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Regulating Elderly Care And Struggles

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Struggles In (Elderly) Care

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Abstract

The regulation of elderly care is transformed. Three aspects of the changing regulation are identified: its hybrid nature, its multilevel character and its gendered aspects. Regulation has intensified, characterized by new logics and moving toward a multilevel governmentality, including among others, the increasing role of international institutions. More tensions arise in the hybridity of regulation and new logics. Simultaneously we witness the swift traveling of new buzzwords across the globe such as ‘active aging’ and marketization in this form of multilevel regulation. Noticeable also is how the struggles about the regulation of elderly care are still gendered concerning the discourses on work, knowledge and the professional, for example, when struggles about professionalizing and de-professionalizing are played out in relation to different ideals of care.

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References

  • Aristotle. (1987). Ethics. London: Penguin Books.

    Google Scholar 

  • Ældrekommissionen. (1980–82). Ældrekommissionens delrapporter: 1. delrapport (1980), 2. delrapport (1981) og 3. delrapport (1982).

    Google Scholar 

  • Alasuutari, P., & Rasimus, A. (2009). Use of OECD in justifying policy reforms: The case of Finland. Journal of Power, 2(1), 89–109.

    Article  Google Scholar 

  • Allen, D. (2012). Bringing it all back home—The (re)domestication and de(medicalization) of care in the UK. In C. Ceci, K. Björnsdottir, & M. E. Purkis (Eds.), Perspective on care at home for older people (pp. 101–120). New York: Routhledge.

    Google Scholar 

  • Andersen, N. Å. (1997). Udlicitering—strategi og historie. Copenhagen: Nyt fra Samfundsvidenskaberne.

    Google Scholar 

  • Andersen, K., & Kvist, E. (2015). The neo-liberal turn and the marketization of care: The transformation of eldercare in Sweden. European Journal of Women’s Studies, 22(3), 274–287.

    Article  Google Scholar 

  • Bacchi, C. (2005). Discourse, discourse everywhere: Subject ‘agency’ in feminist discourse methodology. Nordic Journal of Women’s Studies, 13(3), 198–209.

    Article  Google Scholar 

  • Bacchi, C. (2009). Analysing policy: What’s the problem represented to be? Sydney: Pearson Education.

    Google Scholar 

  • Bache, I., & Flinders, M. (2004). Multilevel governance. Oxford Scholarship Online: 2004 doi:10.1093/0199259259.001.0001

    Google Scholar 

  • Bertilsson, M. (1990). The welfare state, the professions and citizens. In R. Torstendal & M. Burrage (Eds.), The formation of professions (pp. 114–133). London: Sage.

    Google Scholar 

  • Blaakilde, A. L. (2012). Døde mænd og syge kvinder—køn, alder og ulighed i sundhed. Kvinder, Køn & Forskning, 21(4), 56–63.

    Google Scholar 

  • Borras, S., & Greve, B. (2004). Preface. Journal of European Public Policy, 11(2), 181–184.

    Article  Google Scholar 

  • Brante, T. (2005). Staten og professionerne. In T. R. Eriksen & A. M. Jørgensen (Eds.), Professionsidentitet i forandring (pp. 16–35). Copenhagen: Akademisk forlag.

    Google Scholar 

  • Bröckling, U., Krasman, S., & Lemke, T. (2010). From Foucault’s lectures at the Collège de France to studies of governmentality—An introduction. In U. Bröckling, S. Krasmann, & T. Lemke (Eds.), Governmentality—Current issues and future challenges (pp. 1–33). London: Routhledge.

    Google Scholar 

  • Brodin, H. (2005). Does anybody care? Public and private responsibilities in Swedish eldercare 1940–2000. Umeå: Ekonomisk historia.

    Google Scholar 

  • Brown, W. (2003). Neo-liberalism and the end of liberal democracy. Theory and Event, 7(1). https://muse.jhu.edu/journals/theory_and_event/v007/7.1brown.html. Accessed 1 Aug 2014.

  • Brush, L. D. (2003). Gender and governance. Oxford: Alta Mira Press.

    Google Scholar 

  • Bubeck, D. (1995). Care, gender and justice. Oxford: Clarendon Press.

    Book  Google Scholar 

  • Burau, V., & Dahl, H. M. (2013). Trajectories of change in Danish long-term care policies: Reproduction by adaptation through top-down and bottom-up reforms. In C. Ranci & E. Pavolini (Eds.), Reforms in long-term care policies – Investigating institutional change and social impacts (pp. 79–96). New York: Springer.

