an own community-study. The paper concludes with an alternative suggestion reflecting the idea of an 'autonomy-based' approach of democratic equality.

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... From a social work perspective, studies that presented the residents' "voice" were exceptionally difficult to find and most of the studies focused on demographic and illness attributes and other measures as opposed to the narrative of what influenced QOL. Although subjective wellbeing is the measurement of QOL, the real aim is for the individual's QOL to be better, bearing in mind that at times their individual point of reference might be from a very low base (Landhauser & Ziegler, 2005). To this end, Connell et al. (2012) found in their qualitative systematic review, the major domains seen as important by people with SMI were "well-being and ill-being; control, autonomy and choice; self-perception; belonging; activity; and hope and hopelessness" (p. ...
... 15). As Landhauser and Ziegler (2005) concluded, the point of QOL is the realisation of autonomy and democracy, and therefore social workers can contribute to an understanding of QOL to reflect real freedom and thus personal and social autonomy of people: "The real freedom we're concerned with is not only the freedom to purchase or consume. It is the freedom to live as one might like to live" (Van Parijs, 1997, p. 30). ...
Article
For people with severe mental illness (SMI), housing type based on the level of professional input and support is an important factor in maintaining health. Housing impacts on quality of life (QOL); however, studies have not comprehensively explained the relationship between the types of housing and QOL. This scoping review investigates the relationship between the quality of life of people living with severe mental illness, housing, and objective sense of autonomy. Nine online databases were searched for studies published from 2000 onwards that identified research studies of adults with severe mental illness living in a variety of housing types. Fourteen studies met the eligibility criteria. The findings show that supported housing that offered access to trained staff led to a higher QOL and in turn an increase in autonomy. Allowing residents to choose their preferred type of housing also increased their QOL. Nonsupported group housing allowed for the development of friendships, which in turn had a positive impact on QOL, but there was little evidence to support this model. Despite this, social isolation and victimisation were areas of concern. This review adds to the body of evidence against transinstitutionalisation and emphasises the need for ongoing psychosocial interventions and support for people living with SMI in community settings. IMPLICATIONS • Different housing options for residents living with severe mental illness can impact their quality of life. • Policymakers and practitioners need to consider the impact of the level of support and sense of autonomy on the quality of life of residents living in supported and nonsupported housing. • Social work can contribute professional expertise in developing a policy or framework to improve quality of life in society.
... Chances of success or failure are internalized and then transformed into individual aspirations or expectations; these are then in turn externalized in action that tends to reproduce the objective structure of life chances. " In deprived situations any 'subjective' self-evaluation in terms of satisfaction, desire fulfilment or happiness may thus be potentially cynical or at least point to directions susceptible to mistakes (see Landhäußer and Ziegler 2005). This is, inter alia, because the social positions of individuals and groups may be considered as a kind of social matrix within which, as Pierre Bourdieu (1984, 471) puts it " interactions of everyday life, the social order is progressively inscribed in people's minds. ...
... In deprived situations any 'subjective' self-evaluation in terms of satisfaction, desire fulfilment or happiness may thus be potentially cynical or at least point to directions susceptible to mistakes (see Landhäußer and Ziegler 2005). This is, inter alia, because the social positions of individuals and groups may be considered as a kind of social matrix within which, as Pierre Bourdieu (1984, 471) puts it " interactions of everyday life, the social order is progressively inscribed in people's minds. ...
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This paper provides an outline about the basic ideas of the capability approach. It will be argued that the capability approach is able to provide an appropriate approach in order to evaluate educational and social human services. As an egalitarian approach to social justice, the capability approach has particular strengths when issues concerning the actual life-conduct of tangible human beings come to the fore. In particular educational aspects of welfare and well-being might thus be well grounded on the Aristotelian reasoning of the capability approach. The paper focuses on the potentially fruitful relations of the capability approach and the philosophy and practice of ‘just’ education referring to the idea of the autonomy of life-practice.
... First, the study aims to compare the democratic consumer capitalist case of London with the non-democratic consumer capitalist case of Hong Kong. This distinction allows one to begin to address the question whether the democratic consumer capitalist case of London will somehow better reflect the politics of unsustainability than its non-democratic counterpart given differences in their articulated legitimacy-governing (Landhauber and Ziegler, 2005)? The underpinning logic of this approach is that whereas democratically elected governments need to secure lasting electoral support (democratic legitimacy) for policy measures that impose major burdens on their electorates primarily for the benefit of future generations (Blühdorn, 2011), non-democratic ones can pursue more authoritarian paths (Beeson, 2010). ...
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... Disputes concerning the issues of indicator selection, definition and weighting, for example, are all renowned for being irreconcilable in the QOL (Akranavičiūtė and Ruževičius, 2007) domain. However, by limiting the scope of the QOL concept to some collective 'public-based' understanding (Leitmann, 1999), the term is able to be theorised in terms of its facilitation of legitimating governing, what Landhauber and Ziegler (2005) refer to as normative 'social-cultural-political issues'. ...
