Longing for a Forever Home: Ontological insecurity is collectively produced in fixed-term supportive housing for families

Plage, Stefanie; Kuskoff, Ella; Parsell, Cameron; Clarke, Andrew; Ablaza, Christine; Perales, Francisco

doi:10.1080/14036096.2023.2173287

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…Expanding the concept of safety to include emotional safety would encourage open recognition and acknowledgement of the distress and better training in how to attend to it ( Miciak et al, 2018 ). It would help with the creation of emotionally safe spaces for consumers to talk about it and explore ways for the clinician to offer support ( Plage et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

“…Reframing distress as an affective assemblage ( Dragojlovic and Broom, 2018 ) and expanding conceptualisations of safety to include emotional safety ( Plage et al, 2023 ) may help clinicians to recognise patient distress as influenced by many things and reasonably considering the many challenges they face. Although aggression is unacceptable, such a reconceptualisation of distress and safety may support the recognition that such emotional expressions and their intensity are reasonable and part of a relational assemblage made up of clinicians’ and patients’ histories/past experiences, life challenges, and structural forces.…”

Section: Discussionmentioning

confidence: 99%

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Distress in the care of people with chronic low back pain: insights from an ethnographic study

Dillon,

Olson,

Plage

et al. 2023

Front. Sociol.

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IntroductionDistress is part of the experiences and care for people with chronic low back pain. However, distress is often pathologised and individualised; it is seen as a problem within the individual in pain and something to be downplayed, avoided, or fixed. To that end, we situate distress as a normal everyday relational experience circulating, affecting, moving in, through, and across bodies. Challenging practices that may amplify distress, we draw on the theorisation of affect as a relational assemblage to analyse physiotherapy clinical encounters in the care of people with chronic low back pain.MethodsAdopting a critical reflexive ethnographic approach, we analyse data from a qualitative project involving 15 ethnographic observations of patient-physiotherapist interactions and 6 collaborative dialogues between researchers and physiotherapists. We foreground conceptualisations of distress— and what they make (im)possible—to trace embodied assemblage formations and relationality when caring for people with chronic low back pain.ResultsOur findings indicate that conceptualisation matters to the clinical entanglement, particularly how distress is recognised and navigated. Our study highlights how distress is both a lived experience and an affective relation—that both the physiotherapist and people with chronic low back pain experience distress and can be affected by and affect each other within clinical encounters.DiscussionSituated at the intersection of health sociology, sociology of emotions, and physiotherapy, our study offers a worked example of applying an affective assemblage theoretical framework to understanding emotionally imbued clinical interactions. Viewing physiotherapy care through an affective assemblage lens allows for recognising that life, pain, and distress are emerging, always in flux. Such an approach recognises that clinicians and patients experience distress; they are affected by and affect each other. It demands a more humanistic approach to care and helps move towards reconnecting the inseparable in clinical practice—emotion and reason, body and mind, carer and cared for.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%