The Deprofessionalization of Everyone

Abstract Historical and cross-cultural data call into question the concept of profession as formulated by British and American sociologists. A common underlying theme, however, is the monopolization of esoteric knowledge as a basis for professional authority. Because of the rapid proliferation of knowledge and technology, Daniel Bell has forecast a professionalized society, in which knowledge will be a source of power. This paper projects an alternative hypothesis based on several societal trends, using medicine as the prototypical profession and providing some cross-cultural evidence. These trends include an erosion of the knowledge monopoly as a result of rising levels of public schooling and sophistication and specific patient education, as well as computerization—which changes accessibility patterns—and new divisions of labor, which disseminate practice skills and information more widely. The consequences are decline of trust in professional decisions and diminution of professional power and authority...

[1]  G. Annas.  The Rights of Hospital Patients: The Basic Aclu Guide to a Hospital Patient's Rights , 1976 .

[2]  A. Daniels.  Advisory and Coercive Functions in Psychiatry , 1975 .

[3]  F. Strassburger.  Problems surrounding "informed voluntary consent" and patient access to records. , 1975, Psychiatric opinion.

[4]  S. Kunitz.  Professionalism and Social Control in the Progressive Era: The Case of the Flexner Report , 1974 .

[5]  R. Crawshaw.  Medical deontology in the Soviet Union. , 1974, Archives of internal medicine.

[6]  H. Kaplan,et al.  American Society in the Postindustrial Age: Technocracy, Power, and the End of Ideology. , 1974 .

[7]  J. Roth.  Professionalism , 1974 .

[8]  Ira Shor.  Education to the People: Higher Education in China. , 1974 .

[9]  R. Fox.  Ethical and existential developments in contemporaneous American medicine: their implications for culture and society. , 1974, The Milbank Memorial Fund quarterly.

[10]  V. Sidel.  THE HEALTH WORKERS OF THE FENGSHENG NEIGHBORHOOD OF PEKING , 1973 .

[11]  L. Reeder,et al.  The patient-client as a consumer: some observations on the changing professional-client relationship. , 1972, Journal of health and social behavior.

[12]  T. Johnson.  Professions and Power , 1972 .

[13]  G. Gibson.  Chinese medical practice and the thoughts of Chairman Mao. , 1972, Social science & medicine.

[14]  V. Sidel,et al.  The Human Services in China. , 1972 .

[15]  M. Maurice.  Propos sur la sociologie des professions , 1972 .

[16]  Field Mg.  Taming a profession: early phases of Soviet socialized medicine. , 1972 .

[17]  Wilbert E. Moore,et al.  The Professions: Roles and Rules , 1971 .

[18]  William B. Schwartz,et al.  Medicine and the Computer. The Promise and Problems of Change , 1970 .

[19]  T. Parsons.  Equality and Inequality in Modern Society, or Social Stratification Revisited , 1970 .

[20]  M. Haug,et al.  Professional Autonomy and the Revolt of the Client , 1969 .

[21]  E. Katz,et al.  Doctor-Patient Exchanges: A Diagnostic Approach to Organizations and Professions , 1969 .

[22]  V. Shubkin,et al.  Quantitative Methods in Sociological Studies of Problems of Job Placement and Choice of Occupation [Part II] , 1968 .

[23]  P. Halmos.  The personal service society , 1967 .

[24]  F. Riessman,et al.  New careers for the poor , 1965 .

[25]  Harold L. Wilensky,et al.  The Professionalization of Everyone? , 1964, American Journal of Sociology.

[26]  M. Rutkevich.  Elimination of Class Differences and the Place of Non-Manual Workers in the Social Structure of Soviet Society , 1964 .

[27]  Howard S. Becker,et al.  The Nature of a Profession , 1962, Teachers College Record: The Voice of Scholarship in Education.

[28]  S. Wiseman,et al.  Education For The Professions The Sixty First Yearbook Of The National Society For The Study Of Education Part Ii , 1962 .

[29]  Ernest Greenwood.  Attributes of a Profession , 1957 .

[30]  The doctor, his patient, and the illness. , 1957, Lancet.