While recent years have seen a substantial increase in research on clientelism, nearly all of it pertains to clientelism as an electoral strategy. This paper offers a general stocktaking of our understanding of the key issues in how clientelism arises, performs and (perhaps) diminishes, drawing on electoral studies while recognizing that findings in this realm do not always generalize to others. The specific questions addressed are: (1) What are the commonalities between electoral and non-electoral clientelism, and (...) in what respects is the former distinctive? (2) What is the salience of the “commitment problem”—uncertainty over the future performance of clientelist offers—in both electoral clientelism and clientelism in general? (3) Given that clientelism entails exchanges over status inequalities, what is its relevance for studies of prosocial and dominant/submissive behaviors, and vice versa? (4) How should we view the relationship between the extent of clientelist practices in a given society and its degree of social, political and economic development or institutionalization? (5) Does clientelism require voluntary participation, or can it accommodate aspects of coercion? (6) How should clientelism be viewed normatively according to commonly applied criteria? The paper concludes with a few issues that deserve greater attention in future research. (shrink)

The concept of clientelism has lost descriptive power. It has become indistinguishable from neighboring concepts and is applied across analytical levels. Using Gerring’s (Polity 31:357–393, 1999) characterization of a “good” concept, I establish the core attributes of clientelism, which, in addition to being an interest-maximizing exchange, involves longevity, diffuseness, face-to-face contact, and inequality. Using secondary sources and fieldwork data, I differentiate clientelism from concepts such as vote-buying and corruption and determine its analytical position at the microsociological level. (...) I argue that labeling sociopolitical systems as clientelistic is awkward since, operating at a higher analytical level, they have characteristics beyond microsociological clientelism and they affect the political nature of the clientelism they contain. I conclude that differentiating clientelism by confining it to the microsociological level will aid theory-building. (shrink)

The aim of this article is to describe the consequences of state intervention at the local level after a destructive earthquake hit the south of Italy in 1980. The kind of intervention adopted, the amount of financial investment and the way in which it was distributed affected the social and economic equilibrium of the local community in terms of perceptions of trust, patronage and effects on development.

I frame my argument by way of Hayek's tendency to treat Hume and Smith as central articulations of the rule of law. The rest of the paper explores their defense of clientelism. First, I introduce Hume’s ideas on the utility of patronage in his essay, “Of the Independency of Parliament.” I argue that in Hume clientelism just is a feature of parliamentary business. It seems ineliminable. I then contextualize Hume’s account by comparing it to Montesquieu’s account of this (...) system of patronage in Book XIX, chapter 27 of The Spirit of the Laws. Montesquieu primarily treats it as a species of bad corruption. However, he also sees some benefits to it. I then turn to Smith and I show that he echoes Hume’s analysis of corruption in an easily ignored passage in Wealth of Nations. I then show that for Smith one argument in favor of a kind of federal parliamentary union between Great Brittain and her American colonies lies in its ability to facilitate and make more efficient the system of patronage by the Crown. While Smith’s account of these matters is quite Humean, one can discern in Smith a distinct cost-benefit argument for the acceptance of the necessity of a system of patronage in the service of the peaceful expansion and entrenchment of the rule of law in his proposal for parliamentary union. (shrink)

This article compares political clientelism and datafied campaigning as two modes of relating politicians/parties and voters that are centred around voter surveillance. It contributes to the discussion on consequences of Big Data by showing similarities of datafied campaigns with a type of electoral politics that pre-dates the advent of mass media and is usually regarded as deficient. It thus departs from the predominant perspective on datafication and surveillance, which draws on Foucault, in order to identify the particular challenges that (...) datafication poses in the realm of democratic electoral politics. They are related to four major aspects in which datafied campaigning resembles political clientelism, as opposed to the combination of ideology, issue-based campaigning and media appeal that characterized Western European party politics in the second half of the 20th century. It personalizes the relationship between politicians and voters with the help of intermediaries; it is based on an asymmetric and iterative monitoring of voters; it implies a strong particularism and an affinity with populist appeals; and it is ambivalent with regard to the volition of voters. The identification of these similarities renders general concerns about the consequences of datafied campaigning for democracy more concrete. It offers a mirror in which seemingly novel practices are revealed to have implications that are well known to be problematic for the quality of democracy. (shrink)

Standard rationales for the illegality of markets in votes are based on concerns over the undue influence of wealth and the erosion of civic responsibility that would result from the commodification of votes. I present an alternative rationale based on how the mere alienability of votes alters the strategic setting faced by political actors. The inalienability of votes ensure the strict secrecy of voting, that is, the inability of voters to communicate credibly to others the content of their votes. In (...) doing so, it diminishes the credibility of all political actors’ clientelistic promises to reciprocate. By drastically reducing the transaction costs of vote exchanges, the legality of markets in votes would thus exacerbate the detrimental effects of political clientelism on the quality of democratic governments. (shrink)

This article examines how participants coordinate concurrent activities in hair salon interactions and during driving lessons. In both settings, participants devote considerable time to chatting about mundane topics. This sort of conversation has traditionally been studied as an instance of small talk. The first part of the article retraces the epistemological origins of this notion. The analytical section shows how an analysis based on talk alone may lead researchers to distinguish small talk from task-directed talk, in line with previous studies. (...) The subsequent analysis of the participants’ multimodal conduct reveals that what we call mundane talk is a social activity that participants coordinate with multiple other co-occurring courses of action. The article subsequently zeroes in on task-directed first pair parts and shows how, on occasion, participants prioritize certain activities over others. The analyses draw on video data of interactions that have taken place in French and Italian and are carried out with conversation analytic methods. (shrink)

