Narrating Nursing Jurisdiction: “Atrocity Stories” and “Boundary‐Work”

Sociologists have long recognized that the division of labor is, at its root, a process of social interaction. Although “negotiations” figure centrally in symbolic interactionist studies of work, relatively little attention has been given to the ways in which the structure of workplace talk contributes to the social constitution of occupations. Drawing on the insights of discourse and conversation analysis, this article examines occupational atrocity stories and considers how they accomplish boundary‐work in the hospital setting. I focus on the stories British nurses told about doctors and use data generated in ethnographic research into the routine accomplishment of nursing jurisdiction. I conclude with some general observations about how the detailed analysis of stories and storytelling can contribute to the wider study of social group formation.     

“Basically it's the Usual Whole Teen Girl Thing”: Stage‐of‐Life Categories on a Children and Young People's Helpline

This article explores the practices of membership categorization in the interactions of clients and counselors on a national Australian helpline (Kids Helpline [KHL]) for children and young persons. Our focus is on membership categories drawn from three membership category devices (MCDs): stage‐of‐life (SOL), age, and family. Analysis draws on data across different contact modalities—email and web‐counseling sessions—to examine how category‐generated features are relevantly occasioned, attended to, and managed by the parties in the course of interaction. This shows clients' use of MCDs in presenting their trouble and building a relevant case for their grievance. By examining counselors' subsequent receipts of the clients' complaints, we are able to trace some of the cultural knowledge that the clients' categorizations make relevant to the counselors. Moreover, the analysis demonstrates how the inherent flexibility of MCDs allows counselors to exploit these same categorial resources and to re‐specify the clients' trouble in a more positive fashion to accomplish counseling work. In explicating how taken‐for‐granted notions of the lifespan as well as of family relations are mobilized by participants in KHL's sessions, the findings contribute to previous studies of social interaction in counseling, and to research on social identity and categorization more broadly.     

“Sensory Ordering” in Nurses' Clinical Decision‐Making: Making Visible Senses,Sensing, and “Sensory Work” in the Hospital

The objective of this article is to present a study on the constitutive role of senses in clinical decision‐making. The methodology is based on a series of focus groups with nurses in various hospital departments. Based on a narrative approach, our study examines “sensory work” in clinical decision‐making in order to reveal its specificity in the clinical work of nurses. Nurses shared stories—in focus groups—about the influence of senses in clinical decision‐making. The analysis of clinical narratives helped to identify various situations revealing the “sensory work” that underlines clinical decision‐making. We put the emphasis on the spectrum of sensory activities and the interactions occurring during a clinical decision‐making. One specific contribution of our study is to make visible the “sensory ordering” at work as constituted by interactions between nurses during a clinical assessment.     

‘A great job and a family’: work narratives and the work and family interaction

This article investigated how work narratives of dual-earner families are materially and symbolically configured in discourses of reconciliation of work and home life. Following critical studies of the work–family interaction, this research takes into consideration symbolic and social structures and tries to look into the interrelation of factors such as job resources, job satisfaction, levels of autonomy with the self-esteem and sense of ‘self’ which parents derive from their paid work. Hochschild's concept of ‘emotional culture’ is used to explore how parents' experience of work is intertwined to their occupational groups and how it is associated with different narratives of work–family interaction. This study is conducted through qualitative methods, using in-depth semi-structured interviews on a sample of 27 dual-earner families. The data collected are composed of in-depth accounts that are then examined through the method of narrative analysis. The data indicate that, for divergent occupational levels, work generates different material and symbolic resources, which account for divergent narratives of work and home. The sociological analysis of occupational levels with the associated emotional culture of work and family then provides an exploratory model for understanding the links between social class and work–family interaction.     

“We have to take these guys out”: Motivations for Assaulting Incarcerated Child Molesters

We know very little about how incarcerated men justify assaults against at‐risk inmates such as child molesters. For this article, we fill this gap in the literature by examining how men describe these assaults as a way to align their own violent behavior with more conventional mores. We find that formerly incarcerated men justify violence as a way to raise their own social status and promote cultural norms against child abuse. When inmates attack someone convicted of child molestation, they do so to punish him and provide a “service” to their community. Furthermore, they elevate their own social status and distance themselves from these offenders. Theoretically, this work broadens our understanding of verbal justifications for violent action.     

