The power of citizens and professionals in welfare encounters: The influence of bureaucracy, market and psychology
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Nanna Mik-Meyer
Nanna Mik-Meyer is Professor MSO in Sociology in the Department of Organization at Copenhagen Business School
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The power of citizens and professionals in welfare encounters - Nanna Mik-Meyer
The power of citizens and professionals in welfare encounters
SOCIAL AND POLITICAL POWER
Series editor: Mark Haugaard
Power is one of the most fundamental concepts in social science. Yet, despite the undisputed centrality of power to social and political life, few have agreed on exactly what it is or how it manifests itself. Social and Political Power is a book series which provides a forum for this absolutely central, and much debated, social phenomenon. The series is theoretical, in both a social scientific and normative sense, yet also empirical in its orientation. Theoretically it is oriented towards the Anglo-American tradition, including Dahl and Lukes, as well as to the Continental perspectives, influenced either by Foucault and Bourdieu, or by Arendt and the Frankfurt School. Empirically, the series provides an intellectual forum for power research from the disciplines of sociology, political science and the other social sciences, and also for policy-oriented analysis.
Already published
Power, luck and freedom: Collected essays
Keith Dowding
Neoliberal power and public management reforms
Peter Triantafillou
Evaluating parental power: An exercise in pluralist political theory
Allyn Fives
The power of citizens and professionals in welfare encounters
The influence of bureaucracy, market and psychology
Nanna Mik-Meyer
Manchester University Press
Copyright page
Copyright © Nanna Mik-Meyer 2017
The right of Nanna Mik-Meyer to be identified as the author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988.
Published by Manchester University Press
Altrincham Street, Manchester M1 7JA
www.manchesteruniversitypress.co.uk
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data applied for
ISBN 978 1 5261 1028 2 hardback
First published 2017
The publisher has no responsibility for the persistence or accuracy of URLs for any external or third-party internet websites referred to in this book, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.
Contents
Series editor’s introduction
Preface
1 Introduction
Part I Power and professions in welfare work
2 Professions, de-professionalisation and welfare work
3 Soft power and welfare work
4 Powerful encounters as seen from an interactionist perspective
Part II The bureaucratic, market and psychology-inspired contexts
5 The bureaucratic context: administrator–client
6 The market context: service–consumer
7 The psychology-inspired context: coach–coachee
Part III Welfare encounters in practice
8 The power of bureaucracy, market and psychology in citizen–staff encounters
9 Conclusion
References
Index
Series editor’s introduction
Bertrand Russell once argued that power is to social science what energy is to physics (Russell 1938: 10). While power is one of the most important concepts in the social sciences, it is also one of the most complex and elusive to research.
Weber’s analysis of power and authority (1947, 1978) is one of the first social scientific discussions of power, and it influenced the US power debates, which developed post–World War Two. In these debates, Dahl’s careful analysis stands out for its clarity in providing us with a conceptual vocabulary of power (Dahl 1957, 1968). This includes an agency-based, exercise and decision-making definition of power; conceptualized in terms of powerful actors (A) making subordinates (B) do something that they would not otherwise do. This exercise of power is distinct from resources (that may or may not be exercised), and it provides power-holders with power of specific scope. However, while providing a new set of conceptual tools to analyse about power relations, Dahl’s work was subject to sustained critique from Bachrach and Baratz and others, who argued that power is also exercised through structural biases that are not necessarily reducible to overt decision-making (Bachrach and Baratz 1962). Lukes followed this critique with his theorization of the third dimension of power (Lukes 1974), which concerns the mobilization of belief and ideology to legitimise power relations of domination. The three-dimensional model was applied in a richly textured empirical study of Appalachian mining communities (Gaventa 1982). Overall, as the three-dimensional power debates develop, the focus shifts from actions of the dominating actor A to the counterintuitive and fascinating phenomenon that subordinate actors B often appear to actively acquiesce or participate in their own domination.
In a qualified critique of Lukes, Scott argued that appearances are often deceptive (Scott 1990). The relationship between public and private discourse renders the working of three-dimensional power more complex than any simplistic images of the oppressed willingly participating in their own domination, or internalizing false consciousness. In turn, Scott’s work has inspired an ongoing power literature on the complexities of resistance versus acquiescence.
In the 1980s, under the influence of the translation of Foucault’s work (e.g., Foucault 1979, 1982), the Anglophone power debates shifted towards more epistemic and ontological analysis, which resonated with the shift of emphasis from the powerful to the conditions of the oppressed. This gave rise to fascinating work on the relation between power and discourse, power and truth, the way power influences the ontological formation of social subjects through discipline and how governmentality has changed systemic power relations (including Clegg 1989; Flyvbjerg 1998; Hayward 2000; Laclau 2005; Dean 2010). However, in critique, many have argued that neo-Foucauldians tend to lose sight of the significance of individual agency (Lukes 2005).
