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Background: Therapeutic relationships are fundamental in aphasia rehabilitation, influencing patient experience and outcomes. While we have good understandings of the components of therapeutic relationships, there has been little exploration of how and why therapists construct and enact relationships as they do. Sociological theories may help develop nuanced understanding of the values, assumptions and structures that influence practice, and may facilitate critical reflexivity on practice. Aims: To explore the potential for theoretical approaches from outside speech–language therapy to enable a deeper understanding of the nature and enactment of therapeutic relationships in aphasia rehabilitation. Methods & Procedures: An explanatory single case study of one speech–language therapist–patient dyad in an in‐patient stroke rehabilitation setting. Data included observations of five interactions, two interviews with the client and three interviews with the speech–language therapist. Analysis was guided by analytical pluralism that applied aspects of three sociological theories to guide data analysis and make visible the contextual factors that surround, shape and permeate the enactment of therapeutic relationships. Outcomes & Results: The analysis of this dyad made visible individual, interactional and broader structural features that illustrate the dynamic processes that practitioners and patients undertake to enact therapeutic relationships. Clinical practice could be viewed as a performance with each person continually negotiating how they convey different impressions to others, which shapes what work is valued and foregrounded. The patient and therapist took up or were placed in different positions within the interactions, each with associated expectations and rights, which influenced what types of relationships could, or were likely to, develop. Organizational, rehabilitation and individual practitioner structures assigned rules and boundaries that shaped how the therapist developed and enacted the therapeutic relationship. Whilst the therapist had some agency in her work and could resist the different influencing factors, such resistance was constrained because these structures had become highly internalized and routinized and was not always visible to the therapist. Conclusions & Implications: While therapists commonly value therapeutic relationships, social and structural factors consciously and unconsciously influence their ability to prioritize relational work. Sociological theories can provide new lenses on our practice that can assist therapists to be critically reflexive about practice, and to enact changes to how they work to enhance therapeutic relationships with clients. What this paper addsWhat is already known on the subjectTherapeutic relationships are critical in aphasia rehabilitation. We have a good understanding of the different components of therapeutic relationships and how relationships are perceived by patients and practitioners.What this paper adds to existing knowledgeThis study is novel in its use of sociological lenses to explore contexts and complexities inherent in building and maintaining therapeutic relationships. These are often invisible to the practitioner but can have a significant impact on how relational work is enacted and what forms of relationship are possible.What are the potential or actual clinical implications of this work?This study will support clinicians to critically reflect on how they enact therapeutic relationships and may enhance awareness of the often‐hidden factors which influence the ways in which they work. [ABSTRACT FROM AUTHOR]

In this paper I seek to delineate how the relationship between social work and sociology has been regarded in more recent years as represented by textbooks. In the light of such writing, I review the nature, themes and extent of sociological interest in social work in the past and the present. I set out a partial and provisional agenda for interlacing disciplinary and professional work. [ABSTRACT FROM AUTHOR]

The materialist thread within health sociology has observed a clear gradient linking inequalities in health with measures of social class and poverty. More recently, Bourdieu's approach to social class complemented the 'economic capital' of Marxist analysis with 'symbolic' capitals such as 'social' and 'cultural'. However, efforts to assess how symbolic capital interacts with health disparities reveal complex or contradictory effects. In this paper, we re‐materialise the study of health and social position via a new materialist focus on the interactions between humans and non‐human matter (NHM). We analyse empirical data to disclose the range of human/NHM interactions in daily life, and how these affect people's health status. These interactions establish physical, psychological and social opportunities and constraints on what human bodies can do, contributing to relative advantages and disadvantages. We argue for a revised materialist understanding of sociomaterial position as constituted by a 'thousand tiny dis/advantages', and suggest that health and wellbeing are inextricably linked to dis/advantage. [ABSTRACT FROM AUTHOR]

This paper argues that, for both sociological and epistemic reasons, the ethics of war needs the social sciences and, accordingly, sets an alternative to the two prevailing approaches in the literature in the ethics of war field, i.e. the just war tradition model and the ethics of war theory. Given what we learn from the factual description of war and its interpretation in the social sciences, and given what their epistemic premises are, both models - and more particularly the second one - fail to address important normative issues that arise in the course of warfare. Based on the discussion of two case studies - states' policy in the face of hostage-taking and the rule of proportionality - I argue it is important to move beyond the divide between a state-centric approach (the just war tradition) and an individualistic one (the ethics of war theory): it is indispensable to take into consideration other social spheres where norms emerge and find, between those spheres, some 'overlapping normative ground'. I argue, both sociologically and normatively, that norms rely upon interlocking sets of expectations. I also argue that these social expectations need to be thoroughly examined in order to ascertain the plausibility of norms in warfare. As a conclusion, for reasons that are both sociological and normative, I stress the political importance, within a liberal and knowledge-oriented society, of the access to facts that always need to be interpreted when making normative claims. [ABSTRACT FROM AUTHOR]

