Suchergebnisse

In this book [titled Home, welfare work and vulnerability] the authors take the reader on welfare workers' home visits to clients in need of support in their living. Welfare workers refer to professionals in health and social care who in the book are represented among others by social workers, social care workers and nurses. The main concepts of the book are home, welfare work and vulnerability and these are contemplated from different angles. Welfare work entails encountering people who are in vulnerable situations in the midst of their everyday lives. They may need support in coping with their mental health, with physical illnesses, with the challenges of achieving sobriety and recovery or perhaps with the difficulties accompanying old age. On the one hand their ability to act is limited and weak but on the other they have many kinds of strengths and resources.

The book addresses a significant turning point in welfare services and work at which the objective is defined as the right of every individual to their own home and making living at home feasible for as long as possible. In the last fifty years or so many societal factors have made possible the dismantling of institutions, the reduction of places and the shortening of stays in institutions, the further development of care in the community, the construction of small residential and care facilities and most recently the further development of services to be taken into people's homes. The last stage of this dismantling of institutions is referred to in the book as the "home turn". As a societal change the home turn is complex – and that is how it is approached in the book. When one's own home is the main place in which welfare policy and work are implemented, it is important to scrutinize more closely what actually occurs there and what special issues are connected to this given context.

The book offers a timely point of view on the development of welfare services and the grass-root level welfare work done in the homes. It draws on interaction research based on ethnomethodology and human geography. Research data consist of recordings of home visits, researcher's field diaries and interviews with clients and workers. The work includes both chapters providing conceptual and theoretical overviews and empirical research on the encounters between client and worker(s) on home visits. Welfare work accomplished in people's homes entails many tensions and ethical issues which are analysed in the book and made visible through the means of research.

Study of how the Academic Karelia Society (AKS) understood Finland's national defense and foreign policy situations and tried to influence both during the period 1922-1939. The study is based on AKS original sources, including AKS personnel interviews and press clippings, as well as Finnish Defense Administration documents. AKS' most important archives disappeared without a trace immediately after the Second World War

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Voting advice applications (VAA) have supported Finnish voters for over 20 years in their voting decisions in general elections. Most Finnish VAAs are planned and provided by the media, and they are based on matching opinions of individual candidates with an individual VAA users before elections. Nowadays, in Finland, VAAs are important for almost all age groups. Among the youngest voters VAAs are viewed as the most important source of information to support voting decisions.

The book provides up-to-date and comprehensive picture over the role and significance of VAAs in the Finnish political system and in the political communication arena. Research topics deal also with VAA journalism and how candidates perceive VAAs. Research data and data materials in use are wide-ranging. They range from survey data sets to questions of VAAs and from interviews of candidates and VAA producers to media content about VAAs. Theoretical research questions are mostly related to the democratic value of VAAs. This perspective is central also in the end of the book, which opens possible future pathways for the VAAs." - "Vaalikoneilla on Suomessa yli 20 vuoden historia. Suurin osa suomalaisista vaalikoneista on median toteuttamia ehdokasvaalikoneita. Niiden merkitys vaalitiedon lähteenä on kohonnut maassamme merkittäväksi lähes kaikissa äänioikeutettujen ikäryhmissä. Nuorimmille äänestäjille vaalikoneet ovat jo merkittävin äänestyspäätösten tietolähde.

Teos tarjoaa ajantasaisen ja kattavan kuvan vaalikoneiden nykyisestä asemasta suomalaisessa poliittisessa järjestelmässä ja viestintäkentässä. Uusia tutkimuksellisia näkökulmia ovat vaalikonejournalismi sekä ehdokkaiden näkemykset vaalikoneista. Tutkimusaineisto koostuu valitsijakyselyistä, vaalikoneiden analyysista, vaalikoneita koskevista uutisista sekä ehdokkaiden, kampanjavastaavien ja vaalikoneiden tekijöiden haastatteluista. Kirja lähestyy vaalikoneita erilaisista demokratianäkökohdista ja pohtii laajasti myös vaalikoneiden kehittämismahdollisuuksia."

