Medical malpractice,social structure,and social control

The origin and handling of doctor-patient conflict can be understood with reference to the sociological aspects of professional health care. This premise is explored by applying Black's theory of social control to the empirical evidence concerning malpractice litigation in the United States. The vertical, organizational, and relational distances between the health care provider and the patient are particularly relevant for predicting when malpractice claims will be made and how they will be resolved. These social-structural variables help explain several patterns in the American malpractice experience, including the aggregate increase in claim rates over the past four decades; the persistence of toleration as the modal response to medical injury; why poorer patients are less suit-prone than higher income patients; why surgical specialties have higher claim rates than general practice and psychiatry; why hospitals are sued disproportionately less often than individual doctors; and the relatively high frequency of prodefendant decisions when lawsuits are decided by a judge or jury.An earlier version of this paper was presented at the annual meeting of the American Sociological Association in Pittsburgh, Pennsylvania, August 1992.     

Myth,allegiances, and the study of social control

That sociology subscribes to certain popular myths and has aligned itself with the welfare of some groups over others complicates research into social control. This is especially so when the research deals with stereotypes and their effects on differential legal treatment. That the discipline has historically taken sides regarding certain commonly held stereotypes and been supportive of certain groups, means that findings that challenge those stereotypes or that are viewed as detrimental to the supported groups are brought into question. Our research on a regulatory mechanism of social control—the Black Book, a list of persons excluded from licensed gaming in Nevada because of their perceived threat to the industry—is illustrative of these complications. Our findings that the Black Book is largely symbolic and is applied discriminatorily challenge not only beliefs in its efficacy but certain myths and allegiances within sociology. That a group sociologically identified with the problem was discriminated against, and that a well-protected group elicited preferential treatment at the hands of regulators who identify with them have been particularly problematic for the acceptance of the findings. We argue here that debunking myth and value neutrality are essential to scientific endeavor and should override such disciplinary tendencies toward the tolerance and protection of some groups over others. Her research has dealt with aspects of culture, organized crime, and social elites. She is currently working on a book on high society and thoroughbred racing. His publications have dealt with issues of labeling and secondary deviation, the role of stereotypes in the legal process, and the legal reaction to corporate crime.     

Conservatism, institutionalism, and the social control of intergroup conflict

This research investigates the state social control of intergroup conflict by assessing the sociopolitical determinants of hate crime prosecutions. Consistent with insights from the political sociology of punishment, group-threat accounts of intergroup relations and the state, and neoinstitutional theory, the findings suggest that hate crime prosecutions are fewer where political conservatism, Christian fundamentalism, and black population size are higher, although this last effect is nonlinear. Linkages between district attorneys' offices and communities, on the other hand, increase hate crime prosecutions and the likelihood of offices' creating hate crime policies. Yet these policies are sometimes decoupled from actual enforcement, and such decoupling is more likely in politically conservative districts. The results indicate that common correlates of criminal punishment have very different effects on types of state social control that are protective of minority groups, and also suggest conditions under which policy and practice become decoupled in organizational settings.     

Gender roles and social control

Drawing upon social control theory in criminology, this paper examines the relationship between gender roles and the inhibitors of deviance. We develop and test hypotheses that “traditional” females, defined in terms of either position in the social structure or gender‐role attitudes, perceive higher levels of three types of sanctions assocíated with crime than do males; while “nontraditional” females are similar to males in their perceptions of sanctions. Results indicate that while changing gender roles and gender‐role attitudes affect perceived threats of guilt‐feelings and social stigma, they do not appear to influence women's perceptions of legal sanctions.     

Autopoiesis and socialization: on Luhmann's reconceptualization of communication and socialization

In 1984, Niklas Luhmann published Soziale Systeme in which he applies the idea of autopoiesis (= self-production) to social systems. Abstracted from its biological connotations, the concept of autopoiesis leads to a sharp distinction between different kinds of autopoietic organization, i.e. between life, consciousness and communication. According to Luhmann, the relationship between social systems and human beings cannot be adequately analysed except by taking into account that they are environments for one another. If this theoretical background is accepted, the concepts and theory of socialization need to be revised. Luhmann takes issues with classical notions such as internalization, inculcation, or 'socialization to the grounds of consensus' (Talcott Parsons). After a historical overview of social systems research and general systems theory, it is indicated how communications trigger further communications and realize the autopoiesis of social systems. In the second part of the article, the distinction between social systems and psychic systems is used to discuss issues crucial to socialization theory. Both a revision of the concept of socialization, and lines for an empirical research programme are proposed in accordance with Luhmann's theory of social systems.     

Instrumental social support,material hardship,personal control and neglectful parenting

The purpose of this study was to test pathways from perceived instrumental social support to neglectful parenting with two mediating variables-material hardship and personal control. I used a subsample of mothers (n = 2910) who participated in the Fragile Families and Child Wellbeing study (FFCW) from the birth of their children through age 5. The model fits the data well and the findings supported the proposed pathways among variables. Perceived instrumental social support decreased material hardship and increased personal control. Decreased material hardship and increased personal control in turn decreased neglectful parenting. Decreased material hardship also increased personal control. The study's findings contribute to the design and evaluation of social support prevention programs for child neglect.     