Bridging the intellectual divide between those following the Dahl–Lukes trajectory and the neo-Foucauldians, another important thread to the power debates comes from Giddens (1984) and Bourdieu’s (1989) conceptualizations of structure as a verb. This way of thinking provides us with conceptual tools for making sense of how agents both structure and are structured by relations of power.
In international relations, the shift from agency towards systemic, epistemic and ontological perceptions of power took the form of a gradual move from a realist focus on resources to a more idealist emphasis upon soft power (Nye 1990, 2011). Similarly, in rational choice theory, there emerged an emphasis upon the systemic situatedness of strategic choices (Dowding 2016).
The effect of interrogating the social contexts and social ontology of agents has caused many theorists to re-evaluate the nature of power normatively, moving away from the automatic equation between power and domination to a perception of power as a condition of possibility for agency, and thus freedom (Morriss 2002, 2009). Thus, freedom and power move from being opposing categories to being mutually constitutive. Associated with this normative re-evaluation, power theorists distinguish between power-to, power-with and power-over (Allen 1998, 1999; Pansardi 2012). To begin with, power-over was considered a normative negative, suggesting oppression, while power-to and power-with were the positives. However, some theorists argue power-over can also have emancipatory, as well as the more obvious dominating, aspects (Haugaard 2012).
Within these theoretical contexts, Nanna Mik-Meyer’s book, The power of citizens and professionals in welfare encounters: The influence of bureaucracy, market and psychology, constitutes an ethnographically rich account of the microphysics of power relations between staff and citizens in welfare organizations. The described encounters take place in bureaucratic contexts, which suggest Weberian theories of bureaucratic authority, coupled with one-dimensional, top-down, exercises of power. Alternatively, drawing upon Foucault and Bourdieu, the reader might expect ‘experts versus disempowered citizens’, and clear boundaries of what counts as relevant ‘truth’ and epistemic knowledge. However, as the book’s analyses show, these professionals do not establish themselves as the undisputed holders of expertise or power-over. The citizens emerge with significant authoritative power derived from their everyday knowledge of their own experiences, and of influential systems of thought. Thus, professionals do not have a monopoly of truth. Furthermore, it is often contested which realms of knowledge are considered valid sources of epistemic cultural capital. Rather than one episteme, Mik-Meyer shows contested knowledge that includes bureaucratic criteria (as one might expect), popular psychology, market values and the everyday life of the citizen, all of which pull in different directions. This is a brilliant example of how well-grounded empirical research often confounds, or makes more complex, our theoretical models of power relations.
In general, the book series, Social and Political Power, seeks to build upon these rich traditions of power analysis, which currently make the study of social and political power one of the most vibrant fields in the social and political sciences. It also builds upon the success of the Journal of Political Power, which provides an important forum for article analysis, while this book series facilitates longer works on social and political power.
The book series is open to any of the multiplicity of traditions of power analysis, and it welcomes research that is theoretically oriented, as well as empirical research on power or practitioner-oriented applications.
Mark Haugaard, National University of Ireland, Galway, Ireland
References
Allen, A. (1998). Rethinking power. Hyptia, 13(1), 21–40.
Allen, A. (1999). The Power of Feminist Theory: Domination, Resistance, Solidarity. Boulder: Westview Press.
Bachrach, P., and M. S.Baratz. (1962). Two faces of power. American Political Science Review, 56(4), 947–952.
Bourdieu, P. (1989). Social space and symbolic power. Sociological Theory, 7(1), 14–25.
Clegg, S. (1989). Frameworks of Power. London: Sage.
Dahl, R. A. (1957). The concept of power. Behavioural Science, 2(3), 201–215.
Dahl, R. A. (1968). Power. In D. L.Shills (Ed.), International Encyclopedia of the Social Sciences (Vol. 12, pp. 405–415). New York: Macmillan.
Dean, M. (2010). Governmentality: Power and Rule in Modern Society (2nd ed.). London: Sage.
Dowding, K. (2016). Power, Luck and Freedom: Collected Essays. Social and Political Power Series. Manchester: Manchester University Press.
Flyvbjerg, B. (1998). Rationality and Power: Democracy in Practice. Chicago: University of Chicago Press.
Foucault, M. (1979). Discipline and Punish: The Birth of the Prison. Harmondsworth: Penguin.
