Exploring the dynamics of power: a Foucauldian analysis of care planning in learning disabilities services
Exploring the dynamics of power: A Foucauldian analysis of care planning in learning disabilities services This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical...
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| Published in | Nursing inquiry Vol. 10; no. 1; pp. 37 - 46 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Science Ltd
01.03.2003
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1320-7881 1440-1800 |
| DOI | 10.1046/j.1440-1800.2003.00155.x |
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| Abstract | Exploring the dynamics of power: A Foucauldian analysis of care planning in learning disabilities services
This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity. |
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| AbstractList | Exploring the dynamics of power: A Foucauldian analysis of care planning in learning disabilities services
This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity. This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity.This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity. This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity. (Original abstract) This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county. This study drew upon the theoretical insights of Michel Foucault to provide an analysis of the micro politics of care planning. This involved the analysis of text from two sources: the academic literature and interview material gained from a number of professionals working in health and welfare services for people with learning disabilities. Drawing upon this research material, the first part of this paper briefly explores the relationship between policy, professional practice and the people who are the subjects of that practice. The discussion then moves on to consider Foucault's five methodological precautions and the way power produces a localised web of activity that identifies specific targets for management. In this process power draws into the web a range of informal and formal practices that initially lie outside of the web. The discourse produced through the activity surrounding care planning provides the evidence of this flow of power. This discourse then takes on the status of science (truth), which reproduces this activity. Research based on interviews with professional working in the field. [(BNI unique abstract)] 24 references |
| Author | Gilbert, Tony |
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| References | Clarke J and J Newman. 1997. The managerial state. London: Sage. Mason J. 1996. Qualitative researching. London: Sage. Gilbert T. 2001. Reflective practice and clinical supervision: meticulous rituals of the confessional. Journal of Advanced Nursing 36(2): 199-205. Rose N. 1996. The death of the social? Re-figuring the territory of government. Economy and Society 25(3): 327-56. Department of Health. 2001. Shifting the balance of power: Securing delivery. London: The Stationery Office. Wertheimer A. ed. 1996. Changing days: Developing new day time opportunities with people who have learning difficulties. London: Kings Fund. Hewitt M. 1983. Bio-politics and social policy: Foucault's account of welfare. Theory Culture and Society. 2(1): 67-84. Miller T. 1993. The well-tempered self: Citizenship, culture and the postmodern subject. Baltimore: Johns Hopkins University Press. Fairclough N. 1992. Discourse and social change. Cambridge: Polity Press. Potter J. 1996. Representing reality: Discourse, rhetoric and social construction. London: Sage. Rose N. 1993. Government, authority and expertise in advanced liberalism. Economy and Society 22(3): 283-99. Department of Health. 1995. The Carers (Recognition and Services) Act. London: The Stationery Office. Chappell AL. 1992. Towards a sociological critique of the normalisation principle. Disability, Handicap and Society 7(1): 35-51. Dean M. 1994. A social structure of many souls: Moral regulation, government, and self-formation. Canadian Journal of Sociology 19(2): 145-68. Kings Fund. 1999. Learning disabilities: From care to citizenship. A Kings Fund position paper. London: The Kings Fund. 1992. 1992; 7 1993. 1996. 1997. 1995. 2000. 1983; 2 1989. 1994; 19 2000 1999. 1993; 22 1997 1996 1984 1980 2001. 1996; 25 2001; 36 Barnes C. (e_1_2_5_2_1) 1996 Foucault M. (e_1_2_5_9_1) 1980 Miller T. (e_1_2_5_17_1) 1993 e_1_2_5_11_1 Department of Health (e_1_2_5_6_1) 1995 Department of Health (e_1_2_5_7_1) 2001 e_1_2_5_13_1 e_1_2_5_21_1 e_1_2_5_5_1 e_1_2_5_12_1 Watson S. (e_1_2_5_23_1) 2000 e_1_2_5_3_1 Kings Fund (e_1_2_5_14_1) 1999 e_1_2_5_19_1 Wertheimer A. (e_1_2_5_24_1) 1996 Fairclough N. (e_1_2_5_8_1) 1992 Turner BS. (e_1_2_5_22_1) 1997 Lewis G. (e_1_2_5_15_1) 2000 Clarke J (e_1_2_5_4_1) 1997 Wolfensberger W. (e_1_2_5_25_1) 1989 Osborne T. (e_1_2_5_18_1) 1997 e_1_2_5_20_1 Foucault M. (e_1_2_5_10_1) 1984 Mason J. (e_1_2_5_16_1) 1996 |
