This paper is concerned with the developed area of Kurdistan, the Iraqi Kurdistan, and this paper will try to underline the situation of persons with disabilities living standards in Kurdistan. The research problem concerned with this topic is, what is being done by the different actors who have the power to influence the living standards of persons with disabilities in the region of Kurdistan. The purpose and aims of this paper is to highlight the importance of these living standards for these persons and how they feel they are being treated by the society as whole, both from the society (the people around them), and also the government, authorities and organizations at place for aid and assistance to those people. The main course of this paper has been laid on interviews with official persons from government and associations in Kurdistan. On the authorities and similar side, Salah Yousif Mohammed, the directorate of Disabled Care Duhok has been interviewed, together with Nassrat Mohammed Salem, the director of ZheenHandi Capped Association, Wahid Saeed Chicho, the director of Little People of Kurdistan Association and Khabat Islam Muhamad, Dohuk Program Manager for the Voice of Older People (VOP). These interviews together with interviews with persons with disabilities have laid forward a comprehensive matter of facts at hand to study. Social Constructivism, Human Security and Disability have been chosen as theoretical framework of this paper to help for better understanding of the purpose of this paper. Both Social Constructivism and Human Security help to define and better understand the concept of Disability in Kurdistan. The Social Model of Disability in Sweden has also been included in Disability for better understanding of a successful example.

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The disability community is one of the largest minority groups vulnerable to social exclusion and marginalization, too often forced into poverty, unemployment and social isolation through dependence on the state. This is the result of systemic discrimination, and is being challenged by the social model of disability which frames disability as a political creation: it proposes that barriers, prejudice, and exclusion created by society (purposely or inadvertently) are the ultimate factors defining disability. The social model empowers people with disabilities to dismantle barriers so they have choice, flexibility, and control to gain the dignity, autonomy, equality, and solidarity associated with human rights and citizenship, and calls for research that takes an emancipatory approach and has a political commitment to confront oppression and exclusion. This interdisciplinary Masters thesis looks at the ways co-operatives can be vehicles for inclusion and empowerment for the disability community. It looks particularly at the multi-stakeholder model of co-operative, which is especially promising for the empowerment of the disability community as it brings together different member categories in an appropriate form of interdependence. My research uses case study methodology to explore how socially constructed barriers are the impairment to development in the disability community and to identify successes where informal multi-stakeholder co-operatives have been used to empower people with disabilities through analysis on four dimensions: how consumer-controlled the co-op is, use of multi-stakeholder alliances, promotion of the social model of disability, and ability to promote economic inclusion and social solidarity. The disability community needs new opportunities for empowerment and community development to overcome disadvantage and marginalization, and this thesis explores the potential of multi-stakeholder co-operatives, vis-à-vis the social model of disability, to do this. This research will help shape policies needed to foster social inclusion to empower people with disabilities and build disability solidarity through co-operative development.

The thesis mainly scrutinizes the evolution of European Social Dimension from the early period of the European integration to the Lisbon Summit of 2000 and the formation of the draft EU Constitution in 2003. While the focus is on the changing role of social policy at the European Union level during the period of welfare state transformation, the thesis tries to lay down the normative and discursive linkages constructed between the concepts of European Social Model and the Social Market Economy. Subsequent to the inquiry made into the theoretical foundations of the Social Market Economy and its practice in Germany, the thesis discusses how diverse European actors employ the concept, which is ambiguous in nature, as a comprehensive framework within which a European political identity that may be constructed around European Social Model could be grounded.