The Landless Workers’ Movement has been the principal protagonist developing an alternative educational proposal for rural public schools in Brazil. This article analyzes the MST’s differential success implementing this proposal in municipal and state public schools. The process is both participatory—activists working with government officials to implement MST goals—and contentious—the movement mobilizing support for its education initiatives through various forms of protest. In some locations, the MST has succeeded in institutionalizing a participatory relationship with government actors, while in other regions (...) the MST has a more limited presence in the schools or has been completely banned from participating. Drawing on the concept of coproduction—the active participation of civil society actors in the provision of public goods—the author argues that coproduction is a joint product of high levels of social mobilization and government orientation. The former is necessary in all cases, while the latter can take the form of either a left-leaning or clientelistic government. (shrink)

The main argument of this paper is that the legal regulation of lobbying is an important factor for disciplining/curbing the undue (illicit) influence of different interest groups on the political-making process, especially in countries with post-communist and nonconsolidated democracies such as Albania. In three decades of political and economic transition from a one-party communist system to a democratic one and towards a market economy, the democratization of Albania has faced various problems, which have often led to a loss of public (...) confidence in the political class and apathy of citizens towards the political system. In many cases, this has come as a result of the perception or even the disclosure by the media and the public of corruption scandals, political clientelism, or undue influences in the decision-making processes in Albania. Surely, it can be said that political scandals of trading or exercising illicit influences on public officials can affect, as numerous cases have shown, every democratic political system in the world. However, they are more likely to occur in new democracies (post-communist) countries that face weak state structures and a legal environment that is not yet well consolidated and where a culture of informality exists alongside written rules and laws. For this purpose, that of disciplining and controlling the influences that specific interests exert on the decision-making process of governments, legislatures, or other regulatory agencies, a good part of European countries have considered undertaking legal regulatory initiatives for lobbying activity in their environments. (shrink)

With the expansion of clientele’s demographics and international transactions, many law firms began to open doors to non-mainstreamers—minority lawyers to join the legal workforce. Decades have passed and the inequality in compensation between minority and non-minority attorneys is still one of the most controversial issues in the legal profession. Based on human capital and labor discrimination theory, we examine the productivity and compensation differences between minority attorneys and non-minority counterparts. The sample consists of 554 firm-year observations of the 200 largest (...) U.S law firms from 2013 to 2016. We use OLS with clustered standard errors by year. We find minority partners are more likely to provide relatively routine and template-based services, which do not command fee premium, which results in low productivity of minority partners. We find that minority partners are compensated less than their non-minority counterparts after controlling for productivity. This paper aids in the understanding of diversity in the workplace and the effect of diversity on a firms’ productivity and the type of services to provide. Also, this paper has implications on the compensation gap between minorities and their non-minority counterparts. (shrink)

Examining the concept of clientelism in analysis of participatory processes, we investigate how collective and individual action are articulated in practices in the case of participatory budgeting in Recife, Brazil. We use ethnographic work to look how collective actors mobilize within the PB process in Recife and show that PB’s territorial and redistributive nature provides fertile ground for informal exchanges to be entrenched in institutional processes at the micro level. Microsocial interactions between political entrepreneurs, intermediaries, and ordinary participants in (...) Recife participatory practice are shaped by two processes: individualization of political loyalties and territorialization of politics. These, we argue, allow informal exchanges to coexist with institutionalized forms of collective action. PB presupposes that participants engage in local struggles and introduces competition and inequalities among them, as access to resources is conditioned by their ability to mobilize and enter into informal interactions that underlie political exchanges within PB. (shrink)

By 1910 the Cambridge University physiology department had become the kernel of British physiology. Between 1909 and 1914 an astonishing number of young and talented scientists passed through the laboratory. The University College department was also a stimulating place of study under the dynamic leadership of Ernest Starling.I have argued that the reasons for this metropolitan axis within British physiology lie with the social structure of late-Victorian and Edwardian higher education. Cambridge, Oxford, and University College London were national institutions attracting (...) students from all over England and Wales. In contrast, the provincial colleges drew their clientele from relatively narrow geographic radii. Generally, also, these institutions were regarded as socially inferior to the longer-established universities.A brief survey of the biographies of some British physiologists demonstrates how physiology, as an occupation, became, over the later decades of the century, socially elite. The scientists who achieved full-time posts in the 1870s generally came from somewhat marginal backgrounds. Foster, like his mentors T. H. Huxley and William Sharpey, came from a non-conformist family. Edward Schäfer was also a dissenter and, like Foster, began his professional career as a general practitioner.Physiologists of the succeeding generation, however, came from wealthy families with established intellectual traditions. John Scott Haldane, nephew of John Burdon Sanderson, was the brother of the politician R. B. Haldane and uncle of the historian A. R. B. Haldane.71 Joseph Barcroft was one of the most affluent of all physiologists.72 His family's wealth derived from linen manufacturing. He attended the Ley's School Cambridge, where his schoolmates included Henry Dale, later Director of the National Institute for Medical Research; F. A. Bainbridge, who eventually became Professor of Physiology at St. Bartholomew's Hospital; and the Cambridge historian J. H. Clapham. A. V. Hill, Professor of Physiology at Manchester and, subsequently, London, married Margaret Keynes, sister of John Maynard Keynes and niece of Sir Walter Langdon Brown, Professor of Physic at Cambridge. Margaret Keynes's younger brother, the surgeon Sir Geoffrey Keynes, married a granddaughter of Charles Darwin; their son Richard Keynes also became a physiologist at Cambridge.These families were part of a new class emerging during the late Victorian period, descendants of the great reforming radicals of the 1830s, who had begun to achieve power through positions in the universities, the professions, and the civil service. Their social prestige rested upon their intellectual expertise. Physiology was an appealing research discipline to these groups because of its clear dissociation from industry and commerce. And because physiology's “practical” face was medicine, its acceptability was reinforced by professional ties.The nature of the Physiological Society confirms this image of physiology as an elite science. By the turn of the century the Society had taken on some of the characteristics of a dining club. The scientific meetings were generally followed by dinner: if the Society met at Oxford, they were entertained at Burdon Sanderson's college, Magdalen.73 Through a “black ball” system, unwanted candidates could be excluded. In 1912, when the question of admitting foreigners was discussed, E. H. Starling wrote to Edward Schäfer: “the Society has very much in it the nature of a club, and a certain amount of personal knowledge of the candidate is always desirable.”74.The developing institutional structure of physiology in late Victorian Britain indicates, therefore, that we must look beyond the achievements of individuals and departments to understand why physiology flourished. The discipline became part of a new social order in which the professional middle classes assumed increasing power. These groups valued intellectual skill, especially in the pure scienes, as forces both for self-advancement and for progress within society. (shrink)

