The social construction of the medical malpractice crisis: A case study of Massachusetts physicians

This study used observations from the 1985 Massachusetts malpractice insurance rate hearings, semistructured interviews conducted in 1985–1986, a survey of Massachusetts physicians in February 1988, and newspaper reports from theBoston Globe. Physicians and the Massachusetts Medical Society have promoted the medical malpractice crisis as an economic one. The after-expense income of most physicians, however, has remained relatively constant. The more serious threat to physicians appears to be the reduction of their autonomy. It is concluded that the medical malpractice crisis has been socially constructed in economic rather than autonomy terms because, traditionally, economics has been a more acceptable basis for labor unrest in the United States. Constructing malpractice as an economic crisis presents a more viable argument for stemming social change adverse to the medical profession.An earlier version of this paper was presented at the 57th annual meeting of the Eastern Sociological Society, May 1987, Boston, Massachusetts.     

Institutionalizing public relations: A case study of Chinese government crisis communication on the 2008 Sichuan earthquake

Research is needed on the “institutionalization” of public relations as a strategic-management function. How and why public relations ought to be institutionalized certainly remains highly debatable. This study, thus, engages the current debate on the necessity and advantages of the institutionalization of public relation by taking on Chinese government crisis communication in the 2008 Sichuan earthquake as a test case.This study employs both qualitative and quantitative methods, consisting largely of online and textual research, convenient and confidential telephone interviews, content analysis of government communication materials, and intercept surveys in Beijing (China's capital city) and Chengdu (the provincial capital of the Sichuan Province where the earthquake hits).The study finds that the institutionalization of government public relations in China has visible results, especially, in the areas of crisis communication and management, as well as stakeholder-relationship building. Within the Chinese context, it suggests, “institutionalization” of the government public relations tends to render legitimacy to public relations practice and empower the practitioners by according PR practice a strategic function toward the achievement of public-institution effectiveness. Although a preliminary analysis, this study supports the argument on the necessity and advantages for PR practice becoming institutionalized.     

Dementia at the Intersections: A unique case study exploring social location

Research exploring the experiences of persons living with dementia has been criticized for failing to situate individual experience in a broader socio-cultural context. In particular, little attention has been devoted to examining how social location shapes the subjective experiences and responses of persons with dementia. This paper examines how one woman's position as a younger, aboriginal woman of lower socio-economic status living with a same-sex partner, helped construct her experiences with dementia. Data for this unique case study are based on in-depth personal and family interviews and video-taped participant observation. Three themes dominated her story. First, receiving a diagnosis of dementia triggered this woman's desire to connect with her cultural heritage. Through this claiming of her cultural identity as an aboriginal woman, the dementia was reinterpreted as facilitating a closer connection with her ancestors and this released for her a sense of creativity, productivity and peacefulness. Second, the refusal of this woman to adopt a more conventional interpretation of dementia, compounded by her younger age and atypical presentation, resulted in a tendency by others to discount the impact of the dementia in her life. Finally, the lack of recognition afforded to her female partner increased her partner's isolation and created challenges for their relationship. This paper will focus on embedding this woman's lived experience within a broader socio-cultural context in order to demonstrate how aspects of one's identity and social location interact to construct one's subjective experience.     

Teaching public relations in the information age: A case study at an Egyptian university

This study identifies new pedagogical techniques used in teaching public relations. A case study method was carried out among three groups of the mass communication-graduating seniors at Ain Shams University School of Women. The research findings showed that students look for more practical course work rather than theoretical knowledge. Furthermore, it was found that the most suitable technique for teaching public relations is the use of workshops and internships programs at media corporations. Evidently, public relations education is much more affected with gaining computer skills and good command of the English language.     

From union hegemony to union disintegration: Collective bargaining in cement and related industries

The cement industry provides an interesting example of the impact of collective bargaining where management determines that it cannot afford a strike, yields to extreme union demands, but deludes itself that it can withstand the economic impact of unionism under such circumstances because almost all competitors are similarly situated and labor costs can be partially offset by automation. The small Cement, Lime, and Gypsum Workers Union won not only high wages and benefits, but imposed restrictive rules as severe as those in any industry. Eventually, however, foreign competition and economic realities forced the companies to revolt, and the union found that it could not sustain strikes. An ill-conceived merger broke up, an independent union was formed, and today unionism, once so strong, is weak and divided as management imposes or forces acceptance of its conditions. The story, while unique in many ways, resembles what has occurred in other industries with high fixed costs, militant unions, and the reluctance of management to sacrifice current gains for longer run needs. Professor Emeritus of Management and former Director, Industrial Research Unit. Ms. Sue Torelli, Librarian, Industrial Research Unit, and Kevin Barry, Librarian, Industrial Relations Section, Princeton University, provided helpful information and numerous documents.     

