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Observing Organisations: Anxiety, Defence…
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Observing Organisations: Anxiety, Defence and Culture in Health Care

by R D Hinshelwood

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Observing Organisations presents a unique approach derived from direct participant observation of small units within institutions, all in the health and social services sector. A range of contributors bring together the results of their own observational projects to show how they were able to come to a psychoanalytically informed understanding of the cultures that arise within healthcare organisations, and how this understanding can be used to overcome difficulties that arise.… (more)
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This work presents an approach derived from direct participant observation of small units within institutions, all in the health and social services sector. A range of contributors bring together the results of their own observational projects - in settings as diverse as a mental hospital canteen, an acute psychiatric admission ward and a palliative care unit - to show how they were able to come to a psychoanalytically informed understanding of the cultures that arise within healthcare organizations, and how this understanding can be used to overcome difficulties that arise. This work should help healthcare workers, teachers and managers better understand the functioning and difficulties of their organizations and therefore help in the management and practice of the work.

Details observations of what happens in various National Health Service settings. Does not give recommendations of what could be done about the dilemmas described, only presents the 'facts,' and leaves the response to the mind of the reader. For politicians to managers to those in clinical contact.
  antimuzak | Nov 8, 2005 |
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