"Drawing on the debate on mediatization of politics this study identifies cultural meanings, institutional practices and styles of argumentation as three theoretical dimensions that illuminate both the construction of journalistic publicity and its potential uses in political action. Based on the theoretical model, environmental politics is identified as a specific context for mediatization. In environmental politics, the interplay of cultural meanings, institutional practices and styles of argumentation define the construction and use of journalistic publicity in a way that differs from other fields of politics.

The empirical part of this study analyzes the newspaper coverage of three Finnish environmental conflicts from 1971, 1994 and 2012. The theoretical model is transformed into an analytical framework that focuses on discursive construction of the conflicts (cultural meanings), journalistic frames, narration and opinion-giving in the coverage of the conflicts and the publicity practices adopted by actors during the conflicts (institutional practices) and legitimation of arguments (styles of argumentation).

According to this study, the relation between media and politics in the field of environmental politics is defined by the increasing cultural significance of environmental protection from the 1970s to the present. In the newspaper coverage of the three environmental conflicts studied, changes on the frames, narration and opinion-giving of journalism resonated with this cultural change. However, the significance of environmental protection in the framing, narration and opinion-giving of journalism was greater in the national newspaper studied compared to the local newspapers selected based on their proximity to the conflict sites. Styles of argumentation appeared to be more case dependent. The increasing cultural significance of environmental protection did not have a clear effect on how arguments were legitimated. "

Alex Matson (1888–1972) is an important Finnish literary critic and essayist, whose literary reviews and collections of essays have made a vital contribution to the development of Finland's postwar literary generation. Born in Finland as the son of a sailor, Matson moved as a young child with his family to Hull in England, where he went to school. In the 1910s, he moved back to Finland, where he at first established himself as painter associated with the expressionist November Group, an important Finnish artistic movement at the time. In the interbellum, he moved from fine arts to literature. In the 1920s and 1930s, he published several novels, but more important was his work as transmitter of international literary ideas to Finland. Together with his first wife, Kersti Bergroth, he edited the literary journal Sininen kirja (""The Blue Book""; 1927–1930), which was inspired by the writings of John Middleton Murry and Katherine Mansfield. Sininen kirja is the most international literary journal in Finnish history to date and introduced Finland to the most significant modernist writers of the first half of the 20th century (Gottfried Benn, Jean Cocteau, Alfred Döblin, T. S. Eliot, Aldous Huxley, James Joyce, D. H. Lawrence, Katherine Mansfield, Paul Valéry, Virginia Woolf).
During the Second World War, Matson worked for the State Communications Agency, which was responsible for disseminating relevant information about Finland to other nations and for informing Finns of relevant developments abroad. It was also tasked with studying the prevailing mood among the population in Finland. In Matson's unpublished wartime diaries, one can see the first symptoms of a shift in Finnish culture away from Germany and towards Anglo-Saxon culture.
From the 1940s onwards, Matson recommended new English and American novels as a part of his work as reader for Finnish publishing houses, and he also translated works by Joyce, Hemingway and Steinbeck. With the help of a network of international literary critics, Matson became acquainted with New Criticism, which he introduced to Finland before it became established among academic researchers. He was often critical of academic literary studies, but his seminal essay works Romaanitaide (""On the Prose Novel""; 1947), John Steinbeck (1948), Kaksi mestaria (""Two Masters"", on Tolstoy and Dostoevsky; 1950) as well as his impressive conversational skills were instrumental in introducing knowledge about the principles of the prose novel to several authors (including Väinö Linna, Lauri Viita, and Hannu Salama), and contributed to their views of literature. Matson emphasized the importance of reading and understanding high-quality literature for the wellbeing of society.

