In recent years, a scholarly movement has taken hold that is critical of work and organizational psychology (WOP). Referred to as critical work and organizational psychology (CWOP), this movement problematizes some of the foundational premises of WOP, including its lack of reflexivity on its own values and ethics. While bringing increased attention to reflexivity and ethics as vital to critical theorizing and praxis, CWOP has yet to concertedly engage with ethics. This conceptual paper has two aims. The first is to (...) outline existing ethical approaches in CWOP. Reviewing the literature, we suggest there are currently three tentative critical–ethical positions: (1) a critique of mainstream WOP for its ethical failures, (2) espousal of a radical humanist ethics, and (3) an ethics of ambiguity. The latter is embedded in CWOP literature, but not yet articulated as such. Our second aim is therefore to make an ethics of ambiguity a recognized and explicitly embraced form of ethics that is rooted in a sustained engagement with the conceptualization of subjectivity as such. To clarify the risks inherent to theorizing ethics without a sufficiently robust understanding of subjectivity, we juxtapose ‘blank subjectivity’ with ‘troubled subjectivity,’ two notions informed by psychoanalysis and psychosocial studies. We argue that a theory of subjectivity as troubled is at the heart of an ethics of ambiguity. The paper concludes by discussing the contribution of an ethics of ambiguity to CWOP, while also pointing to some convergences between the different critical–ethical positions. (shrink)

This paper critically examines efforts to “professionalize” the field of healthcare management and its corresponding costs. Drawing upon the scholarly critiques of professionalization in medicine and the broader field of management, this paper seeks to explore the symbolic role professionalization might play in the psyche of its constituents, and specifically its function as a defense against uncertainty and anxiety. This psychodynamic heuristic is then deployed to put forth the hypothesis that an ongoing crisis of professional identity continues to both propel (...) and impede professionalization efforts in healthcare management, giving rise to a litany of standardization pressures that ultimately limit the field’s potential. To mitigate these pressures, the call is made for rekindling healthcare management’s moral, political, and existential aspects. Specifically, this entails engaging with the deeper themes that flow through the field: the experience of illness and what it means to suffer, the experience of life and what it means to have hope, and the experience of death and dying. It also entails squarely confronting questions of power, poverty and disease, and the pursuit of justice. (shrink)

This paper examines the philosophical substructure to the theoretical conflicts that permeate contemporary mental health care in the UK. Theoretical conflicts are treated here as those that arise among practitioners holding divergent theoretical orientations towards the phenomena being treated. Such conflicts, although steeped in history, have become revitalized by recent attempts at integrating mental health services that have forced diversely trained practitioners to work collaboratively together, often under one roof. Part I of this paper examines how the history of these (...) conflicts can be understood as a tension between, on the one hand, the medical model and its use by the dominant profession of psychiatry, and on the other, those alternative models and practitioners in some way differentiated from the medical model camp. Examples will be given from recent policy and research to highlight the prevalence of this tension in contemporary practice. Part II of this paper explores the deeper commonalities that lay beneath the theoretical conflict outlined in Part I. These commonalities will be shown to be apart of a captivating framework that has continued to grip the conflict since its inception. By exposing this underlying framework--and the motivations inherent therein--the topic of integration appears in wholly different light, allowing a renewed philosophical basis for integration to emerge. (shrink)