Learning to “Deal” and “De‐escalate”: How Men in Nursing Manage Self and Patient Emotions

While prior research has explored how gender frames emotion management processes, little work has specifically examined the links between men's emotion management in a caring profession and theory on masculine emotionality. Stereotyped as less sensitive to their own and others' emotions, male nurses confront unique challenges in navigating the profession's emotional demands. Drawing on men's diaries and interviews, I examine emergent emotion‐based processes that characterize men's emotional labor—the strategies men use to manage their own and patient emotions on the job. In managing their own emotion, men's narratives reveal three distinct strategies: reframing the nurse role, distancing, and relinquishing situational control. In managing patient emotions, they frame control over their own emotions as a means for managing others and emphasize knowledge/education as a strategy for managing patient stress and anxiety. While both male and female nurses may engage these strategies, men's emotion management implicates the simultaneous reproduction and disruption of hegemonic masculinity and the reason/emotion dualisms that undergird the current gender system. Implications for masculinity and emotion management theory, as well as recruiting, training, and retaining male nurses are explored.     

“He's Doing Fine”: Hope Work and Emotional Threat Management Among Families of Seriously Ill Children

In this study, I examine how people in emotionally fraught circumstances strategically structure social interactions in order to protect fragile emotional states. Data come from interviews and observations with 18 families of children being treated for life‐threatening conditions at an elite university research hospital. I show how families worked to ward off emotional threats to their ability to maintain hope that their children would recover by preempting and restructuring social interactions with friends and family members and pruning social networks. These efforts allowed families to minimize reciprocal obligations and avoid encountering pessimistic reflected appraisals that might trigger “emotional shortcuts” leading to states of fear and anxiety. Similar efforts to reconstruct social interactions and social networks may be common among those working to maintain fragile emotional states in a variety of challenging circumstances.     

Considering Alternate Sources of Role Identity: Childless Parents and Their Animal “Kids”

Identity theory posits that role identity is negotiated between human social actors and is based in broader cultural expectations about how particular statuses should be performed. I argue that the formation of role identity in actors can also occur in relationship to nonhuman actors, if they are perceived as minded. Depending on context and human perception, identity can be formed as a result of interaction and developing “theory of mind” with nonhuman animals, directly implicating the animal. Using in‐depth interviews of childless and childfree companion animal owners, I demonstrate the existence of a parent identity in childless participants that would not otherwise be present were it not for interaction with the animal “child.” This identity is confirmed in participant narratives describing substantial behavioral output aligned with the U.S. cultural ideal of “parent.” Likewise, I find that significant others provide external support for the enactment of this role identity, allowing participants to verify self‐in‐situation. Overall, my analysis emphasizes the importance of considering nonhuman sources as occupying counterstatus positions in the formation of role identity while highlighting how these relationships affect interaction in the childfree and childless home, thus expanding scholarly understanding about both identity formation and emerging family types.     

The Importance of “Empty Gestures” in Recovery: Being Human Together

What do clients/patients want or value from their encounters with healthcare providers? Based on ethnographic research conducted with individuals suffering from drug addiction and mental health issues, this article argues that clients/patients treasure “everyday” or “human” interaction with medical staff. Everydayness is accomplished through three generic social processes: **co‐silence, inclusion in back‐stage activity, and physical dramatizations of authenticity. These processes and other ordinary interactional strategies for “being human together” should be seen as vital tools for recovery.     

The Interactional Construction of Social Authenticity: “Real” Identities and Intergroup Relations in a Transylvania Internet Forum

Authenticity has become an increasingly salient topic within various interactional traditions, including conversational and discourse analysis, discursive psychology, interactional sociolinguistics, pragmatics, and symbolic interactionism. However, there has been remarkably little cross‐fertilization of ideas and concepts. In this study, we consider the relevance of the interactional sociolinguistic concept of relationality for symbolic interactionist theories of authenticity. We first disambiguate two forms of authenticity that are commonly studied but not clearly differentiated in symbolic interactionist research—self‐authenticity, which emphasizes selves, and social authenticity, which emphasizes social identities. We then argue that relationality and its three pairs of interactional tactics—verification and denaturalization, adequation and distinction, and authorization and illegitimation—are particularly useful in conceptualizing social authenticity. We draw on data from an interethnic internet forum to show how members of two ethnic groups, Hungarian and Romanian, employ these relational tactics to authenticate their own ethnicity as the rightful inheritors of a place‐based Transylvanian identity, and to limit the other ethnicity's similar identity work. We then clarify the significance of social authenticity for the interactional study of category‐based identities by widening our discussion to other contestations over social identities in everyday life.     

