‘The Production of Space’, in: Frans Jacobi, Imagine, Space Poetry, Copenhagen, 1996, unpaginated.

The Production of Space

Enchantment and Disenchantment: The Role of Community in Natural Resource Conservation

Objective. —To assess the validity and utility of PRIME-MD (Primary Care Evaluation of Mental Disorders), a new rapid procedure for diagnosing mental disorders by primary care physicians. Design. —Survey; criterion standard. Setting. —Four primary care clinics. Subjects. —A total of 1000 adult patients (369 selected by convenience and 631 selected by site-specific methods to avoid sampling bias) assessed by 31 primary care physicians. Main Outcome Measures. —PRIME-MD diagnoses, independent diagnoses made by mental health professionals, functional status measures (Short-Form General Health Survey), disability days, health care utilization, and treatment/ referral decisions. Results. —Twenty-six percent of the patients had a PRIME-MD diagnosis that met full criteria for a specific disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition . The average time required of the primary care physician to complete the PRIME-MD evaluation was 8.4 minutes. There was good agreement between PRIME-MD diagnoses and those of independent mental health professionals (for the diagnosis of any PRIME-MD disorder, κ=0.71; overall accuracy rate=88%). Patients with PRIME-MD diagnoses had lower functioning, more disability days, and higher rates of health care utilization than did patients without PRIME-MD diagnoses (for all measures, P Conclusion. —PRIME-MD appears to be a useful tool for identifying mental disorders in primary care practice and research. ( JAMA . 1994;272:1749-1756)

https://jamanetwork.com/HttpHandlers/ArticlePdfHandler.ashx?journal=JAMA&articleId=383992&pdfFileName=jama_272_22_029.pdf

Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care: The PRIME-MD 1000 Study

We provide a multilevel theoretical model to understand why business organizations are increasingly engaging in corporate social responsibility (CSR) initiatives and thereby exhibiting the potential to exert positive social change. Our model integrates theories of organizational justice, corporate governance, and varieties of capitalism to argue that organizations are pressured to engage in CSR by many different actors, each driven by instrumental, relational, and moral motives. We conclude by highlighting empirical questions for future research and discussing some managerial implications. Economic progress, through a fair and open world trading system is essential to tackle poverty and ensure a safer more secure world for everyone now and for future generations. The challenges remain of ensuring that the benefits of that progress reach all sectors in all countries and are not at the expense of the environment (Sir Stephen Timms, U.K. Minister for CSR, Royal In

/pdf/putting-the-s-back-in-corporate-social-responsibility-a-27b7np4a85.pdf

Putting the S back in corporate social responsibility: A multilevel theory of social change in organizations

What makes organizations so similar? We contend that the engine of rationalization and bureaucratization has moved from the competitive marketplace to the state and the professions. Once a set of organizations emerges as a field, a paradox arises: rational actors make their organizations increasingly similar as they try to change them. We describe three isomorphic processes-coercive, mimetic, and normative—leading to this outcome. We then specify hypotheses about the impact of resource centralization and dependency, goal ambiguity and technical uncertainty, and professionalization and structuration on isomorphic change. Finally, we suggest implications for theories of organizations and social change.

The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields (Chinese Translation)

• Building on a previous study, this report explores in more detail one aspect of the "de facto mental health services system," the treatment of mental disorders by nonpsychiatrist physicians in office-based practice. Data from the 1980 and 1981 National Ambulatory Medical Care surveys indicate that almost one half of all office visits to a physician resulting in a mental disorder diagnosis are to nonpsychiatrists, mostly in primary care. Nonpsychiatrists' mentally ill patients tend to be less seriously ill than patients of psychiatrists, and are more likely to come in with physical problems. They are also significantly more likely to be female, to be nonwhite, and to be elderly. Physicians treating these patients appear to be providing a different product than psychiatrists are, spending less time with patients, but using a wider range of diagnostic and therapeutic services during each office visit.

https://jamanetwork.com/journals/PSYCH/articlepdf/493495/archpsyc_42_1_010.pdf

The Hidden Mental Health Network: Treatment of Mental Illness by Nonpsychiatrist Physicians

This article analyzes how a new social movement against genetic engineering in agriculture managed to turn a major industry upside down. While the social movements literature has long recognized the importance of external context for the success of social movements, it has paid little attention to the institutional logic and features of targets other than the state. Here I argue that an undertheorized aspect of external context, namely, industry structures , is a primary factor explaining why the anti-biotech movement in Western Europe was so effective. As conceptualized here, industry structures are composed of economic, organizational, and cultural features, and function to enhance or constrain social movements' efforts to change industry behavior. Bringing these structures into our purview and recognizing their significance for activist struggles can significantly advance our understanding of social movement efficacy in this age of globalization and increased corporate power.

https://www.jstor.org/stable/10.1525/sp.2004.51.2.243

Fighting “Frankenfoods”: Industry Opportunity Structures and the Efficacy of the Anti-Biotech Movement in Western Europe

Existing literature suggests that food, fiber, and raw material sectors differ from manufacturing in significant ways. However, there is no analytical basis for engaging the particular challenges of nature-centered production, and thus the distinct ways that industrialization proceeds in extractive and cultivation-based industries. This article presents a framework for analyzing the difference that nature makes in these industries. Nature is seen as a set of obstacles, opportunities, and surprises that firms confront in their attempts to subordinate biophysical properties and processes to industrial production. Drawing an analogy from Marxian labor theory, we contrast the formal and real subsumption of nature to highlight the distinct ways in which biological systems - in marked contrast to extractive sectors - are industrialized and may be made to operate as productive forces in and of themselves. These concepts differentiate analytically between biologically based and nonbiologically based industries, b...