This chapter explains the sociolinguistic differences between the two regions are important and have led to significantly contrasting language policies a contrast that can be observed at the level of specific political measures set up in each case, and also at the level of principles underlying state action regarding linguistic matters. Conversely, in Belgium, French has never been a low-status language, predominant in low-paid jobs, socially stigmatised as a patois or as a mixture of English and French typical of uneducated people as it was in Quebec from the end of the eighteenth century onwards. Progressively, the Flemish movement demanded political autonomy for cultural political matters, while the Walloon regionalist movement was interested in obtaining more autonomy in economic matters in times when Wallonia was still the most prosperous region of the country. The importance of French in the website presentations of each region for foreigners is very indicative of the role language plays in Quebec and in Wallonia.

Finnish psychiatric practice has been heavily based on institutionalization, and mental hospitals have played important cultural and historical roles in Finland. Our multidisciplinary research focuses on the bodily, spatial, affective, and multisensory aspects of the memories of patients, relatives, staff, and their children. The memories were collected and archived in the Finnish Literature Society in 2014–2015. These 92 written pieces cover the period from the 1930s to the 2010s. They reflect significant changes in Finnish psychiatry and provide crucial insights into the various meanings of mental hospitals in people's lives, and the social and cultural forces that shape attitudes to and ideas about mental health problems, psychiatric care, and service users today.
Drawing on our backgrounds in history, artistic research, and visual, cultural and literary studies, we provide new ways of reading and interpreting the memories and experiences in psychiatry. The study discusses memory, mental hospitals as lived spaces, the history of Finnish psychiatry and the relation between the memories of the different groups of writers. The chapters approach memories from the perspectives of affects and atmospheres, violence and abuse, everyday life at the hospital in the 1930s, feelings of fear and safety in the memories of the children of the staff, and the historically and culturally contingent tensions between hospitals and homes.

