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Models of disability, work and welfare in Australia
- Author:
- HUMPAGE Louise
- Journal article citation:
- Social Policy and Administration, 41(3), June 2007, pp.215-231.
- Publisher:
- Wiley
In discourse around disability there has been a shift away from a ‘medical model’, which perceives disability as an individual problem to be ‘cured’ or contained, towards a ‘social model’. The latter focuses on the relationship between people with disabilities and their social environment, locating the required interventions within the realm of social policy and institutional practice. Drawing upon a small qualitative study conducted in Melbourne, this article argues that recent plans by the Australian government to introduce mutual obligation requirements for recipients of the Disability Support Pension (DSP) sit in tension with this shift from the medical to the social models of disability. Mutual obligation is based on the assumption that income support recipients need to be taught how to be more ‘self-reliant’, to ‘participate’ in society more fully and to become ‘active’, rather than ‘passive’, citizens. This language appears to overlap with that used to articulate a social model, which places emphasis on participation in the community and attempts a shift away from reliance on the medical profession. However, examples from interviews conducted with current and former DSP recipients demonstrate that, in practice, mutual obligation is likely to reinforce a medical model of disability, frame DSP recipients as ‘conditional’ citizens and ignore the obligations of the state and society regarding access and inclusiveness for people with disabilities.
Judging the ethics of qualitative research: considering ethics as process model
- Authors:
- RAMCHARAN Paul, CUTCLIFFE John R.
- Journal article citation:
- Health and Social Care in the Community, 9(6), November 2001, pp.358-366.
- Publisher:
- Wiley
Decision-making about the ethics of qualitative research in problematic where the research design is emergent, and the balance between risks and benefits for research subjects are difficult to ascertain prior to study implementation. The discourses of health/medical research ethics and those of social research are shown to be divergent and where ethics committees tie themselves to the health/medical model of ethical decision making, qualitative research approaches can be disadvantaged. Having demonstrated the dual discourses and their relevance to qualitative research ethics, a critical review of current approaches to maximising the success of qualitative research proposals being considered for approval by ethics committees is undertaken. This leads to a call for system of monitoring qualitative research so that the 'benefit to risk' ration is always on the side of benefit. This has implications for the way in which ethics committees are organised and the ways in which they function.
Public health, health alliances and primary care
- Author:
- RAYNER Geof
- Journal article citation:
- Health Visitor, 69(1), January 1996, pp.26-27.
- Publisher:
- Health Visitors' Association
Argues that pursuing a primary health care-led NHS does not have to mean adopting the medical model of general practitioner services. The author describes how public health principles can be applied in primary health care, creating a new model for tackling poverty and social issues affecting peoples health.