Socialstyrelsen, i sin roll av tillsynsmyndighet för den läkemedelsassisterade opiatvården, utfärdar riktlinjer för detta arbete. Av dessa framkommer vissa skyddsfaktorer av särskild vikt, vilka har operationaliserats i en factorial survey med en randomiserad och en standardiserad vinjettkomponent. Dessa bedömdes av yrkesverksamma inom underhållsbehandling, totalt 38 personer. Materialet bearbetades genom multipel regressionsanalys. Resultatet visade att tre av variablerna - psykosocial intervention, boendesituationen samt familjen/nätverkets stöd, har ungefär lika stor påverkan på bedömningar. Variabeln för sysselsättning hade ytterst marginell påverkan. Vidare visade materialet att den arbetsplats som respondenten var yrkesverksam på var viktigare för att förstå påverkan av bedömningar än någon av ovan nämnda variabler. Detta diskuteras med hjälp av de teoretiska modellerna för återhämtningskapital, handlingsutrymme och judgement theory. / The swedish national board of health and welfare is the regulatory body for the medically assisted opiate care. As such, the board issues guidelines for this field. Theese guidelines contain several recommendations concerning salutogen factors, namely housing, the role of the family and network, work and psychosocial care. These are incorporated in vignettes using the factorial survey approach, and distributed to 38 swedish opiate care professionals. The results show that while the variables family/network, housing and psychosocial care have a relatively coherent influence on professional judement, work does not. However, the single most relevant factor is the clinicians workplace to understand influence om professional judgement. The results are discussed using a framework of recovery capital and judgement theory.

The focus of this thesis is the factorial survey approach as a method for studying professional judgements in social work. The factorial survey approach, which was first introduced in the social sciences around the beginning of the 1980s, constitutes an advanced method for measuring human judgements of social objects. At the general level, this quasi-experimental approach involves presenting respondents with fictive descriptions of social objects (vignettes), in which selected characteristics describing the objects to be judged are simultaneously manipulated. This thesis consists of four studies: In Study I, I explore the general use of the factorial survey approach in sociology between 1982 and 2006. Study II and Study III consist of factorial survey applications in the field of professional judgement in Swedish substance misuse treatment, as organized by the social services. To be more specific, the aims of these papers are to disentangle predictors of social work practitioners’ choices of inpatient or outpatient substance misuse treatment (Study II), and of social work practitioners’ judgements about eligibility for compulsory care (Study III). Finally, in Study IV, I present a conceptual and an analytical framework for the application of the factorial survey approach to the study of professional judgements in social work.

The aim of this thesis has been to study boundary-making in addiction care practitioner’s perceptions of substance use and treatment. The four papers are based on three data collections in Swedish outpatient addiction care: a) a survey conducted in 2006 (n=655), b) a factorial survey using randomly constructed vignettes conducted in 2011 (n=474), and c) a focus group interview study from 2013 (n=30) with a sample of the respondents from the factorial survey. The analyses show that practitioners tend to draw boundaries between various forms of substance use, with alcohol use being perceived as a less severe problem than narcotics use and requiring less extensive treatment measures. There are also partially varying perceptions in different parts of addiction care. By comparison with social services staff, regional healthcare staff generally see a greater need for treatment, recommend medical treatment to a greater extent, and display less confidence in the possibility of handling problematic use without professional treatment. Despite an ongoing medicalization at the policy level, psychosocial treatment interventions appear to have legitimacy in both regional healthcare and social services settings. Boundary-making processes are also found in relation to the specific user’s age, family situation, socio-economic status and in some cases gender, with young women’s drinking being seen as more severe than young men’s drinking for example. The boundary-making between different substance users may be interpreted as a sign of an approach based on a professional consideration of the person’s socially exposed situation, which might require more comprehensive support. At the same time, it may be an expression of a stereotyped approach, involving a normative evaluation of women’s behaviour as being more deviant than men’s, thereby having a limiting effect on the conduct norms that regulate women’s behaviour and making the problems of men invisible. To avoid disparities in addiction care delivery, it is of major importance that practitioners are given room to reflect upon the assumptions and values that underlie the assessments they make in practice. Combining a factorial survey with focus group interviews is proposed as one means of facilitating this type of reflection. / <p>At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Submitted. Paper 4: Submitted.</p>

The purpose of this study was to examine how ethnicity and gender of victim and perpetrator might influence students’ assessment of the severity of cyber-harassment in three different contexts. One hypothesis was that severity is mediated by indicators of power (blame, control balance and status-difference), which in turn are dependent on dimensions of ethnicity and gender. A semi-factorial survey was conducted among 365 students in five different high schools in Stockholm county. The students assessed three different vignettes, which described 1) harassment on a blog, 2) grieving in a first-person-shooter video game and 3) the uploading of a nude picture on Facebook. The effects of the dimensions on participants’ perception of the harassment and choice of action were analysed using linear- and logistic regression analysis, respectively. The results showed the following in each respective vignette: 1) Male bystanders were more prone to choose a passive action if the victim was female and the perpetrator male. 2) Men attributed less blame to female victims while women made no such difference. 3) The results indicate that women deemed the situation more severe if the victim was female. To conclude, the effects of the dimensions seem to vary depending on the different contexts.

