In dit artikel bespreken we de waarde van de methode van Toegepaste Conversatieanalyse voor het sociaal werk aan de hand van het project Professioneel Ouderschap in Gezinshuizen en het daaruit voortgekomen promotieonderzoek ‘Hechting in interactie’. Hoewel Toegepaste Conversatieanalyse meerdere functies heeft, beperken we ons in dit artikel tot de functies: ontdekken, verhelderen en respecificeren. We laten zien dat Toegepaste Conversatieanalyse bij uitstek geschikt is voor het beantwoorden van een hoe-vraag.
Good collaboration between professional foster parents (PFPs) and birth parents (BPs) is of great importance for the well-being of out-of-home placed youngsters in family-style group care. Previous studies have shown that WhatsApp has become an important medium in the professional communication between professional foster parents and birth parents as it offers the possibility to send movies and photos in addition to text. This research has identified two ways in which professional foster parents are closing WhatsApp conversations in a sensitive manner. Professional foster parents are setting boundaries by encouraging and making a reference to the future, often accompanied by emoji: (1) Encouragements are apparent in expressions that compliment, comfort and invite to ‘let it go’. (2) Professional foster parents make reference to the future in a wish, proposal or promise. Furthermore, the asymmetrical nature of the relationship becomes clear in the coaching role adopted by professional foster parents, and the observation that solely professional foster parents at times remain silent or do not respond in closing interactions. In short, sensitive boundary setting in closing sequences demonstrates how the institutional character of the relationship is embodied in the WhatsApp communication between professional foster parents and birth parents.
Acne vulgaris is considered one of the most common medical skin conditions globally, affecting approximately 85% of individuals worldwide. While acne is most prevalent among adolescents between 15 to 24 years old, it is not uncommon in adults either. Acne addresses a number of different challenges, causing a multidimensional disease burden. These challenges include clinical sequelae, such as post inflammatory hyperpigmentation (PIH) and the chance of developing lifelong disfiguring scars, psychological aspects such as deficits in health related quality of life, chronicity of acne, economic factors, and treatment-related issues, such as antimicrobial resistance. The multidimensionality of the disease burden stipulates the importance of an effective and timely treatment in a well organised care system. Within the Netherlands, acne care provision is managed by several types of professional care givers, each approaching acne care from different angles: (I) general practitioners (GPs) who serve as ‘gatekeepers’ of healthcare within primary care; (II) dermatologists providing specialist medical care within secondary care; (III) dermal therapists, a non-physician medical professional with a bachelor’s degree, exclusively operating within the Australian and Dutch primary and secondary health care; and (IV) beauticians, mainly working within the cosmetology or wellness domain. However, despite the large variety in acne care services, many patients experience a delay between the onset of acne and receiving an effective treatment, or a prolonged use of care, which raises the question whether acne related care resources are being used in the most effective and (cost)efficient way. It is therefore necessary to gain insights into the organization and quality of Dutch acne health care beyond conventional guidelines and protocols. Exploring areas of care that may need improvement allow Dutch acne healthcare services to develop and improve the quality of acne care services in harmony with patient needs.