The purpose of this research is to examine the institutional narrative of substance use disorders (SUDs) in the U.S. military and the extent to which it reflects the medicalization process. Three general research questions guided my analysis of the narrative surrounding SUDs in the military: (1) How does the military characterize the problems and resolutions of SUDs? (2) How and to what extent does this narrative reflect medicalization? (3) What are the limitations inherent in the institutional narrative of SUDs in the military? In order to address these questions, I draw on three conceptual lenses: (1) The work of Loseke (2007) and others on the powers of institutional narratives; (2) The work of Conrad and Schneider (1980) in which they propose that medicalization can be understood in multiple ways and on at least three distinct levels (the conceptual, the institutional, and the interactive); and (3) The work of disability scholars on the limitations of the medical model and the importance of adopting a social model of the causes and consequences of disability (Oliver and Barnes 2012; Shakespeare 2014; Berger 2012). In this study, I use these lenses to conduct a textual analysis of the VA/DoD Clinical Practice Guideline for Management of Substance Use Disorders. This manual was developed under the auspices of the Veterans Health Administration (VHA) and the Department of Defense (DoD) pursuant to directives from the Department of Veteran Affairs (VA). The document was designed to provide recommendations for the performance or exclusion of specific procedures or services related to identification and response to substance use among active duty personnel and veterans in all branches of the US military. The information and recommendations presented in the document were then disseminated throughout all branches of the military for implementation. This document is, therefore, a powerful codification of the institutional narrative of substance use in the military. Using Conrad and Schneider’s model as a template (1980), I examined the document in order to see how the military has framed the discussion surrounding SUDs. My analysis began with a close reading of the manual several times without much reflection in order to get a general feeling for the story being constructed by the text. However, as I continued with the close reading, I began making comments about the practices and overall impressions the manual puts forth. After several readings and thorough note taking, it became clear that there was a significant amount of medicalization occurring throughout the military manual, and evidence for medicalization could be seen on all three of the levels suggested by Conrad and Schneider. Words and phrases of text were eventually coded and categorized into the three levels of medicalization. The narrative within the document depicts a specific story of how the military addresses matters involving SUDs through a system of screening, assessment and treatment. First, the document’s language relating to diagnostic assessments, laboratory biomarkers and other screening devices used to categorize and measure one’s substance use can all be considered evidence for medicalization at the conceptual level. Multiple segments of text have been identified and categorized on a conceptual level. Second, clear indications of medicalization on the institutional level can be seen with references to specialty treatment, “specialty care” and “other clinics.” Again, multiple text segments have been identified as being representative of medicalization at the institutional level. Finally, evidence for interactive medicalization can be seen through the use of medical referrals, pharmacological treatments and the ongoing monitoring of medical consequences of substance use. The findings suggest that the military has adopted what many now consider a medical model approach toward understanding substance use and evidence can be found at all three levels of medicalization proposed by Conrad and Schneider. Strengths and weaknesses of exclusive reliance on a medicalized narrative of the causes of substance use among military personnel and veterans are discussed in light of the lessons learned from the social model of disability and other critiques of medicalization. I conclude that the success of a medicalized response to substance use may be hampered by the tension between the two widely circulating cultural narratives that intersect in the case of substance use among military personnel.

This dissertation presents a discussion of life in the community for people experiencing psychiatric disabilities in the post-deinstitutional era, with the goal of developing knowledge that can suggest a focus for planning more relevant services and supports. While evaluations of deinsitutionalization have focused on possibilities for providing community, rather than hospital-based services for these individuals, the intention was to support a participatory life in the community, a life defined by much more than just care and treatment. The Mental Health Care Reform of 1995 in Sweden paved the way for this more community-based view of needs related to psychiatric disabilities, as local social services became responsible for supports to a participatory life, “like all others”.  The general aim of this dissertation was to explore and analyze the results of a series of surveys of psychiatric disability, in order to develop knowledge of the social context of the lives which individuals experiencing these disabilities live in the community. More specifically, the aim was to; • describe contacts/interactions between these individuals and the societal organisations with which they seek services or support. • describe characteristics and needs of the individuals identified in these studies as expressed by representatives of the helping system and users who participated in the studies. • develop knowledge of the mechanisms involved in these patterns of seeking support by exploring and analyzing the empirical results within the context of theoretical (social) approaches to understanding psychiatric disability. The findings of this research are based on an analysis of the quantitative and qualitative results of three studies involving seven municipalities in northern Sweden. Of the 2385 individuals who personnel identified as meeting the criteria for a serious psychiatric disability, approximately half did not have active contact with the formal mental health system. They did however seek services, supports and opportunities that they saw as relevant to their lives and needs as community members. These included health, housing and financial assistance as well as opportunities for education and employment. Various mechanisms operating in the community, including stigmatizing attitudes, exclusionary practices and organizational systems and rules, were seen by respondents as obstacles to these individuals developing meaningful and participatory roles. Social approaches, when utilized to explore and understand issues regarding psychiatric disability in the community, support a focus on the social landscape in which ndividuals experience disability-related needs, as well as the dynamics of the disability experience. While in the deinstitutional era, needs were assessed relative to the individual’s relationship to the psychiatric care system, in the post-deinstitutional era, they should be assessed from a participation-relative perspective, where their position as community member, rather than as patient or client, describes the social location of need. Specialized support to general community resources and services in addition to psychiatrically defined supports, would likely reach many, especially younger individuals who might otherwise become seriously disabled.