    Google Scholar 

  • Burau, V., Zechner, M., Dahl, H. M., & Ranci, C. (2016). The political construction of elder care markets: Comparing Denmark, Finland and Italy, Social Policy and Administration (e-publication ahead of print). https://onlinelibrary.wiley.com/doi/10.1111/spol.12198/epdf. Accessed 21 Dec 2016.

  • Christensen, T. (2012). Post-NPM and changing public governance. Meiji Journal of Political Science and Economics, 1(2), 1–11.

    Google Scholar 

  • Churchill, J., & Giraldi, M. (2013). Theoretically informed case study accompanying the film European care certificate. https://innoserv.philnoug.com/content/unified-approach-care-certificate-entry-level-staff-%E2%80%93-european-care-certificate. Accessed 23 Sept 2016.

  • Cixous, H. (1980). Sorties. In E. Marks & L. Courtivron (Eds.), New French Feminisms (pp. 90–98). Amherst: The University of Massachusetts Press.

    Google Scholar 

  • Clarke, J., & Newman, J. (1997). The managerial state. London: Sage.

    Google Scholar 

  • Conrad, C. (2011). Social policy history after the transnational turn. In P. Kettunen & K. Petersen (Eds.), Beyond welfare state models (pp. 218–240). Cheltenham: Edward Elgar.

    Google Scholar 

  • Dahl, H. M. (2000). Fra kitler til eget tøj—Diskurser om professionalisme, omsorg og køn, Ph.D. thesis. Aarhus: Politica.

    Google Scholar 

  • Dahl, H. M. (2005). A changing ideal of care in Denmark: A different form of retrenchment? In H. M. Dahl & T. R. Eriksen (Eds.), Dilemmas of care in the Nordic welfare state: Continuity and change (pp. 47–61). Aldershot: Ashgate.

    Google Scholar 

  • Dahl, H. M. (2009). New public management, care and struggles about recognition. Critical Social Policy, 29(4), 634–654.

    Article  Google Scholar 

  • Dahl, H. M. (2010). An old map of state feminism and an insufficient recognition of care. NORA—Nordic Journal of Feminist and Gender Research, 18(3), 152–166.

    Article  Google Scholar 

  • Dahl, H. M. (2012a). Neoliberalism meets the Nordic welfare state—Gaps and silences. NORA, 20(4), 283–288.

    Google Scholar 

  • Dahl, H. M. (2012b). Who can be against quality? A new story about home-based care: NPM and governmentality. In C. Ceci, K. Björnsdottir, & M. E. Purkis (Eds.), Perspectives on care at home for older people (pp. 139–157). London: Routledge.

    Google Scholar 

  • Dahl, H. M. (2015). Regulering og velfærdsprofessionelle identitet(er). In B. Greve (Ed.), Grundbog i socialvidenskab—5 perspektiver (pp. 109–125). Frederiksberg: Nyt fra Samfundsvidenskaberne.

    Google Scholar 

  • Dahl, H. M., Eurich, J., Fahnøe, K., Hawker, C., Krlev, G., Langer, A., Mildenberger, G., & Pieper, M. (2014). Promoting innovation in social services. Heidelberg: Heidelberg University.

    Google Scholar 

  • Dahl, H. M., Hansen, A. E., Hansen, C. S., & Kristensen, J. E. (2015a). Kamp og status—De lange linjer I børnehaveinstitutionens og pædagogprofessionens historie fra 1820 til 2015. Copenhagen: U Press.

    Google Scholar 

  • Dahl, H. M., Eskelinen, L., & Hansen, E. B. (2015b). Coexisting principles and logics of elder care: Help to self-help and consumer-oriented service. International Journal of Social Welfare, 24(3), 287–295.

    Article  Google Scholar 

  • Dahle, R. (2005). Dirty work in Norwegian health context (The case of Norway). In H. M. Dahl & T. R. Eriksen (Eds.), Dilemmas of care in the Nordic welfare state – Continuity and change (pp. 101–111). Aldershot: Ashgate.

    Google Scholar 

  • Dale, H. M. (2004). Forms of governance, governmentality and the EU open method of coordination. In W. Larner & W. Walters (Eds.), Global governmentality (pp. 174–194). London: Routledge.

    Google Scholar 

  • Dean, M. (1999). Governmentality: Power and rule in modern society. London: Sage.

