Wicked problems or wicked people? Reconceptualising institutional abuse

Burns, Diane, Hyde (Manchester), Paula and Killett, Anne ORCID: https://orcid.org/0000-0003-4080-8365 (2012) Wicked problems or wicked people? Reconceptualising institutional abuse. Sociology of Health & Illness, 35 (4). pp. 514-528. ISSN 0141-9889

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Abstract

Institutional abuse is a global issue, sometimes ascribed to the behaviour of a few wicked people. It persists despite regulatory measures, interventions from enforcement and protection agencies, organisational policies and procedures. Therefore, the accurate recognition and early detection of abuse and taking corresponding steps to deal with perpetrators are critical elements in protecting vulnerable people who live in institutions. However, research is less clear about why and how abuse (re)occurs. Using the tame and wicked problem analysis of Rittell and Webber (1973) as a lens, we examine the ways institutional abuse is formulated in care settings. Drawing on case study data from eight care homes for older people, we show how solutions seeking to reduce institutional abuse and improve care quality can cause additional problems. The article reconceptualises institutional abuse through the lens of wicked problem analysis to illustrate the multifaceted and recurring, wicked problem characteristics of residential care provision.

Item Type: Article
Uncontrolled Keywords: institutional abuse, older people, residential care, wicked problems
Faculty \ School: Faculty of Medicine and Health Sciences > School of Rehabilitation Sciences (former - to 2014)
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Participation (former - to 2013)
Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User: Pure Connector
Date Deposited: 06 Jan 2014 14:50
Last Modified: 19 Oct 2023 01:12
URI: https://ueaeprints.uea.ac.uk/id/eprint/45896
DOI: 10.1111/j.1467-9566.2012.01511.x

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