Welfare, and the role of social democracy in defining its content and meaning, is often described as one of Sweden's distinguishing features. However, in the quest for liberalization and marketization, reforms in past decades have substantially changed the political landscape. These developments have led many to question the viability of describing the main political actors and their attitudes towards the welfare state in terms of left or right. This dissertation contributes to the understanding of ideological convergence and past and current political cleavages by analysing the welfare debate on freedom of choice between the two main political opponents in Swedish politics over three decades. Using a morphological approach, where ideologies are viewed as distinctive configurations of political concepts creating specific conceptual patterns depending on how they are combined, the analysis focuses on the content of the concept of choice by examining the conceptual relationships between political concepts such as choice, the public and the private, equality, equity and need. The analysis reveals a convergence suggesting that the parties have united around a narrower concept of freedom of choice that relates to how it is implemented in welfare services, that is, the choice between different providers of welfare services. However, important differences remain, which are expressed in the parties' differing conceptions of the power resources citizens need to become truly free individuals. These findings suggest that, while freedom of choice has become a central concept in the political debate, it is not central to the parties' ideologies. Instead, the core of the parties' ideologies appears to be articulated in e.g. the political cleavages that remain, which can be described as differing views on the role of politics and competing conceptions of need and equality. It is how these cleavages are translated into policies that will determine possible welfare choices in the future.
Improved global healthcare rises the production and consumption of human pharmaceuticals. Insufficient wastewater treatment systems and unregulated downstream impacts causes pharmaceutical contamination of surface waters with trace residues in countries covering all continents. Earlier studies of aquatic systems have shown that pharmaceutical exposure influences fish physiology and causes behavioural responses at both individual and ecosystem level. Here, I evaluated how social status in juvenile brown trout (Salmo trutta) influenced behaviour after exposure to an anxiolytic drug (the benzodiazepine, oxazepam). For this project, the fish were exposed to one of three oxazepam treatments: one low, environmentally relevant dose, one high, human therapeutic relevant dose, and one control dose without oxazepam. I expected decreased aggressive behaviour and mitigated relations between dominant and subordinate individuals. Contrary to the prediction and to earlier documentation of fish behavioural responses to oxazepam exposure, neither of the treatments in this project resulted in altered social hierarchies. Moreover, there were no significant differences in brown trout aggression between the treatment groups. The interspecies variations and the relatively unexplored effects of pharmaceutical exposure on social behaviour motivates further studies, preferability over longer time periods with environmentally realistic contexts. This information should be used to improve pharmaceutical regulations and legislation for ecological risk assessments. ; Sjukvården förbättras globalt vilket innebär en ökad produktion och konsumtion av läkemedel. I dagsläget är reningsverkens filtrering av avloppsvatten otillräckliga och spår av läkemedel har hittats i vattendrag över hela världen. Studier av akvatiska miljöer som kontaminerats av läkemedel har påvisat beteendeförändringar hos fiskar och andra vattenlevande organismer med konsekvenser på både individ- och ekosystemnivå. Under det här projektet utvärderade jag hur öringens (Salmo ...
Already from the title of this dissertation can two important points be made. The first is that the dissertation is about the relationship between central and local government, more specifically in Sweden today. The second point is that this relationship is seen from a balance of power perspective, where the relative power of the actors is an empirical question rather than derived from a given hierarchical structure. Such a perspective is based on analysing the actors as interdependent. The central government can thus be dependent on the local government, as well as the other way around, and this interdependence can vary over time and between policy areas. This perspective differs from that of most studies, which often see the relationship either in terms of steering (that local governments are executing centrally determined policies) or local self-government (that the Swedish local governments has a constitutionally protected right to handle their own affairs within certain legal limits). I argue that both these perspectives take a hierarchical point of departure and are, to a large degree, static in their approaches, which means that they risk not discovering, or have problem explaining, changes in the relation between central and local government. To view the relationship between central and local government as interdependence leads to a focus on the resources that the actors possess. For public organisations the most relevant resources are: authority-related resources, financial resources, political resources, informational resources, and organisational resources. The central government has a power advantage concerning authority and financial and political resources while local governments generally have an advantage in terms of informational and organisational resources. The policy area chosen is Swedish refugee policy. The basic paradox within this area is that the central government grants the refugees asylum but cannot give them a place to live without the permission of the local government. This permission is accomplished through voluntary agreements signed between the National Integration Office and the local governments. It is then the local governments that integrate the refugees to Swedish society by providing housing, education, healthcare and so on while the central government is giving the local government a grant to cover the expenses. The central government has lacked political, informational and authority-related resources. The resource used to compensate for this has been the financial resource. By economic incentives the central government has encouraged local governments to increase their refugee reception. This has been the central government's universal weapon and has been used to reduce its vulnerability as well as its sensitivity. For local governments, authority-related and financial resources have been lacking. The resource that the local governments have had, all the way through the time period studied here, is the organisational resource. This is something that the central government simply cannot provide and this is why there is a relationship of interdependence – just as only the central government has authority in its power base, the local level is the only one with organisational resources.
