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The clinical governance of the soul: 'deep management' and the self-regulating subject in integrated community mental health teams

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  • Brown, Brian
  • Crawford, Paul

Abstract

Health professionals have often been described as if they were in conflict with the new managerialist spirit in health care. However, because of their distributed and mobile sites of intervention, the work of community teams presents particular problems for traditional notions of management. In this UK study we identify how mental health team members are regulated by means of a subtle 'deep management'. Team members point to a lack of management direction from senior colleagues, even though some of them participate in the management process themselves. However, the lack of overt management leads them to prioritise clients and foreground professional identities in performing their duties and much additional administrative work besides. This also meant that the organisational structure--the team--was defined in subjective terms. Participants had become self-regulating 'deep managed' subjects under a largely hands-off management regime.

Suggested Citation

  • Brown, Brian & Crawford, Paul, 2003. "The clinical governance of the soul: 'deep management' and the self-regulating subject in integrated community mental health teams," Social Science & Medicine, Elsevier, vol. 56(1), pages 67-81, January.
  • Handle: RePEc:eee:socmed:v:56:y:2003:i:1:p:67-81
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    Citations

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    Cited by:

    1. Finn, Rachael & Learmonth, Mark & Reedy, Patrick, 2010. "Some unintended effects of teamwork in healthcare," Social Science & Medicine, Elsevier, vol. 70(8), pages 1148-1154, April.
    2. Brown, Brian & Crawford, Paul & Nerlich, Brigitte & Koteyko, Nelya, 2008. "The habitus of hygiene: Discourses of cleanliness and infection control in nursing work," Social Science & Medicine, Elsevier, vol. 67(7), pages 1047-1055, October.
    3. Glenda Riley, Robin & Manias, Elizabeth, 2006. "Governance in operating room nursing: Nurses' knowledge of individual surgeons," Social Science & Medicine, Elsevier, vol. 62(6), pages 1541-1551, March.
    4. Walsh, Denis, 2006. "Subverting the assembly-line: Childbirth in a free-standing birth centre," Social Science & Medicine, Elsevier, vol. 62(6), pages 1330-1340, March.
    5. Brownlie, Julie & Howson, Alexandra, 2006. "'Between the demands of truth and government': Health practitioners, trust and immunisation work," Social Science & Medicine, Elsevier, vol. 62(2), pages 433-443, January.

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