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荷兰儿童保健专业人员的日常风险工作:通过信任推断“安全”和“良好”的育儿方式,这种推断受到性别和阶级视角的调节。

The everyday risk work of Dutch child-healthcare professionals: inferring 'safe' and 'good' parenting through trust, as mediated by a lens of gender and class.

作者信息

Veltkamp Gerlieke, Brown Patrick

机构信息

Department of Sociology, University of Amsterdam, Amsterdam.

出版信息

Sociol Health Illn. 2017 Nov;39(8):1297-1313. doi: 10.1111/1467-9566.12582. Epub 2017 May 24.

Abstract

Amidst intensifying policy concerns with children's wellbeing and development, healthcare professionals are required not only to assess risk of abuse and neglect, but to manage risk of 'poor parenting' more broadly. Drawing on 15 in-depth interviews and non-participant observations of 61 professional-family interactions, across four preventative public health services for children in the Netherlands, we explored how professionals accomplished such risk work amid intractable uncertainties. Building inferences from brief encounters with families, professionals gauged the extent to which they trusted parents to care 'appropriately'. This trust developed most readily with parents experienced as 'familiar' by the largely middle-class female professionals. Harnessing Schutzian phenomenology, we analyse the related manifestations of social structure within the interactional-dynamics and lifeworlds of risk assessment. We argue that social structures of gender, class and ethnicity can be seen as influential both through the differing potential for 'we-relationships' to be formed and via the generalising and stereotyped knowledge applied in their absence.

摘要

在对儿童福祉和发展的政策关注日益增强的背景下,医疗保健专业人员不仅需要评估虐待和忽视的风险,还需要更广泛地管理“不良养育”的风险。基于对荷兰四项儿童预防性公共卫生服务中15次深入访谈以及61次专业人员与家庭互动的非参与式观察,我们探讨了专业人员在棘手的不确定性中是如何完成此类风险工作的。通过与家庭的短暂接触进行推断,专业人员衡量他们信任父母进行“适当”照顾的程度。这种信任在很大程度上由中产阶级女性专业人员认为“熟悉”的父母那里最容易建立起来。利用舒茨的现象学,我们分析了风险评估的互动动态和生活世界中社会结构的相关表现。我们认为,性别、阶级和种族的社会结构既可以通过形成“我们的关系”的不同潜力,也可以通过在缺乏这种关系时应用的概括性和刻板知识而被视为具有影响力。

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