This article presents an overview of significant issues facing contemporary information professionals. As the world of information continues to grow at unprecedented speed and in unprecedented volume, questions must be faced by information professionals. Will we participate in the worldwide mythology of equal access for all, or will we truly work towards this debatable goal? Will we accept the narrowing of choice for our corresponding increasing diverse clientele? Such questions must be considered in a holistic context and an understanding of (...) the many levels of information inequities is requisite.Beginning with an historical perspective, Buchanan presents Mustapha Masmoudi''s seminal review of forms of information inequities. She then describes qualitative forms of inequities, such as information imperialism and cultural bias embedded in such practices as cataloging and classification. Following, a review of quantitative inequities is presented. Such issues as the growing commoditization of information and information services demand attention from the ethical perspective. And, finally, the Internet and implications surrounding the world-wide dissemination of information is discussed. (shrink)

This article draws from field research in a Long Island beauty salon to explore the ways that female beauty work constructs gendered, classed identities. Stylists use their attachment to beauty culture to nullify status differences between themselves and their clientele, and to imagine themselves their customers' friends and social equals. However, the emotional ties stylists profess force them to accomodate clients' appearance preferences, even when they are, in the stylists' estimation, unattractive or unstylish. Hairdressers' emotion work thus serves to undermine (...) their status as professionals. While stylists use beauty culture to nullify status differences, clients use professional identities to resist beauty ideology. Customers' understandings of beauty, rather than following some omnipotent ideal, are instead driven by social location and cultural distinctions. Women use beauty work to stress social differences; rather than an endpoint, beauty is exploited in the service of class and status. (shrink)

This article on Rhodian Orientalizing jewelry re‑examines the corpus preserved in the Louvre Museum, focusing on the figured plaques and elaborate jewels. The re‑examination of the contexts of discovery offers a new framework for interpreting the technical aspects of production and highlights the existence of several workshop practices that produced, repaired and reworked jewels in Antiquity. One of the major conclusions of the investigation is that these objects were used and sometimes reworked over several generations before being deposited in the (...) tombs between the years 630‑620 and the end of the Archaic period. This work has also allowed for a broader reflection on the place of Rhodian goldsmithing in the Eastern Mediterranean during the Archaic period and on its links with Cypriot and, to a lesser extent, Cretan production. While the question of the center of production is now settled in favor of Rhodes, the question of a more precise location of the workshop, defined in particular on the basis of the tools used on numerous pieces of the Rhodian corpus, leads us to favor the Camirean hypothesis and to underline the dynamics induced by the clientele, notably in the process of reworking the jewelry. The article also presents in an appendix the unprecedented analyses of the alloys carried out on the Louvre jewels at the IRAMAT laboratory in Orléans. (shrink)

Drawing on a global sample of microfinance institutions (MFIs), this paper offers insights into the trade-off versus synergy debate of adopting multiple institutional goals in hybrid organisations. Additionally, it unravels which organisation- and country-specific determinants associate with top joint performance using machine-learning techniques. We find that the synergy versus trade-off debate is not dichotomous. Rather, MFIs can be strong both socially and financially but not while charging low interest rates. In our sample, 17% of MFIs serve a low-income clientele in (...) need with a diverse range of services while remaining financially sustainable and ask a close-to-average interest rate. These organisations are larger and more mature as well as financially prudent in that they minimize both financial and credit risk. Moreover, they are located in countries where their services can create larger benefits regarding their underlying goals. (shrink)

The UK's personal financial services sector has been the site of controversy over alleged professional malpractice. Financial advisers’ status as professionals is in question, and their claim to knowledge and expertise is apparently challenged by an extensive consumer literature on personal finance. This article analyses a corpus of seventeen consumer guides to personal finance and money management published in the UK, together with a range of financial material available on the internet. These guides urge readers to give high priority to (...) their finances, given the irreversible global retreat of the state from welfare provision. They argue that expert professional advice is indispensable. They prepare readers to play their part as clients in mutually profitable collaboration with professional advisers. They offer reassurance about the effectiveness of industry regulation and consumer protection. The guides are reflexively implicated in the promotional culture of personal financial services. They support financial advisers’ claim to professional standing, and contribute to the cultural work of creating a clientele for them. (shrink)

Le politique a tendance à découper le territoire en tranches catégorielles de taille (espaces ruraux, villes petites et moyennes, métropoles) ou binaires (espaces « périphériques », métropoles « incluses ») de manière à en servir les clientèles au gré des opportunités. Est-ce la fin de la paix territoriale et l’activation de clivages sociaux par le truchement du territoire? Voilà pour le politique. Du côté des scientifiques, le besoin d’un cadre d’analyse comparable dans le temps pousse de nombreux statisticiens et chercheurs (...) à mobiliser les mêmes catégories, à la recherche du mythique « territoire pertinent ». Or, le territoire est fait de flux, de liens, d’interdépendances entre échelles et acteurs. Il connait par ailleurs une grande diversité. Il est alors nécessaire de construire des cadres d’analyse globaux et des idéaux-types pour caractériser les différentes trajectoires spatiales et éclairer l’action publique. (shrink)