Industrial dynamics and the problem of nature

The Professional Guinea Pig belongs to a social science growth area investigating the pharmaceutical industry in contemporary health care. This literature is united by a prevailing consensus that views the drug industry as the villain du jour in health policy. After focusing on unbridled professional power and the for-profit insurance industry, the critical social gaze is turned to Big Pharma. Consequently, most social scientists see it as their job to expose the scientific manipulation, the chase of profit margins, the dehumanization, the ethical transgressions, and the inequities that flow from drug industry involvement. In engaging prose, Roberto Abadie delivers the expected social science message. Abadie conducted an eighteen-month ethnography of a group of healthy people who made a living as research subjects in Phase One clinical trials in Philadelphia. Most trial participants are African-American and Latino, but Abadie spent time with a group of young, non-Hispanic white anarchists who enrolled in clinical trials. He compares these trial participants with people enrolling in HIV trials. The book examines the motivations, reflections, and practices of professionalized clinical trial participation. What does Abadie make from this data? He highlights the ‘‘commodification’’ (p. 15) of the trial subjects’ bodies in a ‘‘slow torture economy’’ (p. 46). He pays attention to the ‘‘revolt’’ (p. 54) of the professional research subjects when they felt underpaid and threatened to walk out. Instead they received an $800 bonus. He notes the ‘‘resistance of the weak’’ (p. 60), when ‘‘guinea pigs’’ (p. 21) smuggle in forbidden foods or engage in other acts of ‘‘sabotage’’ (p. 61). Abadie also examines the risk-management strategies of the trial subjects: they weigh money against potential long-term effects but tend to believe that drugs wash out of their bodies in a couple of days. He then compares the professional trial participants to those involved in HIV trials and argues that the latter are motivated by deeper existential concerns but, of course, they also have a disease and participate in different kinds of trials. In a final empirical chapter, Abadie examines the professional trial subject’s limited understanding of informed consent procedures, and argues that the drug industry deliberately uses the consent form to obfuscate the commodified relationship with research subjects. Abadie’s book has two glaring weaknesses. First, he brings much rhetorical bluster to his study but the interview quotes and observations do not bear out the core themes of ‘‘alienation’’ (p. 6) and ‘‘exploitation’’ (p. 154). The fascinating empirical puzzle of his study is that anarchists are willing to swallow their principles and vegan diet to take money from this most controversial industry. In the conclusion, Abadie pays attention to the paradox between anarchist politics and pragmatics, but throughout most of the book he tries to rationalize the anarchists’ justifications for the blood money that sustains their lifestyle of leisure. Some of his friends even minimize the trial risk because they assume that strong government oversight protects them from harm! Abadie writes: ‘‘[these] views of governmental regulation are not totally at odds with their radical [anarchist] beliefs’’ (p. 143). Really? Rather than reconcile the dissonance between what anarchists do and belief in theoretical constructs of exploitation, the explanation seems more mundane. People end up in trial after trial by choice or circumstances because it is easy money. Compared to flipping burgers, cleaning toilets, or being homeless, testing pills is extremely attractive. The job stinks, but the money is good. Abadie also wrote the wrong book. While he lived in the anarchist community, he never participated along with his research subjects in the trials. Abadie’s information comes largely from casual conversations

Plenitude: The New Economics of True Wealth:

Twenty years ago, two environmental sociologists made a bold call for a paradigmatic shift in the discipline of sociology—namely, one that would bring nature into the center of sociological inquiry and recognize the inseparability of nature and society. In this essay, we review recent scholarship that seeks to meet this challenge. The respective strands of this literature come from the margins of environmental sociology and border on other arenas of social theory production, including neo-Marxism, political ecology, materialist feminism, and social studies of science. Bringing together scholars from sociology, anthropology, geography, and history, each of these strands offers what we consider the most innovative new work trying to move sociology beyond the nature/society divide.

Rachel Schurman

Papers

The Hidden Mental Health Network: Treatment of Mental Illness by Nonpsychiatrist Physicians

Fighting “Frankenfoods”: Industry Opportunity Structures and the Efficacy of the Anti-Biotech Movement in Western Europe

Industrial dynamics and the problem of nature

Plenitude: The New Economics of True Wealth:

Closing the “Great Divide”: New Social Theory on Society and Nature