Consensus conferences evolved as a response to the public's increasing dissatisfaction with technocratic decision-making processes that are judged to have repeatedly failed to serve its interests. The staging of the first Australian consensus conference at Old Parliament House in Canberra in March 1999 therefore presented an ideal opportunity to analyse the evolution of this new kind of policy input from its conception through to its implementation and subsequent evaluation. This thesis set out to provide an analysis of that trajectory using elements of the theoretical approach known as actor-network theory (ANT). Previous analyses of consensus conferences have generally provided only limited evaluations of single aspects of the entire process of setting up, implementing and evaluating such a conference. Furthermore, many of the early evaluations were conducted by reviewers or units which were themselves internal to the consensus conference under scrutiny. My own analysis has tried to offer broader, although inevitably less detailed, coverage, using a perspective from contemporary social theory that offers particular advantages in analysing the creation of short-term networks designed for specific purposes. By describing and analysing the role of this relatively new policy-making instrument, I have explored the different sub-networks that operate within the consensus conference process by focussing on the ways in which the conference was organised and how the relationships between the organisers and the participants helped to shape the outcomes. Thus the entire consensus conference sequence from idea to outcome can be thought of as a construction of a network to achieve at least one immediate goal. That goal was a single potential policy input, a consensus position embodied in the report of the lay panel. To realise that goal, the network needed to be recruited and stabilised and its members made to converge on that collective statement. But how is it that a range of disparate actors, including lay and expert, are mobilised to achieve that particular goal and what are the stabilisation devices which enable, or fail to enable this goal to be reached? In the context of the first Australian consensus conference, three key alignment devices emerged: texts, money and people. Yet it is clear from the evidence that some of these network stabilisation devices functioned poorly or not at all. This thesis has drawn attention to the areas in which they were weak and what importance that weakness had for the kind of policy outcome the consensus conference achieved. The role and extent of these powerful stabilisation devices in networks was therefore a vital issue for analysis. If one of the criteria to evaluate the success of a consensus conference is that it provides the stimulus to hold another, then the Australian conference must be deemed so far a failure. No further Australian consensus conference is planned. However, Australia stands to forfeit a number of advantages if no further consensus conferences or similar occasions are organised. Policy formation in contemporary democracies has had to accommodate an increasing array of new participants in order to track more effectively the diversity of potentially significant opinions on complex policy issues. This process requires new and transparent ways to educate and inform the public on policy issues and to ensure that policy makers are better informed about the needs and concerns of their community. As the evidence presented in thesis for the Australian example and its predecessors overseas suggests, consensus conferences have the potential to play a role in the contemporary policy-making context. But the realisation of that potential will vary according to their institutional contexts and the capacity of the actors to create the temporarily most stable and productive network out of the heterogeneous human and material resources to hand.

Previous studies of the design studio have tended to treat learning to design as a matter of learning to think in the right way, despite the recognition that material artifacts and the ability to make and manipulate them in architectural ways is important to the design process. Through the use of empirical data gathered from watching design teachers and students in action, this thesis works to discover how material things and bodies are important to the fabrication of architectural meaning and architectural subjectivity within design studios. In particular the role of gesture is highlighted as doing important work in design studio knowledge practices. / The approach taken in this thesis is to treat design activity in design studios in a ‘post-human’ way. An analytical eye is turned to how things and people perform together and are organised in various ways, using Actor network theory (ANT) as a way to orientate the investigation. The assumption drawn from ANT is that that architectural meaning, knowledge and identity can positioned as network effects, enacted into being as the design studio is ‘done’ by the various actors — including material things, such as architectural representations, and human behaviours, such as gesture. / Gesture has been largely ignored by design studio researchers, perhaps because it tends to operate below the threshold of conscious awareness. Gesture is difficult to study because the meanings of most gestures produced during conversations are spontaneous and provisional. Despite this humans seem to be good interpreters of gesture. When studied in detail, ongoing design studio activity is found to rely on the intelligibility of gesture done in ‘architectural ways’. The main site for the observation of gesture during this study was the ‘desk crit’ where teachers and students confer about work in progress. In the data gathered for this thesis gesture is found to operate with representations in three key ways: explaining and describing architectural composition, ‘sticking’ spoken meanings strategically to representations and conveying the phenomenological experience of occupying architectural space – the passing of time, quality of light, texture and movement. / Despite the fact that most of the work of the thesis centres on human behaviour, the findings about the role of gesture and representation trouble the idea of the human as being at the centre of the action, putting the bodies of teachers and students amongst a crowd of non human others who participate together in design knowledge making practices.