Background: The delivery of public health policies may be in conflict with individualism. Objectives: To propose measures to ethically provide routine HIV testing services to persons visiting a funeral home. Research design: A document analysis of study documents and presentations made to an institutional review board. Participants and research context: Institutional review board members (both lay and professionals) and Study investigators attending an `open session' where study investigators were invited to elaborate on some study procedures. Ethical considerations: Identities of all (...) parties were anonymized. Findings: Opt-out approaches to HIV testing, grief counseling, relational ethics, and a modular consenting process were proposed to safeguard clients' autonomy. The golden-rule approach and protective empowering were suggested to protect clientele beneficence. Discussion and conclusion: It is possible to ethically provide universal HIV testing and counseling services among grieving populations in this setting; elsewhere, this should be contextualized. (shrink)

The article aims at describing the Spanish welfare state and assessing its problems and perspectives. The description of its characteristics, based on a comparison with European countries, makes it possible to identify patterns similar to those of other Southern welfare states, with an important subsidiarity with regard to the family and an orientation towards the protection of the older population. Regarding the identification of problems, two technical problems are highlighted in the article. First, those related to sensitivity to economic crises, (...) which specifically translates into a high level of structural unemployment. And, second, those linked to the very accelerated demographic changes, which cause an aging of the population that aggravates the difficulties of financing the system. Finally, the article pays attention to several political and design problems of the welfare state in Spain. Political polarization and clientelism make it difficult to make consensual decisions aimed at giving continuity and legitimacy to the welfare state. The risks linked to a ‘patchwork design’ characterized by complexity and lack of coherence in the catalog of services are also pointed out. (shrink)

This volume, an assemblage of essays previously published in the Journal of Chinese Philosophy, conveniently and strategically brings together some of the trenchant interpretations and analyses of the salient, structural aspects of the philosophy of the Yijing. They reveal how the ancient Classic offers a graphically vivid and conceptually dynamic dramaturgy of the ways in which the natural world works in conjunction with the human one. Its cosmological architectonics and philosophical worldview continue to have enormous purchase on our current imagination, (...) even though readerly imperatives and responses have rendered this classic into a text of multiple significances, catering to pluralistic readerships and clienteles. Nonetheless, the essays in this volume lay bare some of the original authorly visions and insights of the Yijing, clearly showing that their apparent truthfulness to our cosmic and human conditions inspire philosophical and even theological questions. The Yijing's authorial designs of the eight trigrams and hexagrams, which encapsulate the primordial state of homo-cosmic phenomena and situations, together with the yin-yang forces and the dao, are taken for granted as integers in a grand universal equation, factored out to represent a ceaselessly changing cosmos in which heaven, earth and humanity commingle, such that the whole and unity can be found in the individual and the opposite, and vice versa. (shrink)

Some mutual funds not only apply the usual asset management and custodial fees, but also front loads and redemption fees as a kind of ‘toll charge’ payable on entering and/or leaving the fund. The aim of this work is to examine the implications of the different loads and fees applied to mutual fund investors in the Spanish market. The results show that there is a relationship between the various charges and fees. The fact that load fund companies charge higher management (...) and custody fees proves the potential of the fund companies to impose higher fees on a segment of the clientele. The investors in load funds, which tend to be large in number of shareholders and belonging to banks and savings banks, are small investors who show a low cost sensitivity. A lower level of financial sophistication may be the reason for the apparent lower price awareness. The problem is that the investors in load funds are not financially compensated for the extra cost represented by the front‐load and redemption fees. The only beneficiary seems to be the financial institution itself. On this view, the survival of load funds seems to depend on the lack of financial sophistication of their clientele, combined with market inefficiencies. It is worth asking about the ethics of a situation of market segmentation that allows managing institutions to benefit from the segment of the least sophisticated investors. (shrink)

Advances in veterinary orthopaedics are assessed on their ability to improve the function and wellbeing of animal patients. And yet historically veterinarians have struggled to bridge the divide between an animal's physicality and its interior experience of its function in clinical settings. For much of the twentieth century, most practitioners were agnostic to the possibility of animal mentation and its implications for suffering. This attitude has changed as veterinarians adapted to technological innovations and the emergence of a clientele who claimed (...) to understand and relate to the subjective experiences of their animals. While visualising technologies and human analogies have shaped the nuts and bolts of veterinary orthopaedic practices, an emerging awareness of the inability of radiographic images to apprehend or correlate to a patient's experience of their function reliably has required veterinarians to place a greater emphasis on the owner's knowledge of the "selves" inhabiting their animals. Rather than simply basing clinical judgments on the "look" of their patients, the indeterminacy in the connection between form and function has compelled veterinarians to put questions regarding particular human-animal relationships near the centre of their practices, not least in orthopaedic surgery. (shrink)

On n'a pas attendu le Net pour établir un commerce profitable des données personnelles. Depuis la vente par correspondance jusqu'aux cartes de fidélité, des milliers de fichiers sont venus grossir les bases de données des grandes marques qui stockent, nettoient et monnayent leurs informations clientèle. Dans le monde réel donc, il semble presque consensuel d'être fichés et démarchés par des enseignes. En revanche, sur le Net, les internautes semblent davantage inquiets du devenir des traces qu'ils laissent en ligne. Qu'est-ce que (...) l'arrivée du Net change à ces pratiques commerciales? Prenons-nous davantage de risque quand nous remplissons un questionnaire en ligne? Cette forme de profilage est pourtant indispensable à la survie d'un modèle économique qui a la gratuité comme principe et la publicité comme outil. Mais doit-on payer la gratuité au prix fort, c'est-à-dire celui de la perte de protection des données personnelles? D'autant plus que les internautes semblent aujourd'hui plus occupés à se rendre visibles sur les réseaux sociaux qu'à rester anonymes: un changement de comportement qui modifie le rapport du consommateur à la marque.This paper aims to show what is at stake in terms of data protection with access to the WHOIS service. With the exponential growth ofTLDs offered by the migration of root servers to IPv6, access to WHOIS has become a critical issue. A regulation to ensure better protection of personal data needs to be envisaged in a different context, since ICANN does not wish to implement it. A better option would be to use TLDs under the control of organisations that abide by EU rules, as AFNIC is doing by protecting the personal data of domain name owners while allowing access to them under specified conditions. (shrink)

