‘Incentivizing Recovery’ follow‐up: White paper was a ‘first step’

Last week's issue featured the announcement of a new payment model for addiction treatment, a combination of capitated and bundled reimbursement that places the treatment provider at risk in the event of repeat admissions. Greg Williams, executive vice president of Facing Addiction with NCADD, described the rationale for the system: Treatment providers should not be paid if patients don't get well. Anne Marie Polak, senior director at Leavitt Partners and in charge of the “Incentivizing Recovery” project the organization is convening, described the basics of how the project works. None of the treatment organizations participated in the project, which resulted in the white paper released Sept. 7 (see ADAW, Sept. 17).     

The hostile environment,Brexit, and ‘reactive‐’ or ‘protective transnationalism’

The ‘reactive transnationalism hypothesis’ posits a relationship between discrimination and transnational practice. The concept has generally been studied using quantitative methods, but a qualitative approach augments our understanding of two context‐specific dimensions: the nature of the discrimination involved, and the types of transnational behaviour that might be affected. Drawing on in‐depth interviews with Bangladesh‐origin Muslims in London, Luton and Birmingham, in the UK, we demonstrate how anti‐Asian and anti‐Muslim racism have been conflated with intensified anti‐migrant racism in the context of ‘hostile environment’ immigration policies and the EU referendum (Brexit), producing an amplification of racist discourses associated with purging the body politic of its non‐white bodies. The insecurity generated is altering some people's relationships to Bangladesh, incentivizing investment in land and property ‘back home'. While this represents an example of ‘reactive transnationalism', we argue that ‘protective transnationalism’ might be a more appropriate way of describing the processes at work.     

A theory of age exclusion through closure: ‘Chronological age’ to ‘clinical need’

In an approach, I term ‘age exclusion through closure,’ I describe the exclusion of older people, from the workforce, and from hospital-based continuing care in Britain. Nineteenth century socioeconomic changes—the introduction of workplace technology, social surveys, the New Poor Law, and workhouse isolation, culminated in workforce exclusion on the grounds of chronological age. In the 20th century, the Poor Law ‘therapy’/‘succour’ divide, was recast in the Welfare State ‘health’/‘social care’ divide. Socioeconomic changes—the rising cost of health care, demographic change, the development of geriatric medicine, and economic restructuring, have served to allocatively ration ‘continuing care’ at this interface through the criteria of ‘clinical need.’ To conclude, age has become forged to clinical need, to become a formidable force of exclusion and exploitation perpetuating Poor Law closure between those ‘able’ and ‘unable’ to work, and creating a consequent ‘process of subordination’ within Welfare State capitalism.     

Exploring cultural economies of internationalization: the role of ‘iconic individuals’ and ‘brand leaders’ in the globalization of headhunting

Understanding the internationalization of professional services like advertising, architecture, accounting, consulting and legal services continues to attract considerable attention in academic and policy circles. Research in geography and management studies has emphasized the different organizational strategies adopted by firms as they seek to develop and maintain a competitive position within an increasingly global economy. In this article we develop a new strand in this literature by adopting a cultural economy approach to argue that an important, yet comparatively neglected, aspect of the internationalization strategies of transnational professional service firms is the role of certain ‘iconic individuals’ and ‘brand leaders’ in influencing the practice of internationalization. Drawing on empirical research into the burgeoning European executive search (headhunting) industry we identify a cadre of such individuals and brand leaders that act as resources other firms leverage when internationalizing. This highlights the importance of a cultural economy perspective in theories of the internationalization of professional services and its value in moving discussions beyond purely economic analyses of competitive advantage.     

Becoming ‘Real’ Entrepreneurs: Women and the Gendered Normalization of ‘Work’

This article focuses on the way in which women entrepreneurs legitimate their place in a gendered economy by reifying a divide between ‘real work’ and ‘not‐real work’. Using ethnographic approaches to follow the everyday lives of several women who own and operate small businesses in the USA, our article documents three gendering practices the women use for ‘becoming real workers:’ embodied, spatial and temporal. The study shows that women entrepreneurs become ‘productive workers’ by recasting reproductive work as non‐productive or not‐real work. At the end, we explore two possible alternative conceptualizations of ‘work’ that could contribute to dissolving this gendered divide.     