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In contrast to London's image as a global city and its position as the most affluent region in Europe, the formally established empirical evidence assembled in this paper suggests that spatial inequality in the capital is a key economic and social problem that is unlikely to be resolved by the prevailing localism doctrine of the big society'. Isolated from an initial and non-discriminate England-wide clustering analysis of 73 Audit Commission-defined quality of life indicators, the results of our study reveal that pivotal to London's prevailing quality of life distribution is the influence of deprivation, health and educational inequalities, all of which are masked at a pure inner' and outer' London comparison, capable only of distinguishing the city's borough-level transport and community safety diversity. The policy implications of our study are duly considered and several methodological insights are advanced for future research.
... The apparent demotion of income and material issues by the wellbeing agenda has led some commentators, such as Landhauber and Ziegler (2005), to suggest that this is dangerous for marginal groups because it is part of a conceptual (re-)orientation by government, in which poverty and inequality are no longer regarded as prime targets or objects of policy. Instead, the emergent politics (of wellbeing) revolves around personal, often psychological, development or, as the NEF report states, 'positive and happy people are more likely to overcome their problems' (2004: 3). ...
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A wellbeing agenda has emerged in government that seeks to promote a ‘politics of happiness’, in which citizens are, as the New Economics Foundation put it, ‘happy, healthy, capable and engaged’ (2004: 2). This article explores the wellbeing agenda in the UK, and its implications for disabled people. We argue that it is unlikely, in its present form, to contribute to the development of social theoretical, or more politically progressive, analysis and understanding of disablement in society. This is because of the emphasis on biologism, personality and character traits, and a policy prognosis that revolves around self-help and therapy, or individuated actions and (self) responsibilities.
Thesis
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Chapter
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This paper describes a research project that explored the relevance of Putnam's (1993) definition of social capital (as consisting of social networks, norms of trust, reciprocity, civic engagement and participation in communities) with children and young people in disadvantaged areas. Also, the paper presents data from an empirical sociological study that attempted to explore the meaning and relevance of different aspects of "social capital" for 12-15 year olds living in two deprived areas of a town in SE England. It is based on young people's descriptions of their everyday lives, and focuses on four elements: accounts of parents and the centrality of mothers; gender differences in accounts of the meaning and nature of friendship; gender differences in experiences of neighbourhood spaces and local facilities; and gender differences in young people's aspirations for the future.
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This article applies a Foucauldian analytics of government to recent developments in the European Union (EU), focusing particularly on open methods of co-ordination (OMCs) in the EU. It argues that in the perspective of an analytics of government, the open method of co-ordination can fruitfully be understood as ‘advanced liberal government’, a particular conceptualization of government constituted of ‘practices of liberty’. These practices continuously presuppose, depend on and enable their subjects – in the case of the OMC most often the relevant national government agencies. At the same time, however, they shape and reshape them. There is thus a dual nature to the open method which is typical of advanced liberal government: the method enables and opens up new possibilities for its subjects and at the same time restrains these subjects as they are subjected to a certain calculative and disciplinary regime.
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Welfare spending in the UK is too low to provide services at the level to which most citizens aspire. The problem is that, although most people state in surveys that they would like to pay higher taxes for better services, politicians from all the main parties generally do not believe that they would put their vote where their mouth is. Advocates of higher spending increasingly retreat to a position of promoting ear-marked taxes for specific, highly favoured services, as in the 2002 Budget plan to finance the cost of improvements in the highly valued NHS through increased National Insurance Contributions. Recent theoretical work further undermines arguments for higher state spending: an important strand in political science argues that trust in state institutions is in decline, and work in sociology claims that citizens are becoming more independent, reflexive and keen to take responsibility for meeting their own needs. This paper uses data from a recent ESRC-financed national survey to examine these arguments. It shows real support for hypothecated taxes for the NHS, and more generalised support for higher taxes for welfare provision. Such support is not undermined by a decline in citizen trust in the welfare state or by a rejection of collective solutions. However, there is little endorsement of hypothecated taxation in other areas, and the use of such measures may encourage citizens in a pick-and-mix approach to welfare services.
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The broad contours of the move from the old to the new welfare are well established but the changes in social theory which bear on this have been relatively neglected. Also neglected are the links between these theoretical positions and contemporaneous shifts in economic thought. Drawing on the works of Titmuss, Marshall, Putnam and Etzioni, this paper traces how understandings of social cohesion, social provision, responsibility and obligation have shifted over time. It then indicates the relationship between these constructions and parallel developments in economic theory. Here attention is drawn to a fundamental ideological tension between communitarian and neo-classical accounts. It is argued that governments attempt to resolve this tension by projecting notions of moral disintegration onto welfare claimants. Alternatives to the new welfare are canvassed in the final section of the paper.
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S. Baron, J. Field and T. Schuller (eds) (2000) Social Capital: Critical Perspectives , Oxford University Press, Oxford A. Portes (1998) ‘Social capital: its origins and perspectives in modern sociology’, Annual Review of Sociology , 243, 1, 1–24. R. Putnam (2000) Bowling Alone: The Collapse and Revival of American Community , Simon & Schuster, New York