    Google Scholar 

  • Ertner, M. (2016). Hvem bestemmer hvad en gangstav skal bruges til? Et etnografisk studie af velfærdsteknologi og deres brugere. Gerontologi, 32(1), 8–11.

    Google Scholar 

  • Feldman, L. (2008). Status injustice: The role of the state. In K. Olson (Ed.), Adding insult to injury—Nancy Fraser debates her critics (pp. 221–245). London: Verso.

    Google Scholar 

  • Finansministeriet. (2005). Processregularing af amter og kommuner. Albertslund: Schultz.

    Google Scholar 

  • Foucault, M. (1978). The history of sexuality—An introduction. (R. Hurley, Trans.). London: Penguin Books.

    Google Scholar 

  • Foucault, M. (1991). Governmentality. In G. Burchell, C. Gordon, & P. Miller (Eds.), The Foucault effect (pp. 87–104). Chicago: The University of Chicago Press.

    Google Scholar 

  • Foucault, M. (1996). The ethics in the concern of the self as a practice of freedom. In S. Lotringer (Ed.), Foucault live (pp. 433–449). New York: Semiotext(e).

    Google Scholar 

  • Foucault, M. (1997). What is critique. In S. Lotringer & L. Hochroth (Eds.), The politics of truth (pp. 23–82). New York: Semiotext(e).

    Google Scholar 

  • Fraser, N. (2008). Scales of justice—Reimagining political space in a globalizing world. Cambridge: Polity.

    Google Scholar 

  • Fraser, N., & Gordon, L. (1994). A genealogy of dependency: Tracing a keyword of the U.S. welfare state. Signs, 19(2), 309–336.

    Article  Google Scholar 

  • Freidson, E. (2001). Professionalism: The third logic. Cambridge: Polity.

    Google Scholar 

  • Haahr, J. H. (2004). Governing Europe—Discourse, governmentality and European integration. London: Routledge.

    Google Scholar 

  • Hänsel, D. (1992). Wer ist der Professionelle? Zeitschrift für Pädagogik, 38(6), 873–893.

    Google Scholar 

  • Hansen, A. M., & Kamp, A. (2016). From carers to trainers: Professional identity and body work in rehabilitative eldercare. Gender, Work & Organization (e-publication ahead of print). https://onlinelibrary.wiley.com/doi/10.1111/gwao.12126/epdf. Accessed 21 Dec 2016.

  • Hansen, M. B., & Vedung, E. (2005). Fælles sprog i ældreplejens organisering. Odense: Syddansk Universitetsforlag.

    Google Scholar 

  • Hansen, E. B., Eskelinen, L., & Dahl, H. M. (2011). Hjælp til selvhjælp eller service i hjemmeplejen—Hvordan er praksis, og er der en virkning? Copenhagen: AKF report.

    Google Scholar 

  • Harrington, C. (2013). Governmentality and the power of the transnational women’s movement. Studies in Social Justice, 7(1), 47–63.

    Article  Google Scholar 

  • Hartman, H. (1979). The unhappy marriage of marxism and feminism. Capital & Class, 8, 1–33.

    Article  Google Scholar 

  • Hernes, H. (1987). Welfare state and woman power—Essays in state feminism. Oslo: Universitetsforlaget.

    Google Scholar 

  • Højlund, H. (2004). Markedets politiske fornuft. Et studie af velfærdens organisering i perioden 1990–2003, PhD series 17. København: CBS.

    Google Scholar 

  • Hoppania, H. (2015a). In a response to my question at her oral defense held on November, 2015.

    Google Scholar 

  • Hoppania, H. (2015b). Care as a site of political struggle, Ph.D. thesis. Helsinki: Department of Political Science and Economic Studies.

    Google Scholar 

  • Interview. (2013, April 24). Focus group interview with experts conducted in Copenhagen.

    Google Scholar 

  • Irigaray, L. (1979). Das Geschlecht, das nicht eins ist. Berlin: Merve Verlag.

    Google Scholar 

  • Irigaray, L. (1994). Könskillnadens etik och andra texter (C. Angelfors, Trans.). Stockholm: Brutus Östlings Bokforlag.

    Google Scholar 

  • Johnson, T. (1995). Governmentality and the institutionalization of expertise. In T. Johnsson (Ed.), Health professions and the state in Europe (pp. 7–24). London: Routledge.