This research examined notions of belonging and sense of community through a set of layered lenses that integrated a social model of aging with phenomenology to gain a better understanding of the lived experiences of individuals residing in a long-term care (LTC) home. Conducted in a for-profit LTC home in Ontario, this study analyzed messaging in marketing materials supplied to potential residents and their families in anticipation of a move to a LTC home and in the staff policies and procedures manuals using document and narrative analysis. Themes emerging from this phase were then compared with the first-hand experiences of living in a LTC home as told by residents through the use of a focus group (n=6) and individual interviews (n=6) and experiences of working in a LTC home as described by interviews with staff (n=6). Analysis of marketing documents revealed the theme of let us be your caring community. As messaged in these documents, the LTC home supported residents by caring, embodying the ideals of home through natural living spaces, and supporting meaningful personal connections. This contrasted with messages found in the staff policy manuals. Divided discourses highlighted the tangible complexities of implementing a person-centered philosophy within a business model by describing the industry of care, prescribed customer service, fabricating normalcy and, to a much lesser extent, promoting the practice of person-centered care. Residents’ phenomenological stories illustrated variable un/belonging within a LTC home. Personal experiences of the institutional erosion of belonging, congregate nature of living in a LTC home, changing nature of personal relationships and the prescriptive living environment routinized day-to-day experiences and provided a stark contrast between belonging in community and un/belonging in a LTC home. Weaving belonging into daily tasks described how staff members laboured daily at working to personalize LTC home living, and how they were helpless to prevent losses in community and belonging. After completing the research and analysis of the promotional materials, policy and procedures manuals, and resident and staff transcripts I conducted a broader level analysis of all four sets of themes in order to get a sense of the whole. I concluded there were five tensions of: constructing home from the outside; person-centered care within a biomedical, business model; promoting individuality in a congregate structure; synthetic connections at the expense of long-standing relationships; and fostering living in a death-indifferent culture which justified society’s need to divide and regulate. Incorporating a range of data including promotional materials, policy and procedures manuals, and the voices of both residents and staff, these tensions are not only implicit in the culture of Manor House but within the overarching structure of LTC homes in general and have deep implications on the standing and status bestowed upon older adults in Canadian culture. My intention was to bring to light the contextualized lived experiences of individuals living at Manor House and highlight the structural and social barriers that continue to produce discrimination by “problematizing” aging and subsequently fostering notions of presumably acceptable dividing practices (Foucault, 1982) within society. By examining meanings and experiences of community in a LTC home, and also recognizing the systemic, structural and cultural factors that may shape those experiences, I sought to gain a more comprehensive understanding of the lifeworlds of individuals living within a LTC home.

