Professional Dominance

In the United States today we are confronted by a number of serious social problems, not the least of which concern the character of our basic human services. In each of the broad public domains of welfare, education, law, and health there are crises of public confidence. Each in its own way is failing to accomplish its essential mission of alleviating material deprivation, instructing the young, controlling and righting criminal and civil wrongs, and healing the sick. The poor, the student, the offender and the victim, the sick-all have in some way protested the failure of the institutions responsible for them. And these protests occur at a time when the human services are absorbing an increasingly massive amount of money and manpower. Awareness of that crisis intensified in the second half of the twentieth century. Increasing energy has been invested in research designed to determine what can be done. Each of the human services has long had its own research tradition, but during the sixties each has also made a concerted effort to mobilize and use the skills of such comparatively new disciplines as sociology. Owing to these new demands, sociology itself has grown. The hitherto obscure specialties of the sociology of law and medicine and the established specialties of criminology and educational sociology have taken on new vigor. In applying themselves the task of studying the human services, however, these segments of sociology have had to choose between two different strategies. Rather than dealing with the details of the human services for their own sake-and this lack of detail in a characteristic limitation of the second approach-this book shall instead attempt to stand outside the system in order to delineate one of its critical assumptions and a strategic feature of its basic structure. This book deals with the concept of profession, for the concept rests on assumptions about how services to laymen should be controlled and is realized by a special kind of

This textbook provides a critical assessment of developments in health and healthcare policy within the UK and Europe. Each chapter integrates conceptual themes drawn from the fields of sociology and political science to offer a unique combination of theory, historical detail and wider social commentary. The book is divided into four sections: - Section One establishes a theoretical basis for the analysis of contemporary health policy. - Section Two examines the key constituents of health care ′systems′, which includes a comparative analysis of EU member states. - Section Three focuses on contemporary health care policy and provision in the UK. - Section Four assesses the increasingly limited ability of national governments to reduce threats to the health of their populations. Written in an accessible style, the student-friendly approach highlights key concepts and includes introductions, summaries and examples of further reading. Each chapter also includes case studies and activities which encourage the reader to think about the planning, implementation and assessment of specific healthcare policies. This is a timely and authoritative textbook that covers a key topic of the curriculum while also contributing to topical debates. The book will be essential reading for healthcare and social science students taking modules in health policy, and will also be of interest to policy makers and practitioners in the field of healthcare.

This book brings together public services policy and public services management in a new way, challenging many old ideas in this field and presenting the debate of what ‘critical’ constitutes when applied to public services policy and management.

In the last several decades, there has been a surge of interest in expertise in the social scientific, philosophical, and legal literatures. While it is tempting to attribute this surge of interest in expertise to the emergence and consolidation of a "knowledge society," "post-industrial society," or "network society," it is more likely that the debates about expertise are symptomatic of significant change and upheaval. As the number of contenders for expert status has increased, as the bases for their claims have become more diverse, and as the struggles between these would-be experts intensified, expertise became problematic and contested. In The Oxford Handbook of Expertise and Democratic Politics, Gil Eyal and Thomas Medvetz have brought together a broad group of scholars who have engaged substantively and theoretically with debates regarding the nature of expertise and the social roles of experts to examine these areas within sociology and allied disciplines. The analyses take an historical and relational approach to the topic and are motivated by the sense that growing mistrust in experts represents a danger to democratic politics today. The chapters will be organized into three general parts: key theoretical and historical debates, the politics of expertise, and expertise within and across professional, disciplinary, legal, and intellectual spheres. Among the topics considered here are the value and relevance of the boundary between experts and laypeople; the causes and consequences of mistrust in experts; the meanings and social uses of objectivity; and the significance of recent transformations in the organization of the professions. Bringing together investigations from social scientists, philosophers, and legal scholars into the political dimensions of expertise, this Handbook connects interdisciplinary work done in science and technology studies with the more classic concerns, topics, and concepts of sociologists of professions and intellectuals.

In the context of the 'cross-cutting' policy ambitions of the current Labour government, Working together or pulling apart? examines the contribution of the NHS to the multi-agency and inter-professional child protection process. Applying the insights of policy network and inter-organisational analysis, the text: provides detailed information on the current role played by a range of health professionals within child protection; investigates the nature and operation of the central policy community and local provider networks; considers the tensions arising from differences of professional power and knowledge, organisational cultures and agendas, and governance and regulation; examines the impact of wider socio-political changes on the operation of the child protection process, at both central and local levels. Working together or pulling apart? will be essential reading for all those working in child protection, at both strategic and frontline levels, within the NHS and other agencies. In addition, it will be of interest to staff and students on undergraduate or postgraduate courses in health, social work, public and social policy.