À partir d’une approche anthropologique des prises en charge médicales de la tuberculose et du paludisme, ainsi que des conceptions et usages de la prévention dans des milieux urbains d’Afrique de l’Ouest , ce texte interroge la nature du métier de soignant. Après nous être penchés sur les spécificités de ce type d’étude anthropologique en milieu médical, nous nous attachons à décrypter les processus d’occultations des singularités du malade qui caractérisent les messages et discours de prévention. Dans les structures de (...) santé, sont étudiées les négociations des normes de diagnostic et de traitement à l’œuvre ; les attitudes des soignants qui oscillent entre sur- et sous-estimations des risques sanitaires ; et le hiatus entre la demande et les besoins réels de formations continues. Enfin, nous nous penchons sur la rencontre entre les soignants et les malades qui peut se trouver transformée par les spécificités de la maladie et de son traitement. On constate alors que les fondements de la professionnalisation tendent à disparaître au profit d’un mode de régulation du rapport au malade, au collègue et plus largement au savoir médical qui témoigne de l’émergence d’une culture soignante qui est, de fait, une culture organisationnelle. Elle se caractérise à la fois par la délégation des tâches à des non-professionnels, la production et la résolution des conflits mettant en évidence des réseaux clientélistes ainsi que par une routinisation des gestes.Drawing on an anthropological approach of tuberculosis and malaria care in West African cities , and on an analysis of prevention modes, this paper examines the characteristics of medical work. We first examined the conditions of an anthropological field study in health care centres. The concealment of both patients’ singularities and populations’ specificities targeted in the prevention messages were then studied. The negotiation of diagnosis and treatment standards, and the under- and over-estimations of nosocomial risks were also analysed. We also focused on the gap between demands and actual needs for training, and on the relationships between health care providers and patients, which can be modified by the specificities of the disease. We noticed a decay of professionalization, a kind of regulation of relationships between health care workers and patients, and among medical staff, which expresses an emerging medical culture, which is also an organizational culture. Its main features are the delegation of tasks to non-professionals workers, a strategy of conflict management based on clientelism, and the development of routine action. (shrink)

Reform in public health: where does it take nursing?The Australian healthcare system is undergoing changes that are impacting tangibly on professional nursing practice. While the evidence is clear that the changes pose a challenge to maintaining standards amidst resource cuts and restructuring, the processes through which these changes occur and the decisions which drive the reforms remain complex and largely obscure. This paper intends to stimulate further thinking and debate among nurses about the effects of these reforms on the conduct (...) of practice, both in terms of our emerging discipline and our ability to conduct clinical nursing practice. It offers a way of understanding the policy ‘reform’ process through an application of policy analysis grounded in critical social theory. The discussion sets out to apply these analytical propositions to specific events that constitute examples of change in the nursing workplace, and to focus on the implications for nurses and health service clientele. (shrink)

In 2016, the Atlanta Community Food Bank launched the Stabilizing Lives project to develop programs and policies that could better address clients’ needs as well as including clientele as part of the planning process. The ACFB partnered with a research team at the University of Georgia to conduct a participatory research project aimed at developing deeper insights into the factors contributing to both instability and stability in the lives of pantry clientele. This article describes the outcomes this research, offering both (...) a substantive contribution to scholarship on food insecurity and emergency food systems and a methodological innovation through a staged mixed-method participatory research project. Through use of a culture-centered approach, this project created discursive spaces within which to outline emergency food models that support informal networks of care. We used a range of methods, including photo elicitation, concept mapping, individual interviews, and focus groups, to facilitate conversation among agency staff, volunteers, and clientele about the effectiveness of current program models and potential new ideas. Specifically, we suggest that through such practices, food pantries and local agencies may help inform new program models that contribute to household stability, and push back against the sometimes alienating and atomizing paradigm found in current emergency food programs. (shrink)

À partir de l’analyse des agendas du directeur de cabinet d’un ministre en poste dans les années 1970, il s’agit dans cet article d’analyser comment la position de directeur de cabinet est occupée au quotidien et sur le plan des pratiques. Ces agendas seront tout d’abord exploités statistiquement et qualitativement afin de saisir comment l’occupation d’un tel rôle charnière nécessite d’arbitrer entre les différentes temporalités des activités administratives, politiques et médiatiques. Sous la Ve République, le directeur de cabinet occupe, en (...) effet, une place singulière dans la division du travail en cabinet ministériel. Courroie de transmission entre plusieurs scènes sociales, il est le point focal sur lequel se réfractent les tensions propres à plusieurs sphères du travail administratif et politique. À partir d’un comptage du nombre de réunions ou de personnes rencontrées, il sera analysé quelle proportion du temps de travail est effectivement consacrée à chacune des relations de « clientèle » que le directeur de cabinet est obligé de tisser avec ces interlocuteurs très différents. Quel temps le directeur de cabinet passe-t-il dans les pas de son ministre ou dans le ministère? Il sera aussi possible d’appréhender si la répartition du temps entre ces différentes attentes est stable ou non sur la durée du mandat d’un ministre et à l’approche des élections. (shrink)