Parental style,parental practices,and socialization outcomes: An investigation of their linkages in the consumer socialization context

This study aims to generate insights into the mechanisms through which parental style influences adolescent consumer socialization. Toward this end, it examines two alternative conceptual frameworks: (1) The mediation model which posits two key dimensions of parental style (responsiveness and demandingness) as antecedent variables affecting adolescent consumer socialization directly and indirectly through parental socialization practices and (2) the moderation model which posits each parental style dimension as a moderator of the link between parental socialization practices and adolescent socialization outcomes. The influences of maternal and paternal parental styles on adolescent socialization outcomes are investigated separately and compared. Results provide stronger support for the mediation model. They also show that mothers’ parental style and practices are more influential than fathers’ in shaping adolescents’ consumer socialization outcomes.     

Third-Person Effect,Religiosity and Support for Censorship of Satirical Religious Cartoons

The violent attack on the staff of Charlie Hebdo and an earlier plot to kill cartoonists from the Danish newspaper Jyllands-Posten raise the issue of censorship of satirical religious cartoons to avoid potential retaliatory violence from those offended by the cartoons. With third-person effect (TPE) as the theoretical underpinning, this study examined the relationship among TPE, religiosity, and support for censorship of religious satirical cartoons. Data were collected in May 2015. A national sample of participants (N=374) was acquired through Amazon’s Mechanical Turk. The results show that individuals with a higher degree of religiosity are more likely to support censorship of satirical religious cartoons, and though TPE is not positively correlated to support for censorship, respondents’ perception of the effect of the cartoons on themselves may indicate an increased propensity for supporting censorship.     

Tranquillisers as social control?*

In this paper we use findings from an empirical study of the meaning of tranquilliser prescribing and use to examine the contention that these drugs are a means of social control, and to assess the explanatory value of the concept of social control when applied to the doctor-patient relationship. We first outline the historical application of the concept to the health field, specify the cultural mechanisms by which social control is said to be achieved and look at the ways in which the mechanisms are thought to operate through the prescribing of the most widely used kind of tranquilliser/hypnotic-benzodiazepines (e.g. Valium, Mogadon). We then draw on our data to see how far they substantiate the arguments which have been developed. In the final section of the paper we suggest some alternative explanations regarding the nature of doctors' power and of patient dependence. We also discuss problems involved in conceptualizing gender and class ideologies, note an inherent tendency towards an over-socialized view of the person and assess the usefulness of functionalist explanations stemming from the application of the social control concept to the doctor-patient relationship.     

A critical theory of medical discourse: ideology, social control, and the processing of social context in medical encounters

The personal troubles that patients bring to doctors often have roots in social issues beyond medicine. While medical encounters involve "micro-level" interactions between individuals, these interpersonal processes occur in a social context shaped by "macro-level" structures in society. Examining prior theories pertinent to medical discourse leads to the propositions: (a) that medical encounters tend to convey ideologic messages supportive of the current social order; (b) that these encounters have repercussions for social control; and (c) that medical language generally excludes a critical appraisal of the social context. The technical structure of the medical encounter, as traditionally seen by health professionals, masks a deeper structure that may have little to do with the conscious thoughts of professionals about what they are saying and doing. Similar patterns may appear in encounters between clients and members of other "helping" professions. Expressed marginally or conveyed by absence of criticism about contextual issues, ideology and social control in medical discourse remain largely unintentional mechanisms for achieving consent.     

Collective violence as social control

Collective violence is often social control: self-help by a group. It typically defines and responds to conduct as deviant. When unilateral and nongovernmental, it appears in four major forms—lynching, rioting, vigilantism, and terrorism—each distinguished by its system of liability (individual or collective) and degree of organization (higher or lower). Following Donald Black's paradigm of pure sociology, the central assumption is that collective violence varies with its location and direction in social space—the conflict structure. I offer ten propositions that predict and explain the likelihood and severity of collective violence in general and the four forms of collective violence in particular. Conflict structures with a high degree of relational distance, cultural distance, functional independence, and inequality between the adversaries are associated with collective violence in general. Each of the four forms depends on the degree of social polarization between the parties as well as the continuity of the deviant behavior to which the violence responds. Earlier versions of this paper were presented at the Annual Meeting of the American Sociological Association, Pittsburgh, Pennsylvania, August 1992, and the Centennial Congress of the International Institute of Sociology, University of Paris (Sorbonne), Paris, June 1993.     

Globalization,social work,and social welfare

This paper presents a critical review of globalization as explicated in the social work literature. It argues that writers about globalization and social work have so far accepted an unprolematized and undifferentiated construction of the theory of globalization which does not engage with the significant differences that exist between different accounts of globalization. In doing so they implicitly reproduce neo-liberal assumptions about the role of the state and its relationship to global forces. This results in a reductionist and pessimistic analysis of the fragmentation and deprofessionalization of welfare and social work which is often at variance with empirical evidence. Specifically, the acceptance of a narrow and economically over-deterministic reading of globalization unwittingly depoliticizes debates about social work and undermines resistance to the challenges to welfare.