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Helping people to work: easy read
- Author:
- GREAT BRITAIN. Department for Work and Pensions
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2006
- Pagination:
- 36p.
- Place of publication:
- London
The Government has introduced benefit reforms that permit the disabled, single mothers and older people claimants to try out work, and to return to protected levels of benefit more easily if a job doesn’t work out. For those who are considered more work ready such changes make a real difference. This easy read book sets out their rights and obligations. However, fears persist among claimants that they may fall outside of the protection afforded by such rules or that their continued incapacity might be drawn into question if they try out work.
Negotiating mothering against the odds: gastrostomy tube feeding, stigma, governmentality and disabled children
- Authors:
- CRAIG Gillian M., SCAMBLER Graham
- Journal article citation:
- Social Science and Medicine, 62(5), March 2006, pp.1115-1125.
- Publisher:
- Elsevier
Using the findings of a small-scale qualitative investigation based on in-depth interviews with mothers attending a tertiary paediatric referral centre in London, this paper explores professional and parental discourses in relation to gastrostomy tube feeding and disabled children. Detailed accounts are given of women's struggles to negotiate their identities, and those of their children, within dominant discourses of mothering and child-centredness. Constructions of feeding practices as coercive conflict with normative expectations of ‘good mothering’ and the ‘idealised autonomous’ child. Although notions of ‘stigmatised identities’ featured in women's accounts of feeding children, both orally and by tube, stigma fails to explain why mothers are rendered culpable within expert discourses. Prevailing theories of stigma and coping are interrogated and judged to be more descriptive than explanatory. Felt stigma is posited as an aspect of governmentality.
What evidence, whose evidence?: physical therapy in New York State's clinical practice guideline and in the lives of mothers of disabled children
- Author:
- LANDSMAN Gail H.
- Journal article citation:
- Social Science and Medicine, 62(11), June 2006, pp.2670-2680.
- Publisher:
- Elsevier
To provide recommendations based on the best scientific evidence available about “best practices,” the New York State Department of Health Early Intervention Program sponsored the development of an evidence-based clinical practice guideline for assessment and intervention for young children with motor disabilities. The author served on the multidisciplinary consensus panel convened to develop the guideline, holding a position as a parent of a child with motor disabilities, and in addition utilizing data from her qualitative anthropological research on mothers of young children newly diagnosed with disabilities. This article describes the state panel's process for developing the guideline, focusing on recommendations about physical therapy interventions for cerebral palsy. Although evidence-based practice privileges randomized clinical trials, few studies of physical therapy techniques for young children with motor disabilities meet such criteria for evidence. The panel's recommendations, in the absence of such scientific evidence, are analyzed in comparison with competing theories of motor development in physical therapy research and practice, and with interpretations of physical therapy held by mothers of young children with disabilities who were interviewed in the study. The article explores questions of what constitutes evidence in three arenas: (1) clinical practice guidelines, (2) physical therapy research, and (3) the lives of families of young children with motor disabilities. It has broader implications for understanding how information, variously derived, is transformed into evidence. While to some extent authority and power affect the range of knowledge that can be transformed into evidence, the more significant constraints may be the rules of evidence we value and the particular paradigm of our science.