    Google Scholar 

  • Kildal, N., & Nilssen, E. (2013). Ageing policy ideas in the field of health and long-term care, comparing the EU, the OECD and the WHO. In R. Ervik & T. S. Lindén (Eds.), The making of ageing policy—Theory and practice in Europe (pp. 53–77). Cheltenham: Edward Elgar.

    Google Scholar 

  • Kirk, H. (1995). Da alderen blev en diagnose. Copenhagen: Munksgaard.

    Google Scholar 

  • Kjær, P., & Pedersen, O. K. (2001). Translating liberalization: Neoliberalism in the Danish negotiated economy. In J. L. Campbell & O. K. Pedersen (Eds.), The rise of neoliberalism and institutional analysis (pp. 219–248). Princeton: Princeton University Press.

    Google Scholar 

  • Kjellberg, R., Ibsen, R., & Kjellberg, J. (2011). Fra pleje og omsorg til rehabilitering—viden og anbefalinger. København: Dansk sygehus institut.

    Google Scholar 

  • Kofod, J. (2012). hold hænderne i lommerne Om hjælp til selvhjælp på plejecentre. In M. Järvinen & N. Mik-Meyer (Ed.), At skabe en professionel—Ansvar og autonomi i velfærdsstaten (pp. 211–230). Copenhagen: Hans Reitzels Publishers.

    Google Scholar 

  • Larner, W. (2000). Neo-liberalism: Policy, ideology, governmentality. Studies in Political Economy, 63, 5–25.

    Article  Google Scholar 

  • Larner, W., & Walters, W. (2004). Introduction: Global governmentality—governing international spaces. In W. Larner & W. Walters (Eds.), Global governmentality (pp. 1–20). London: Routledge.

    Google Scholar 

  • Lemke, T. (2007). An indigestible meal? Foucault, governmentality and state theory. Distinktion: Scandinavian Journal of Social Theory, 8(2), 43–64.

    Article  Google Scholar 

  • Lewis, J. (Ed.). (1997). Lone mothers in European welfare regimes. London: Jessica Kingsley Publishers.

    Google Scholar 

  • Lukes, S. (1974). Power—A radical view. Basingstoke: Macmillan.

    Google Scholar 

  • Macleod, P., & Duurheim, K. (2002). Foucauldian feminism: The implications of governmentality. Journal for the Theory of Social Behavior, 32(1), 41–60.

    Google Scholar 

  • Mahon, R. (2013). Social investment according to the OECD/DELSA: A discourse in the making. Global Social Policy, 4(2), 150–159.

    Article  Google Scholar 

  • Marcussen, M. (2002). OECD og idespillet—Game over? Copenhagen: Hans Reitzels publishers.

    Google Scholar 

  • Martinsen, K. (1994). Fra Marx til Løgstrup—om etik og sanselighed i sygeplejen. Copenhagen: Munksgaard.

    Google Scholar 

  • Muehlebach, A. (2012). The moral neoliberal—Welfare and citizenship in Italy. Chicago: University of Chicago Press.

    Google Scholar 

  • Newman, J., & Tonkens, E. (2011). Introduction. In J. Newman & E. Tonkens (Eds.), Participation, responsibility and choice: Summoning the active citizen in Western European welfare states (pp. 9–28). Amsterdam: Amsterdam University Press.

    Google Scholar 

  • Nousiainen, K. (2011). Double subsidiarity, double trouble? Allocating care responsibilities in the EU through social dialogue. In H. M. Dahl, M. Keränen, & A. Kovalainen (Eds.), Europeanizaton, care and gender: Global complexities (pp. 21–40). Basingstoke: Palgrave Macmillan.

    Chapter  Google Scholar 

  • Obling, A. R. (2012). Kunsten at skabe en medfølende og engageret hospitalslæge. In M. Järvinen & N. Mik-Meyer (Eds.), At skabe en professionel—Ansvar og autonomi i velfærdsstaten (pp. 142–164). Copenhagen: Hans Reitzels Publishers.

    Google Scholar 

  • OECD. (2005). Long-term care for older people? Paris: OECD.

    Book  Google Scholar 

  • OECD. (2011). Help wanted? Providing and paying for long term care. Paris: OECD.

    Google Scholar 

  • OECD. (2013). A good life in old age? Monitoring and improving quality in long-term care. Paris: OECD.

    Google Scholar 

  • Oksala, J. (2013). Feminism and neoliberal governmentality. Foucault Studies, 16, 32–53.