The thesis deals with responsibilities and social interactions in auditing political accountability in Swedish municipalities and regions. Can local audit institutions and their practices help to strengthen democratic leadership and responsibility? Case-studies have been performed in ten municipalities, one county council and one regional unit across Sweden during the period 2003 to 2007. They were selected with regard to variation in size, political majority and through informed observers' knowledge of their auditing strategies and structures. Documents describing their audit institution were also used in the selection process. The regional political unit is an innovation in public sector organization in Sweden. It comprises many municipalities in several earlier county councils forged into one regional politico-administrative unit, mainly concerned with citizens' healthcare. All political units in the study have democratically elected bodies and are legally similarly state regulated. The field-studies started with interviews in the audit institutions of municipalities and regions. The responsible politically elected auditors have repeatedly been interviewed throughout the period of research to ascertain developments. Questions have been asked about how they select challenges to be audited, their use of and experience with professional auditors and their relations with the political bodies and professional organizations in their municipalities and regions. Documents from the audit institutions have been perused and their use in formal, political decision-making pursued and registered. The results of the study show that auditing processes have impact on the organizing of services in the researched political units. But it differs, and is significantly related to local practices of organizing processes. More successful are organized when audit institutions relate well to professionals in services, invite them to participate as equals in auditing dialogs. It creates learning, for auditors as well as for responsible persons in the services. Important is also that municipal auditing is supported by legitimate political bodies and get the resources to contract professional advice by relevant external actors. This is not always the case, either for lack of asking for it or lack of political understanding of the necessity of learning by auditing. Successful auditing practices, in the complex organization of very specialized production of local welfare for citizens, depend on the leadership capability and legitimacy of political auditors to create trust and motive for specialists to engage in common endeavors, organized across, what Max Weber calls, 'iron cages' of bureaucratic organization. The democratic ethos of welfare states demands that resources politically are reserved for the 'have-nots' rather than for the 'haves'. Due to centralized 'iron cages', the general principles of welfare states today cannot cope with this localization. Since the 1970s, it has become the remit of welfare municipalities and regions. In Sweden 'have-nots' usually have multiple needs. An auditing focus on the 'have-nots', in line with the democratic ethos of welfare states, signifies more successful auditing practices. Auditors know 'for whom or what' they audit and are able to organize and motivate so that specialized, bureaucratic organizations combine their competences and skills. The results of the investigation show that auditing in few researched units are high on the learning curve of competent, inter-organizational political accountability. Several are moving upwards, but most are on the lower end on the curve.
Systemet för samhällsskydd och beredskap i Sverige har sedan 1990-talet genomgått en rad förändringar gällande juridik, organisering och ansvar. Framför allt har kommunernas ansvar inom området ökat och systemet har kommit att bli mer beroende av aktörer i lokalsamhället. Dessutom har den enskilde individen fått ett ökat ansvar och är idag en självklar aktör i systemet. De i området styrande principerna om ansvar, likhet och närhet föreskriver att störningar i kommunal verksamhet ska hanteras av de roller som bedriver verksamheten i normala fall. Det innebär att störningar eller kriser i en verksamhet som exempelvis den kommunala omsorgen ska hanteras och lösas av den ordinarie personalen. Systemets ordning i kombination med principerna gör därför att frågor om säkerhet och trygghet för den enskilda omsorgstagaren hamnar i gränssnittet mellan individen och organisationen. Avhandlingens syfte är att fördjupa kunskapen om relationen mellan funktionshindrade personer och kommunens organisation för samhällsskydd och beredskap gällande trygghet och säkerhet. Fyra separata empiriska delstudier från Sverige inkluderas. Den första undersöker kvantitativt vilka riskuppfattningar personer med funktionshinder har och om kan de förklaras av funktionshindret. Övriga tre delstudier är kvalitativa och studerar i tur och ordning: hur risk- och sårbarhetsfrågor manifesteras, erfars och hanteras av funktionshindrade; hur kommuner organiserar för samhällsskydd och beredskap på lokal nivå och vilken roll kommunen har på det lokala verksamhetsfältet för detta; hur en faktisk krisartad situation hanterades på olika nivåer av den kommunala vård- och omsorgen. De två studierna om funktionshindrade visade att tillit är central för hur riskuppfattningen formas och att den vardagsnära säkerheten är viktig. Personerna utvecklar strategier för att hantera sårbarhet genom att undvika vissa situationer, att visa eller dölja sina behov och att lära sig stå ut med att saker och ting tar lång tid. Detta formar ett interpretationsramverk för trygghet och säkerhet där kroppen speglas som objekt och social representation. Därmed kan kroppen likställas med andra sociala representationer och försvaras, riskförebyggas och skademinimeras. Den första kommunstudien visar att den lokala organiseringen av samhällsskydd och