Marxismin mukaan kapitalistisen yhteiskunnan jäsenet jakaantuvat kolmeen luokkaan: porvaristoon, keskiluokkaan ja työväenluokkaan. Jotkut marxismin tukijat jakavat keskiluokan talonpojistoon ja muuhun keskiluokkaan. Talonpojisto on vähenevä luokka. Koska marxismin luokkateorian mukaan poliittiset puolueet vaalivat yhteiskuntaluokien intressejä, tutkin pitääkö tämä väite paikkansa. Ensin selvitin marxilaisen teorian luokista ja niiden intresseistä eli eduista, joiden puolustamiseski luokat järjestäytyvät poliittisiksi puolueiksi. Ne laativat itselleen yhteiskuntapoliittiset ohjelmansa, joita ne pyrkivät politiikansa avulla toteuttamaan. Tutkimusaineistona käytän Suomen eduskunnassa tutkimusvuosina edustettina olelleiden puolueiden tavoite- ja yleisohjelmia, joista selvitän sisällön analyysiä käyttäen niiden sisällön ja julkilausutut tavoitteet. Erityisesti pyrin selvittämään orientoituvatko puolueet ohjelmissaan tiettyjen luokkien etujen puolustajiksi vai missä määrin ne esiintyvät yhteiskunnan yleisten etujen vaalijoina. Tutkimus tapahtuu toisaalta puolueiden eduskuntoimintaa selvittämällä. Tällöin pyrin saamaan selville sen toimivatko puolueet periaate- ja tavoiteohjelmiensa mukaisesti laatiessaan lakialoitteita eduskunnassa. Kolmantena tutkimuskohteena on hallituksen esitysten sisällön eritteleminen intressiorientaation pojalta. Kysymys kuuluu palvelevatko hallituksen esitykset yleistä vai luokkien erityisetuja. Tutkimuksessa selvisi, että puolueet niin ohjelmalausumissaan kuin eduskuntatoiminnassaan vaalivat sekä yleistä etu, josta käytän nimitystä luokkien yhteisetu, että luokkien erityisetuja. Eniten puolueet vaalivat yhteisetua. Erityiseduista puolueet vaalivat kukin tiettyä luokkaetua enemmän kuin toista. Tämän perusteella puolueet jakaantuvat ensijaisesti porvariston, keskiluokan ja työväenluokanetuja vaaliviksi. Hallituksen esityksissä luokkaorientaatio on heikompaa kuin kansanedustajien lakialoitteissa. Tutkimustuloksistani selviää myös se, että vaikka puolueet ovat viime vuosikymmeninä ottaneet vaaliakseen aikaisempaa enemmän kaikkien luokkien intressejä ja niiden yleispuolueominaisuudet ovat lisääntyneet, tietty luokkaorientaatio on säilynyt. ; Classes continually alter and influence party strategies and also the behaviour of voters. The members of classes form economic, professional and political organisations. Every class aims to exert the greatest influence upon the state with the help of its political party. This study researches the class basis of political competition, the effect of class interests on the policies of nine Finnish parties in their political programmes and initiative work in the Parliament. The investigation is based on historical materialism and its class structure theory developed by Karl Marx, Friedrich Engels and other Marxists. The aim of study is to estimate how appropriate the class schema of historical materialism is for analysing the political partisanships and ideological conflicts in advanced industrial society. The statements and aims of political party programmes are put into practice in Parliament. This research analyses how parties represent their aims in their political programmes and what their parliamentarians do in Parliament. Is a party the representative of one class or does it equally promote the interests of many classes? Is it a class party or a generally oriented party? As in historical materialism, the programmes and legislative initiatives have been classified into five groups. The first group contains general class interest, oriented towards the common good. The next four groups comprise bills with a specific class interest orientation: bourgeoisie, the middle class, farmers and workers. The parties investigated are The National Coalition Party /The Conservative Party, The Swedish People`s Party, The Finnish Centre Party, The Finnish Social Democratic Party, The Left Alliance, The Liberals, The True Finns, The Christian Democratic Party and The Greens. The changes in politics and in party relationships over thirty years are investigated by comparing the parliamentary actions of parties from the 1960´s to the 1990´s. The study concerns the legislative initiatives of the years 1965, 1972, 1988 and 1999. The data