This paper traces the unspoken, implicit white racial logic of the brain disease model of addiction, which is based on seemingly universal, disembodied brains devoid of social or environmental influences. In the United States, this implicit white logic led to “context-free” neuroscience that made the social hierarchies of addiction and its consequences invisible to, and thus exacerbated by, national policies on opioids. The brain disease model of addiction was selectively deployed among the white middle-class population that had long accessed narcotics (...) and pharmaceutical treatments for narcotics disorders from biomedical clinics, as opposed to from illegal sources subject to law enforcement. In turn, new treatments for opioid addiction were racially marketed to the same white clientele to which newly patented opioid analgesics were marketed, tapping into a circumscribed but highly lucrative consumer base that has long benefited from a legally protected, racially segregated safe space for white narcotics consumption. The connecting thread for the contemporary white opioid “crisis,” therefore, is white race as a ghost variable in addiction neuroscience and in its pharmaceutical and biotechnological translation. (shrink)

Anthony van Dyck’s period of service to the Stuart court stretches from 1632, when he was appointed “principalle Paynter in ordinary to their Majesties” and knighted, to his death at the end of 1641. After an earlier visit of a few months, beginning in December 160, van Dyck had gone to Italy to improve himself; there he had defected from the service of James I. On his return to England this was forgiven, and in the early years he was mainly (...) employed in making portraits of the royal family and household. Later he was again absent from England, spending an entire year beginning in July 1634 back in Antwerp. During the last six years van Dyck spent in England, his clientele widened further; it is chiefly the portraits of this latter period that I will consider here.These portraits have been approached and evaluated in two basic ways. First of all, they have been taken to demonstrate the adaptation of van Dyck’s preexisting skills, especially his command of the “grand style,” to the requirements of a court and aristocracy which prized grace and elegance as hallmarks of breeding and quality, and which at the same time welcomed the trappings of grandeur and the subtleties of variation, in costume, post, and gesture, that the artist could build into his presentation for their predilection.1 Second, where critical considerations have come up, these paintings have been evaluated in terms of whether the adoption of mannered and decorative traits now betokens a decline from the artist’s previous work, or whether it represents rather a different kind of achievement which gave rise, at its best, to equally outstanding successes in conveying refined and subtly enhanced distinction.2But both these approaches agree in finding no intellectual content in the works in question, either of van Dyck’s own devising or based on interests and concerns in which his subjects partook. This absence of implication to the portraits is seem as fitting with thea rtist’s tendency to make creative decisions on an ad hoc basis, as evidenced by his preference for rapidly made drawings from the life over the use of oil sketches and by the pentimenti that his finished works reveal.3 It is also seen as fitting with the whole pattern—cultural as well as social and economic—of his relationship to the Stuart aristocrazy, for which these images were fashioned. 1. See esp. Ellis Water house, Painting in Britain, 1530-1790 , pp. 49-50 ; and cf. more recently Christopher Brown, Van Dyck .2. See, for example, Erik Larsen, intro. to L’opera completa di Van Dyck 1626-1641 , p. 8 and Oliver Millar, intro. to exhibition catalog Van Dyck in England , p. 27 and esp. p. 31 .3. See Millar, Van Dyck in England, p. 31, citing the miniaturist Richard Gibson on the “Sketches made from the life,” mainly lost, and cat. no. 12, on the pentimenti found in the 1633 Charles I on Horseback. Mark Roskill is professor of the history of modern art at the University of Massachusetts at Amherst. His most recent book is The Interpretation of Cubism . Previous contributions to Critical Inquiry include “On the Recognition and Identification of Objects in Paintings” and “A Reply to John Reichert and Stanley Fish”. (shrink)

This paper presents and analyzes the practice journal of a barber-surgeon in the town of Münster, in Northern Germany, in which he recorded about 950 cases he treated between 1602 and 1614. Based on this source, it examines the clientele and the fees of a German barber-surgeon in the early seventeenth century, and looks at the injuries and complaints for which patients sought his treatment.

H. et M. van Effenterre présentent un décret inédit des environs de 500 av. J.-C. interdisant l'accueil des étrangers dans la cité de Lyttos qui avait été découvert par N. Platon. Ils en étudient l'alphabet, le dialecte et la syntaxe, et le rapport avec la xénèlasia et la dikè exoulès. Ils y reconnaîtraient la méfiance de la cité contre des rapatriés parmi lesquels l'aristocratie des cosmes chercherait une clientèle, en particulier une main-d'œuvre nécessaire au développement de l'élevage. En effet, un (...) second décret, au verso du document, définit le lieu de rassemblement fixé pour les troupeaux communautaires. Mention est faite des Itaniens et du lieu-dit Dèt(alla) où l'on devrait peut-être retrouver le plateau du Lassithi. Nombreux hapax. (shrink)

Plusieurs de ceux qui présentent des problèmes de santé mentale se retrouvent dans le système judiciaire. Leur profil clinique se caractérise par une problématique complexe où se juxtaposent divers troubles ou déficits. Il n’est pas toujours facile de dépister ces personnes et d’intervenir auprès d’elles dans le cadre du processus judiciaire et pénal, qui n’est pas conçu pour répondre à leurs besoins cliniques. De son côté, le réseau de la santé et des services sociaux semble lui aussi peu adapté pour (...) intervenir auprès de cette clientèle marginale, souvent réfractaire à l’aide et parfois intimidante. Ces deux réseaux fonctionnent en parallèle, très peu familiers l’un de l’autre. Ils ont tendance à se renvoyer cette clientèle problématique. L’État doit s’assurer de soutenir et de coordonner des services qui peuvent rejoindre et aider ces personnes. (shrink)

