The role of governmentality in the establishment, maintenance and demise of professional jurisdictions: the case of geriatric medicine

Sociology of Health & Illness
Susan Pickard

Abstract

This paper examines the professionalising of geriatric medicine in the UK roughly between the 1940s and the 1970s and locates it in terms of the broader context of the relationship between the professions and the state. It looks at how this relationship shaped geriatric medicine's professional jurisdiction, including the discourses of expertise on the one hand and the constituting of the 'subjects' of such expertise on the other. In contrast to other sociological approaches to the professions, which highlight the negative impact of state encroachment on professional territory, this paper contends that without the backing of the Ministry of Health the specialty may never have established itself in the face of prolonged opposition from rival specialists. However, such support was predicated on the specialty's highlighting particular legitimating discourses and practices at the expense of others, and in framing this in terms of specific policy concerns around an ageing population. Whilst this imprinted the profession with the stamp of governmentality, it also contributed to the broader problematising of old age in the twentieth century. The paper concludes by considering the legacy of this context of professionalisation for the pr...Continue Reading

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Citations

Jun 12, 2013·The Gerontologist·Philip D St John, David B Hogan
Jan 3, 2013·Sociology of Health & Illness·Dawn Bacon, Alan M Borthwick
Aug 27, 2014·Sociology of Health & Illness·Chris Gilleard, Paul Higgs
Feb 5, 2015·Sociology of Health & Illness·Susan Pickard
May 28, 2016·BMC Health Services Research·V Burau
Nov 18, 2017·Medical Care Research and Review : MCRR·Scott FeyereisenBeth Goodrick

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