on the programmes were collected from the two political programmes of nine parties from the years 1950 2003. The programmes of political parties are the public flag of the party as Engels expressed it, although their programmes have lost some of their class orientation. In the programmes of all nine political parties the contents aiming at the common good are the first, most important aim, the percentages being 76 98 %. Differences in the programmes of the political parties can still be found. The political parties emphasise their interests and aims in their own ways. The Conservative Party, The Swedish People´s Party and The Liberals have the next important interest in the bourgeoisie. The Swedish People´s Party, The Finnish Centre Party and The True Finns emphasise the middle class and the farmers. The Finnish Social Democratic Party, The Left Alliance and The Greens take care of working class. The main task of Parliament is to enact legislation. Bills can be submitted to Parliament by the Government or as private members bills. In this process the class interests notably emerge in private members bills of plenary sessions. The main Finnish political parties took into consideration the interests of all classes. All nine parties have made in the largest extent common good legislative initiatives. For all nine parties, the most prevalent type of legislative initiatives was those for the common good (84 -67 %). At the same time they tended to favour special class interests. The least specific class parties were The Christian Democratic Party, The Green Party and The Swedish People´s Party. Among special class interests all the parties oriented more to middle class interests in Parliament than in their declared objectives (18.8 7.0 %). The Liberals, The Conservative Party, The Social Democratic Party, The Left Alliance and The True Finns had the strongest middle class orientation. The Conservative Party were the most bourgeois party (10.2%). The strongest working class interest was found in The Left Alliance, The Social Democratic Party and The Green Party (18.8 13.1 %). The Finnish Centre Party and The Social Democratic party, The Left Alliance and The True Finns were closest to working class interests. Are there class oriented differences in the contents of the legislative initiatives and political programmes of the nine political parties? The contents were classified into eleven groups: administration, civil rights, nature conservation, economics, occupation structure, social policy, public health, education, culture, labour market and international affairs. All nine parties have the same three most important contents of legislative initiatives. These were finance/economics, social policy and administration systems. And all nine parties were more interested in financial and economic aims than their political manifestos suggest. The fourth important content for The Conservative Party, The Swedish People`s Party, The Liberals and The Christian Democratic Party was education. Employment was the fourth aim of The Finnish Centre Party and The True Finns. The Labour Market was also important to The Finnish Social Democratic Party, The Left Alliance and The Greens. Nature conservation was important to The Greens, too. The contents of government bills are more oriented towards the common good than are the private members bills. The conclusion is that the main Finnish political parties took the interests of all classes into consideration. At the same time they reveal preferences for special class interests. This emerges in political manifestos and legislative initiatives and government proposals. The Finnish political parties are not purely general parties devoid of class background. Finance and economics was the basis upon which the people arranged their lives and formed political opinions. The class structure of historical materialism is suitable to demonstrate political partisanship in Finland during the second half of the twentieth century. Social changes affect both the class structures and the political aims of parties and give rise to social and ideological conflicts in advanced industrial societies. The consensus policy is one appearance of civilized class struggle.