The race relations problematic in American sociology: A case study and critique

This article reports the results of an analysis of all racial and ethnic relations articles published in the American Journal of Sociology, the American Sociological Review, Social Forces, and Social Problems, from January 1969 through December 1995. The analysis identifies by journal: 1) major methodological orientation(s); 2) how the concepts of “race,” “ethnicity,” and racial and ethnic relations are operationalized, which is useful for examining tendencies toward, or against, reification; 3) substantive content—that is, what a sociology of racial and ethnic relations is; and 4) primary context—that is, are racial and ethnic relations treated as a substantive subdiscipline in their own right, or are they merely a topic of interest for other subdisciplines such as social psychology? In brief, although some differences exist between the journals, all four journals publish disproportionately racial and ethnic relations research that: 1) is highly quantitative as opposed to theoretical, conceptual, or sociohistorical; 2) reifies U.S. Census definitions of race and ethnicity as opposed to critically evaluating such definitions; 3) social psychologizes racial and ethnic relations, or subsumes such relations under stratification processes; and 4) subsumes the racial and ethnic relations problematic under subdiscipline rubrics other than a sociology of racial and ethnic relations. The conclusion discusses the implications of these findings; for example, by virtue of what they publish, these journals construct a paradigmatic frame that gives precedence to, or legitimizes, some views and excludes, or de-legitimizes others.     

The role of social workers and social service delivery during crisis intervention for tsunami survivors: a case study of Thailand

This paper seeks to understand the economic, social and psychological impacts on survivors in Thailand of the Asian Tsunami on 26 December 2004. The Tsunami disaster brought about great changes in the lives of survivors, the role of social workers and social service delivery. Problems were actively worked out between many parties resulting in greater collaborations between local, national and international organizations. Social workers worked in a collaborative manner with various professions in delivering crisis intervention. In the case of the Tsunami disaster, there is an emergence of the development of the professional role of social workers and other social service workers to respond to the urgent needs of the family and children survivors.     

The role of social work in the context of social disintegration and violence

Violence and the violence discourse are very similar from country to country: focus on youth, preponderance of males among perpetrators and victims, disproportionate involvement of migrants and indigenous people, greater prevalence with socioeconomic disadvantage and low education, and the impact of underlying factors such as political disintegration, exclusion from the consumer lifestyle, and inadequacies of social institutions. In social disintegration theory, the basic explanatory backdrop is the dynamic relationship of integration and disintegration between and within the different spheres: individual and functional system integration, integration into society, and integration into the community. (Relative) exclusion from work, consumption, and democratic processes combined with experience of socioemotional deficits seem to give a particularly strong boost to socially unacceptable forms of particularist integration and to favor collective and individual acceptance of violence. When subjects draw balances of personal recognition and of the achieved and achievable scope to organize their life, the latter orientations appear subjectively more likely to meet their expectations than socially (more) accepted modes of behavior.The central conclusion on social reactions to violence in general and professional social work in particular is that rather than relying on admonishment, punishment, or curative measures, or some combination of these, to combat violence, there is a need for wide-ranging long-term options for those acutely affected and at risk to have the long-term scope to organize their own lives-to experience life control, recognized integration, and development of competences. Those who experience being the organizer of their own life have no need of violence as a form of self-assertion.     

The ethics of deception in social research: A case study

Using data from a study on courtship through personal advertisements, I argue that Kai Erikson's classic case against disguised observation is flawed. Certain kinds of deception are necessary to gather certain data in certain settings. I placed bogus ads in a personal column to obtain and analyze responses. The data would have remained inaccessible—indeed, many of the responses would not have existed in the first place—without some measure of deception. While deception was used, no risk whatsoever was posed to respondents. I further argue that several of Erikson's criteria of risk do not separate ethical from empirical questions; informants use very different criteria in evaluating the risk of harm to them posed by social research that sociologists use. The question of exploitation is more complex, since it has to be weighed against how much of an effort my respondents made and hence, what it is exactly that I took from them. A “panel of judges” decided that most of my male (but not my female) respondents would not have gotten dates with my hypothetical ad placers, and that the research method I used was not especially unethical.     

The energy crisis: A process of social definition

The concept of an energy crisis is seen to have emerged out of a social process and is a metaphor linked to a sequence of events. A property of the metaphor is to emphasize certain aspects and obscure other aspects of the sequence of events to which it refers. When compared to the historical events, this metaphor has obscured the role of government and the oil industry in the development of policies of high petroleum consumption and dependency on imports while emphasis has been placed on the role of the consumer. The success of the metaphor can be seen both in the usage of the metaphor in political debates and the unwillingness of people to question the reality of the crisis or to consider changes in the institutions of energy. Explanations of a new awareness of the depletion of non-renewable resources do not adequately explain the success of the metaphor. The success of the metaphor may have some positive value but a number of negative effects are also occurring.     