The branding of ayurveda as a market strategy for the health consumer has become an important factor in the creation of 'New Age orientalist desire'. Using Vedic Village as a case, this paper shows how new age orientalism has been spread in modern India to middle class professionals, entrepreneurs and overseas health tourists. With this representation, ayurveda has become a wellness therapy instead of a means to restore health, and affluent people can now buy a package of 'ayurvedic healthy life' without changing their lifestyles. In addition to Euro-American health tourists, emerging middle class professionals and entrepreneurs in modern India have also become an integral part of the process of 'new age orientalization'. This paper concludes that the commodijied version of ayurveda, which has been developed in the West as part of 'wellness and spa culture', has become popular among the affluent middle class in India and abroad today, and through this the West has claimed and justifies authority over Eastern medicine. [ABSTRACT FROM AUTHOR]

Abstract: A growing literature in sociology examines external classification systems, usually implemented in the context of industries. Classification systems are analogous to the structure of individual cognition, though the specific nature of the link between these external classification systems and individual cognition is usually unexplored. This paper uses the example of the World Bank''s lending classifications to examine the relationship between rules and classification and to argue that the organizational context of classification is central to assessing the cognitive impact of classification. The paper adds these results to existing work on external classification systems to provide a framework for understanding the range of possible relationships between external classification systems and the cognition of individuals. [Copyright &y& Elsevier]

This paper argues for the importance of a broad sociological engagement with bioethics. It begins by considering why sociologists should be interested in bioethics and then goes on to explore the cognitive critique of bioethics developed by ethnographers. Some of these authors have also suggested that a more robust bioethics might emerge through the incorporation of the tools of ethnographic analysis. In this paper, it is argued that this is an important claim which needs to be analysed further and that Foucault's concept of discursive formations provides a useful framework for doing so. Once bioethics is redescribed as a discursive formation, the paper explores the challenges and obstacles that sociology and ethnography face in their attempt to open up a space for themselves in bioethics. The paper concludes by suggesting that sociologists and ethnographers need to reflect on the ways in which they might democratically secure legitimacy for their own claims in the field of social ethics. [ABSTRACT FROM AUTHOR]

In the paper, we are looking at the relationship between globalisation and the professional project, using nursing in Kerala as an exemplar. Our focus is on the intersection of the professional project, gender and globalisation processes. Included in our analysis are the ways in which gender affects the professional project in the global south, and the development of a professional project which it is closely tied to global markets and global migration, revealing the political-economic, historical, and cultural factors that influence the shape and consequences of nurse migration. The phenomenon that enabled our analysis, by showing these forces at work in a particular time and place, was an outbreak of strikes by nurses working in private hospitals in Kerala in 2011–2012. [ABSTRACT FROM AUTHOR]

The paper tells of the social constructs surrounding young children with learning difficulties in their home, 'special' early education setting and 'inclusive' or mainstream early education setting in England. The exploratory study focused on how three- to four-year-old children made sense of their environments and how their identities were constructed by different parties in the different contexts. Ethnographic case studies were conducted using semi-structured and informal interviews with parents and practitioners, documentary analysis, fieldnotes, and live and video observations. Shared constructions across the contexts for each child were common, with constructions of them being happy and making progress pervasive across the children and settings. Differences in constructions across settings indicated that qualities could shine or negative constructions be tempered, thus showing the role of the environment and the culture of inclusion in socially constructing children with special needs. [ABSTRACT FROM AUTHOR]

This paper reports on a qualitative study of UK mental health practitioners' experiences of working with the contested condition, dangerous and severe personality disorder (DSPD). Our interviews focused on the issues of treatability, risk assessment and decision-making in multi-disciplinary teams. We discuss the approach of values-based medicine (VBM) as a useful framework for interpreting the data: respondents cited both explicit values (based on occupational training) and implicit values (based on personal beliefs and subjective perceptions). There was evidence of conflicting values -- within individuals, between occupational groups, and between individuals in occupational groups -- which led to widespread uncertainty and caution about whether and how those with 'dangerous' personality disorders could be treated. These disputes were resolved by a 'slide to pragmatism', whereby practitioners, reluctantly acknowledging their own empowerment in the process, sought to make whichever choice was least risky for their own professional reputation, and most pragmatic, given the resources available. [ABSTRACT FROM AUTHOR]

This paper reports on a case study which examined mental health service users and carers, public housing tenants and non-government organisations' (NGO) participation and representation within policy processes. A particular focus was influence upon policies aimed at achieving housing outcomes for people with a psychiatric disability. The research was a case study of a period of mental health system reform in South Australia (2000–2005) and involved primarily qualitative research; interviews, focus groups and participant observation, as well as document analysis. Participants (n = 92) included service user and carer representatives, public servants from across the health, housing and disability sectors, and NGO professionals from across sectors. The study found that the community participation that existed during the reform period was largely an end in itself rather than a means for groups to shape policy processes, including housing policy. A number of barriers to service users and NGOs influencing policy agenda setting and implementation were determined and described. A range of strategies and processes to enhance community participation, representation and accountability in policy processes are recommended. These include cross-sectoral policy development and accountability mechanisms, advocacy coalitions across sectors for policy agenda setting, public forums involving both service users and professionals, and challenging ‘consumerist’ discourses on participation. Such strategies could facilitate policy debates on housing for people with a psychiatric disability, counter dominant professional interests within policy networks, and help to address community stigma. [ABSTRACT FROM AUTHOR]

