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This paper advances a psychosocial hypothesis in understanding relations between recipients, and providers, of health and social care. In doing so, it draws on psychoanalytically informed work which considers the relation between the internal and external worlds and more generally the wider social context. The particular hypothesis in this paper relates to an understanding of an abusive form of relating underpinned by shame and envy. The paper suggests that exposure to these feeling states is more prevalent in a social world marked by increasing inequalities and environmental failures. This argument is underpinned with reference to qualitative and quantitative research, suggesting that antagonistic relationships are increasing and are part of a significant change in the culture. The argument is illustrated by a single detailed description of an initial consultation in an NHS psychotherapy service. An examination of the social context suggests how unhelpful or abusive relations may be manifest between health care providers and recipients, in care organizations and in the wider social world. This aspect of the argument is constructed with reference to relevant organizational and sociological literature. It is suggested that established relations of this type act to limit development, in this case a social development. [ABSTRACT FROM AUTHOR]

This paper assesses the theoretical and policy significance of one of Robert Merton's most influential contributions to modern sociology, the anomie or ‘strain’ theory of deviant behavior. The enduring theoretical significance of strain theory lies in its sociological completeness. Strain theory preserves the interconnection between culture and social structure which is neglected or defined away by cultural and control theories of deviance. In its emphasis on socially structured contradictions in the relations of consumption, strain theory is also broadly consistent with and complements more conflict-oriented theories of crime and deviance. A major weakness of Merton's argument is its failure to clearly distinguish the etiological significance of the distribution of opportunities (mobility) and the distribution of outcomes (equality), which has led to misinterpretations of the policy implications of strain theory. Ironically, these problems are revealed through a kind of self-criticism that applies the basic tools of Mertonian functional analysis to strain theory. The paper concludes that, ambiguities notwithstanding, for purposes of theoretical integration and substantive insight, strain theory remains an important sociological perspective on deviance, especially when set in the context of Merton's broader sociological legacy. [ABSTRACT FROM AUTHOR]

Life story methods in Europe commonly belong to the field of biographical sociology. This paper points out that biographical sociology is missing from American sociology and describes in-depth two well-known methods in this field in Europe, the narrative interview and objective hermeneutics. The absence of biographical sociology from U.S. sociology should be remedied, it is argued, for the following reasons: First, an analysis of biographical patterns could counteract the heavy emphasis on social structure in American sociology and enrich certain subfields within it. For example, some of the concepts used in European biographical sociology, such as the concept of the 'trajectory' can be related to conceptions of agency set forth by American and British sociologists and thus enrich sociology overall. Second, biographical sociology can help counteract the heavy orientation towards quantitative research in American sociology without falling into the pitfalls of purely interpretive methodologies. And third, biographical sociology can significantly enrich the still missing link between culture and cognition. [ABSTRACT FROM AUTHOR]

Interactionist analyses of social organization stimulate examination of how social situations and collective activity are shaped. Meta-power, the creation and control of distal situations, and organization as a structuration of meta-power are used as tools for exploring the shaping of situations Five meta-power processes are presented: strategic agency, rules and conventions, structuring situations. Culture construction, and empowering delegates. These processes illustrate how situations are created or altered. This paper offers a view of social organization that emphasizes relations among situations, linkages between consequences and conditions, and networks of collective activity across space and time. The conclusion calls for additional research to make more explicit the nature of social organization and its social conditions. [ABSTRACT FROM AUTHOR]