This book explores the identity work and conflicted perspectives of general practitioner (GP) trainees working in hospitals in the UK. Drawing on empirical and theoretical scholarship, and privileging the analysis of social language-in-use, Johnston describes primary care medicine as a separate paradigm with its own philosophy, identity and practice. Casting primary and secondary care in historical conflict, the perceived lower status of primary care in the world of medicine is explored. Significant identity challenges ensue for GP trainees positioned at the coalface of conflict. Problematising structures of GP training and highlighting how complex historical power dynamics play out in medical training, the author advocates for radical change in how GPs are trained in order to manage the current primary care recruitment and retention crisis.

Focusing on Alabama's textile industry, this study looks at the complex motivations behind the ""whites-only"" route taken by the Progressive reform movement in the South. In the early 1900s, northern mill owners seeking cheaper labor and fewer regulations found the South's doors wide open. Children then comprised over 22 percent of the southern textile labor force, compared to 6 percent in New England. Shelley Sallee explains how northern and southern Progressives, who formed a transregional alliance to nudge the South toward minimal child welfare standards, had to mold their strategies around the racial and societal preoccupations of a crucial ally - white middle-class southerners. Southern whites of the ""better sort"" often regarded white mill workers as something of a race unto themselves - degenerate and just above blacks in station. To enlist white middle-class support, says Sallee, reformers had to address concerns about social chaos fueled by northern interference, the empowerment of ""white trash,"" or the alliance of poor whites and blacks. The answer was to couch reform in terms of white racial uplift - and to persuade the white middle class that to demean white children through factory work was to undermine ""whiteness"" generally. The lingering effect of this ""whites-only"" strategy was to reinforce the idea of whiteness as essential to American identity and the politics of reform. Sallee's work is a compelling contribution to, and the only book-length treatment of, the study of child labor reform, racism, and political compromise in the Progressive-era South.

This book is a powerful and incisive contribution to the debates on social capital, trust and the welfare state. The reader will find an informed, insightful explanation of how the Scandinavian welfare state has been largely able to escape its inherent social dilemma: how generous social provisions have not been accompanied by widespread free-riding. The answer lies, according to the authors, in social capital and trust. The authors not only offer a compelling argument about the inner workings of how the Scandinavian welfare state functions, but also an original theoretical approach - Bourdieuconomics - to the study of the forms of capital in general and of social capital in particular. This is social science research at its best.' - Francisco Herreros, Spanish National Research CouncilDenmark exemplifies the puzzle of socio-economic success in Scandinavia. Populations are thriving despite the world s highest levels of tax, generous social benefits and scarce natural resources. It would appear to be a land of paradise for free-riders and those who want 'money for nothing'. However, the national personality is characterized both by cooperation in everyday life and the numerous 'hard-riders' who make extraordinary contributions. Applying Bourdieuconomics, the authors focus on contemporary case studies to explain how social capital and trust are used to counteract free-riding and enable the flight of the Scandinavian welfare state 'bumblebee'. Insightful and interdisciplinary, the authors' approach offers qualitative case studies which explore trust, social capital and wealth in the Scandinavian welfare state. Key to the topic is the authors' discussion of free-riders versus 'hard-riders' as well as civic engagement in the welfare state. The application of Bourdieuconomics, a new theoretical approach, to a range of examples using economics, sociology, anthropology and history, will make this highly cross-disciplinary book accessible to a broad group of readers. This unique work will be of great value to researchers, students, policy makers and all of those who are interested in the fundamental question of how economies work, specifically how people build, exchange and convert tangible as well as intangible forms of capital.