CoordenaÃÃo de AperfeÃoamento de Pessoal de NÃvel Superior / A busca pelo Ensino Superior tem levado anualmente milhares de jovens do paÃs inteiro a se inscreverem no Exame Nacional do Ensino MÃdio (ENEM). Inicialmente criado, em 1998, com o objetivo de avaliar o desempenho do estudante ao final da EducaÃÃo BÃsica, a partir do ano de 2009, passou a ser utilizado como ferramenta de seleÃÃo para a EducaÃÃo Superior. Tal exame, que na atualidade apresenta vÃrios objetivos, deve assegurar a todos, indistintamente, o acesso, conforme previsto no princÃpio jurÃdico da igualdade ou da isonomia, que afirma que todos sÃo iguais perante a lei. O ENEM, portanto, deve prover recursos que garantam a igualdade a todos que dele desejem participar, sendo necessÃria, aos organizadores desse exame, a preocupaÃÃo em disponibilizar recursos que atendam adequadamente as necessidades daqueles que apresentam especificidades em seu desenvolvimento, comportamento, mobilidade, entre outros. Dentre aqueles que necessitam de recursos diferenciados para se sentirem incluÃdos estÃo as pessoas marcadas pela surdez, caracterÃstica esta que provoca no indivÃduo um modo diferenciado e particular de desenvolvimento, visto que a audiÃÃo à um dos principais elementos responsÃveis pela aquisiÃÃo da linguagem e sua ausÃncia irà interferir na constituiÃÃo e desenvolvimento do pensamento, memÃria e de outros processos psicolÃgicos bÃsicos. Apesar da existÃncia do princÃpio da isonomia em nossa legislaÃÃo, sÃo muitos os relatos de queixas de estudantes surdos que nÃo se sentem contemplados nos recursos de acessibilidades previstos pelo Inep para a realizaÃÃo do ENEM. Exemplo disso à que, ao longo dos anos, temos encontrado diversas manifestaÃÃes advindas da sociedade civil, seja por meio de mÃdias sociais ou atravÃs da procura dos meios jurÃdicos, para a conquista do direito a esse princÃpio bÃsico no ENEM. A pesquisa que se apresenta a seguir intenciona investigar as condiÃÃes avaliativas de acessibilidade no Exame Nacional do Ensino MÃdio â ENEM para alunos com surdez na cidade de Fortaleza, estado do CearÃ. A realidade que se desenha justifica a importÃncia social da realizaÃÃo de pesquisas que possam investigar e aprofundar conhecimentos sobre a temÃtica. Academicamente, uma pesquisa na Ãrea se justifica pela escassez de material cientÃfico que trate sobre o assunto e pela importÃncia de construir conhecimentos mais consistentes sobre a acessibilidade no ENEM. Para realizaÃÃo dessa investigaÃÃo, foi realizada uma pesquisa qualitativa, na forma de um estudo de caso. Foram utilizados como instrumentos o questionÃrio, a anÃlise de documentos e a entrevista semiestruturada. Os resultados apontam para a inadequaÃÃo de recursos de acessibilidade para candidatos surdos, pois estes apresentam grande dificuldade na compreensÃo da lÃngua portuguesa, o que favorece uma incompreensÃo do que à solicitado pelas questÃes do ENEM, que apresentam longos textos em seus enunciados. Os resultados apontam que os surdos nÃo possuem autonomia nesse exame e dependem quase que exclusivamente do intÃrprete para a sua compreensÃo.

Sickle cell disease (SCD) and depression are each major public health issues globally. Nigeria currently has the largest proportion of people with SCD worldwide, with up to 150,000 annual births. This study highlights the limitations of previous studies, which only utilize the biomedical model in explaining SCD, and which pay insufficient attention to the lived experiences of people with SCD. Extant literature reports strong associations between SCD and depression, and locates the problem ‘only’ in terms of disease severity, levels of service utilization or alleged psychological maladjustment to SCD condition. Biomedical research tends to treat stigma as a predicament that automatically correlates with SCD. Data collected was guided by a modified three-staged theoretical framework derived from Arthur Kleinman, with the use of questionnaires (incorporating Patient Health Questionnaire) to describe depression in persons with SCD; 15 in-depth interviews to explore the illness experience of SCD, and a series of six focus groups to examine depression and stigma in SCD as a form of ‘societal sickness’. In the first stage, questionnaires were administered to 103 outpatients at an SCD clinic in Lagos, Nigeria, and findings revealed an association of depression with age, and severity of SCD as indicated by symptoms such as leg ulcers. The first stage enabled those with moderate depression to be identified and invited into the subsequent stages (two and three) of the research. In the second stage, fifteen in-depth interviews with adults living with SCD were conducted and analysed using interpretive phenomenological analysis (IPA), also drawing on the influences of Herbert Blumer and Erving Goffman. Testimonies suggested that people with SCD face overwhelmingly negative criticisms from a wide range of significant others, including close family members; that the discrimination they face arises not from their condition per se but from the societal norms and expectation that they are assumed to break; and that they themselves identify pathways from the negative experience they endure to their own depression and mental distress. In the third stage, a series of three focus groups, each with five participants, found that people with SCD began to reject negative labels, identify challenges in their own terms, gain a sense of confidence and identity from their participation in groups, and began to identify social barriers to their full participation in society that they wished to challenge. The overall findings of the research suggest that by coming together in groups, people with SCD themselves suggest that rigorously researched social interventions may be considered an important adjunct to medical interventions in improving the lives of those living with SCD in Nigeria and throughout sub-Saharan Africa.

This diploma thesis deals with the social policies of the European Union and with poverty. Social policies are divided into five social models, based on basic typologies. Individual social models are characterized separately and the claims are supported by appropriate economic indicators. The practical part builds on these theoretical foundations and examines the dependence of variables and social models. Based on the indicators of poverty, the social situation of the individual states of the European Union is defined. Dependencies were created using indicators of poverty and economic variables. A generalized linear model was designed to determine the dependence of the social situation in the EU based on selected factors.