Gender-based Violence has a considerable prevalence globally, but it is South Africa that has recorded the highest femicide rate in the world. Prehospital Emergency Care providers appear to be well positioned (as first responders) to respond to abuse early. The aim was to understand and strengthen current/potential practice of domestic violence intervention by prehospital emergency medical systems in the context of global health-sector responses. The paradigm was critical theory and the methodology was exploratory sequential mixed methods. Interviews with managers/policy-makers, focus group discussions of clinician-educators and non-participant observation of simulated practice resulted in hypothesis generation. The quantitative phase involved a survey and cohort study with a screening intervention in a public emergency service. The qualitative phase found challenges and threats to responses require organisational/ideological change as paradoxical practice exists relative to the domestic violence behavioural pathology. Further, role-definition, identity and violence re-contextualisation is needed amidst ambivalent and contradictory positions. Emergent theoretical propositions include: typologies of victims, perpetrators and stakeholder responses; an eco-systemic relationship of state/societal expectations; and a 'conceptual compass' for preventing systemic research bias. The cohort study found bio-psycho-social responses and prehospital screening for domestic violence effective and that the evaluation of prehospital met/unmet need was prudent. The historical domestic violence detection rate was found to be 5,1/1000. A nine-fold increase in detection following the screening training and implementation translated to 47,9/1000 emergency care patients, with no adverse events. These rates are unprecedented for South African emergency care and support screening-policy implementation. The difference in domestic violence detection, quantifies the extent of the practice gap, with an alarming missed case detection of 42,8 per 1000 patients (females, 14 years plus). Conceptualisation of the emergency care burden of domestic violence and an awakening to the unacceptability of current practice is warranted. There is a risk of regulatory and organisational 'capture' mediated by masculine hegemony and resuscitation bias. Professionalization should enable a community of practice approach to violence prevention. Recommendations include the national implementation of screening policy; mitigation of regulatory capture risk and professionalising responses through curriculum-reform. The proposed Risk-Need-Responsivity practice-model promotes clinical coherence in Emergency Care. This elevation of the emergency care discourse is likely to benefit the victim and emergency medicine community. Research is warranted in the evolving epidemiology of domestic violence, the acute/clinical needs of victims/perpetrators and the role of emergency medical systems and surveillance, in promoting health and preventing the associated morbidity/mortality, both as a forensic emergency care burden and as a social determinant of health.

abstract: ABSTRACT As a graduate student earning both a Master of Arts in Social Justice and Human Rights and a Graduate Certificate in Nonprofit Leadership Management, I have tried to bridge the theoretical and the empirical in a meaningful way. A problematic chasm between the nonprofit professional and the client being served existed, and I wanted to research this chasm. I wanted to understand what challenges a woman of color faced if she was both a client and a nonprofit professional, possessing dual identities and engaging in a sort of welfare system border crossing. There was a gap in the academic research on women in the nonprofit sector, more specifically the charitable, human services sector, and there was little to no research on women who have been both clients and caseworkers. Therefore, I conducted a series five of in-depth, semi-structured interviews with women of color working at a local food bank. As an employee of the food bank, I recorded my own observations and field notes in order to write a feminist institutional ethnography. I employed interpretive, less conventional design methods, which were aligned with my commitment to social justice. The research highlighted many negative stories about oppression and exclusion women faced in the nonprofit sector. It also confronted the problematic stereotype welfare recipients, specifically women of color, are faced with as a result of the politics of disgust and dominant myth of the Welfare Queen. The research sought to explain how and why women of color transition in and out of the welfare state, and how they manage to work within a food bank, where they are constantly surrounded by inequalities. / Dissertation/Thesis / Masters Thesis Social Justice and Human Rights 2015

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.

