This thesis discusses how local forces, despite being the weaker actor in a proxy relationship, manipulate external powers’ support to pursue their own objectives. Three factors – practical advantage, relative will, and diverging objectives – explain this counterintuitive power dynamic. First, local forces have better local knowledge, more extensive networks, and greater legitimacy, which give them leverage and make them desirable partners. Second, local forces' involvement is often existential rather than selective; unlike external powers, local forces are thus unconstrained by domestic political vulnerabilities. This enables them to close the significant power gap with external powers. Third, local forces' objectives may diverge from their sponsors', creating incentives for exploitation and manipulation of external support to pursue their own agenda, regardless of the external powers’ interests. These three factors effectively explain the dynamic between the Soviet Union and Cuba during the Angolan civil war and the relationship between the U.S. and the Kurds in the fight against ISIS. Cuba mostly operated within the Soviet strategic parameters, while at the same time manipulating Soviet support to forward its own interests in Africa. The Kurds manipulated U.S. support while fighting ISIS to acquire territories and to pursue autonomy and independence, goals inconsistent with US interests. Further research is still needed to identify under what conditions local partners will wield this counterintuitive power, since there also are cases in which this does not take place.

This thesis focuses on the trainee counsellor’s experience of speaking a second language in counselling practice. It is based on a single in-depth case study, examining the author’s experience of practice during her training and in her first post-qualification years. Through a detailed exposition of the practitioner’s countertransference experience in relation to her use of a second language, it identifies three positions, termed ‘Worrying and Stumbling’, ‘Connecting and Attuning’ and ‘Relaxing and Playing’. Detailed practice examples are provided to illustrate each position. Like Klein’s use of the term, positions are conceptualised not as chronological or fixed stages, but as ways of being in relation which can dominate or recede at any time. In contrast to the problem-focused perspective that characterises existing research on second language use in counselling, this thesis provides evidence of the opportunities that arise in the therapeutic relationship when the counsellor is working in a second language, even arguing that second language use can be an asset. As counselling and psychotherapy become increasingly globalised, with counsellors and clients often no longer sharing the same native tongues, this thesis makes a timely contribution to research focused on the counsellor’s experience in this setting. Shedding new light on the experience of trainees working in a second language, it offers insights to counselling educators, researchers, practitioners and trainees.

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This thesis explores how decentralisation of basic pharmaceutical assistance was introduced in Brazil. Decentralisation aimed to improve access to basic medicines. Nevertheless, the inconsistency in the availability of medicines in the Brazilian public health system (SUS - Unified Health System) justified the development of two seemingly contradictory, yet co-existing, approaches: decentralisation and recentralisation. The central question of my thesis was how the simultaneous processes of decentralisation and recentralisation, which took place between 1998 and 2011, have affected access to medicines distributed by SUS. My second aim was to explore how political and power dynamics impacted the implementation of decentralisation policies. I carried out semi-structured interviews with key actors in policy-making for pharmaceutical assistance; interviewees were selected from among the health secretaries and Ministry of Health officials that participated in interfederative boards of agreement. The Grounded Theory approach, as well as documentary analysis, informed my data collection and analysis. My findings suggest that decentralisation was important for improving the availability of medicines, although levels of improvement varied across the country. Decentralisation in itself was not sufficient to improve the availability of medicines largely due to the regional differences. Federative relationships involved in the decentralised management of pharmaceutical assistance are seen as important by health secretaries, but are considered laborious and time-consuming by Ministry of Health officials. Lack of compliance with agreements at state level was mentioned as one of the main barriers to further improving access to medicines. In this context of struggle, the Popular Pharmacy programme, controlled by the federal government, was created in 2004. The initiative, which can be regarded as a recentralisation process, rapidly improved the availability of basic medicines. There is no clear indication of which is the best approach for improving access to basic medicines in Brazil. Both decentralisation and centralisation worked well in some contexts but failed in others.

The aim of our study was to further investigate how power dynamics affect knowledge sharing through the perspective of consultants and within their relationships with clients. More specifically, we are hoping to better understand how consultants’ perceived power dynamics affect their collaboration with their clients and how they share their expertise. We have chosen to conduct a qualitative study with and have semi-structured interviews with consultants. According to our findings, the two concepts are highly connected since power and knowledge seem to be inseparable. Looking through the different consultants’ and clients’ relationships, this study reveals the existence of mutual dependencies and imbalances which affect the movement of knowledge as an outcome of the working process. The presence of collaboration is evident in our results and the existing resistance that clients show appears to facilitate knowledge sharing. Providing different examples of collaboration by the consultants, we argue that power dynamics evolve differently in different relations between the two main actors of the study and either work as an obstacle or facilitate the exchange of information, expertise, skills and know-how.

This qualitative grounded study explores power dynamics and its influence on sexual decision-making amongst college-age African American women. The film All of Us was shown to eighteen African American women to understand how they perceive power dynamics and sexual decision-making. Taking place at Georgia State University‟s main campus in Atlanta, focus groups and one on one interviews were implemented. Much of the research being conducted theorize that the risk factors regarding HIV infection are related to risky sexual decision-making and lack of consistent condom use; however this study concluded that there is a relationship between sexual decision-making and gendered power dynamics.