This Handbook brings together leading scholars of European social policy to reinvigorate theoretical, conceptual and substantive debates around European welfare states and societies as well as the 'social dimension' of the European Union. This unique and original collection comes together at a time of substantial economic, social and political turbulence across Europe, changing narratives, ideas and attitudes towards welfare, increasing institutional complexity in the delivery of services, and a 'crisis of legitimacy' for the European project itself compounded by Brexit. It is against this backdrop that the Handbook draws together key commentators in European social policy to engage with and further develop theoretical, conceptual and substantive understandings of social policy in post-crisis Europe. Issues covered include, amongst others, varieties of welfare capitalism, cultural political economy, austerity, territoriality, engendering, multiculturalism, socio-ecological changes, social investment and public attitudes. The Handbook of European Social Policy offers a comprehensive and state-of-the-art reflection on theoretical debates on welfare regimes and the trajectories of the EU's social dimension. It is a key reading and teaching resource for students and academics in social policy. Contributors include: D. Bailey, E. Barberis, D. Beland, A. Borchorst, C. Bruzelius, D. Clegg, M. Daly, C. de la Porte, F. Dukelow, V. Fargion, B. Greve, E. Heins, A. Hemerijck, B. Hvinden, B. Jessop, Y. Kazepov, P. Kennett, B. Kovacs, J. Kvist, N. Lendvai-Bainton, T. Meyer, T. Modood, B. Nolan, K. Petersen, B. Pfau-Effinger, F. Roosma, C. Saraceno, M.A. Schoyen, M. Schroeder, M. Seeleib-Kaiser, B. Siim, M. Souto-Otero, N.-L. Sum, W. van Oorschot

This book examines developments in management and leadership in the social work environment, from both practice-based and academic perspectives. The chapters reflect developments in a range of international settings including those of Europe, South Africa and New Zealand. They represent a range of different approaches also, from the critical to the more affirmative and liberating. The book illustrates the impact of the development of management and leadership in social work, in the current context of marketisation and globalisation, together with the need to focus on service users. Social work has altered significantly as a result of such changes, presenting particular challenges for social work managers. These are detailed and discussed in this book.

For many women around the globe, health has become the central intersection of the personal and the political; women's bodies are the arena for policy debates about population, poverty, reproduction, and morality. Women's Global Health: Norms and State Policies is a comprehensive assessment of health for women around the globe that will inform debates underway in a wide range of disciplines. These fields include public health, most obviously, but also sociology, anthropology and other disciplines. This book will advance the interdisciplinary fields of ethics, women's studies, and international studies. It answers several questions with implications for knowledge in the preceding fields, along with relevance to policy. Some of these complex questions include: How do the laws and policies of a nation-state affect women's health? Is the state invested in these issues because women are seen to be bearers and nurturers of future citizens? Or are there other concerns such as economic development, human welfare, or religious ideology that shape this engagement? This book also examines the current and historical responsibilities of the state in addressing women's health issues, and how these responsibilities can they be measured and improved upon. Finally, the book looks at how to best approach the underlying ethical issues in practical and useful ways for women around the globe.

This Handbook is a timely compilation dedicated to exploring a rare diversity of perspectives and content on the development, successes, reforms and challenges within China's contemporary welfare system. It showcases an extensive introduction and 20 original chapters by leading and emerging area specialists who explore a century of welfare provision from the Nationalist era, up to and concentrating on economic reform and marketisation (1978 to the present). Organised around five key concerns (social security and welfare; emerging issues and actors, including gender issues, NGOs, and philanthropy; gaps; and future challenges, such as population ageing and environmental pressures) chapters draw on original case-based research from diverse disciplines and perspectives, engage existing literature and further key debates. Key historical insights into welfare provision in the Chinese context serve as a starting point with the remaining chapters combining a review of the literature with original case studies. The book offers novel empirical research and includes topics often not discussed in the literature on welfare in China, including: mental health, highly educated rural-to-urban migrants, NGOs as welfare providers, China's overseas welfare aid, environmental challenges and welfare, amongst others. This comprehensive and multidisciplinary Handbook will be of immense value to researchers and scholars in the fields of China Studies, social policy, the welfare state, politics and related areas. Accessible to a non-specialist audience interested in China's welfare development and welfare states more broadly, it will also serve as a useful resource for undergraduates. Contributors Include: E. Baum, M. Blaxland, O. Bruun, B. Carrillo, J. Chen, S. Cook, X.-y. Dong, T.D. DuBois, M.W. Frazier, K.R. Fisher, R. Hasmath, T. Hesketh, J. Hood, J.Y.J. Hsu, H. Jia, E. Jeffreys, P.I. Kadetz, B. Li, Y. Li, J. Liu, S.-h. Liu, Y. Liu, A.W. MacDonald, A. Saich, X. Shang, D.J. Solinger, K. Suda, Y. Zeng, J. Zhao, Z. Zhao