Co‐Present Conversation as “Socialized Trance”: Talk,Involvement Obligations,and Smart‐Phone Disruption

In an era where digital and co‐present involvements become entangled, the role of face‐to‐face conversation now vies with mediated communication. Applying insights provided by Erving Goffman, we explore conversational interaction and consider how engrossing face‐to‐face conversation can be understood as a form of socialized trance. We explore how this interaction represents one type of “involvement obligation” that can become disrupted and, increasingly, uniquely impacted by mediated involvements that are enabled through mobile and “smart” devices. The crux of the argument is considered in the context of a burgeoning digital era where conversation is found to become meshed together in uneven ways with mediated interaction. We highlight the efficacy of Goffman's approach with regards to the current information environment, providing insights into how engrossing conversation and its involvement obligations are impacted by mediated interactions and how breaches of conduct are experienced. A video abstract is available at https://youtu.be/ulL8mMN4oig .     

Emergent Objects,Developing Practices: Human‐Nonhuman Interactions in a Reiki Training

Over the last three decades, sociologists have expanded the scope of sociological analysis to include nonhuman objects. We build on these works to address the role of nonhuman, nonphysical objects in social interaction. Through participant observation at a Reiki training course, we examine how students learned to identify, experience, and meaningfully interact with Reiki energy, a nonhuman, nonphysical object. We show how Reiki energy emerged as a significant interactant through the following processes: participants in the class historicized Reiki; they defined the capacities and consequences of Reiki; and they learned to detect Reiki energy's apparent presence in their bodies. We then show how Reiki energy resisted the initial definitions and expectations of it, leading participants to redefine the energy's qualities and develop new practices to accommodate its emerging capacities. These findings support theoretical claims about humans' ability to “do mind” for nonhuman objects and the temporally emergent qualities of material agency.     

“It's Just a Likelihood”: Uncertainty as Topic and Resource in Conveying “Positive” Results in an Antenatal Screening Clinic

The recognition of uncertainty as a pivotal issue for the sociology of medicine is longstanding. More recently, the widespread integration of new medical technologies into healthcare has led to a renewed analytic focus on uncertainty. However, there remains little work on the interactional manifestations of uncertainty. This article uses conversation analysis to examine how uncertainty is introduced and used in one specific setting: an antenatal screening clinic in Hong Kong. We focus on women who have received “screen positive” or higher risk results, and reflect on the ways in which uncertainty is an “essential tension” (Mazeland and ten Have 1996) in the activity of conveying these results to them. We conclude that as well as posing potential difficulties for interaction, the uncertainty of test results is also used here as an interactional resource in managing the institutionally defined category of “high risk.”     

“That's not Grassfed!” Identity Formation,Maintenance, and Co‐Optation in Oklahoma's Grassfed Livestock Movement

Using interview data from thirty‐one grassfed ranchers across Oklahoma, we adapt a culturally focused social movement framework to explore a regional grassfed livestock movement. Drawing on social movement and agrifood literature, we examine how grassfed actors forge a cohesive grassfed collective identity and how collective identity processes inspire engagement in forms of individualized, cultural protest. We address how collective identity politicizes movement actors, moving them to prioritize cultural issues of the grassfed movement and development of a grassfed activist identity, sometimes above other tangible, economic rewards. We also consider how grassfed ranchers are restricting the boundaries of movement membership in response to increased interest in alternative agricultural practices by new producers and by agrifood elites, and how they use market‐oriented tactics to enforce those boundaries. In doing so we draw parallels to conventionalization processes in the organic sector. By emphasizing the identity work of grassfed producer‐activists, we provide new perspectives on an emerging agricultural movement gaining traction in the US and abroad.     