In dieser Studie werden Einstellungen zu sozialer Ungleichheit bzw. Gerechtigkeitseinstellungen und die Wahrnehmung von Einkommensungerechtigkeit durch die Bevölkerung in postkommunistischen und westlich-kapitalistischen Ländern zu verschiedenen Zeitpunkten untersucht. Im Zentrum stehen vor allem die Determinanten dieser subjektiven Bewertungen und Wahrnehmungen auf der Makro-Ebene. Wie lassen sich Unterschiede in den Einstellungen und Wahrnehmungen zwischen Ländern erklären? Für westliche Länder wird davon ausgegangen, dass im Wesentlichen der Wohlfahrtsstaat als zentrales Verteilungsarrangement jeweils prägend wirkt. Um den Einfluss des Wohlfahrtsstaates zu überprüfen, wird einerseits eine Typologie wohlfahrtsstaatlicher Regime herangezogen. Andererseits wird auch der Einfluss wohlfahrtsstaatsbezogener Makroindikatoren als nähere Charakterisierung der ausgewählten Länder getestet, was in der international vergleichenden Einstellungsforschung bislang vernachlässigt wurde. In postkommunistischen Ländern, die seit dem Systemwechsel im Vergleich zu westlichen Ländern nicht durch lange wohlfahrtsstaatliche Traditionen geprägt wurden, stehen eher die unterschiedlichen Transformationsverläufe als Erklärungshintergrund von Einstellungs- und Wahrnehmungsunterschieden auf Makro-Ebene zur Verfügung. Da die objektiven Strukturen, Institutionen und individuellen Lagen in postkommunistischen Ländern einem stärkeren sozialen Wandel unterlagen, ist hier im Gegensatz zu westlichen Ländern auch mit einem entsprechend stärkeren Wandel der Gerechtigkeitseinstellungen und Bewertungen zu rechnen. Die Daten für diese Studie stammen aus zwei internationalen Umfrageprojekten, dem ''International Social Justice Project'' (ISJP) von 1991, 1996 und 2000 sowie dem ''International Social Survey Programme'' (ISSP) von 1987, 1992 und 1999. Die Ergebnisse zeigen, dass sich Gerechtigkeitseinstellungen, die als normative Grundhaltungen von Menschen eher prinzipieller Art sind, besser durch wohlfahrtsstaatliche Regimes erklären lassen, die diese Grundhaltungen institutionell inkorporieren und strukturell transportieren, während subjektive Wahrnehmungen von Einkommensungerechtigkeit besser durch konkretere wohlfahrtsstaatliche Makroindikatoren beeinflusst werden. / This study analyzes attitudes towards social inequality, justice ideologies and the perceived amount of injustice with respect to the distribution of income in post-communist and western-capitalist countries at different times, with a specific focus on the macro level determinants of subjective judgements and perceptions. How can country differences with respect to subjective judgements and perceptions be explained? One can assume that, for western countries, the welfare state is the main distribution arrangement shaping these subjective aspects. In order to analyze the influence of the welfare state, a typology of welfare state regimes is developed. In addition, the effects of macro indicators of the welfare state, conceptualized as more specific characteristics of the selected countries, are tested, which has been previously neglected in cross-national attitude research. In post-communist countries, which were not shaped by long national welfare state traditions as much as in western countries, the different transformation processes and their success are more suitable for explaining divergent macro-level attitudes and perceptions. As objective structures, institutions and the individual situations in post-communist countries have gone through a stronger process of social change than in western countries, a stronger change in justice attitudes, evaluations and perceptions can be accounted here accordingly. Data for this study come from two international survey projects, the ''International Social Justice Project'' (ISJP) 1991, 1996 and 2000 and the ''International Social Survey Programme'' (ISSP) 1987, 1992 and 1999. The results demonstrate that justice attitudes, which are rather basic normative attitudes, can be better explained by welfare state regimes which incorporate these basic attitudes institutionally and transport them structurally, whereas subjective perceptions, such as the perception of social injustice with respect to the income distribution, are affected by more concrete welfare related macro indicators.

The purpose of this case history was to view the development of the Saskatchewan Adult Attendance Centre Project through the perspective of currently accepted, but selected, adult education philosophy, principles, and techniques. The Project was a mandatory adult education component of Probation Services, a program for adult offenders operated by Saskatchewan Corrections. The story of the evolution from 1979 to 1984 of the two Adult Attendance Centres of the Project, based in the cities of Regina and Saskatoon, was presented in the context of an historical overview of the education of adults in the Corrections systems of Britain, the United States, and Canada. The Attendance Centres were not set up as adult education institutions. They were intended to be cost effective alternatives to incarceration. The study maintained that sentencing that included attendance at the Centres was more cost effective for the provincial government than incarceration or traditional probation. It argued that the kind of education presented to adult probationers in the Centre programs often strayed from currently accepted adult education philosophy, principles, and techniques. None the less, significant potential existed in the Centres for the creation of more meaningful adult education opportunities for persons on probation.

The purpose of this case history was to view the development of the Saskatchewan Adult Attendance Centre Project through the perspective of currently accepted, but selected, adult education philosophy, principles, and techniques. The Project was a mandatory adult education component of Probation Services, a program for adult offenders operated by Saskatchewan Corrections. The story of the evolution from 1979 to 1984 of the two Adult Attendance Centres of the Project, based in the cities of Regina and Saskatoon, was presented in the context of an historical overview of the education of adults in the Corrections systems of Britain, the United States, and Canada. The Attendance Centres were not set up as adult education institutions. They were intended to be cost effective alternatives to incarceration. The study maintained that sentencing that included attendance at the Centres was more cost effective for the provincial government than incarceration or traditional probation. It argued that the kind of education presented to adult probationers in the Centre programs often strayed from currently accepted adult education philosophy, principles, and techniques. None the less, significant potential existed in the Centres for the creation of more meaningful adult education opportunities for persons on probation.