A precarious hegemony: neo-liberalism,social struggles,and the end of Lulismo in Brazil

ABSTRACT

Analysis of Brazil’s political and economic crisis tends to emphasize the economic ‘errors’ that President Dilma Rousseff’s Workers’ Party (PT) government inherited from her predecessor Luíz Inácio Lula da Silva. It is clear, however, that political regulation is too narrow a focus to understand the current crisis. Such an explanation is unable to reveal the changes in class structure that took place during the Lula era as well as the effects of the international economic crisis. This article identifies the limits of the Brazilian development model and the main features of Lula’s mode of regulation; analyses the conflicts produced by the neo-liberal regime of accumulation and the Lulista mode of regulation, emphasizing the role of precarious work in the current historical cycle of strikes and popular struggles in Brazil; and, finally, interprets the palace coup promoted by the social forces behind the impeachment of President Rousseff.     

McDonald's Japan: A case study of effective public relations

This case study presents how McDonald's Japan improved its corporate image through food education as corporate social responsibility activity. Email interviews with a CSR representative and seven public school teachers who experienced the company's educational program reveal the company has successfully improved its corporate image, which may have contributed to its increased sales performance.     

Conglomeration among the top American public relations agencies: A case study

Conglomerates have been increasing in size to also include different media industries. Public relations has not been immune from conglomerate mergers. However, the inter-related economic and structural dimensions of public relations within a conglomerate are often undermined in the relevant literature. The existing literature shows lack of studies on these dimensions. This research investigates the degree of conglomeration among the top American PR agencies and the characteristics of these conglomerated agencies. Using industrial organization theory as the theoretical framework, the findings revealed that 24% of the leading public relations agencies in the United States are part of conglomerates. These agencies tend to be located in large metropolitan areas, have a relatively small number of employees and have considerable net fees. The study also found strong and positive statistical correlations between conglomerated PR agencies when compared to un-conglomerated in variables such as agency's location, primary service and net fees.     

Integrating public relations and legal responses during a crisis: The case of Odwalla, Inc.

Crisis management is a form of issues management in which crisis managers attempt to control the terms used to describe corporate actions. In this sense, a crisis can be seen as an opportunity to demonstrate the organization's commitment to responsible behavior and to outline the steps being taken to eliminate the problem. The organization's decision-making process is evident in its communication response (public relations versus legal) strategies.This study examines the crisis communication strategies employed by Odwalla, Inc. during its juice contamination crisis, a crisis whose impact on public health and safety gave it the potential for developing into an issue that required public policy relief. An analysis of the content of published responses made by Odwalla officials showed that public relations response strategies dominated legal response strategies throughout the crisis, followed by mixed public relations and legal strategies. This case provides a clear example of the collaborative approach to crisis management in terms of legal versus public relations strategies. In addition, Odwalla exerted control over the crisis through its recall, the development of a process to eliminate the problem, and raising the issue of pasteurization.     

Exploring articulation in internal activism and public relations theory: A case study

This paper answers Dozier and Lauzen’s (2000) call for critical theoretical examinations of activism and public relations to provide new perspectives and avoid the paradox inherent in organizational-level analyses. It also fills a literature gap by examining a case of internal activism, Girl Scout members protesting the use of palm oil in Girl Scout cookies, thus blurring organizational boundaries and rejecting Us/Other dichotomies. The basic precepts of the cultural-economic model (Curtin & Gaither, 2005, 2007) are expanded to provide greater heuristic power to the model (Curtin, Gaither, & Ciszek) and to delineate a more nuanced understanding of the public relations/activism relationship.     

The power of social capital: Adapting Bourdieu to the study of public relations

All organizations have relationships with their environments that can be described as their social capital. The development of this social capital is a crucial public relations activity. Taking a cue from the late French sociologist Pierre Bourdieu, social capital can also be seen as one of the several resources used to obtain or maintain positions of power. Bourdieu, however, was quite vague about how social capital should be analyzed and did not write about organizations per se. Accordingly, I will discuss and elaborate on the social capital concept by drawing from the work of Nan Lin (2002).     

Communication and donor relations: A social skills perspective

The work of donor relations in nonprofit organizations is accomplished through communication. This article suggests a relationship between social skills abilities and effective organizational communication. High-level social skills may facilitate strong relationships with potential donors and enable development personnel to address institutional goals more effectively.