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Places of Care

Places of Care. Chapter 12. Main points. Health and social care occur in distinct places, and these places can exert influences over that care and quality of life for the people receiving it.

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Places of Care

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  1. Places of Care Chapter 12

  2. Main points • Health and social care occur in distinct places, and these places can exert influences over that care and quality of life for the people receiving it. • There are problems with institutional care, which at worst can result in the loss of identity and residents becoming institutionalised. • There exist problems in defining community, and evidence suggests that community involvement is giving way to increasing individualism. • Informal care given by friends and family is an important feature of supporting and looking after people in the community. • The act of caring can bring about changes in the home and in relationships between those who receive and those who give care.

  3. Care, docile bodies and institutions • Institutionalisation • Needs of institution create docility and compliance • Institutions can restructure self and identity (Goffman 1968; Foucault 1967)

  4. Critiques of institutions • Foucault – the ‘mad’ separated out from society. • Panopticon instils new forms of control and surveillance. • ‘Moral’ as opposed to ‘physical’ control. • Scull – institutions meet the needs of capitalism by ‘warehousing’ thus enable to work.

  5. Goffman and institutionalisation

  6. What is community? • Community is used to mean many different social arrangements and interactions. • For example, Student Community, Business Community, Black Community, Gay Community, Local Community, Community Care.

  7. Bowling Alone and social capital • Better civic engagement on a variety of fronts leads to a variety of useful outcomes. • Decrease in such engagement in recent decades (Putnam 1993, 2000).

  8. What is informal care? • Informal care is provided for others. • Informal care is non-institutional care. • Informal care is unpaid care. • Informal care is provided through bonds of kinship. • Informal care is typically applied to those requiring long term care. (Graham 1999)

  9. Home and care • Home ‘entextured’ emotionally and aesthetically • Home and body as object of work? • Mirroring of home with physical decline. (Angus et al. 2005)

  10. The body and care • The body is also symbolic and social. • Caring for someone can involve physical intimacy. • This can reorder pre-existing bodily interactions. • It can desexualise physical contact. • There are possible problems both for the person who is cared for and the carer.

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