Discursive opportunities and the transnational diffusion of ideas: ‘brainwashing’ and ‘mind control’ in Japan after the Aum Affair

A case study in the sociology of ideas, this article refines the theory of ‘discursive opportunities’ to examine how intellectual claims cross national and linguistic boundaries to achieve public prominence despite lacking academic credibility. Theories of ‘brainwashing’ and ‘mind control’ originally began in the United States in the 1960s as a response to the growth of new religious movements. Decades later in Japan, claims that so‐called ‘cults’ ‘brainwashed’ or ‘mind controlled’ their followers became prominent after March 1995, when new religion Aum Shinrikyō gassed the Tokyo subway using sarin, killing thirteen. Since then, brainwashing/mind control have both remained central in public discourse surrounding the ‘Aum Affair’ despite their disputed status within academic discourse. This article advances two arguments. Firstly, the transnational diffusion of brainwashing/mind control from the US to Japan occurred as a direct result of the 1995 Tokyo sarin attack, which acted as a ‘discursive opportunity’ for activists to successfully disseminate the theories in public debate. Secondly, brainwashing/mind control became successful in Japanese public discourse primarily for their normative content, as the theories identified ‘brainwashing/mind controlling cults’ as evil, violent and profane threats to civil society.     

Against the norm: the transitional symbiosis of ‘grassroots clientelism’ and ‘rural citizenship’

Clientelism has predominantly been represented in the literature as an expression of backwardness and corruption with little attention being paid to the question of how clientelism has changed over the years. In contrast, this paper examines the particulars of state intervention in the agrarian economy with respect to clientelism and exposes the illogicality of contrasting patron‐client relationships with citizenship. The historical focus is on the ways in which, in the course of post‐dictatorship consolidation in rural Greece throughout the 1980s, the transformation of traditional brokerage‐based clientelism into the bureaucratic clientelism of the political parties actually enhanced the institutions and practices of ‘rural citizenship’. Comparative qualitative research on the driving force of agrarian change shows how Thessalian villagers made the transition from being socially excluded subjects to socially included clients in two lowland village communities and the role played by a dynamic state bureaucracy.     

‘Doing things with words’: Sociology and ‘Family Policy’ debates

In examining ‘family policy’, previous work on ‘family ideology’ is developed to demonstrate that ‘traditional family sociology’ has been ‘doing things with words’. In this area sociology, far from being innocuous, has had real impact upon society and may well have been oppressive and deeply reactionary.     

‘Over the Pond and Across the Water’: Developing the Field of ‘Gendered Organizations’

This article is concerned with the development of gendered organizations as a field of study. It begins by exploring some of the factors that militate against integrating organization studies and gender studies and gendered organizations scholarship over national/continental divides. Increasingly doubtful about whether traditional (mainstream and critical) organization theories will or can adequately address gender, we contend that scholars of gendered organizations should ‘strike out’ on our/their own, ‘boldly going’ into unfamiliar territory to create new, innovative theories, concepts and ideas. We make various suggestions about possible future directions for theorizing and research.     

Accounting for Exclusion: Giving a ‘Voice’ and producing a ‘subject’

SUMMARY: This article examines a series of accounts of exclusion given by pupils and a teacher in interviews and a group discussion. It is argued that it is important to hear pupils' experiences. However, it is recognised that it is never possible to access an experience directly, since the process of research alway shapes the way an account is constructed. This does not invalidate the research, since it is argued that the way pupils relate to the interviewer and the way they talk about their exclusion seemed indirectly to reflect important differences in the way exclusion is experienced. Specifically, two ways of managing exclusion were identified by pupils: some pupils protested about being excluded and welcomed the invitation to tell their story. Others distanced themselves from the event, by speaking of their exclusion in objective and concrete terms. These styles of accounting are compared to the way in which the head teacher discusses the topic of exclusion.     

