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

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dc.contributor.author Brown, Brian J.
dc.contributor.author Crawford, Paul
dc.date.accessioned 2009-03-12T16:04:32Z
dc.date.available 2009-03-12T16:04:32Z
dc.date.issued 2003-01-01
dc.identifier.citation Brown, B. J., Crawford, P. (2003) The clinical governance of the soul: 'deep management' and the self-regulating subject in integrated community mental health teams. Social Science & Medicine, 56 (1), pp. 67-81. en
dc.identifier.issn 0277-9536
dc.identifier.uri http://hdl.handle.net/2086/1260
dc.description This paper led on to international collaborations with Australian scholars, and has yielded further publications such as a book chapter on personality disorder and a forthcoming paper in the Journal of Applied Linguistics en
dc.description.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 of the team was defined in subjective terms. Participants had become self-regulating "deep managed" subjects under a largely hands-off management regime.
dc.language.iso en en
dc.publisher Elsevier en
dc.subject RAE 2008 en
dc.subject UoA 11 Nursing and Midwifery en
dc.subject clinical governance
dc.subject self-regulation
dc.subject mental health
dc.subject community care
dc.title The clinical governance of the soul: 'deep management' and the self-regulating subject in integrated community mental health teams en
dc.type Article en
dc.identifier.doi http://dx.doi.org/10.1016/S0277-9536(02)00008-4
dc.researchgroup Participation & Social Justice
dc.researchgroup Psychology
dc.researchgroup Health Policy
dc.researchgroup Mary Seacole Research Centre
dc.researchgroup Health Policy Research Unit


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