Social Work - Theses
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ItemYoung men speak: a study of mid-adolescence and masculinity( 1999)This study investigated the effect of dominant notions of masculinity in the lives of mid-adolescent males. A qualitative research design, based on the analysis of transcripts of in-depth interviews with eight sixteen and seventeen year-old young men, confirmed the existence of a harsh masculine culture that impinged significantly on their behaviour and attitudes. The findings are identified a possible turning point in young men’s lives, where they begin to develop highly valued close relationships with a small group of friends or mates, with whom they share and emotional bond, and around whom they feel less pressure to prove their manliness. While they described the possibility of sharing thoughts, and feelings and experiences, there were nevertheless limits to what was allowed to be spoken even between the closest of friends. These restrictions were attributable to the sanctions that operated to maintain an environment significantly influenced by dominant notion of masculinity, and in which these friendship groups were embedded. The young men conformed to the tacit restrictions on intimacy, from fear of exposing themselves as weak or poorly skilled. Nevertheless, participants demonstrated a developmental readiness for intimacy, and were beginning to experience emotional engagement with male or female peers. The study suggests the need for a new concept that values and acknowledges a sense of emotional connectedness in the absence of sharing verbalised thoughts and feelings. With intimacy constrained, and little discussion of personal issues, young men had inadequate knowledge of the complexity of problems that might confront them, and few models of coping strategies. Consequently, they risked feeling isolated and unresourced in times of stress. Similarly, while they recognised signs of stress in others, they had few helping skills. In any case, dominant masculinity required that young men handle their own problems, without showing any vulnerability. Counselling was seen as an ultimate failure of manliness. There were indications of intergender rivalry, and despite attempts to be fair and equitable, an underlying belief that men should be in control in families and relationships. Rock music was clearly a potent positive element in the lives of young men, and served a variety of purposes. Alcohol gave individual and group release from the debilitating restrictions of masculinity, removing the need for self-control and allowing greater intimacy. The young men showed they were able to discriminate between “real life” and media or sporting images of masculinity, and had independently identified personal role models from within their own family or friendships circles. This study has shown the importance of understanding the adolescent male world from his own perspective. In particular, it demonstrates the degree to which masculinity impacts on the adolescent behaviour and attitudes, and highlights the necessity for Social Work practitioners to factor the masculine code of behaviour into case and programme planning. Moreover, it is suggested that Social Workers take a proactive approach to teaching young men the language and skills to understand masculinity, and to pursue identity formation and the establishment of positive relationships despite its impact on their lives.
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ItemAn exploratory study into the understanding health professionals have about the impact of culture on the experience of Vietnamese patients diagnosed with cancer.( 2013)Primary research focused on health professional understanding of the impact of culture on the cancer experience of Vietnamese patients does not exist in Australia. Australia’s population continues to grow in diversity with more cultures merging and emerging through waves of migration and the birth of new generations. The Vietnamese population represents one of the most recent waves of migration to Australia, with the Vietnamese population in Australia more than tripling over the past 30 years. However, there remains no published research about how this population gives meaning to their experience of cancer; a disease which has significant impacts on health, wellbeing and quality of life. This exploratory study was based at Peter MacCallum Cancer Centre, Australia’s only tertiary public hospital dedicated to cancer treatment, research and education. It aimed to describe demographic characteristics of Vietnamese patients and explore the understanding of health professionals about the impact of culture on the cancer experience of Vietnamese patients and their family. This study employed a Practice-Based Research (PBR) methodology across three Phases including Clinical Data Mining (CDM), health professional focus groups and clinical case studies. Results from this research describe the demographic detail of the Vietnamese patient population attending the specialist cancer centre and reveal that there is an absence of comprehensive psychosocial assessment by health professionals and therefore limited referral for support services such as social work. Outcomes from the focus groups illustrate the complex awareness that health professionals have of culture and the challenges this presents in providing cancer care for this population. Recommendations from this study suggest a model of targeted education for health professionals and interpreters to increase cultural and psychosocial competence in providing cancer care for this population. It is recommended that an evidence-informed model of care, integrating a Vietnamese Cultural Advocate into the cancer system, as cultural interface between health professionals, health system and patient and family would be of benefit to the care received by Vietnamese patients and their families.
