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  1. Professionalism Redundant, Reshaped, or Reinvigorated? Realizing the "Third Logic" in Contemporary Health Care

    Recent decades have seen the influence of the professions decline. Lately, commentators have suggested a revived role for a "new" professionalism in ensuring and enhancing high-quality health care in systems dominated by market and managerial logics. The form this new professionalism might take, however, remains obscure. This article uses data from an ethnographic study of three English health care improvement projects to analyze the place, potential, and limitations of professionalism as a means of engaging clinicians in efforts to improve service quality.

  2. Sociological Inquiry into Mental Health: The Legacy of Leonard I. Pearlin

    As a tribute to the body of work created by our late colleague Leonard I. Pearlin, this essay assesses how the evolution of the Stress Process Model, the centerpiece of his work, repeatedly reinvented sociological research on stress and mental health and explains why this model, therefore, possesses the potential to renew itself well into the future.

  3. Reward Stability Promotes Group Commitment

    A pressing problem for the social sciences is to understand the processes leading to commitment within organizational settings. Toward this end, we argue for the stability of rewards derived from groups as a key dimension of commitment. We present a theory that links reward stability to justice evaluations and corresponding emotional reactions, which in turn predict group commitment. From this theory, we derive several hypotheses, the key one being that justice evaluations and corresponding emotional reactions explain the effect of reward stability on commitment.

  4. Sharing the Emotional Load: Recipient Affiliation Calms Down the Storyteller

    In conversational storytelling, the recipients are expected to show affiliation with the emotional stance displayed by the storytellers. We investigated emotional arousal-related autonomic nervous system responses in tellers and recipients of conversational stories. The data consist of 20 recordings of 45- to 60-minute dyadic conversations between female university and polytechnic students. Conversations were videotaped and analyzed by means of conversation analysis (CA), with a special emphasis on the verbal and nonverbal displays of affiliation in storytelling.

  5. Is Trust Rigid or Malleable? A Laboratory Experiment

    An important debate within the trust literature is whether trust is modified by social experiences or resistant to change despite changing social circumstances. We address this debate by designing and implementing an experiment that exposes participants to a high or low trust environment and compares their change in generalized trust. We find that the experimental condition influences change in generalized trust, particularly for participants whose prior level of trust was mismatched with their experimental condition.

  6. Orange Is Still Pink: Mental Illness, Gender Roles, and Physical Victimization in Prisons

    Although research has established a very strong relationship between the presence of a psychiatric disorder and victimization in prisons, some gaps remain in our understanding. This study considers the importance of gender differences in this relationship. Estimates based on the 2004 Survey of Inmates in State and Federal Correctional Facilities show that psychiatric disorders have a stronger relationship with victimization among male inmates than among female inmates. Yet the size of the gender difference varies greatly depending on the specific disorder.

  7. Unburdening Stigma: Identity Repair through Rituals in Mental Health Court

    A growing trend in the criminal justice system is the move toward problem-solving courts, including mental health courts. Using case studies of two mental health courts in a West Coast city, this article seeks to explore how mental health courts may operate by reducing stigma among clients. From observations of the court process in mental health courts and qualitative interviews with mental health court professional staff and mental health court clients, ritual process emerged as a powerful theme that underscores the management of social stigma.

  8. Beyond Text: Using Arrays to Represent and Analyze Ethnographic Data

    Recent methodological debates in sociology have focused on how data and analyses might be made more open and accessible, how the process of theorizing and knowledge production might be made more explicit, and how developing means of visualization can help address these issues. In ethnography, where scholars from various traditions do not necessarily share basic epistemological assumptions about the research enterprise with either their quantitative colleagues or one another, these issues are particularly complex.

  9. Defining the State from within: Boundaries, Schemas, and Associational Policymaking

    A growing literature posits the importance of boundaries in structuring social systems. Yet sociologists have not adequately theorized one of the most fraught and consequential sites of boundary-making in contemporary life: the delineation of the official edges of the government—and, consequently, of state from society. This article addresses that gap by theorizing the mechanisms of state boundary formation. In so doing, we extend culturalist theories of the state by providing a more specific model of how the state-society boundary is produced.

  10. The Habitus and the Critique of the Present: A Wittgensteinian Reading of Bourdieus Social Theory

    I tackle some major criticisms addressed to Pierre Bourdieu’s notion of habitus by foregrounding its affinities with Ludwig Wittgenstein’s notion of rule-following. To this end, I first clarify the character of the habitus as a theoretical device, and then elucidate what features of Wittgenstein’s analysis Bourdieu found of interest from a methodological viewpoint. To vindicate this reading, I contend that Wittgenstein’s discussion of rule-following was meant to unearth the internal connection between rules and the performative activities whereby rules are brought into life.