The name of a party is an important dimension of its political position. Often, the label used by a political party in its name tells much about its ideology. But, since in most cases, only a few parties compete for each election it is difficult to undertake large qualitative and quantitative analyses of party names. Local elections can provide an interesting option, however. Indeed, in several cases, we find lots of different names, and not only the usual national party labels. In the last local elections in Wallonia, one of the three Belgian Regions, 1012 lists were in competition. Such data provide a fertile ground for analysis. To study the name of the lists, we proceed in two steps. First, we build a typology of the names. We classify the lists in different categories: lists with national party name, lists with a clear reference to a national party, lists with an ideological label, lists with a clear reference to the commune's name, lists with a reference to the communal level but also lists with a reference to democracy, to a union or alliance, to change and an alternative way of doing politics, to the future, with puns, and with a reference to a person. In the second step, using multinomial regressions, we show where the different types of lists can be found and above all we look at their electoral performances and thus test the hypothesis whether the party name matters or not.

Recruiting candidates for local elections is a complex task. Even though some parties find difficult to attract candidates (mainly due to the decreased party membership and the lack of interest for local politics), one of the most important concerns is related to the subtle balance between different types of candidates on the list. Local parties need candidates who embody two main functions: (1) to attract votes (in open list systems) and (2) to serve the interests of the party once elected. As a result, party leaders place on their electoral list candidates who belong to the party structure (incumbent councilors, party members, etc.) as well as candidates who would attract more votes (for example by including 'external' candidates on the list). Following a large data collection process, this paper relies on a quantitative analysis of the 986 lists that participated in the 2012 local elections in the 262 Walloon municipalities (Belgium). The presence of different types of candidates (incumbent mayor and alderman, incumbent councilor, party member, party activist, external candidate, etc.) will be measured for each individual list. In a second stage, the paper will identify the factors that explain variation of the presence of such candidates across lists and municipalities with the help of demographic factors (size of the municipality, rural vs. urban, etc.), political factors (ideology of the list, independence from the national party, etc.) and party competition factors (number of competing lists, electoral alliances, etc.). Overall, this research seeks to uncover the diversity of local electoral strategies guiding local recruitment and why it matters for the electoral results of the lists.