Foucault, M. (1982). The subject and power. In H. L.Dreyfus and P.Rabinow (Eds.), Michel Foucault: Beyond Structuralism and Hermeneutics (pp. 208–226). London: Harvester Wheatsheaf.
Gaventa, J. (1982). Power and Powerlessness: Quiescence and Rebellion in an Appalachian Valley. Oxford: Clarendon Press.
Giddens, A. (1984). The Constitution of Society. Cambridge: Polity Press.
Haugaard, M. (2012). Rethinking the four dimensions of power. Journal of Political Power, 5(1), 35–54.
Hayward, C. (2000). De-Facing Power. Cambridge: Cambridge University Press.
Laclau, E. (2005). On Populist Reason. London: Verso.
Lukes, S. (1974). Power: A Radical View. London: Macmillan.
Lukes, S. (2005). Power: A Radical View (2nd ed.). Basingstoke: Palgrave Macmillan.
Morriss, P. (2002). Power: A Philosophical Analysis (2nd ed.). Manchester: Manchester University Press.
Morriss, P. (2009). Power and liberalism. In S.Clegg and M.Haugaard (Eds.), The Sage Handbook of Power (pp. 54–70). London: Sage.
Nye, J. S. (1990). Soft power. Foreign Policy, 80, 153–172.
Nye, J. S. (2011). Power and foreign policy. Journal of Political Power, 4(1), 9–24.
Pansardi, P. (2012). Power to and power over: Two distinct concepts?Journal of Political Power, 5(1), 73–89.
Russell, B. (1938). Power: A New Social Analysis. London: George Allen & Unwin.
Scott, J. C. (1990). Domination and the Arts of Resistance: Hidden Transcripts. New Haven: Yale University Press.
Weber, M. (1947). The Theory of Social and Economic Organization(T.Parsons, Ed.). New York: Free Press.
Weber, M. (1978). Economy and Society: An Outline of Interpretive Sociology(G.Roth and C.Wittich, Eds., 2 vols.). Berkeley: University of California Press.
Preface
Ever since I did my first six months of fieldwork as a graduate student in an activation programme for unemployed citizens (Mik-Meyer 1999), I have been quite puzzled by the progression of the encounter between citizens and welfare workers. This puzzlement has been further strengthened by my subsequent doctoral research project on rehabilitation work (Mik-Meyer 2004), my post doc research on the situations of overweight people (Mik-Meyer 2010b, 2014, 2015b) and recent projects on functional disorders (Mik-Meyer and Johansen 2009; Mik-Meyer 2010a, 2011; Mik-Meyer and Obling 2012) and disability, marginalisation and work (Mik-Meyer 2015a, 2016a, 2016b, 2016c). What has puzzled me the most is the often contradictory norms of what welfare work is (or ought to be) when observing and interviewing citizens and the staff whom they encounter. I have found simultaneous and overlapping expectations of standardised documentation, emphasis on legislation as well as co-production, empowerment, choice-making, service delivery, care giving and receiving, as well as many other ideas, norms and principles which stem from greatly different norm-systems, such as the ideal-type bureaucracy, the market and psychology. However, when going through the vast amount of research that examines the encounter between citizens and welfare workers, there seems to be two branches of overlapping research traditions, which rarely intertwine despite their objectives of study (the welfare encounter) being similar.
While writing this book, I have had a pile of literature for each of these research traditions sitting on my desk, literature that respectively centres the analysis of how bureaucratic principles affect the welfare encounter and how values stemming from a market context, standards of New Public Management (NPM) and norms from psychology influence the encounter. However, after going through many of these studies I am left with the impression that the focus of much of this research primarily reflects scholarly traditions and fails to adequately take into account the complexities of the empirical world. Political scientists seem to prefer the Weberian-inspired literature on the bureaucracy, for instance, the work of Michael Lipsky, whereas sociologists and anthropologists seem to prefer a critical Foucauldian-inspired approach that investigates the effects of market values, NPM and norms from psychology on the welfare encounter. Nevertheless, welfare workers and citizens adhere in reality to a wide range of norms and principles stemming from the bureaucracy, as well as the market and psychology, which is why an important goal of this book has been to engage with both branches of literature. By doing so, it is possible to produce analyses that explain what goes on in real-life welfare encounters. The applied theories and concepts of researchers have profound effects on what can be perceived, and they consequently affect the results of the analyses. If one applies a bureaucratic Lipsky-inspired approach, the result is then likely to be convincing analyses of discretionary practices. Similarly, if one applies Foucauldian conceptualisations, one will get convincing analyses of the subtle workings of power, which leaves very little room for the agency of welfare workers and citizens alike.