Reflexive approaches to (multilevel) governance are currently discussed as essential for sustainable outcomes of decision-making. A key element of reflexive governance has been called collective learning. Collective learning has been argued to be a necessary tool or safeguard against the misuse of power in the context of sustainable decision-making. Though being named a key element, the effects of collective learning processes on power and conflict dynamics have been defined very vaguely in reflexive governance approaches. If at all, collective learning is described as an excursive debate that - given the choice of experienced actors and a set of rules – will automatically lead to balanced power distribution. This work contributes to the scientific discourse on reflexive governance by conceptualizing the process of collective learning in two steps. The first involves a conceptual claim whereby it is shown that collective learning, in addition to a discursive debate, consists of three ‘aspects’, communication, participation, knowledge implementation. This claim is exemplified via the investigation of a case of knowledge management in the sustainable governance project Civitas Dyn@mo, as it reflects the suggested aspects of collective learning.

This thesis studies knowledge processes which span organisational boundaries, examining how knowledge is formed and shared between two companies with divergent interests, facing the challenges of innovation processes. Cross-boundary work provides access to diverse sources of knowledge, specialties and approaches, and this enhances the innovative performance of firms. However, managing knowledge and spanning diverse boundaries has proven to be difficult. While the epistemic and social challenges have been identified to trigger conflicts and misunderstandings across boundaries, the complexity, inter-dependency and uncertainty of innovation processes have been found to multiply these challenges. Informed by the practice-based perspective, this thesis examines how the challenges of integrating knowledge in such a context are addressed and resolved. Building upon this theoretical perspective, the thesis aims to enhance understandings of knowledge processes between the large bureaucratic organisations (publishers) and small/medium-sized companies (developers) in the videogames industry. Underpinned by a social constructionist and interpretivist methodology, a qualitative study of three publisher-developer relationships was conducted. With thirty six semi-structured interviews with senior directors, managers and team leaders, the thesis examined cross- boundary practices and the conflicts experienced in this process. In order to achieve this, the study focused on the role that boundary objects, trust development and power structures played in facilitating knowledge processes. The thesis recognises the evolving and relational character of boundary objects, highlighting that a combination of static and dynamic boundary objects were effective in facilitating knowledge integration in the publisher-developer relationship. It also reveals that despite high levels of distrust between the parties involved, they managed to create and maintain a working relationship by resorting to opportunistic practices, such as knowledge hiding, deception and collusion. It is emphasised that understanding the power dynamics in the publisher-developer relationship is a pre-requisite to explaining 2 how knowledge is managed across organisational boundaries during the course of a project. Drawing upon a Foucauldian perspective, the thesis identifies the positive and enabling aspects of power dynamics in this relationship. It argues that when the parties have discrepancies, competition and high levels of distrust, power games positively influence cross-boundary practices, the use of boundary objects and knowledge processes, ultimately mobilising knowledge integration. The thesis makes four significant contributions to the knowledge management and cross-boundary work literature. First, it identifies an evolving role for boundary objects, showing how they develop during the course of a project. Second, it finds a relational and politicised dimension for boundary objects, highlighting the role of brokers to manipulate and mobilise the use and effectiveness of these objects. Third, the thesis extends the existing literature by revealing that despite high levels of distrust, parties can create a working relationship. The research shows that this is achieved through resorting to opportunistic behaviour, such as knowledge hiding, deception and collusion. As a result, this thesis adds a complementary level to Carlile's Integrated Framework, explaining that when there are high levels of differences, dependencies and novelty in the cross-boundary work, knowledge hiding, deception and collusion are the driving force to facilitate knowledge integration and maintain a functional relationship. The fourth contribution of this thesis is recognising the positive and productive aspects of power dynamics that enable and mobilise boundary objects and knowledge processes, ultimately bringing positive outcomes and creating a functional relationship between two companies with divergent interests.

Through the use of interview and observation data, collected over two years, this qualitative study describes the perceptions, attitudes, and experiences of two Cooperating Teachers (CTs) and their assigned Pre Service Teachers (PST; n = 12) who were mentored over the course of two Special Education practicum experiences and five CT professional development trainings. Special attention was focused on the ways that CTs and PSTs describe modeling and how CTs’ modeling seemed to affect the CT/PST relationship. Participant responses were analyzed using a qualitative narrative method and indicated that CT’s use of modeling served primarily as a socializing process in which PSTs learn the role of a professional teacher through their interactions with the CT. Also, different types of modeling (e.g., simple vs. cognitive) seemed to affect this socialization process. The outcomes of simple and cognitive modeling were highly varied and affected the CT/PST relationship development differently. Additional findings indicated that professional development that focused on cognitive modeling may be related to CTs’ mentoring role development and the way they implement mentoring processes. It is hoped that the findings in this study will help to initiate conversations between CTs and PSTs and teacher educators concerning the use of modeling and the potential effects modeling may have on the mentoring relationship.