beredskap sker på liknande sätt över landet. Däremot har den kommunala funktionen för skydd och säkerhet att hantera olika organisatoriska relationer med distinkt skilda karaktärer. Relationen till den kommunala organisationen i stort är labyrintartad till följd av rationalitetsproblem inom ändamålsenlighet, mål, ansvarsförläggande och uppföljning är oklara eller helt enkelt saknas; relationen till de kommunala förvaltningarna präglas hierarkiproblem genom brist på auktoritet, legitimitet och exekutiv makt; relationen till externa aktörer uppvisar problem med identitet till följd av brist på resurser och tydlig organisation. Den andra kommunstudien visar att den tid-rumsliga inramningen av en störning i det kommunala dricksvattnet skilde sig åt mellan olika organisatoriska nivåer och att störningen hanterades genom en aktiv agens där tillit och handlingsutrymme var avgörande. Avhandlingens övergripande analys utifrån tillitsteori landar i att medan det tidigare systemet för samhällsskydd och beredskap präglades av en instrumentell tillit med vertikalt riktad makt och en problemlösningsförväntan, är dagens system mer beroende av en humanitär tillit med horisontell maktfördelning och med förväntan på att hantera sårbarhet. De tre teoretiska sårbarhetsformerna beroende, oförutsägbarhet och oåterkallelighet föreslås på den lokala samhällsnivån kunna reduceras med de tre tillitsmekanismerna autenticitet, legitimitet respektive transparens. Det är en typ av tillit som är bättre anpassad för det gränssnitt mellan den enskilda individen och organisationen där vi hittar mycket av ansvaret för trygghets- och säkerhetsfrågor idag. ; The Swedish system for civil protection and preparedness has undergone fundamental shifts in legislation, organisation, and responsibility since the 1990s. Most prominently, the responsibility for municipals has increased and the system has become more dependent on actors in the local community. Individuals have also become integral actors in the system with increased responsibility. The guiding principles for this system, formulated by the national authorities, are responsibility, similarity, and proximity. These principles prescribe that disruptions in any regular operations shall be handled by the structure already in place. This means that disturbances or crises, for instance within the local healthcare, should be solved by the regular personnel. The combination of the new location of responsibility and the guiding principles locate the issues of safety and security at the interface between the single individual and the organisation. The aim of this dissertation is to gain knowledge about the relationship between people with disability and the municipal administrative function for civil protection and preparedness regarding safety and security. Four empirical investigations from Sweden are included. The first is a quantitative study investigating the risk perception among disabled people and whether this perception can be explained by their disability. The three remaining studies are qualitative, studying respectively: how risk and vulnerability are manifested, experienced, and managed in everyday life by disabled persons; how local authorities arrange civil protection and preparedness at the local level, and how an uncertain, adverse event was managed at different levels of the local health care. The two studies with disabled persons shows that trust is central to understand how risk perception is shaped and that the safety in everyday life is important. Individuals develop certain strategies in order to deal with vulnerability. The strategies include avoiding certain situations; to show or not to show their needs, and being accustomed to everything taking a long time. These strategies form a framework for interpretation of safety and security where the body is objectified as a social representation. The body thus is comparable to any other social representation and can be subject for defence, mitigation or damage reduction. The first study of local administrations shows that the local civil protection and preparedness is arranged in the same manner all over the country. However, the administrative function for safety and security must deal with distinctly different characteristics in organisational relationships. The relationship with the local administration in general is labyrinthine because of rationality problems regarding adaptation, aims and objectives, assessment and evaluation, and with the allocation of responsibility. The relationship with the different departments within the authority suffers from problems with hierarchy in that the function lacks an authoritative centre, legitimacy, and executive power. The relationship with external entities exhibits problems with organisational identity due to a lack of resources, a distinct organisational character, and autonomy. The second study of local administrations shows that the temporal-spatial framing of a disturbance in the local fresh water system differed between the different organisational levels. Primarily the human agency in terms of trust and a pre-established sphere for action of the personnel was decisive in managing the disturbance. Theories of trust are used to conduct the analysis of the four studies. While the former system for civil protection and preparedness was characterized by an instrumental trust signified by vertical power and expectations of solving concrete problems the present system is more dependent on a so called humanitarian trust signified by horizontal division of power and expectations of managing vulnerability. The conclusion is that at the local level authenticity, legitimacy, and transparency can reduce the three forms of vulnerability: dependency, unpredictability, and irreversibility respectively. This type of trust fits better with the individual-organisation interface in which much of the responsibility for safety and security is allocated today