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ItemThe pursuit of aboriginal control of child welfare( 1989)This is essentially a study of Aboriginal child welfare in Victoria today. However, from necessity it is more than this for the study cannot be undertaken without reference to the events and policies of the last 200 years. Nor can it be isolated from the range of issues confronting Aboriginal communities today including the realms of health and education as well as the broader community services arena. The theme of this study is Aboriginal community control, a call by Aboriginal people for an abandonment of past and present approaches by governments, and for the opportunity for Aboriginal people to determine their destinies in ways they wish. This call is particularly strong in the child welfare field where there has been a failure of governments, at both state and national levels, to address Aboriginal child welfare issues. Government rhetoric, both Commonwealth and Victorian, is about "self-determination". Aboriginal demands are for "community control". This study will be looking at the gap between government policies and practices, with the emphasis on the child welfare field, and between government policies and practices and Aboriginal demands. (From Introduction)
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ItemThe application of the Queensland Adoption Act 1964-1988 to the traditional adoption practice of Torres Strait Islanders( 1989)The intention of this study is to examine the relevance of applying the Queensland Adoption Act 1964-1988 to the traditional adoption practice of Torres Strait Islanders. The concept of adoption as defined by the Queensland adoption legislation reflects the cultural context of “white Australia” and the intention of the Adoption Act 1964-1988 is to legalise a specific concept of adoption. This study will show that the Queensland Government, through the Department of Family Services, the Department which has the responsibility for implementing adoption legislation, does not make any allowance for differing views of adoption. The accepted definition of adoption is biased toward the dominant white culture in Queensland and the legislation was intended to service the needs of the dominant white culture.
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ItemFamily reunification : the journey home( 1997-07)Within the child protection system, children are separated from their parents in different ways and for different reasons. Family reunification following these separations, similarly occurs in a variety of ways and is experienced differently by those involved. Through a qualitative design, this study gathered together a range of perspectives regarding the experiences, emotions and beliefs of those involved in family reunification. By interviewing parents, protective workers, caregivers, family support workers, family preservation workers, health workers and others, the researcher hoped to capture their wisdom and insight. Overall, 38 people were interviewed in relation to five examples of reunification. Key concepts and categories were derived from the interviews in conjunction with descriptions of the cases. The researcher then developed a pathways tool which documented the journeys travelled through the process of reunification. Although all the children in these examples of reunification returned to their parents’ care and were still there up to two years later, there were different opinions as to whether or not the reunification was successful, and what barriers hindered and what strategies led to success. The different definitions of success appeared to be greatly influenced by the participants’ assumptions and perspectives regarding the role of state intervention in the lives of families. The findings in this research included a broader understanding of the emotional reactions of parents, caregivers and workers. The enormous sense of loss and other strong emotions felt by parents were often experienced prior to the children being removed, as well as during the separation itself. This therefore challenged the concept of filial deprivation being limited to physical separation of children from their parents and subsequently raised a number of practice issues. Many of the workers and caregivers also described feelings of powerlessness, lack of control and being confronted with limited options. Some of the workers, however, spoke of reunification as a more positive and fulfilling experience than other aspects of their work, even though it involved significant risk and difficult decisions. The principles under lying reunification practice, as outlined in the literature, were evident in aspects of the cases to a varying extent. Opportunities for parents to be actively involved in their children’s placements ranged from no contact with the carer, to visiting almost every day and being actively involved in all decisions. There were some principles which were absent in all of the case examples, such as none of the children experienced continuity of care due to being in multiple placements. There were descriptions of several service models involved at different times and stages along the families’ pathway through reunification, including different reunification programs. There did not appear to be any clarity regarding when a family would be referred to one type of service compared to another. There was also discussion regarding the influence of universal services, such as schools, on the family members’ experience of being included or isolated in each other’s lives. Dilemmas and challenges which arose through reunification included those which were common to many fields in social work, such as clashes of values and beliefs and needing to make decisions between limited and inadequate options. Some of the complex issues particularly relating to reunification were the impact of the separation on children and parents, and the experience of being a ‘parentless child’ or a ‘childless parent’. This was an example of the meaning of an issue being subjective and as important as the factual information. Some of the practice issues which arose through this study included: discussion regarding operationalising permanency planning principles rather than focussing on a parents’ rights or children’s rights dichotomy; developing a partnership perspective with parents, caregivers and workers; the importance of planning and preparation before reunification; whether to celebrate the day of home return or plan it to be as uneventful as possible; and the support and services required following the children’s return home. There were also a number of recommendations made for future research which could further inform practice in working with children and their families through the process of reunification.
