Doing Qualitative Research

Measuring Health: A Guide to Rating Scales and Questionnaires

BRUNO LATOUR, The pasteurization of France, trans. Alan Sheridan and John Law, Cambridge, Mass., and London, Harvard University Press, 1988, 8vo, pp. 273, £23.95. GEORGES CANGUILHEM, Ideology and rationality in the history of the life sciences, trans. Arthur Goldhammer, Cambridge, Mass., and London, The MIT Press, 1988, 8vo, pp. xi, 160, £17.95. Bruno Latour has written a wonderfully funny book about himself. It is difficult, however, to summarize a text committed to the view that \"Nothing is, by itself, either reducible or irreducible to anything else\", (p. 158). In Latour's opinion, the common view that sociologists of knowledge and scientists are opposed is incorrect. Both groups, according to Latour, are the authors of identical mistakes: reductionism and, relatedly, attempting to conjoin (in the instance of the sociologist) science and society, or (in the instance of the scientist) keeping them apart. For Latour, there are only forces or resistances which different groups encounter and attempt to conquer by forming alliances. These groups, however, are not simply the actors of conventional sociology. They include, for example, microbes, the discovery of the Pasteurians, with which they have populated our world and which we must now take notice of in any encounter or war in which we engage. War is a fundamental metaphor for Latour, since in a war or a battle clashes of armies are later called the \"victory\" of a Napoleon or a Kutuzov. Likewise, he argues, the Pasteurization of France can be viewed as a battle, with its field and its myriad contestants, in which opposing sides attempted to mould and coerce various forces of resistance. Strangely, he points out, the outcome of this huge battle, the labour and struggle of these masses, we attribute to the scientific genius of Pasteur. Pasteur's genius, however, says Latour, lay not in science (for this could be yet another way of making science and society distinct) but as strategist. Pasteur was able to cross disciplinary lines, recruiting allies to laboratory science by persuading them that they were recruiting him. This was possible because, like the armies in battle, they had already done the work of the general. Thus Pasteur's microbiology, which might conventionally be seen as a whole new science, can also be construed as a brilliant reformulation of all that preceded it and made it possible. Hygienists seized on the work of the Pasteurians and the two rapidly became powerful allies because \"The time that they [the hygienists] had made was now working for them\" (p. 52). French physicians, on the other hand, resisted recruitment, since for them it meant enslavement. Finally, however, they recruited the Pasteurians to their enterprise. Pasteurian public health was turned into a triumph of medicine. It is impossible to read this book and not substitute Latour for Pasteur. At the head of his own army, increasingly enlarged by the recruitment of allies, Latour now presents us, in his own language, with something we have made, or at least made possible. The cynic might say, using the old jibe against sociologists, that Latour has explained to us in his own language everything we knew anyway. Retorting thus, however, would be to unselfconsciously make an ally of Latour and miss the point by a narrow margin that might as well be a million miles. Latour says all this much more clearly (and certainly more wittily) than any review. Read it, but beware; in spite of Latour's strictures about irreducibility, the text is not what it seems. This is a recruitment brochure: Bruno needs you. Among the many historians whom Latour convicts by quotation of mistaking the general for the army, Pasteur for all the forces at work in French society, is Georges Canguilhem. Latour uses two quotes from Canguilhem, both taken from the original French version of Ideology and rationality in the life sciences, first published in 1977. Reading Canguilhem after Latour induces a feeling akin to culture shock. Astonishingly, Canguilhem seems almost Anglo-American. Anyone familiar with Canguilhem's epistemological universe would hardly be surprised to discover that Latour finds in it perspectives different from his own. After all, Canguilhem remains committed to the epistemologically distinct entity science or, better still, sciences. Likewise he employs distinctions between science and ideology, as in Spencerian ideology and Darwinian science, which will seem familiar, possibly jaded to English-reading eyes. His text is liberally seeded with unLatourian expressions, including injunctions to distinguish \"between ideology and science\" (p. 39), lamentations that eighteenth-century medicine \"squandered its energy in the erection of systems\" (p. 53), rejoicing that physiology \"liberated itself' from classical anatomy (p. 54), and regret that \"Stahl's influence ... seriously impeded experimental

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Bruno Latour, The pasteurization of France , trans. Alan Sheridan and John Law, Cambridge, Mass., and London, Harvard University Press, 1988, 8vo, pp. 273, £23.95. - Georges Canguilhem, Ideology and rationality in the history of the life sciences , trans. Arthur Goldhammer, Cambridge, Mass., and London, The MIT Press, 1988, 8vo, pp. xi, 160, £17.95.

The future of hydrogen : opportunities and challenges

Standards and standardization aim to render the world equivalent across cultures, time, and geography. Standards are ubiquitous but underappreciated tools for regulating and organizing social life in modernity, and they lurk in the background of many sociological works. Reviewing the relevance of standards and standardization in diverse theoretical traditions and sociological subfields, we point to the emergence and institutionalization of standards, the difficulties of making standards work, resistance to standardization, and the multiple outcomes of standards. Rather than associating standardization with totalizing narratives of globalization or dehumanization, we call for careful empirical analysis of the specific and unintended consequences of different sorts of standards operating in distinct social domains.

A World of Standards but not a Standard World: Toward a Sociology of Standards and Standardization *

The use of patient reported outcome measures in routine clinical practice: lack of impact or lack of theory?

What do we know about public perceptions and acceptance of hydrogen? A critical review and new case study evidence

Quasi-markets and community health services coceptualizing community health services health need and outcomes in the contracting process local voices and community health services paradoxes of GP fundholding contracting and the negotiation of trust monitoring contracts - negotiating performance and quality markets, networks and trust.

Markets and Networks: Contracting in Community Health Services

Tacit and encoded knowledge in the use of standardised outcome measures in multidisciplinary team decision making: a case study of in-patient neurorehabilitation.

There is now increasing evidence that the public has become much more aware of global warming, climate change and environmental risks. This has been repeatedly demonstrated in a number of official surveys and other research. However, the salience of these issues varies; for some social groups, there are other more significant problems and urgent priorities. It has also been found that while expressing strong beliefs about the negative consequences of global warming, or dependence on fossil fuels, or more positive approval of alternative and renewable energy sources, people do not seem to have translated those opinions into practical actions to limit their energy use in their domestic consumption, lifestyles, or travel patterns, for example. It is this apparent ‘discrepancy’ between stated beliefs (and values) and behaviour, which comprises the so-called ‘value-action gap’. Various writers have observed this in different contexts previously, as will be discussed below. In this chapter, we examine the importance of the value-action gap in relation to hydrogen energy and the emerging hydrogen economy. Qualitative and quantitative data are presented from a series of focus groups and a telephone questionnaire survey of selected samples in seven different areas of England and Wales. The chapter first gives a very brief outline of the nature of hydrogen energy and its potential uses as an innovative technology. Secondly, it reviews selected literature about public attitudes towards environmental and energy issues and the apparent valueaction gap. Findings from our recent research are then discussed. Finally, some general conclusions are offered to account for the ambivalence revealed in this case of hydrogen energy, and the disjunction between people’s awareness of an energy crisis and their reluctance to change behaviour.

Rob Flynn

Papers

The use of patient reported outcome measures in routine clinical practice: lack of impact or lack of theory?

What do we know about public perceptions and acceptance of hydrogen? A critical review and new case study evidence

Markets and Networks: Contracting in Community Health Services

Tacit and encoded knowledge in the use of standardised outcome measures in multidisciplinary team decision making: a case study of in-patient neurorehabilitation.

The ‘value-action gap’ in public attitudes towards sustainable energy: The case of hydrogen energy