Having a background within anthropology and consequently favouring the analysis of the empirical world while simultaneously being a sociologist who is greatly inspired by a constructionist approach that acknowledges the role of theories and theoretical concepts for any analysis, I wish to apply both research traditions, and in doing so bridge two academic approaches which are rarely combined. I do so because it is my conviction, based on my own empirical studies and the reading of much research by my colleagues, that welfare encounters display principles of bureaucracy as well as values of the market, NPM and norms from psychology. By combining these two research traditions, my hope is to produce more convincing analyses than if each of these traditions were applied on their own. I will let the readers decide whether my endeavour has been successful.
I want to extend my largest gratitude for valuable help with the book to my colleagues at The Danish National Centre of Social Research (SFI) and the Department of Organization (Copenhagen Business School), my student assistant Charlotte Bossen Nielsen, Tony Mason, Robert Byron and the anonymous reviewers at Manchester University Press. Finally and of central importance for this book, I want to thank Professor Mark Haugaard, the editor of the series Social and Political Power, in which this book is part, whose insight into key power discussions has tremendously qualified the analyses and arguments of this book.
Nanna Mik-Meyer, Copenhagen, October 2016
1
Introduction
Since the 1990s, European welfare states have undergone substantial changes regarding their objectives, areas of intervention and instruments of use (Bonoli and Natali 2012; Jenson 2012). Throughout the past three decades, there has been an increasing move away from a more classical understanding of government (hierarchical, top-down politics) to governance (cooperative, bottom-up politics), in other words a move towards the prioritisation of the involvement of citizens and the participation of civil society (Brugnoli and Colombo 2012: xi). This shift towards governance – and the inclusion of a more complex network of agencies in welfare work – has challenged the former dominant status of the bureaucracy in public institutions (Goss 2001: 1). Not only has this change altered the ways in which welfare work is organised, but it has in addition affected the encounter between citizens and professionals/welfare workers.
This books focuses on the altered (powerful) conditions for encounters between citizens and welfare workers. However, the three key concepts of citizen, professional and welfare worker need to be defined up front. The concept of citizen refers to civilians who encounter the welfare state, not because of their professional work identities as teachers, lawyers, doctors, social workers, technicians and so on, but because they have a social problem that requires help or attention from the welfare state. The concept of social problems refers to the idea that citizens do not only encounter welfare workers because of issues, which most would identify as actual problems (such as unemployment, illness and homelessness). They also encounter welfare workers with issues that need to be resolved but are not necessarily problems per se (such as school children who need extra attention or educational efforts, or citizens with disabilities who require tailored job arrangements).
The concept of citizen is inspired by Taylor-Gooby (2010) and his work on social citizenship, that is, the composition of citizenship at different periods of time and in different social contexts. Moreover, the analyses of the book are highly influenced by research that explores how the definition of the social problems of citizens as something to be resolved by the welfare state changes in accordance with these shifting contexts (e.g., Spector and Kitsuse 2001; Järvinen and Mik-Meyer 2003; Gubrium and Järvinen 2014a). The behavioural expectations of citizens are thus not a fixed entity but are being reframed by, for instance, shifting policies, legislation and societal norms and values, which all (re)define what it means to be a citizen and what constitutes a social problem that must be resolved by the welfare state in a particular social context at a particular time in history.
The concepts of professional and welfare worker also require extra attention. The reason for giving priority to the concept of welfare workers is to (also) engage with the work of individuals who do not have any formal educational training, for instance, people who work in similar employment positions as professions/professionals and who are regarded as part of an occupational group by their co-workers, clients, patients and so forth. Social workers and abuse consultants are examples of two groups of welfare workers who may have very different educational backgrounds but who nevertheless do similar work. The reason for not emphasising the educational background or training of staff members who encounter citizens also relates to the hypothesis that educational background and training are less important to the analysis and understanding of citizens’ encounters with the welfare state. As this book will investigate, it may rather be the principles of the bureaucracy, values of the market and norms from psychology which one must highlight and foreground when analysing the powerful encounter between citizens and welfare workers.
Welfare work is not (only) about the legal rights of citizens but in addition involves servicing citizens, securing consumer responsiveness, user participation, cooperation and so on, which, in turn, affect this encounter (Goss 2001). Similarly, marketisation elements such as competition and freedom of choice also impact the relationship between citizens and welfare workers (Fotaki 2011). For this reason, work by fellow scholars with a particular interest in the conditions of the welfare encounter will be included. How bureaucratic principles (Chapter 5), market values (Chapter 6) and norms from psychology (Chapter 7) affect both the welfare encounter and the ways in which the participants perceive and understand the social problems of citizens are discussed. Also covered are the goals of welfare work today.
This book is particularly devoted