Tiivistelmä. Tutkin pro gradu -tutkielmassani direktiivis-komissiivisia vuorovaikutustoimintoja neljän äidinkielenään suomea puhuvan informantin keskusteluissa, joita he käyvät PlayerUnknown's Battlegrounds -nimisen selviytymisvideopelin pelaamisen aikana. Peilaan analyysiani Elizabeth Couper-Kuhlenin (2014) vuorovaikutustoimintojen jaotteluun, jossa keskiössä on tulevaisuuden toiminnan toimeenpanijan ja tulevaisuuden toiminnasta hyötyjän selvittäminen. Oleellista tutkimukseni toteutustavassa on se, että pelaajat eivät näe milloinkaan toisiaan keskusteluiden aikana, joten heidän vuorovaikutuksensa nojaa täysin mikrofonien välityksellä toteutettuun puhekommunikaatioon. Tällaista täysin vastaavalla tavalla toteutettua tutkimusta ei videopelikeskusteluista ole tehty. Aineistoni on kerätty syksyllä 2018 siten, että yksi pelaajista on tallentanut pelikuvaa, -ääntä ja pelaajien keskustelua videotiedostoiksi. Videoaineistoa on yhteensä 10 tuntia 17 minuuttia. Aineisto on säilöttynä kokonaisuudessaan Oulun yliopiston Kikosa-kokoelmaan. Olen käynyt aineistoa läpi siten, että olen keskittynyt kohtiin, joissa direktiivis-komissiivisia vuorovaikutustoimintoja on selvästi havaittavissa. Olen sitten litteroinut tutkimuksen kannalta hedelmällisiä kohtia ja analysoinut ne keskustelunanalyyttisesti. Analyysissani keskityn todistamaan Couper-Kuhlenin (2014) toimija–hyötyjä-jaottelun avulla, mikä vuorovaikutustoiminto kulloinkin on kyseessä. Samalla testaan jatkuvasti Couper-Kuhlenin (2014) teoriaa omaa aineistoani vasten. Olen toteuttanut tutkimuksen aineistovetoisesti, ja analyysini on kvalitatiivista. Tutkimuskysymykseni on "Mitä erilaisia direktiivis-komissiivisia vuorovaikutustoimintoja videopelikeskusteluissa on havaittavissa?". Couper-Kuhlenin (2014) toimija–hyötyjä-jako toimii yleisesti hyvin myös omaan aineistooni, joskin olen tutkimukseni tulosten perusteella tarkastellut sitä myös paikoin kriittisesti. Läpi aineistoni neljä keskeisintä direktiivis-komissiivista vuorovaikutustoimintoa ovat tarjous, pyyntö, ehdotus ja ohjeistus. Tutkimustulosten kannalta merkittävää on myös havainto siitä, että videopelikeskusteluissa ei välttämättä tulevaisuuden toiminnan hyötyä kyetä aukottomasti osoittamaan. Joissakin tapauksissa voidaan ajatella pelaajan ajavan koko joukkueen etua, mutta toisissa tapauksissa taas voidaan myös argumentoida sen puolesta, että pelaaja pyrkisi hyötymään tilanteesta itse. Tämän vuoksi esimerkiksi pyyntö ei toteudu välttämättä pyynnön esittäjän hyödyksi, vaikka Couper-Kuhlen (2014) näin väittääkin. Tutkimukseni avaa niin sanotusti peliä vuorovaikutuslingvistisessä tutkimuskentässä videopelikeskustelujen analyysille. Pidän äärimmäisen tärkeänä nyky-yhteiskunnassa videopeleistä tehtävää tutkimusta jo pelkästään siksi, että pelien harrastajamäärät kasvavat jatkuvasti. Humanistisia tieteitä kiinnostaa ihmisten toiminta, joten tutkimus täytyy viedä sinne, missä ihmiset viettävät aikaa 2020-luvulla — eli virtuaalisiin vuorovaikutusympäristöihin.Directive-commissive actions in video game conversations. Abstract. In this Master's thesis, I study directive-commissive actions in video game conversations. Four Finnish-speaking informants communicated with each other using microphones while they played PlayerUnknown's Battlegrounds together. I test Elizabeth Couper-Kuhlen's (2014) theory of actions, in which she asks who will commit the future action and who will benefit from it. The key point in my study is that the informants cannot see each other because they are not sharing a physical space. Instead, they play online and communicate solely with their voice. In linguistics, there are currently no other studies about directive-commissive actions conducted in the exact same way as this thesis. The data for my study was collected in Autumn 2018. One of the informants played the aforementioned game and recorded his point of view and the conversations in video files. The recorded data totals 10 hours and 17 minutes and is stored in the Kikosa Collection at the University of Oulu. I have analyzed the data with a focus on the parts containing clearly visible directive-commissive actions. I have then transcribed the most interesting parts and analyzed them more thoroughly using conversation analysis. In my analysis, I focus on proving Couper-Kuhlen's (2014) model, where the following two questions are asked: "Who will carry out the future action?" and "Who will benefit from it?" Using this method, I identify the directive-commissive actions visible in the transcripts. At the same time, I attempt to provide a critique of Couper-Kuhlen's (2014) theory by comparing it to my data. The research was conducted with a focus on the data, and my analysis is qualitative. My research question is: "What different types of directive-commissive actions are there to notice in video game conversations?" While Couper-Kuhlen's (2014) model works well for the most part, I have also pointed out a couple of inconsistencies at some points. The four most important directive-commissive actions in my study are Offer, Request, Proposal and Advice-giving. The results show that in video game conversations, it might not always be possible to pinpoint the beneficiary of the executed future action. In some cases, one could argue that a player execute their actions for the benefit of the whole team. On the other hand, a player could also only have their own benefit in mind. Thus, for example, a Request might not end up benefitting a player, despite it being so in Couper-Kuhlen's (2014) model. This study works as a first step towards further analysis of video game conversations in interactional linguistics. I believe this kind of study to be extremely important in our society, not only due to the large and increasing number of players in different types of video games, but also because the field of humanities has always involved an interest in human actions and interactions. Therefore, research needs to be where people spend much of their time in the 2020s — in virtual and interactive settings, that is.

