Disciplinary power and the process of training informal carers on stroke units
This article examines the process of training informal carers on stroke units using the lens of power. Care is usually assumed as a kinship obligation but the state has long had an interest in framing the carer and caring work. Training carers in healthcare settings raises questions about the power...
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| Veröffentlicht in: | Sociology of health & illness 2018-01, Vol.40 (1), p.100-114 |
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| creator | Sadler, Euan Hawkins, Rebecca Clarke, David J Godfrey, Mary Dickerson, Josie McKevitt, Christopher |
| description | This article examines the process of training informal carers on stroke units using the lens of power. Care is usually assumed as a kinship obligation but the state has long had an interest in framing the carer and caring work. Training carers in healthcare settings raises questions about the power of the state and healthcare professionals as its agents to shape expectations and practices related to the caring role. Drawing on Foucault's notion of disciplinary power, we show how disciplinary forms of power exercised in interactions between healthcare professionals and carers shape the engagement and resistance of carers in the process of training. Interview and observational field note extracts are drawn from a multi‐sited study of a training programme on stroke units targeting family carers of people with stroke to consider the consequences of subjecting caring to this intervention. We found that the process of training informal carers on stroke units was not simply a matter of transferring skills from professional to lay person, but entailed disciplinary forms of power intended to shape the conduct of the carer. We interrogate the extent to which a specific kind of carer is produced through such an approach, and the wider implications for the participation of carers in training in healthcare settings and the empowerment of carers. |
| doi_str_mv | 10.1111/1467-9566.12625 |
| format | Article |
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Care is usually assumed as a kinship obligation but the state has long had an interest in framing the carer and caring work. Training carers in healthcare settings raises questions about the power of the state and healthcare professionals as its agents to shape expectations and practices related to the caring role. Drawing on Foucault's notion of disciplinary power, we show how disciplinary forms of power exercised in interactions between healthcare professionals and carers shape the engagement and resistance of carers in the process of training. Interview and observational field note extracts are drawn from a multi‐sited study of a training programme on stroke units targeting family carers of people with stroke to consider the consequences of subjecting caring to this intervention. We found that the process of training informal carers on stroke units was not simply a matter of transferring skills from professional to lay person, but entailed disciplinary forms of power intended to shape the conduct of the carer. 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Care is usually assumed as a kinship obligation but the state has long had an interest in framing the carer and caring work. Training carers in healthcare settings raises questions about the power of the state and healthcare professionals as its agents to shape expectations and practices related to the caring role. Drawing on Foucault's notion of disciplinary power, we show how disciplinary forms of power exercised in interactions between healthcare professionals and carers shape the engagement and resistance of carers in the process of training. Interview and observational field note extracts are drawn from a multi‐sited study of a training programme on stroke units targeting family carers of people with stroke to consider the consequences of subjecting caring to this intervention. We found that the process of training informal carers on stroke units was not simply a matter of transferring skills from professional to lay person, but entailed disciplinary forms of power intended to shape the conduct of the carer. We interrogate the extent to which a specific kind of carer is produced through such an approach, and the wider implications for the participation of carers in training in healthcare settings and the empowerment of carers.</description><subject>Caregivers</subject><subject>Caregivers - education</subject><subject>Caregivers - psychology</subject><subject>Caregiving</subject><subject>disciplinary power</subject><subject>Empowerment</subject><subject>Female</subject><subject>Foucauldian analysis</subject><subject>Foucault</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel</subject><subject>Health services</subject><subject>Humans</subject><subject>informal carers</subject><subject>Intervention</subject><subject>Kinship</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Participation</subject><subject>Power</subject><subject>Power, Psychological</subject><subject>Professionals</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Resistance</subject><subject>State power</subject><subject>Stroke</subject><subject>Stroke - nursing</subject><subject>Stroke units</subject><subject>Teaching</subject><subject>Training</subject><subject>United Kingdom</subject><subject>Work skills</subject><issn>0141-9889</issn><issn>1467-9566</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkD1PwzAQhi0EoqUwsyFLLCxp_RUnHlH5aKUKBmC2nMQBl8QpdqKq_x6HlA4seDnJ99yruweAS4ymOLwZZjyJRMz5FBNO4iMwPvwcgzHCDEciTcUInHm_RghhntBTMCICJYQSMQZPd8bnZlMZq9wObpqtdlDZArYfGm5ck2vvYVPC1iljjX2HxpaNq1UFc-W0Cz0LfeuaTw07a1p_Dk5KVXl9sa8T8PZw_zpfRKvnx-X8dhXlDNM4IkVekjIjSjAUZyIuco3yjCKS0KTkPEkpEiWKNc_CBXHBEpVmjNOCIZykgsV0Am6G3LDjV6d9K-twh64qZXXTeYmDAZQiSllAr_-g66ZzNmwXqDTtIY4CNRuo3DXeO13KjTN1cCIxkr1q2YuVvVj5ozpMXO1zu6zWxYH_dRsAPgBbU-ndf3nyZbFcDcnf1guHCw</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Sadler, Euan</creator><creator>Hawkins, Rebecca</creator><creator>Clarke, David J</creator><creator>Godfrey, Mary</creator><creator>Dickerson, Josie</creator><creator>McKevitt, Christopher</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Disciplinary power and the process of training informal carers on stroke units</title><author>Sadler, Euan ; 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Care is usually assumed as a kinship obligation but the state has long had an interest in framing the carer and caring work. Training carers in healthcare settings raises questions about the power of the state and healthcare professionals as its agents to shape expectations and practices related to the caring role. Drawing on Foucault's notion of disciplinary power, we show how disciplinary forms of power exercised in interactions between healthcare professionals and carers shape the engagement and resistance of carers in the process of training. Interview and observational field note extracts are drawn from a multi‐sited study of a training programme on stroke units targeting family carers of people with stroke to consider the consequences of subjecting caring to this intervention. We found that the process of training informal carers on stroke units was not simply a matter of transferring skills from professional to lay person, but entailed disciplinary forms of power intended to shape the conduct of the carer. We interrogate the extent to which a specific kind of carer is produced through such an approach, and the wider implications for the participation of carers in training in healthcare settings and the empowerment of carers.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>29072329</pmid><doi>10.1111/1467-9566.12625</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Caregivers Caregivers - education Caregivers - psychology Caregiving disciplinary power Empowerment Female Foucauldian analysis Foucault Health care Health Knowledge, Attitudes, Practice Health Personnel Health services Humans informal carers Intervention Kinship Male Medical personnel Participation Power Power, Psychological Professionals Randomized Controlled Trials as Topic Resistance State power Stroke Stroke - nursing Stroke units Teaching Training United Kingdom Work skills |
| title | Disciplinary power and the process of training informal carers on stroke units |
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