Autonomy on the horizon: comparing institutional approaches to disability and elder care

Autonomy on the horizon: comparing institutional approaches to disability and elder care
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即将到来的自主权:比较残疾和老年人护理的机构方法

DOI:
10.1007/s11186-021-09434-4
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发表时间:
2021
期刊:
影响因子:
2.9
通讯作者:
Munson, Adrianna Bagnall
Munson, Adrianna Bagnall
中科院分区:
法学2区
文献类型:
--
作者:
Altomonte, Guillermina;Munson, Adrianna Bagnall

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这篇文章探讨了人们是如何将自己和他人解释为自主的,因为他们有多重依赖性。我们借鉴了民族志研究的跨案例比较与两个人群的自主权是中央和问题:老年患者在急性期后护理,和年轻的成年人在一个独立的生活计划残疾。分析机构的努力,使他们的客户“尽可能独立”,我们发现,在每个组织的工作人员制定自治作为一个时间项目,通过不断校准开放的未来,理想的过去,和情景能力。工人们不断调整和微调自主权“真正”的时间,安排现在的依赖关系,以便未来的轮廓对他们的客户保持开放。换句话说,他们利用时间标记来产生可识别的自主主体,其依赖性是暂时的。将这一时间工程理论化,使我们能够更清楚地看到我们所有人是如何从事“做”自主这一恒定业务的,并更好地理解制度在产生自主自我中的作用。
This article asks how people come to interpret themselves and others as autonomous given their multiple dependencies. We draw on a cross-case comparison of ethnographic studies with two populations for whom autonomy is both central and problematic: elderly patients in post-acute care, and young adults with disabilities in an independent living program. Analyzing the institutional efforts to make their clients “as independent as possible,” we find that staff members at each organization formulate autonomy as a temporal project through an ongoing calibration of open futures, ideal pasts, and situational competence. Constantly adjusting and fine-tuning where in time autonomy “really” is, workers arrange present dependence so that the contours of the future remain open for their clients. In other words, they make use of temporal markers to produce recognizable autonomous subjects whose dependencies are momentary. Theorizing this temporal project enables us to see more clearly how all of us engage in the constant business of “doing” autonomy, and to better understand the role of institutions in producing autonomous selves.
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