<p>FRAGMENTERAD SAMMANFATTNING</p><p>Aktörerna i Stockholms läns landsting simulerar marknad och konkurrens och är väl medvetna om att de gör detta (Den Stora Upphandlingen; en inre marknad inom ramen för en förvaltningsstyrd struktur). Det är inte det denna alternativa berättelse om konkurrens avslöjar. Aktörerna vet precis vad de försöker göra när de försöker organisera hälso- och sjukvården i Stockholms läns landsting genom att låta sig influeras av andra ”världar”. En särskilt relevant ”annan värld” är ekonomen och ekonomisk teori. Men i den till synes medvetna processen händer något, det uppstår komplexitet; det uppträder många olika världar som cirkulerar i Stockholms läns landsting. Men översättningsprocessen av konkurrens stannar inte här. Aktörerna intensifierar sina ansträngningar för att komma tillrätta med det som blivit komplicerat. Nya förslag på hur hälso- och sjukvården ska organiseras konstrueras, där var och en för fram Det Bästa Sättet för att komma till rätta med de observerade problemen. Situationen och tillvaron blir fördunklad och ekonomisk teori har nu översatts så många gånger, av så många olika aktörer, att det cirkulerar otaliga kopior av den. Det är processen av förenkling, komplexitet och fördunkling som är essensen i min re-presentation och i mina anspråk på att försöka förstå konkurrensprocesser. En essens som jag fångar och illustrerar med hur aktörer i aktörsnätverk översätter (associerar, enrollerar och etiketterar) den neoklassiska marknaden.</p><p>Men annat står också på spel. Aktörer översätter såväl människor som ting samtidigt som ting i sin tur influerar mänskliga föreställningar och ageranden. Men tings förmåga att konstruera människor är begränsat eftersom ting agerar utifrån givna koder, en given Ordning, (som givetvis kan bryta samman och ta oanade vägar, till exempel dataprogram), men som i sig är fyllda av mänskliga avsikter och intentioner. Vissa ”sociotekniska” ting är designade att centrera ”världar”, exempelvis Stockholms läns landsting uttryckt i siffror i en årsredovisning. Likafullt är det bara människor som, i processerna av förenkling, komplexitet och fördunkling, kan träda fram och konstruera och centrera heterogent materiella världar, men genom att centrera mängder av heterogena material (såväl människor som ting) förmår ting visa epistemologiska möjligheter för mänskligt agerande. Människor kan med andra ord färdas långt ut i världen med hjälp av ting. En empirisk observation är att ju längre aktörerna, i hälso- och sjukvården i Stockholms läns landsting, reser i de centrerade heterogent materiella världarna desto mer närsynta blir de samtidigt som potentialen att orsaka allvarliga sidoeffekter blir större och större. En annan empirisk observation i studien är att sidoeffekter hanteras på samma sätt i den nationalekonomiska neoklassiska teorin som i hälso- och sjukvårdens praktik, där internaliserade och väl avgränsade ekonomiska transaktioner antas utgöra normen och sidoeffekter undantagen på marknaden. Istället förhåller sig det precis tvärtom: Sidoeffekter är normen och internaliserade och väl avgränsade ekonomiska transaktioner utgör undantagen.</p>

