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Understanding & Implementing Equality Strategies: Anti-Discriminatory Practice, Summaries of Nursing

An in-depth analysis of anti-discriminatory and anti-oppressive practices through neil thompson's 'anti-discriminatory practice' book. The text emphasizes the importance of understanding the relationship between structural social determinants, cultural representations, and subjective experiences to develop effective anti-oppressive strategies. The document also discusses thompson's pcs model for understanding oppression and discrimination, focusing on gender, race, ageism, disability, and other forms of oppression.

What you will learn

  • How can anti-oppressive strategies be effectively implemented in various contexts?
  • What is the significance of Neil Thompson's PCS model for understanding oppression and discrimination?
  • What are some examples of discrimination based on gender, race, ageism, and disability discussed in the text?

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Anti-Discriminatory Practice (Third Edition)
Thompson, N. (2001) Basingstoke: Palgrave, £13.99, Paperback, 208 pp.
The task of marrying theoretically cogent and informed discussions of oppression and
discrimination in contemporary societies with a focus on the practice issues in anti-
discriminatory and anti-oppressive strategy and policy is incredibly difficult to do.
Translating conceptual strategies for equality, rights and justice into ‘lifeworld’ ideas and
practices involves a clarity of understanding of the relationship between structural social
determinants, the contested field of cultural representations and the subjective experience of
social process, institutions and orthodoxies. Neil Thompson’s work, principally both this text
- in its third edition - and his Promoting Equality, is an exceptional example of how this is
done well. Thompson is quite simply essential and required reading for any academic,
student or worker in the areas of public services and social care (1).
This text is probably his most directly accessible to practitioners, though its academic value is
considerable. In the first chapter, he identifies and cogently presents the complexity of
multiple oppressions that impact upon people’s ‘lifeworld’ experience and requires an
understanding of the need to develop a generic but subject sensitive model for understanding
oppression and building anti-oppressive strategy. Usefully, he begins his discussion by
arguing with clarity and eloquence that a concern with anti-oppressive strategy is not a
segmented product of ideological and ethical commitment but intrinsic to good practice in the
work-place and with those public services and social care seek to support and enable.
Chapter Two outlines his PCS (Personal, Cultural, Structural) model for understanding
oppression and discrimination. This model recognises the inextricable yet often dislocated
relationship between personal ‘lifeworlds’ and political discourse, and argues the necessity of
their integration, with special emphasis upon cultural practices in everyday work and social
contexts, and the use of language, representations and discourse to develop anti-oppressive
practice. The strength of this model is that it also allows Thompson to directly address the
‘hearts and minds’ issues of transition from oppressive to anti-discriminatory environments
and relationships.
The remainder of the book focuses on separate chapters on gender, race, ageism and
disability, with a more general chapter looking at oppression on the basis of difference, using
examples of religious belief, sexuality and mental illness as areas where anti-discriminatory
practice can be engaged. Finally, there is a concluding chapter which provides a summary of
the main themes of the text, reinforcing both the principles of anti-discriminatory practice and
the problems of engaging in anti-discriminatory practice.
The text is never less than clear and lucid, with case studies interspersed within the narrative
to make real the issues raised. The academic content is represented with clarity, but without
losing its sophistication. It is an extraordinarily readable text, and a text that can form the
basis of informed and intelligent discussions of the scope and limits of anti-discriminatory
practice, and how principles are translated into strategy and practice.
It is common for reviewers to seek to interpret the need for a balanced appraisal of a text to
involve finding points of weakness, oversight and error. For what this book does and says,
this reviewer would rather recommend that it is read by every person who is interested in a
less discriminatory world, who suffers discrimination and wants it to stop, or who sees it
happening and wants to be active against it. It is an extraordinarily valuable resource and an
excellent beginning to the task of thinking about and participating in the struggle for a non-
discriminatory world.
Paul Reynolds
Edge Hill College
pf3

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Anti-Discriminatory Practice (Third Edition) Thompson, N. (2001) Basingstoke: Palgrave, £13.99, Paperback, 208 pp.

The task of marrying theoretically cogent and informed discussions of oppression and discrimination in contemporary societies with a focus on the practice issues in anti- discriminatory and anti-oppressive strategy and policy is incredibly difficult to do. Translating conceptual strategies for equality, rights and justice into ‘lifeworld’ ideas and practices involves a clarity of understanding of the relationship between structural social determinants, the contested field of cultural representations and the subjective experience of social process, institutions and orthodoxies. Neil Thompson’s work, principally both this text

  • in its third edition - and his Promoting Equality , is an exceptional example of how this is done well. Thompson is quite simply essential and required reading for any academic, student or worker in the areas of public services and social care (1).