In this book a distinguished group of contributors discuss the changing political economy of pension reform. They focus on those countries which have launched a significant reframing of their pension system. Each chapter provides a detailed review of recent pension reforms and offers institutional evidence of the extent to which these reforms suggest a redirection of the welfare state towards a more public-private mix of policies. The countries were selected to represent the variety of new directions which mature industrial countries as well as countries in transition have taken. The book brings to light a number of surprising developments. These include the observation that pension systems do not conform to pure models of welfare system regimes; that a number of diverse developments have contributed to the extension of private pensions; that an emerging pattern of substituting private for public pensions can be detected but public provision still dominates in transition economies and that traditional employer-provided private pension schemes are undergoing significant change. One conclusion is that the design of the pension scheme may be more important than the mix of public-private in preventing the growth of inequality among the aged. This important book will be essential reading for scholars of economics, public policy, political science and finance as well as policymakers and practitioners involved in pension system reform.

What happens to extensive and generous welfare states when they are faced with serious economic crisis and the effects of globalization? This thorough analysis of the processes of social policy restructuring in two Nordic welfare states endeavours to answer this and other questions related to their survival in a world of intensifying global competition. Virpi Timonen investigates both the changes that have taken place in central social policies in the areas of pensions, unemployment policies, social and health services, and the political and structural reasons for the pattern of policy change that emerged. A critical evaluation of the roles of globalization, political mechanisms and power relationships in shaping these social policies in Finland and Sweden is also featured. Welfare state specialists and those seeking to understand welfare states as a central constituent of politics in Nordic countries will find Restructuring the Welfare State to be of great interest. The book will also appeal to academics and researchers in the fields of social policy and comparative politics, as well as public and social policy analysts in international organizations such as the OECD and the World Bank.

This is a comparative account of social care services for children and older people in five key industrial nations (Finland, Germany, Japan, the United Kingdom and the United States). The authors break new ground by moving beyond institutional description and seeking to understand the normative and moral qualities of welfare systems. The book builds on existing theories of welfare state regimes by extending the analysis to the arena of social care. A full and fascinating account is provided of the historical, economic and political origins of childcare and care for older people in each of the five countries. These analyses are then used as the basis for a theoretical account of the developmental trajectories of social care systems. The book proposes that there are common pressures at work in all industrial nations driving their welfare systems to similar forms of organisation and structure. However, these trends are mediated by important differences in culture and history. The Young, the Old and the State is an eminently readable and accessible book, and will be warmly welcomed by academics and researchers in social and public policy, health and social care and welfare economics. It will also be of interest to policymakers and NGOs involved in welfare and social care provision and provide a useful source for students on undergraduate and graduate programmes.

This book examines the experiences of migrant peasant workers in China who care for parents diagnosed with cancer and explores to what extent contextual changes after the economic reform initiated in 1978 affected practices and experiences of caring. In his own attempt to develop a localized methodology, the author considers identifying similarities between Chinese philosophies and Foucault's theories as the key step for localizing Foucauldian discourse analysis. Three similarities are located and articulated with regard to filial care. Firstly, the complexity of discursive relations identified by Foucault resembles the complicated Chinese notion of the relationality of the self. Secondly, both sides have a tendency to look back to ancient times for solutions and to critique the notion of 'progress' in modernity. For Foucault, the way to attain freedom or agency is through technologies of the self, such as speaking truth (parrhesia). Lastly, both value action and practice in their theories. The book then analyzes, through this localized methodological approach, statements made by migrant peasant workers to take readers through their discursive mechanisms to construct filial piety in relation to their subjective care experiences.

This unique book demonstrates how instruments of economics can be usefully employed to analyse social policy. The merits and limits of social policy programmes are discussed as answers to problems of market societies. Taking this enlightened approach, the author addresses key issues such as access to health services, pension programmes, unemployment, poverty and family support. Microeconomic tools are used to evaluate the rationale behind these programmes, underpinning the theoretical propositions with strong empirical research. Unusually, economic values are shown to harmonise with, rather than condemn, ideas of social protection. Providing information about institutional structures of social policy programmes in many countries, this book will be a must for academics and students interested in social policy and the welfare state. Furthermore, those who want to follow the political and scientific discussion of social policy matters will find this book invaluable.