| References_xml | – reference: Chappell AL. 1992. Towards a sociological critique of the normalisation principle. Disability, Handicap and Society 7(1): 35-51. – reference: Department of Health. 1995. The Carers (Recognition and Services) Act. London: The Stationery Office. – reference: Miller T. 1993. The well-tempered self: Citizenship, culture and the postmodern subject. Baltimore: Johns Hopkins University Press. – reference: Hewitt M. 1983. Bio-politics and social policy: Foucault's account of welfare. Theory Culture and Society. 2(1): 67-84. – reference: Rose N. 1993. Government, authority and expertise in advanced liberalism. Economy and Society 22(3): 283-99. – reference: Gilbert T. 2001. Reflective practice and clinical supervision: meticulous rituals of the confessional. Journal of Advanced Nursing 36(2): 199-205. – reference: Clarke J and J Newman. 1997. The managerial state. London: Sage. – reference: Fairclough N. 1992. Discourse and social change. Cambridge: Polity Press. – reference: Mason J. 1996. Qualitative researching. London: Sage. – reference: Rose N. 1996. The death of the social? Re-figuring the territory of government. Economy and Society 25(3): 327-56. – reference: Potter J. 1996. Representing reality: Discourse, rhetoric and social construction. London: Sage. – reference: Dean M. 1994. A social structure of many souls: Moral regulation, government, and self-formation. Canadian Journal of Sociology 19(2): 145-68. – reference: Department of Health. 2001. Shifting the balance of power: Securing delivery. London: The Stationery Office. – reference: Kings Fund. 1999. Learning disabilities: From care to citizenship. A Kings Fund position paper. London: The Kings Fund. – reference: Wertheimer A. ed. 1996. Changing days: Developing new day time opportunities with people who have learning difficulties. London: Kings Fund. – year: 2001. – volume: 22 start-page: 283 issue: 3 year: 1993 end-page: 99 article-title: Government, authority and expertise in advanced liberalism publication-title: Economy and Society – year: 1992. – start-page: 23 year: 1989. end-page: 41 – year: 1995. – year: 1997. – volume: 36 start-page: 199 issue: 2 year: 2001 end-page: 205 article-title: Reflective practice and clinical supervision: meticulous rituals of the confessional publication-title: Journal of Advanced Nursing – year: 1999. – start-page: ix year: 1997 end-page: xxii – start-page: 66 year: 2000 end-page: 77 – start-page: 78 year: 1980 end-page: 108 – start-page: 1 year: 2000 end-page: 21 – start-page: 239 year: 1984 end-page: 56 – year: 2000. – volume: 7 start-page: 35 issue: 1 year: 1992 end-page: 51 article-title: Towards a sociological critique of the normalisation principle publication-title: Disability, Handicap and Society – year: 1996. – start-page: 43 year: 1996 end-page: 60 – volume: 19 start-page: 145 issue: 2 year: 1994 end-page: 68 article-title: A social structure of many souls: Moral regulation, government, and self‐formation publication-title: Canadian Journal of Sociology – year: 1993. – volume: 25 start-page: 327 issue: 3 year: 1996 end-page: 56 article-title: The death of the social? Re‐figuring the territory of government publication-title: Economy and Society – start-page: 173 year: 1997 end-page: 88 – volume: 2 start-page: 67 issue: 1 year: 1983 end-page: 84 article-title: Bio‐politics and social policy: Foucault's account of welfare publication-title: Theory Culture and Society. – volume-title: Qualitative researching year: 1996 ident: e_1_2_5_16_1 – volume-title: The managerial state year: 1997 ident: e_1_2_5_4_1 – volume-title: Changing days: Developing new day time opportunities with people who have learning difficulties. year: 1996 ident: e_1_2_5_24_1 – volume-title: Discourse and social change year: 1992 ident: e_1_2_5_8_1 – ident: e_1_2_5_12_1 doi: 10.1046/j.1365-2648.2001.01960.x – start-page: 78 volume-title: Power/knowledge, selected interviews and other writings 1972–1977 year: 1980 ident: e_1_2_5_9_1 – start-page: 239 volume-title: The Foucault reader year: 1984 ident: e_1_2_5_10_1 – start-page: 23 volume-title: Disability and dependence year: 1989 ident: e_1_2_5_25_1 – volume-title: The Carers (Recognition and Services) Act year: 1995 ident: e_1_2_5_6_1 – start-page: 173 volume-title: Foucault: health and medicine year: 1997 ident: e_1_2_5_18_1 – start-page: 43 volume-title: Disability and society: emerging issues and insights year: 1996 ident: e_1_2_5_2_1 – ident: e_1_2_5_5_1 doi: 10.2307/3341342 – ident: e_1_2_5_21_1 doi: 10.1080/03085149600000018 – volume-title: Shifting the balance of power: Securing delivery year: 2001 ident: e_1_2_5_7_1 – ident: e_1_2_5_11_1 – ident: e_1_2_5_19_1 doi: 10.4135/9781446222119 – start-page: ix volume-title: Foucault: Health and medicine year: 1997 ident: e_1_2_5_22_1 – start-page: 1 volume-title: Rethinking social policy year: 2000 ident: e_1_2_5_15_1 – ident: e_1_2_5_20_1 doi: 10.1080/03085149300000019 – ident: e_1_2_5_3_1 doi: 10.1080/02674649266780041 – start-page: 66 volume-title: Rethinking social policy year: 2000 ident: e_1_2_5_23_1 – volume-title: The well‐tempered self: Citizenship, culture and the postmodern subject. year: 1993 ident: e_1_2_5_17_1 doi: 10.56021/9780801846038 – ident: e_1_2_5_13_1 doi: 10.1177/0263276483002001007 – volume-title: Learning disabilities: From care to citizenship. year: 1999 ident: e_1_2_5_14_1 |
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This paper draws upon a study completed in 2000 that... This paper draws upon a study completed in 2000 that focused upon health and welfare provision for people with learning disabilities in one English county.... Research based on interviews with professional working in the field. [(BNI unique abstract)] 24 references |
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| SubjectTerms | care planning England Foucauldian analysis Foucault governmentality health and welfare Health care Health Policy Humans Learning disabled people Learning Disorders - nursing Learning Disorders - rehabilitation Patient Care Planning Planning Power Power (Psychology) Welfare services |
| Title | Exploring the dynamics of power: a Foucauldian analysis of care planning in learning disabilities services |
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