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Die Arbeit zeigt im Rahmen einer theoretischen Analyse, einer Institutionenanalyse und einer empirischen Einstellungsanalyse, welche normativen Konzepte von Gerechtigkeit in der Alterssicherung relevant sind, wie vor diesem Hintergrund bestimmte institutionelle Regelungen zu bewerten sind und welche Einstellungen in der deutschen Bevölkerung dazu vorliegen. Zunächst wird dargelegt, dass es kein a priori vollständig überzeugendes Konzept von Generationengerechtigkeit gibt. Insbesondere auf Generational-Equity basierende Ansätze, die suggerieren das Problem intergenerationaler Gerechtigkeit in der Rentenversicherung finanzmathematisch lösen zu können, muss mit Skepsis begegnet werden. Aufgrund theoretischer Überlegungen vorzuziehen sind hybride Konzepte, die sowohl universalistische als auch kultur- und demo-sensitive Aspekte in sich vereinen. Die Institutionenanalyse erbringt weiter, dass das zentrale mit Generationengerechtigkeit verknüpfte Problem weniger die Ungleichheit zwischen Generationen hinsichtlich ihrer durchschnittlichen Güterausstattung ist, sondern die in der Generationenfolge zunehmende intragenerationale Ungleichheit. Schließlich zeigt die empirische Analyse der Gerechtigkeitseinstellungen, dass Statussicherung bei den Renten wichtiger einzuschätzen ist als Beitragsäquivalenz. Die primären Vorstellungen von Gerechtigkeit in der Alterssicherung orientieren sich stark am institutionellen Status quo und kaum an abstrakten Generational-Equity-Konzepten, die die in der Bevölkerung verbreitete Verlustaversion vernachlässigen. Urteilsheuristiken und regimespezifische Sozialisation erklären dabei insgesamt mehr Variation als partikulare ökonomische oder altersspezifische Interessen. Die Probleme des Rentensystems im Zuge des demografischen Wandels werden gleichwohl gesehen, wobei Lösungsansätze eher in der Familien- und Bildungspolitik gesucht werden, während Reformen im bestehenden Rentensystem Ungerechtigkeitsgefühle kurzfristig sogar verstärken. / This thesis demonstrates by theoretical, institutional and empirical analysis, which justice concepts are relevant in old-age provision, how specific institutional arrangements have to be evaluated in this context and which justice attitudes on that matter exist in the German population. Firstly, there is no a priori convincing theoretical concept of generational justice. Especially concepts based on generational equity that propose to solve the problem of intergenerational justice in old-age provision by generational accounting methods have to be considered with skepticism. For theoretical reasons, hybrid concepts that encompass universalistic as well as culture- and demo-sensitive aspects should be preferred. Institutional analysis shows furthermore that the central problem connected to generational justice has less to do with inequality between generations and more with growing inequality within cohorts in the generational succession. Finally, the empirical analysis of justice attitudes provides evidence for the relative priority of status conservation over input-equity in the determination of just old-age benefits. Primary notions of justice in old-age provision are strongly anchored in the institutional status quo and only marginally influenced by abstract generational equity concepts that also neglect widespread loss aversion among individuals. Heuristics and regime-specific socialization explain more variation in justice attitudes than particularistic economic or age-specific interests do. The general public does not neglect the problems of pension-systems in the wake of demographic changes however, but solutions are rather seen in family and education policies, while reforms in existing pension arrangements even amplify feelings of injustice in the short run.

The present study examines General Deterrence Theory (GDT) and its "parent," Rational Choice Theory (RCT), in an information security setting, assessing the behavioral intent to violate organizational policy under varying levels of certainty, severity and celerity of negative sanction. Also assessed is the individual computer user's time orientation, as measured by the Consideration of Future Consequences (CFC) instrument (Strathman et. al, 1994). How does rational consideration of violation rewards influence the impact of sanctions on individuals? How does time orientation impact intent to violate security policy? How do these operate in an IS context? These questions are examined by assessing the responses of university students (N = 443) to experimental manipulations of sanctions and rewards. Answering vignettes with the factorial survey method, intent to violate is assessed in a setting of Internet piracy of electronic textbooks while being monitored by computer security systems. Findings show that, although traditional GDT variables and reward impact intent to violate, CFC does not cause the hypothesized moderating effect on these variables. However, post-hoc analysis reveals a direct effect of time orientation on behavioral intent, as well as a weak moderating effect opposite of the hypotheses, indicating increased time orientation positively moderates, rather than negatively moderates, the impact of reward on intent to violate. Implications for theory and practice, and future research directions, are discussed.