This text is probably his most directly accessible to practitioners, though its academic value is considerable. In the first chapter, he identifies and cogently presents the complexity of multiple oppressions that impact upon people’s ‘lifeworld’ experience and requires an understanding of the need to develop a generic but subject sensitive model for understanding oppression and building anti-oppressive strategy. Usefully, he begins his discussion by arguing with clarity and eloquence that a concern with anti-oppressive strategy is not a segmented product of ideological and ethical commitment but intrinsic to good practice in the work-place and with those public services and social care seek to support and enable.

Chapter Two outlines his PCS (Personal, Cultural, Structural) model for understanding oppression and discrimination. This model recognises the inextricable yet often dislocated relationship between personal ‘lifeworlds’ and political discourse, and argues the necessity of their integration, with special emphasis upon cultural practices in everyday work and social contexts, and the use of language, representations and discourse to develop anti-oppressive practice. The strength of this model is that it also allows Thompson to directly address the ‘hearts and minds’ issues of transition from oppressive to anti-discriminatory environments and relationships.

The remainder of the book focuses on separate chapters on gender, race, ageism and disability, with a more general chapter looking at oppression on the basis of difference, using examples of religious belief, sexuality and mental illness as areas where anti-discriminatory practice can be engaged. Finally, there is a concluding chapter which provides a summary of the main themes of the text, reinforcing both the principles of anti-discriminatory practice and the problems of engaging in anti-discriminatory practice.

The text is never less than clear and lucid, with case studies interspersed within the narrative to make real the issues raised. The academic content is represented with clarity, but without losing its sophistication. It is an extraordinarily readable text, and a text that can form the basis of informed and intelligent discussions of the scope and limits of anti-discriminatory practice, and how principles are translated into strategy and practice.

It is common for reviewers to seek to interpret the need for a balanced appraisal of a text to involve finding points of weakness, oversight and error. For what this book does and says, this reviewer would rather recommend that it is read by every person who is interested in a less discriminatory world, who suffers discrimination and wants it to stop, or who sees it happening and wants to be active against it. It is an extraordinarily valuable resource and an excellent beginning to the task of thinking about and participating in the struggle for a non- discriminatory world.

Paul Reynolds Edge Hill College

(1) Thompson, N. (1998) Promoting Equality: Challenging Discrimination and Oppression in the Human Services, Basingstoke: Macmillan

Asset Stripping: Local Authorities and Older Homeowners Paying for a Care Home Place Wright, F. (2002) Bristol: Policy Press, £14.99, paperback, 48pp.

Asset Stripping explores a little researched area of social care policy – that which concerns those older people who fund their own care in a residential or nursing home. The study covers the views of local authority care managers and finance officers, older people and their relatives as well as care providers in all sectors.

The report commences with a useful list of acronyms used throughout which should assist the ‘lay’ reader, minimising as it does the use of professional jargon.

The introduction reminds us that approximately one third of all older people residing in care homes meet their own care costs. This is a substantial minority who are, as the report shows, discriminated against in the ways they locate and then pay for the care that they need.

Chapter two provides the reader with a clear and comprehensive historical context for means testing and the provision of long-term care. Wright begins in the 1980s, takes us through the community care legislation and on to the present.

The crux of the problem for many self-funders is highlighted in this chapter. We are reminded that everyone who appears to have a need is entitled to a care assessment. However, this often does not happen in practice for those with capital over the upper limit who are denied information about the range of options for care. As a result, older people may enter residential care unnecessarily, when care at home may have been more appropriate, or enter a home with fees higher than local authority limits. In either case, an authority may subsequently refuse to contribute financially when their capital drops.

Despite the intention of the NHS and Community Care Act 1990, there is still a bias towards entering residential care as this is often viewed as most cost effective for local authorities with limited budgets. Chapter three examines local authority policies and the restrictions they place on spending on care for older people. Wright points out that authorities have devised a range of strategies for controlling their expenditure, including the use of cost ceilings and avoidance of care assessments for older homeowners. She is clear about the legal duties of local authorities has, but is equally clear about the failure of some authorities to meet their responsibilities.

Chapter four looks in more detail at the way authorities view property and the way they treat older homeowners. It is clear from this chapter that local authority practice varies enormously and that this results in inequity for older people, their carers and family.

Chapter five turns our attention to the relationship between care providers and the local authority. This can be problematic, as providers often maintain that authorities will not pay enough for state funded residents, while some authorities believe that care providers are greedy. In this context, it is hardly surprising that self-funders are viewed positively by care providers, since they are often, in effect, subsidising state funded residents, though not necessarily receiving better facilities or a higher standard of care.