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ItemThe Australian Disability Rights Movement: freeing the power of advocacy( 1999)The Australian Disability Rights Movement (ADRM) developed slowly during the century, with a major spurt of growth in the 1980’s, resulting in the formation of two national advocacy organisations controlled by people with disabilities. This thesis uses the insider perspective of the researcher, feminist research methodology, review of relevant theory, and the views of self-selected board members to explore the history and common themes of the ADRM, and the relationship of these organisations to social change. Theoretical sources have been explored concerning past and present status of people with disabilities, new social movements, and second wave feminism. Participants identifies individual experiences of disability and most felt the formation of such collective action groups had positive effects on social change. Respondents named major significant events in the achievement of disability rights, most naming the development of the two national organisations Disabled People’s International (Australia) (DPI(A) and Women With Disabilities Australia (WWDA) as essential to positive outcomes. Sexism was experienced by most women involved in the more traditional organisation. This, and recognition of feminism, gave impetus to the formation of WWDA. Opinion was divided about the best way the disability movement could continue without a peak body for both genders. The movement was perceived as ongoing, but less organised in its confrontation of challenges to the citizenship of people with disabilities posed by social and economic changes and governments’ weakening of the concept of advocacy.
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ItemAn exploratory study into the psychosocial effects and patient experience of women undergoing treatment for locally advanced cervical cancer( 2013)The field of psycho-oncology has expanded over the last thirty years and there has been much research focussed into the general cancer patient experience and into specialist areas like breast cancer. However, there is limited literature that outlines the psychosocial needs and patient experience of women undergoing combined chemotherapy and radiotherapy for locally advanced cervical cancer. In a country like Australia, this group of patients is a small sample of the overall cancer population, however clinical practice indicates that these patients often have high psychosocial needs. This study was based at Peter MacCallum Cancer Centre, a specialist cancer centre in Melbourne. It aimed to illustrate socio-demographic, psychosocial stressors, service utilisation and information about the consumer experience for this patient population. This study employed a practice-based research methodology comprising three Phases including clinical case studies, clinical data mining and consumer interviews. Results from the research outline socio-demographic details of these patients who attend this specialist cancer centre, and indicate that cervical cancer patients experience high levels of psychosocial stressors and needs and are high users of social work services. Outcomes from the consumer interviews illustrated patient preferences for peer support and attention to post treatment survivorship needs. Recommendations from this study suggest that there would be benefit to a model of psychosocial intervention focussed on supportive care specifically for patients with locally advanced cervical cancer. Recommendations also suggest benefit to a patient pathway that is evidence-informed and patient focussed and that incorporates psychosocial factors alongside the medical treatment continuum.
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ItemLives unseen: unacknowledged trauma of non-disordered, competent Adult Children Of Parents with a Severe Mental Illness (ACOPSMI)( 2012)This theoretical thesis attempts to make visible the needs of adult children of parents with a severe mental illness (ACOPSMI), a population which has attracted little scholarly attention to date. It employs a methodology in which established trauma and alternative grief theories are applied to existing multidiscipline, scholarly and lay ACOPSMI literature. The thesis attempts to broaden the definition of ACOPSMI to include non-disordered, competent individuals. It argues that the unique, trauma-based needs of ACOPSMI are not being adequately met within existing family-focused policies and practice, which focus on the needs of parents with an SMI to the potential detriment of their adult offspring. Limitations, implications, and recommendations of this research are outlined.
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ItemAn exploratory study into the psychosocial service needs of patients and families admitted to an acute paediatric hospital following a transport accident( 2012)There is limited literature providing evidence to guide psychosocial service provision and planning for paediatric transport accident survivors within acute hospital settings, with most research focussing on long term psychiatric outcomes of adult survivor’s post-hospitalisation. This project was based at The Royal Children’s Hospital, Melbourne, and aimed to create a demographic picture of the child transport accident survivor population, seek greater understanding of service experiences, and consider perceptions of service needs from patients, parents/ carers and clinical staff. The project utilised a mixed methodology, including clinical data mining and triangulated questionnaires. Data analysis provided interesting results including: the unique challenge of treating paediatric patients within a family system, and the concept of systemic adjustment; poor use of seatbelts/ helmets in applicable cases, and the responsibility of parents/ carers, hospitals and the community in these cases; social workers as the primary allied health service/ psychosocial responder; all participants expressing the belief that consideration of psychosocial issues is necessary for every patient/ family, and a request for an overall increase in psychosocial resources; hospital staff expressing a need for increased psychosocial education to better understand and support patients and families; and the importance of community linkage to facilitate reintegration and adjustment as part of the long term recovery process. Recommendations include increasing psychosocial education for clinical staff, and development of a trauma care pathway to provide a flexible psychosocial service response to all transport accident admissions.
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ItemReflecting on decision-making in child protection practice( 1988)The aim of the study was primarily to inform the protective services field by examining the nature of decision-making in protective intervention work, its unique features, its successes and failures. I shall argue that child protection services cannot be seen in isolation from the wider community services field of which they are a part. In addition, the discussion to follow will highlight the significant influence brought to bear on the child protection worker by those other workers in the child welfare field with whom there is constant interaction. On that basis, questions will be raised about the way in which we locate responsibility for the protection of children with one group in the community, namely the child protection services' workers.