An Interactional Space of Permanent Observability: WeChat and Reinforcing the Power Hierarchy in Chinese Workplaces

Does digital media empower or disempower workers? In existing studies on how information and communication technologies influence work, researchers investigate work–life boundaries and how workers use digital media to obtain more control. This article focuses on how digital media influences daily interpersonal interactions in the workplace: how does social media use influence workplace hierarchies and power dynamics? Based on 56 in‐depth interviews with WeChat users in Chinese workplaces, I find that lower‐ranked individuals were compelled to constantly express loyalty and appreciation, and publicly submit to their superordinates by clicking “like” or commenting on their WeChat posts. They also had to provide immediate and polite responses to their superordinates in WeChat group chats after work hours or to non‐work‐related issues. The distinctive features of online interaction—lack of physical interaction spaces, recordability of past conversations, and n‐adic nature of online disclosures—created an environment where past encounters were omnipresent and accessible, and placed workers under permanent observability. This social interaction environment leaves little room for forms of resistance and, in response, employees retreat into cynical performances of submission. This study finds that, under certain circumstances, WeChat use actually intensifies workplace hierarchies and power dynamics, thereby sharpening social inequality, rather than eliminating it.     

Negotiated Discretion: Redressing the Neglect of Negotiation in “Street‐Level Bureaucracy”

This article proposes an interactionist update of “street‐level bureaucracy,” one of the most influential approaches for studying how public policy is translated into street‐level practice. While the street‐level approach assumes that bureaucrats are alone in enacting policy, the present article argues for seeing “street‐level policy” as formed in negotiation between bureaucrats and clients. To demonstrate this, the article uses ethnographic data and a Straussian framework to analyze how nurses and patients negotiated access in a Norwegian emergency service. The article thus sets a new course for street‐level research, helping researchers look beyond the individual to explore inter‐individual negotiation and its influence on street‐level decision‐making.     

Women's Work,Dirty Work: The Gynaecology Nurse as ‘Other’

This article seeks to explore the world of the gynaecology nurse. This world defines the gendered experience of nursing; that is, women in a women's job carrying out ‘women's work’. It is also a world that receives scant public recognition due to its association with the private domain of women's reproductive health. Many issues dealt with on a daily basis by gynaecology nurses are socially ‘difficult’: cancer, infertility, miscarriage and foetal abnormalities; or socially ‘distasteful’: termination of pregnancy, urinary incontinence, menstruation and sexually transmitted disease. The ‘tainted’ nature of gynaecology nursing gives it the social distinction of ‘dirty work’ but does not deter the gynaecology nurse from declaring her work as ‘special’, requiring distinctive knowledge and skills. Qualitative data collected from a group of gynaecology nurses in a North West National Health Service hospital displays how they actively celebrate their status as women carrying out ‘dirty work’. Through the use of ceremonial work that continually re‐affirms their ‘womanly’ qualities the gynaecology nurses establish themselves as ‘different’, as ‘special’, as the ‘other’.     

Not <Emphasis Type="Italic">Merely</Emphasis> TLC: Nurses’ Caring Revisited

The profession and practice of nursing has been studied from quite diverse scholarly perspectives in the United States and abroad. Feminist critiques focus on the gendering of caring and its knowledge/skill features, while professionalization advocates view emotive caring as secondary to other critical activities necessary for the occupational advancement of nursing. Based on ethnographic observations 30 in-depth, semi-structured interviews with nurses across different units working at a large urban hospital, this paper examines how nurses define caring as knowledge-based, skilled work. Specifically, nurses described four types of skills—observational, analytical, interactional, and comforting—that they deploy in the accomplishment of caring work at the bedside. My findings go beyond previous literature in this area by showing how nurses think of caring work in line with occupational strategies that emphasize their biomedical knowledge and diagnostic skills and uphold an advocacy or intermediary role in health care. I argue that while this ideological work may reassure nurses of their professional identity and critical role in health care, it may also reinforce the dilemma of nurse professionalization by obscuring the organizational nature of caring, as it remains an unsupported dimension of their work.     

“The Spider Is Alive”: Reassessing Becker's Theory of Artistic Conventions through Southern Italian Music

Howard Becker wrote that art is constructed, and understood, according to conventions. However, Becker does not adequately explain how artists negotiate historical circumstances affecting their work. Using the southern Italian phenomenon of tarantism and its music, I address how contemporary musicians employ conventions to transform sounds with deviant connotations. The alteration of musical conventions reflects material social conditions in the Salento region and provides insight into the formation of a Salentinian cultural movement's ideology. By accounting for how social groups contend with history, I argue that sociologists must reconsider the theory of artistic conventions.