Per Arne Tufte

Discretionary Decision-Making in a Changing Context of Activation Policies and Welfare Reforms

Street-level bureaucrats are considered to be subject to bureaucratic managerial regimes and threatened by stronger regulation and a reduction in their ability to exercise control over their work. Contrary to the managerial approach, predicting curtailment of professional autonomy, theorists foretell the continuing importance of discretion in the translation of social objectives into actual service delivery. Given such opposite predictions, what is the perceived direction of change and scope for independent decision-making for front-line workers? This paper empirically investigates the contradictory hypotheses predicting continuing or declining opportunities for street-level discretion in a context of activation policies and welfare reforms. The data come from two surveys conducted among practitioners and local managers in the Norwegian employment and welfare services in 2004 and 2011. Despite managerial control and bureaucratic procedures that regulate many decisions, discretion still remains a characteristic of front-line work. Continued discretion is closely related to the implementation of activation goals and the merging of tasks and integrated services following the whole-of-government reform. The findings confirm the role of managers as key players in implementing policies at the local level. Concurrently, the discretionary power of trained social workers is decreasing and challenged by the push for uniform practices and a managerially regulated role.

Social and diagnostic inequality in health.

Aims: Empirical studies of social inequalities in health commonly take the diagnosing of disease for granted. Social inequalities in health are seen as the result of social processes, yet the diagnosis itself is rarely considered to contribute to such inequality. We argue that the influence of sociocultural and cognitive bias in the diagnosing process follows a social pattern, such that certain diagnoses are disproportionally over- or underrepresented in different socioeconomic groups due to interpretive bias of underlying symptoms. Methods: Norwegian data on sick leave for diffuse musculoskeletal and diffuse psychiatric disease in 2006 were analysed to study the distribution of the two diagnoses in different status groups. Socioeconomic status was measured by years of education. Diagnoses and occupational codes were based on national registers; diagnoses in accordance with the International Classification of Primary Care second edition. We compared occupations in technical sectors to occupations in the health sector and the relative number of cases of sick leave controlled for years of education, gender, occupational sector, and diagnosis. Data were analysed by cross-tabulation, ratio of diffuse psychiatric/musculoskeletal diseases, and logistic regression. Results: The ratio of diffuse psychiatric/musculoskeletal diseases increases with education and decreases if the employee works in a technical job. Conclusion: The results challenge the traditional explanation that job features alone can explain the distribution of disease and suggest that a part of the persistent social inequality in health can be caused by the diagnosing process. In order to reach a better understanding of the processes behind the social inequalities in health, the diagnosing process itself should also be studied.

Human-animal relationships in the Norwegian dairy goat industry: attitudes and empathy towards goats (Part I)

The quality of human-animal relationships in the livestock industries has been increasingly recognised as an important determinant of animal welfare. Attitudes and empathy are multi-dimensional traits that may be associated with the stockpersons’ behaviour. The aim of this study was to determine the dimensionality of the goat-oriented attitudes and empathy of stockpeople in the Norwegian dairy goat industry. We also explored how empathic and attitudinal dimensions are interrelated, and how the demographic background variables may predict empathy and attitudes. A total of 260 dairy goat farmers participated in the study, by the means of either postal or internet-based questionnaire formats. Multi-item rating scales were developed specifically for the assessment of attitudes and empathy towards goats, and Principal Component Factor Analysis was conducted to determine the dimensionality of the farmers’ goat-oriented attitudes and empathy. Subsequently, linear and ordinal regression analyses were performed to explore the interrelationships. The analyses revealed dimensions of empathy that can be recognised from studies of human-oriented empathy, and attitude dimensions that can be interpreted similarly as dimensions described in studies from other livestock industries. Our results show that different dimensions of attitudes and empathy were associated with different demographic variables, and that each empathy dimension was associated with a different attitude factor.

Kritik der Analytischen Soziologie

Die Analytische Soziologie ist in immer groserem Mase Diskussionsgegenstand unter den Soziologen Norwegens geworden. In der Abteilung fur Soziologie und Humane Geographie an der Universitat in Oslo hat sich ein Forum fur Analytische und Quantitative Soziologie gegrundet und fur Forscher mit Interesse an sozialen Mechanismen und einem analytischen Ansatz hat sich am Nationalen Institut fur Verbraucherforschung ein Diskussionsforum gebildet.