Tensions, paradoxes
2 Followers
Recent papers in Tensions, paradoxes
En partant du témoignage d’une travailleuse sociale œuvrant dans un service à domicile au Québec, nous nous intéressons dans cet article à certaines expressions actuelles des tensions significatives vécues par les intervenants sociaux... more
En partant du témoignage d’une travailleuse sociale œuvrant dans un service à domicile au Québec, nous nous intéressons dans cet article à certaines expressions actuelles des tensions significatives vécues par les intervenants sociaux aujourd’hui. Nous cherchons à comprendre ce qui s’y joue d’un point de vue éthique, en lien avec les grandes transformations du champ du travail social, de son organisation, des politiques sociales qui le régulent, dans le cadre d’évolutions sociétales plus globales. Nous montrons ainsi en quoi les cadres institutionnels et organisationnels du domaine de la santé et des services sociaux au Québec sont traversés de logiques divergentes, plongeant dans des orientations macrosociales qui véhiculent de nouvelles valeurs et des dispositifs de plus en plus standardisés, appuyés sur la « science » et sur des normes abstraites cadrant étroitement l’intervention. Parmi ces valeurs, nous avons identifié une emphase sur la responsabilité individuelle, mettant en avant le mérite au détriment de la solidarité, et une domination de la raison instrumentale tendant à occulter les horizons de sens et la spécificité des pratiques. Cette analyse ciblée d’enjeux éthiques clefs qui sous-tendent, selon nous, l’intervention sociale aujourd’hui met ainsi en évidence la force expressive possible des pratiques, leur capacité constituante et réflexive qui, si elle est valorisée, peut nourrir la vie des institutions, favoriser leur démocratisation et leur réflexivité. Elle pointe l’enjeu central de la prise en compte des usagers dans ce processus. Nous proposons, en conclusion, quelques pistes pour « travailler » les potentialités et les ouvertures de sens qui s’y expriment, quelques balises pour l’action et pour la construction de la professionnalité, afin de continuer à « travailler » la question du sens au cœur de la relation à l’usager.
- by Carine Dierckx and +1
- •
- Ethics, Social Work, Social Policy, Evidence Based Practice
The purpose of this paper is to explore tensions in global public goods (GPG), based on the case of digital platforms for innovation. GPG designs promise normative ideals of non-rivalry and non-exclusivity, which in practice are... more
The purpose of this paper is to explore tensions in global public goods (GPG), based on the case of digital platforms for innovation. GPG designs promise normative ideals of non-rivalry and non-exclusivity, which in practice are challenged in reality and fraught with tensions. This paper draws on theory of contradictions to illustrate some of these tensions, which confronts simplistic and linear views that implementing GPG health management platforms will translate unproblematically to efficiency gains. The paper explores field data collected by the authors in the Health Information Systems (HISP) research programme around the digital platform (DHIS2) installed in over 80 countries globally, primarily in the health sector. Episodes are taken from action research undertaken by the authors drawn from experiences of multiple implementations in various countries. This paper furthers the theoretical understanding of contradictions inherent arising from the espoused ideals of GPGs and the realities of their implementation and use. The implications focus on the need to move away from simple deterministic visions of GPG towards acknowledging the contested nature of their outcomes .
|RESUMO| Introdução: A procriação medicamente assistida (PMA) com recurso à doação de gâmetas não suscita somente debates científicos, morais, políticos, sociais e religiosos, mas abrange também os envolvimentos pessoais nas relações mais... more
|RESUMO| Introdução: A procriação medicamente assistida (PMA) com recurso à doação de gâmetas não suscita somente debates científicos, morais, políticos, sociais e religiosos, mas abrange também os envolvimentos pessoais nas relações mais próximas. Objetivo: Analisar as controvérsias, tensões e constrangimentos, visíveis ou invisíveis, em torno da PMA com dadores terceiros em França e em Portugal. Métodos: Para este projeto, foram realizadas 66 entrevistas a um conjunto diferenciado de atores diretamente ligados às técnicas de PMA, seja porque a elas recorrem (casais heterossexuais e homossexuais) seja porque são responsáveis pela sua implementação (especialistas em medicina reprodutiva e embriologia) ou pela sua discussão e regulamentação (deputados/senadores e membros de comissões de ética). No total, entrevistámos 20 beneficiários (dez em França e dez em Portugal) e 46 profissionais (22 em França e 24 em Portugal). Resultados: As dez mulheres entrevistadas, nos dois países considerados, apresentam uma semelhança de trajetórias biográficas e de cuidados, numa sucessão de provações no que respeita às suas vivências da infertilidade. Encontram-se todas em situação de conjugalidade heterossexual, têm idades compreendidas entre os 34 e os 43 anos, trabalham no sector terciário e possuem formação superior, exceto em dois casos (ensino secundário completo). Além disso, foi possível explorar as tensões-mas igualmente os compromissos-que emergem no seio de casais com problemas de infertilidade que optam por recorrer à PMA com dadores terceiros. Conclusão: É certamente possível padronizar e regular o procedimento de PMA com dadores terceiros. No entanto, mesmo que os casais se encontrem num processo voluntário e manifesto de anonimização do procedimento, essa tensão permanece, porque é constitutiva do objeto. ABSTRACT| Introduction: Medically assisted procreation (MAP) through gamete donation not only triggers scientific, moral, political, social and religious debates; it concerns personal involvement in close relationships. Objective: Analyzing the visible or invisible controversies, tensions and constraints regarding MAP involving third-part donors in France and Portugal. Methods: In total, 66 interviews were conducted with a different set of actors for the present project. These actors were directly linked to MAP techniques, either because they looked for them (heterosexual and homosexual couples) or because they were responsible for their implementation (specialists in reproductive medicine and embryology) or for discussions and regulations about them (deputies / senators and members of ethics committees). We interviewed 20 beneficiaries (ten in France and ten in Portugal) and 46 professionals (22 in France and 24 in Portugal). Results: The ten women interviewed in the two countries pointed out biographical and care trajectory similarities in the succession of trials to overcome their infertility experience. All these women had heterosexual marriages, were in the age group 34-43 years, worked in the tertiary sector and had higher education, except for two cases (complete secondary education). It was possible exploiting the tensions and commitment that have emerged between partners who have chosen MAP with third-part donors due to infertility issues. Conclusion: It is possible to standardize and regulate the MAP procedure with third-part donors. However, even if couples have volunteered to participate and manifest process secrecy, the tension remains because it is constitutive of the object.
Related Topics