The object of the article are the questions concerning the „ethical aspects” of functioning of stock exchange law during partitions of Poland and in the first years of independent Poland. The analysis covers the period from 1817 (when in Warsaw the first official stock exchange on Polish territory was created) to 1921 when the first in independent Poland Act about the Organization of Stock Exchanges was passed. In the 19th century, several stock exchanges were created on Polish territory, from which (...) the most essential were those in: Warsaw, Lvov and Lodz. The stock exchange was (and still is) regarded as one of the key institutions of market economy. Already, even on this account, the stock exchange law constituted the essential reference to economic law. On its basis the important institutions functioned, not only in the area of economy. In this article, the basic records of laws and exchange charters were traced, as well as different – essential for stock exchanges – documents (for instance, ministerial instructions), which set the principles of functioning of those institutions. The principles were considered from ethical norms’ point of view, which established ethics of economic life of that time. I have especially focused my attention on the principles of functioning of stock exchanges, which related to: the main stock organs, members of exchanges, as well as the so-called clientele. The stock exchange law also related to realities of that time, where-for different reasons – common cases of disobedience of the law occured. It should be stressed here, that stock exchange law was shaped on basis of economic legislation of the partitioners and that it was subject to changes along with political, economic and social transformations, which took place on Polish territory in the discussed period. (shrink)

This article re-evaluates the 22 so-called Tabulae Iliacae. Where most scholars (especially in the English speaking world) have tended to dismiss these objects as 'trivial' and 'confused', or as 'rubbish' intended for the Roman 'nouveaux riches', this article relates them to the literary poetics of the Hellenistic world, especially Greek ecphrastic epigram. Concentrating on the tablets' verbal inscriptions, the article draws attention to three epigraphic features in particular. First, it explores the various literary allusivenesses of the two epigrammatic invocations inscribed (...) on tablets lA and 2NY; second, it examines the Alexandrian diagrammatic word-games on the reverse of seven Tabulae (2NY, 3C, 4N, 50, 7Ti, 15Ber, 20Par), relating these to the pictorial-poetic games of the Greek technopaegnia; third, it discusses the possible hermeneutic significance of associating six tablets with 'Theodorean techne' (lA, 2NY, 3C, 4N, 50, 20Par), comparing a newly discovered epigram by Posidippus (67 A-B). All of these allusions point to a much more erudite purpose and clientele: the tablets toyed with Hellenistic visual-verbal relations at large. (shrink)

This paper sketches how late seventeenth-century Dutch anatomists used printed publications to advertise their anatomical preparations, inventions and instructional technologies to an international clientele. It focuses on anatomists Frederik Ruysch and Lodewijk de Bils , inventors of two separate anatomical preparation methods for preserving cadavers and body parts in a lifelike state for decades or centuries. Ruysch's and de Bils's publications functioned as an ‘advertisement’ for their preparations. These printed volumes informed potential customers that anatomical preparations were aesthetically pleasing and (...) scientifically important but did not divulge the trade secrets of the method of production. Thanks to this strategy of non-disclosure and advertisement, de Bils and Ruysch could create a well-working monopoly market of anatomical preparations. The ‘advertising’ rhetorics of anatomical publications highlight the potential dangers of equating the growth of print culture with the development of an open system of knowledge exchange. (shrink)

The different ways in which the three medieval societies of Byzantium, Latin Christendom, and Islam institutionalized the charitable impulse present in their respective faiths reflected the fundamentally different religious values which motivated these civilizations as well as their different levels of material and intellectual development. All three societies exalted the relief of human suffering, especially the care of the sick, as a religiously sanctioned gesture; and all three invented or adopted institutional means for attaining this pious objective. The various medieval (...) counterparts of the modern “hospital”—the Byzantine nosocomeion or xenodocheion, the European hospitale, and the Islamic maristan—differed significantly, however, with respect to their organization and operation, the clientele which they served, and the ultimate intent of their charitable efforts. Accordingly, a comparison of these social welfare institutions reveals the contrasting ways in which the two Christendoms and Islam defined and applied the ideals of “piety” and “charity” during the middle ages. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Dialogue:Moving ForwardThomas Cattoi (bio) and Carol S. Anderson (bio)The San Francisco Bay Area is an interesting location in which to ponder Buddhist-Christian relations. The website UrbanDharma.org lists more than a hundred institutions affiliated with Buddhist organizations—a density higher than in the Beijing metropolitan area. Some of these centers have a clearly ethnic and denominational character, serving a predominantly immigrant population. Some, like many of the Tibetan organizations, function (...) as cultural centers but also attract a considerable Western clientele. Others, like the San Francisco Zen Center or Spirit Rock in Marin County, belong to the first wave of historical Buddhist centers established in the United States in the 1960s and 1970s. A few more are trying to establish new forms of enculturated Buddhist practice that are more suited to Western sensitivities and are only loosely affiliated with the cultures of traditional Buddhist societies. At the Graduate Theological Union in Berkeley, alongside schools training Jesuit priests, Dominican friars, and Protestant ministers of various denominations, the Institute of Buddhist Studies prepares students from different walks of life to work as Buddhist chaplains in hospitals and educational institutions. Buddhism, in its various forms and manifestations, is no longer an exotic import from a little known “elsewhere,” but is part and parcel of the local spiritual landscape.For students and scholars practicing in such a diverse environment, it is perhaps difficult to imagine that for the greatest part of its history, most of Christendom was largely unaware of the very existence of the Buddhist tradition. While Clement of Alexandria and Jerome do mention Buddhism, and references to its practice can be found in the writings of medieval travelers such as Marco Polo, most European Christians lived in a world where the role of the religious “other” was played by Judaism and Islam. It was only in the early modern era, with the beginning of the European colonization of Asia, that non-Abrahamic religious traditions gradually entered the intellectual horizon of Western intellectuals and scholars. Around the year 1740, a French Jesuit named Jean-François Pons (1688–1752), otherwise remembered as a pioneer of Sanskrit studies in the West, came to the startling realization that many of the religious practices that missionaries and travelers had come across in regions as far apart as China, Japan, Nepal, and Mongolia were actually all parts of the same religious tradition. In his correspondence with his fellow Jesuits in France, he coined the [End Page vii] term Bauddhamatham—teaching of the Buddha—to refer to what would eventually be known as Buddhism. In the early years of the nineteenth century, many Sanskrit and Tibetan texts started to be catalogued and translated into the major European languages, bringing about the first encounter between Europe’s intellectual elites and this utterly foreign religious tradition.The nineteenth century also saw the beginning of a more existential engagement with the Buddhism tradition, albeit one that was limited to intellectual elites who were highly critical of institutional Christianity. In his work The World as Will and Representation, Schopenhauer found in Buddhism many echoes of his own philosophical insights. Many of the members of the Pāli Text Society, established in London in 1871, had rejected Christianity and thought they would find in Buddhism a moral framework in a society where the normativity of the Christian tradition had already started to be questioned. At the same time, we also see the beginning of the first comparative studies, where Buddhism and Christianity are compared from a speculative and doctrinal perspective. In 1880, Ernest de Bunsen claimed that if one made an exception for the crucifixion, many of the fundamental moral teachings of Buddhism and Christianity were virtually identical. This was just the beginning of a slew of similar studies.While the Christian churches were initially uninterested or outright skeptical about engaging in dialogue with non-Christian religious traditions, this attitude started to shift in the decades following the Second World War. The Second Vatican Council, for instance, marked an important shift in the Catholic Church’s attitude toward other religions. Before the 1960s, Catholic theology departments did not offer courses on other religious traditions or on interreligious dialogue... (shrink)