Healthy eating in schools is central to UK Government attempts to redress nutritional deficiencies and combat childhood obesity. However, there is little consideration of the local, contextual spatial factors that contribute to the ways in which particular policy initiatives are experienced at the school level. This paper presents findings from an evaluation of the 'Eat Well Do Well' programme in Kingston-upon-Hull, UK: an innovative scheme providing free, healthy food to all primary school children. Data is presented from an ethnographic study of two case study schools illustrating how notions of 'spatiality' augment our understanding of the ways policy intention is mediated. We consider the potential of primary school meals policy to address health inequalities using the concept of 'spatiality' to examine the interconnections between the aesthetic, temporal, social and spatial elements of school dining environments. We conclude optimistically, suggesting that an engagement by health policy developers with what we call the 'spatial imagination', might be useful in examining and developing factors that ensure the effectiveness of interventions addressing the determinants of ill health. [ABSTRACT FROM AUTHOR]

This paper presents an evaluation framework that aims to improve the outcomes of triple bottom line (TBL) reporting. Currently, most assessments of TBL reporting focus on report content. Our view is that effective evaluation of TBL reporting should go beyond reports as the outputs of a process and focus on what is being learned through the process, the capacity- and relationship-building that might eventuate, and how this impacts on the development of sustainability. To enable more effective reflection of TBL reporting processes, we developed a set of evaluation criteria focused on the process of reporting. These criteria were identified from case studies of social, environmental and/or sustainability reporting processes documented in the literature. A large number of potential criteria were synthesised into three desired outcomes of TBL reporting and 10 prompts for discussion and reflection during evaluation. This evaluation framework should assist those dedicated to challenging assumptions that inhibit progress towards a sustainable future for society. [ABSTRACT FROM AUTHOR]

This paper illustrates case studies of four developing countries and compares them as to relative advancement in tobacco control as prescribed by the Framework Convention on Tobacco Control. Tobacco-control efforts first seem to involve assessment of tobacco use prevalence and passage of tobacco-control legislation (e.g., warning labels). Tanzania, Nepal, and China serve as examples. Eventually, an integrated tobacco-control stance that demonstrates several cycles of tobacco-control activities occurs, as is shown in Thailand. Through these case studies, one can achieve a sense of the direction of progress in tobacco control in developing countries. [ABSTRACT FROM AUTHOR]

This paper presents conclusions drawn from a comparative analysis of three qualitative case studies of participation processes at the regional level in Quebec''s healthcare system in Canada. Our objective is twofold: primarily, to draw on our observations to elaborate and discuss a sociological framework for the analysis of public participation; and secondarily, to use our data to criticise many pervasive but questionable preconceptions in the scientific literature on public participation. The framework used applies the social theory of P. Bourdieu in conjunction with the representation framework of H.F. Pitkin to demonstrate how any form of participation will imply some implicit or explicit delegation. The significance of the analysis is its focus on the social operations implied in these acts of delegation and in the use of the concept of symbolic struggles to understand the conflicts arising when the intrinsic legitimacy of the public is appropriated. [Copyright &y& Elsevier]

In this paper I shall pursue a rather different line of argument in an attempt to establish the theoretical and substantive interest of a sociological analysis of the detective thriller. More particularly, I want to suggest that the work of at least one writer who exerted an important influence on the development of the genre, Dashiell Hammett, can be read as supplying a salutary corrective to current sociological discourse. [ABSTRACT FROM AUTHOR]

This paper aims to demonstrate the value of participatory action research (PAR) for advancing scientific knowledge as well as for solving practical problems. The article supports the argument through brief summaries of three PAR cases in industry: Norwegian shipping, Xerox Corporation, and the FAGOR group of the Mondragón cooperatives. While noting the practical gains achieved through PARJ the author concentrates particularly on the advances in substantive knowledge and theory that would have been unlikely to emerge out of more orthodox sociological research. The author suggests finally that wider use of participatory action research can have a stimulating effect upon the future development of sociology. [ABSTRACT FROM AUTHOR]

A theoretical framework is provided to understand a cultural group's definition of and relationship with nature and the environment. The framework draws on a social constructionist perspective that includes aspects of phenomenology and symbolic interactionism to define "land- scape" as the symbolic environment created by a human act of conferring meaning on nature and the environment. This landscape reflects the self- definitions of the people within a particular cultural context. Attention is directed to transformation of the physical environment into landscapes that reflect people's definitions of themselves and on how these landscapes are reconstructed in response to people's changing definitions of' themselves. Case studies from sociology and anthropology illustrate the social construction of nature and the environment. A discussion of the applied implications of the theoretical framework in social impact assess- went and the global implications in the shifting power struggle over competing landscapes concludes the paper. [ABSTRACT FROM AUTHOR]