Kuntoutusjärjestelmä on Suomessa rakentunut monitahoiseksi ja monen osajärjestelmän muodostamaksi kokonaisuudeksi. Oikeus kuntoutukseen määrittyy sen mukaan, minkä osajärjestelmän piiriin ihminen kuuluu. Tämä johtaa siihen, että yksilöille voi määrittyä erilainen oikeus kuntoutukseen riippuen siitä, minkä osajärjestelmän piirissä hän on. Myös eri sosioekonomiset ryhmät saavat erilaisia kuntoutusetuuksia. Aihe on erittäin ajankohtainen, koska viimeaikainen keskustelu työuran pidentämisestä nostaa areenalle myös kuntoutuksen yhtenä keinona pidentää työssä jaksamista. Sari Miettisen väitöskirja Muutoksen mahdollisuus Suomen kuntoutusjärjestelmässä tarkastelee Suomen kuntoutuspolitiikkaa kuntoutuksen institutionaalisen kokonaisuuden näkökulmasta. Tutkimuksessa tarkastellaan ensimmäistä kertaa kuntoutusjärjestelmää laajana institutionaalisena kokonaisuutena. Tarkoituksena on jäsentää kuntoutusjärjestelmän monimutkaisuutta ja sen muotoutumista sekä näiden kautta tehdä johtopäätöksiä järjestelmän muutoksen mahdollisuudesta. Tutkimuksen lähtökohtana on vuosikausia samanlaisina säilyneet epäkohdat järjestelmässä. Järjestelmän ongelmiksi on vuosikymmenten kuluessa katsottu esimerkiksi vastuunjaon epäselvyydet ja asiakkaiden putoaminen eri toimijoiden väliin. Näitä epäkohtia on pyritty korjaamaan erilaisilla uudistuksilla, joista tähän asti laajin on ollut vuonna 1991 voimaan astunut kuntoutuslainsäädännön uudistus. Uudistuksista huolimatta samat ongelmat ovat esiintyneet erilaisissa kuntoutusjärjestelmän kuvauksissa aina tähän päivän asti. Kokonaisuutta lähestytään analysoimalla valtionhallinnon asiakirjoja ja täydentäen aineistoa tarvittavilla avainhenkilöhaastatteluilla. Tutkimus osoittaa kuntoutusjärjestelmästä erilaisia sisäisiä keskusteluareenoja vuosikymmenien aikana sekä erityisiä valta-asetelmia eri osajärjestelmien kesken. Yhteinen puhe kokonaisuuden hallinnasta on puuttunut ja järjestelmän kokonaisuutta kehittäessä puhe on keskittynyt lähinnä neljään erilaiseen kehykseen. Käytännön tasolla asiakkaan oikeus kuntoutusetuuksiin näytti määrittyvän usealla erilaisella perusteella ja erilaisiksi eri väestöryhmien kesken. Oikeuden ovat myös määrittyneet monenlaisissa erilaisissa paikoissa, kuten yksilön kuntoutuksesta päättävien tahojen ja osajärjestelmien yksittäisten ohjeiden tasolla. Kuntoutusjärjestelmää tulisi tutkimuksen mukaan uudistaa kokonaisuus huomioiden. Usein uudistuksia on toteutettu osa kerrallaan, jolloin eri osien välisiin ongelmiin ei ole puututtu riittävässä määrin. Nykyisellään kuntoutusjärjestelmän osat toimivat erillisinä. Mikäli tätä halutaan muuttaa, pitäisi uudistuksia tehdä kokonaisuus huomioiden ja myös perustaa toimintaa selkeästi koordinoiva taho. Nykyiset keskustelut työuran pidentämisestä voisivat tarjota paikan kuntoutusjärjestelmän kokonaisuuden uudistamiseen, koska kuntoutus voi toimia välineenä saavuttaa näitä tavoitteita. ; Rehabilitation in Finland is part of many welfare systems and as an institutional entity it has many separate subsystems. It has been described as a fragmented and complex entity. Several problems have been attached to the Finnish rehabilitation system, such as unclear division of responsibilities between different subsystems. The rehabilitation system have undergone several coordination attempts especially since the 1990 s. A large legislative reform was launched in 1991. The purpose of the reform was to overcome the problems appearing in the system. The legislative reform was to be evaluated every four years and it was presented in the form of three government rehabilitation reports. Besides the major legislative reform in 1991, parts of the system have been reformed through single legislative reforms in the last three decades. However, despite many reforms in the rehabilitation reports and in other descriptions of the system the same problems have recurred. It seems that no extensive solutions have been found to the problems of the whole rehabilitation system, at least in the short-term. Macro-level studies of the rehabilitation system are needed in Finland. Studies are usually focused on the practical level and different methods of rehabilitation. Although some studies concern the whole rehabilitation system, the perspective is usually on certain sub-system or the entity is contemplated from the client s perspective. In this study the focus was on the institutional entity of rehabilitation in Finland called rehabilitation system. The concepts used were governance and historical institutionalism. The purpose was to analyse the complexity of the institutional entity of rehabilitation in Finland and its development and draw conclusions on the possibility of change in the rehabilitation system in Finland. The legislative reform in 1991 was used as a starting point because it has been the largest reform to develop the whole system in Finland so far. The complex system was analysed using several data. The data used were national rehabilitation policy documents and their background reports and statements, interviews with key authors, legislation and also literature and documents describing the history of the rehabilitation system in Finland. The data were analysed using data based and theory oriented content analysis, frame analysis and the basis of historical sociology. This dissertation consists of four publications which analysed the governance of the rehabilitation system from different perspectives. First, the focus was on the construction of governance in the complex system. The perspective was on the roles of different institutions in the rehabilitation system. According to the results different co-operation forums have promoted change in the system. However, at the same time different power constellations in rehabilitation agendas inside the system have inhibited change. Second, the system was studied through so-called basic modes of governance (hierarchy, network and market). The results showed that certain parts seemed to be emphasized in the reform talk. Common talk of governance was missing. In the third part the main focus was on the interpretations of problems and their policy solutions for the whole system in its reform agenda. The results showed four different frames which were used in discussions. In the frames the problems and policy solutions usually did not meet. In the fourth part the governance of citizens rights was studied. According to the results the rights to rehabilitation benefits are determined in different ways for different population groups and the right to benefits was decided in many places. The overall results of this study showed a deep division between the subsystems. Instead of single and small reforms a reform of the whole system requires attention of all parts of the system in the reform and perhaps a strong coordinating body. It seems that through single and small reforms it is difficult to overcome the problems of this complex system.

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