The paper dealt with the control on political corruption in Italy, in particular with the reasons why most of the control mechanisms did not work for a long time, allowingfor the development of"tangentopoli". First of all, we briefly discussed the reasons why the controls ''from below"--that is, from citizens or electors--did not function in Italy: the pervasive occupation of the administration and the civil society by the political parties, as well as "secret" agreements between political parties in order to avoid (...) political scandals were discussed.The paper continued by analyzing two types of institutional control: the administrative controls and the judiciary controls. In the second part, we presented some main characteristics of the Italian public administration that hampered internal controls, the informal control of parties over the bureaucrats through clientelism and complicity in corruption being one among them. In the third part, we focused on the peculiar characteristics of a magistracy that enjoyed of a very high degree of format autonomy from the political power, but was "pushed" towards politics for reasons as different as complicity in corruption and the need to "substitute" for the weak policy making capacity of political parties. In the fourth part, we reviewed some reform bills to deal with the control of political corruption. (shrink)

The Abbé de Saint-Pierre, best known for his 'Project for Perpetual Peace', in fact left a much larger and more coherent body of political and moral writing, but it has been only partially studied. This book, the first systematic exploration of his entire corpus, offers a complete re-evaluation of this important author's contributions to the Enlightenment. From the first decades of the eighteenth century, Saint-Pierre set forth a pioneering vision of politics as the harmonisation of interests, anticipating Bentham as a (...) utilitarian. He imagines replacing the system of inherited power and clientele networks, which structured Old Regime society and determined the exercise of power under absolutism, with a rationalised, meritocratic and dynamic organisation. He argued for the political values of social utility and public good to take the place of the Christian ideals of perfection and the aristocratic ideals of personal charisma. As a deist seeking to reconcile morality and religion, Saint-Pierre argued that the search for salvation through active piety must also promote social justice and beneficence--and that only the indivisible power of a rationalised monarch, informed by competent elites, could carry out the reforms necessary to yield a government which would produce the greatest happiness for the greatest number. Saint-Pierre, thus, provided among the first arguments for an imposed welfare state, well before the sources more frequently associated with that idea--political economists, cameralists and the physiocrats."--Pages v-vi. (shrink)

L'Observatoire de la Formation, de l'Emploi et des Métiers de la CCIP a rédigé un rapport en juin 2003 sur les pratiques linguistiques des entreprises françaises exerçant une activité internationale, afin de mesurer les impacts de la mondialisation des échanges sur l'usage de la langue française au sein de ces entreprises. Il ressort de cette analyse que les entreprises interrogées ne ressentent pas de barrière linguistique forte dans le développement de leurs activités à l'international. Si l'anglais est considéré comme un (...) avantage concurrentiel fort, les incitant à former leurs collaborateurs à son usage, le français conserve toute sa place dans la communication interne et les relations commerciales avec la clientèle francophone. Par ailleurs, le français est considéré comme un élément indissociable de l'image de marque des entreprises sans toutefois être vu comme un avantage sur le marché. Aussi, il est nécessaire de mettre en place une politique d'incitation à l'usage du français en tant qu'avantage concurrentiel indissociable d'une politique marketing afin de garantir son maintien comme langue des affaires au sein même des entreprises francophones. Une telle politique les inciterait à se regrouper en tant que réseau d'entreprises partageant une spécificité culturelle liée à l'emploi majoritaire d'une même langue: le français.A study concerning the linguistic practices of French companies with international business activity was drafted in June 2003, by the "Observatoire de la Formation, de l'Emploi et des Métiers " at the Paris Chamber of Commerce and Industry. The purpose of this report was to analyse the effect globalization has on those practices, especially regarding the use of French. The report shows clearly that these companies do not suffer from linguistic barriers in the expansion of their international business activity. If the use of English seems to be a competitive advantage in international markets, prompting those companies to provide English training for their employees, French holds its position when it comes to internal communication and business relationships with French-speaking customers. Moreover, French is considered as an essential part of their brand image without however being considered a commercial advantage. Therefore, it is necessary to urge these companies to develop their use of French as a competitive advantage closely linked to their marketing policy and thus to maintain French as a business language used by Francophone companies. Such campaign would permit the emergence of a network of companies, all sharing the same cultural specificity linked to the use of the same language: French. (shrink)