Public social services are a key component of the welfare state in most of Europe, although their development trajectories, coverage and legal status still vary considerably among countries. How such services are provided, and for whom, impacts significantly on social and territorial cohesion, gender balance and, ultimately, on the development of any society. However, while much is discussed and written about social policy and welfare systems, social services remain somewhat neglected. Although they have gained a stronger foothold in national legislations and social policy agendas, their status remains weaker compared to education or health. Moreover, because of the austerity measures following the 2008 financial crisis, they have been subject to cuts and reorganisation, which have brought about significant disruption. This book revives the discussion on public social services and their redesign, with a focus on services relating to care and the social inclusion of vulnerable groups. Conveying the main findings of the EU-funded COST Action IS1102 Social Services, Welfare States and Places, the book provides rich information on the changes that occurred in the organisation and supply of public social services over the last thirty years in different European places and service fields. Despite the persisting variety in social service models, three shared trends emerge: public sector disengagement, 'vertical re-scaling' of authority and 'horizontal re-mix' in the supply system. The consequences of such changes are evaluated from different perspectives - governance, social and territorial cohesion, labour market, gender - and are eventually deemed 'disruptive' in both economic and social terms. The policy implications of the restructuring are also explored. The book will appeal to a broad audience: researchers and students, policy-makers, civil servants, service providers, social workers and users' organisations. Contributors include: S. Adam, A. Anttonen, A. Bagnato, S. Barilla, A. Bernat, I. Bode, P. Brokking, B. Deusdad, D. Dierckx, R. Fluder, L. Fraisse, M. Garcia, J.L. Gomez-Barroso, E. Gubrium, L. Haikioe, I. Harslof, J. Havlikova, J. Javornik, O. Jolanki, O. Karsio, M. Knutagard, T. Kroeger, K. Kubalcikova, B. Leibetseder, S. Lev, R. Marban-Flores, R. Mas Giralt, F. Martinelli, M. Matzke, A. Novy, E. Overbye, C. Pace, P. Raeymaeckers, S. Sabatinelli, A. Sarlo, M. Semprebon, G. Szudi, J. Szudi, S.I. Vabo, D. Vaiou, S. Vella, Z. Vercseg, S. Vicari Haddock, C. Weinzierl, F. Wukovitsch

This book explores the shift towards individual responsibility that is increasingly evident in welfare systems across the world. The book will be of interest to students and scholars across sociology, social policy, and political science, with a particular focus on migration, minorities, political discourse, securitisation, social justice and human rights. "This book offers a compelling read, analysing how workfare is legitimated in the Central European context, through the innovative metaphor of "political farming." The analytical framework brings together several distinct streams of theorizing (critical discourse studies, critical security studies, governmentality, boundary-making, and the dynamics of ethnic relations) seamlessly and effectively. Through a very nuanced discursive analysis, Kissova shows how the poor, the offenders, and the "unadaptable" - categories policymakers use to talk about material need recipients - are linked pathologically with criminality, abuse of the system and other negative perceptions. This is a must-read text for anyone interested in how political actors justify questionable legislation that cements inequality in today's neoliberal milieu." - B. Nadya Jaworsky, Associate Professor, Sociology, Masaryk University, Czech Republic "Lenka Kissova's book is clearly written and carefully researched. Her interdisciplinary insight and discursive analysis of parliamentary debates on Slovak "workfare" policies illustrates the deliberate, precise and politicized colocation of Roma marginalization and economic disadvantage, in a manner that starkly illustrates systemic racism dressed up as morally necessary regulatory reform. Moreover, her research has broader comparative and methodological relevance given how she layers in and utilizes governmentality, securitization and legitimation theory, unmasking how neoliberal economic assumptions and dog whistle politics, woven into the speech of politicians, works to demonize recipients as real or potential cheats and criminals, enact further social exclusion and heighten inequality and fear while not-so-subtly promoting existing prejudices. Her overarching metaphor-that of parliamentarians engaging in "political farming" where their ideas seed and take root in fertile soil of the national landscape resulting in regulatory "products"-effectively demonstrates how social reality generally and state regulation specifically can be constructed divorced from actual evidence, a process beyond her specific case and critically relevant to our times." - Barbara J. Falk, Professor, Department of Defence Studies, Canadian Forces College/Royal Military College of Canada, Fellow, Centre for European, Russian and Eurasian Studies, University of Toronto, Canada