    Google Scholar 

  • Ong, A. (2007). Neoliberalism as a mobile technology. Transactions of the Institute of British Geographers, 32(1), 3–8.

    Article  Google Scholar 

  • Outshoorn, J., & Kantola, J. (Eds.). (2007). Changing state feminism. Basingstoke: Palgrave Macmillan.

    Google Scholar 

  • Pedersen, O. K. (2011). Konkurrencestaten. Copenhagen: Hans Reitzels Publishers.

    Google Scholar 

  • Poulantzas, N. (1978). State, power and socialism. London: Verso.

    Google Scholar 

  • Prado, C. G. (1995). Starting with Foucault—An introduction to genealogy. Boulders: Westview Press.

    Google Scholar 

  • Rasmussen, L. D. (2012). (H)vide verden—om relationer mellem professionsidentiteter og kvalitetssikring, Ph.D. thesis. Roskilde: Institut for samfund og globalisering.

    Google Scholar 

  • Rönnblom, M. (2014, July 3–5). From governance to governmentality—The need for more elaborate methodologies when studying power and politics. Paper presented at the 9th IPA Conference, Wageningen, The Netherlands.

    Google Scholar 

  • Sahlin-Andersson, K. (2002). National, international and transnational constructions of new public management. In T. Christensen & P. Lægreid (Eds.), The transformation of ideas and practice (pp. 43–72). Aldershot: Ashgate.

    Google Scholar 

  • Sanchez, M., & Hatton-Yeo, A. (2012). Active aging and intergenerational solidarity in Europe: A conceptual reappraisal from a critical perspective. Journal of Intergenerational Relationships, 10(3), 276–293.

    Article  Google Scholar 

  • Serviceloven. (2015). Lovbekendtgørelse number 1284 from 17/11/2015. Social- og Indenrigsministeriet.

    Google Scholar 

  • Søndergaard, D. M. (1994). Køn i formidlingsprocessen mellem kultur og individ: nogle analytiske greb. Psyke & Logos, 15, 47–68.

    Google Scholar 

  • Soss, Fording and Schram. (2011). The organization of discipline: From performance management to perversity and punishment. Journal of Public Administration Research and Theory, 21(suppl. 2), 203–232.

    Google Scholar 

  • Spanger, H. M., Dahl, H. M., & Petterson, E. (manuscript). How do states condition care chains? Discursive framings, heterogeneous states and multilevel governance.

    Google Scholar 

  • Szebehely, M., & Meagher, G. (2013). Four Nordic countries—Four responses to the international trend of marketisation. In G. Meagher & M. Szebehely (Eds.), Marketisation in Nordic eldercare (pp. 241–288). Stockholm: Department of Social Work.

    Google Scholar 

  • Tronto, J. (1993). Moral boundaries: A political argument for an ethic of care. New York: Routledge.

    Google Scholar 

  • Thomas, T., & Davies, A. (2005). Theorizing the micro-politics of resistance: The new public management and managerial identities in the UK public service. Organization Studies, 26(5), 683–706.

    Article  Google Scholar 

  • Ulmanen, P. (2012). Working daughters: A blind spot in Swedish eldercare policy. Social Politics, 20(1), 65–87.

    Article  Google Scholar 

  • Vabö, M. (2006). Caring for people or caring for proxy consumers? European Societies, 8(3), 403–422.

    Article  Google Scholar 

  • Venogopal, R. (2015). Neoliberalism as a concept. Economy and Society, 22(2), 165–187.

    Article  Google Scholar 

  • Wærness, K. (1987). On the rationality of caring. In A. Showstack-Sassoon (Ed.), Women and the state (pp. 207–234). London: Hutchinson.

    Google Scholar 

  • Walby, S. (1990). Theorizing patriarchy. Oxford: Basil Blackwell.

    Google Scholar 

  • Weber, M. (1921 [1980]). Wirtschaft und Gesellschaft. Tübingen: Mohr Siebeck.

    Google Scholar 

  • Witz, A. (1992). Professions and patriarchy. London: Routledge.

    Book  Google Scholar 

  • Yuval-Davis, N. (2011). The politics of belonging – Intersectional contestations. London: Sage.

    Book  Google Scholar 

Download references

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  1. Department of Social Sciences and Business, Roskilde University, Roskilde, Denmark

    Hanne Marlene Dahl

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Dahl, H.M. (2017). Regulating Elderly Care And Struggles. In: Struggles In (Elderly) Care. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-57761-0_5

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