Why ‘Work’? Gender and the ‘Total Social Organization of Labour’

Although feminism revitalized the study of work, deconstructionist tendencies may now undermine further theoretical advance. Implicit threats to the very concept of ‘work’ pave the way for conceptual dissolution or, unwittingly, for recuperation by an unreconstructed mainstream. This paper argues for a reconceptualization of ‘work’ which builds on the new insights but avoids essentialist or ahistorical categories. The issue is approached through consideration of the simultaneous embeddedness and structural differentiation which characterize ‘work’ activities and institutions. A reorientation of perspective towards a conception of work as ‘total social organization of labour’ is proposed as a means of moving forward. By focusing on the relational organization of all labour, however and wherever it is undertaken, the concept of work as economic activity is recovered, but no longer restricted by the boundaries separating institutional spheres or the constraints demarcating traditional academic disciplines. While of general applicability, the TSOL is elaborated here in relation to gender and work in the period of mass production.     

The ‘Sociology’ and ‘Anthropology’ of Berthold von Regensburg*

Abstract This article deciphers the views of the German thirteenth century preacher Berthold von Regensburg about ‘social nature’ as they are demonstrated in his sermon ‘Of the five talents’. Berthold von Regensburg interprets the Gospel parable (Matthew, 25: 14–30) quite freely, in accordance with the social realities of his own time. The ‘talents’ given by God to the human being are their personalities, social vocations, or offices, life-time, wealth, and love to their neighbours. Such an interpretation of the sacral text in the sermon read in a big South German town seems to be a kind of reflection of the burghers’ mentality. The hypothesis finds its further confirmation in other sermons in which he enumerates the professional groups of that society; this analysis is clearly town-oriented. A fuller context for this text is provided in the author's own work especially ‘Questions of Philosophy’Voprosi Philosophii (Moskva, 1990)     

‘Belonging’ and ‘Otherness’: Sex Equality in Banking in Turkey and Britain

The struggle for sex equality at work has largely been achieved in the developed world, it is claimed. The number of well‐qualified young women entering white‐collar employment and achieving promotion to first‐line and middle management positions now matches or exceeds their male peers. Many young women have high career aspirations and argue that sex discrimination no longer exists. However, this perception is over‐optimistic. Major sex inequalities persist at senior management level in the salaries and benefits offered to female and male staff and in access to certain favoured occupations and sectors of employment. Questionnaires, interviews and documentary evidence from three Turkish and six British banks and high street financial organizations showed that their claimed commitment to equal opportunities by sex was not matched by their practices. Members of managerial elites (who were almost exclusively male) held firm views about the characteristics of ‘the ideal worker’, which informed organizational ideologies, including human resource policies and practices concerning recruitment and promotion. They also permeated organizational cultures, which affected employees’ working practices and experiences. The outcome of these internal negotiation processes was to differentiate between a favoured group of staff seen as fully committed to the companies’ values, who were promoted and rewarded, and an ‘out’ group, whose members were denied these privileges. This distinction between ‘belonging’ and ‘otherness’ is gendered not only along the traditional lines of class, age, sexual orientation, religion and physical ability, but also along the new dimensions of marriage, networking, safety, mobility and space. Despite local and cross‐cultural differences in the significance of these factors, the cumulative disadvantage suffered by women staff seeking career development in the industry was remarkably similar.     

Which is the ‘self’ in ‘self‐interest’?

This article contends that homogenisation of the term ‘self‐interest’– in sociological and economic discourse – has resulted in many misconceptions about what particular doctrines of ‘self‐interest’ were instituted to achieve at certain historical periods and in specific cultural milieux. At its worst, the article argues, this has led to a misunderstanding of the import of particular doctrines of self interest,which are read in terms of general tradition – such as that which views self‐interested conduct as a natural faculty – rather than in terms of the context specific aims of those advocating them. The article attempts to show how, historically, there have been quite significant changes in the characterisation of the ‘self’ deemed to be ‘self‐interested’. In particular, it focuses on the ‘self’ of certain early modern conceptions of self interest, and suggests this creation is best viewed not as a subjectivity transcendentally presupposed by experience, but as one historically cultivated to counter the exigencies of particular circumstances – the disaster of perpetual ‘warre’ in 17th century Europe – and to meet the purposes of a certain way of life – existence in the civitas.