FRAGMENTERAD SAMMANFATTNING Aktörerna i Stockholms läns landsting simulerar marknad och konkurrens och är väl medvetna om att de gör detta (Den Stora Upphandlingen; en inre marknad inom ramen för en förvaltningsstyrd struktur). Det är inte det denna alternativa berättelse om konkurrens avslöjar. Aktörerna vet precis vad de försöker göra när de försöker organisera hälso- och sjukvården i Stockholms läns landsting genom att låta sig influeras av andra ”världar”. En särskilt relevant ”annan värld” är ekonomen och ekonomisk teori. Men i den till synes medvetna processen händer något, det uppstår komplexitet; det uppträder många olika världar som cirkulerar i Stockholms läns landsting. Men översättningsprocessen av konkurrens stannar inte här. Aktörerna intensifierar sina ansträngningar för att komma tillrätta med det som blivit komplicerat. Nya förslag på hur hälso- och sjukvården ska organiseras konstrueras, där var och en för fram Det Bästa Sättet för att komma till rätta med de observerade problemen. Situationen och tillvaron blir fördunklad och ekonomisk teori har nu översatts så många gånger, av så många olika aktörer, att det cirkulerar otaliga kopior av den. Det är processen av förenkling, komplexitet och fördunkling som är essensen i min re-presentation och i mina anspråk på att försöka förstå konkurrensprocesser. En essens som jag fångar och illustrerar med hur aktörer i aktörsnätverk översätter (associerar, enrollerar och etiketterar) den neoklassiska marknaden. Men annat står också på spel. Aktörer översätter såväl människor som ting samtidigt som ting i sin tur influerar mänskliga föreställningar och ageranden. Men tings förmåga att konstruera människor är begränsat eftersom ting agerar utifrån givna koder, en given Ordning, (som givetvis kan bryta samman och ta oanade vägar, till exempel dataprogram), men som i sig är fyllda av mänskliga avsikter och intentioner. Vissa ”sociotekniska” ting är designade att centrera ”världar”, exempelvis Stockholms läns landsting uttryckt i siffror i en årsredovisning. Likafullt är det bara människor som, i processerna av förenkling, komplexitet och fördunkling, kan träda fram och konstruera och centrera heterogent materiella världar, men genom att centrera mängder av heterogena material (såväl människor som ting) förmår ting visa epistemologiska möjligheter för mänskligt agerande. Människor kan med andra ord färdas långt ut i världen med hjälp av ting. En empirisk observation är att ju längre aktörerna, i hälso- och sjukvården i Stockholms läns landsting, reser i de centrerade heterogent materiella världarna desto mer närsynta blir de samtidigt som potentialen att orsaka allvarliga sidoeffekter blir större och större. En annan empirisk observation i studien är att sidoeffekter hanteras på samma sätt i den nationalekonomiska neoklassiska teorin som i hälso- och sjukvårdens praktik, där internaliserade och väl avgränsade ekonomiska transaktioner antas utgöra normen och sidoeffekter undantagen på marknaden. Istället förhåller sig det precis tvärtom: Sidoeffekter är normen och internaliserade och väl avgränsade ekonomiska transaktioner utgör undantagen.

The backdrop of this dissertation is one ubiquitous element of everyday life: the stock market. Traditionally, accounting and stock markets are logically coordinate entities and this thesis analyzes how accounting supports private investors in their role as shareholders – as investors in shares and owners of companies. This analysis is carried out in four independent essays. The first two essays analyze the privatization of Telia, a former state-owned Telecommunication Company in Sweden that went public in 2000. The field material for the two essays consisted of newspaper articles, government bills and interviews. Qualitative and quantitative analyses demonstrate how accounting is used among different actors to realize the privatization. Theoretically, the first two essays lend themselves to the governmentality debate as introduced to accounting research by Miller and Rose (1990). The third and fourth essays are analyses of annual general meetings (AGMs). The field material was generated from a study of participants at 36 AGMs during the spring of 2004. The choice of these two seemingly unrelated cases was done deliberately. Both cases are stock market events that typically involve an audience of a large number of non-professional investors. In the privatization of Telia over 1 million people took part in the offer. The AGMs are typically seen as the single event by which non-professional investors have an opportunity to meet with top management. Thus, each event represents an instance in which accounting is confronted by a predominantly non-professional audience. The contribution of this study is two-fold. First, earlier work inspired by the Miller and Rose framework (1990) has favored an analysis of the programmatic. This study develops the technological aspect of the theoretical framework by means of a rich empirical description. In addition the two essays on the privatization of Telia contribute with an analysis of how once a specific technology translates to become and becomes understood at the site of intervention. Second, the two studies of AGMs contest earlier criticism against the meeting as a corporate governance mechanism detached from the overall corporate governance system. The argument here is that the AGM offers a valuable setting for private investors to discuss stewardship issues. That this opportunity is taken advantage of is suggested by the present field material.

Under the Nazi regime in Germany (1933-1945) a calculated killing of chronic “mentally ill” patients took place that was part of a large biopolitical program using well-established, contemporary scientific standards on the understanding of eugenics. Nearly 300,000 patients were assassinated during this period. Nurses executed this program through their everyday practice. However, suspicions have been raised that psychiatric patients were already assassinated before and after the Nazi regime, suggesting that the motives for these killings must be investigated within psychiatric practice itself. My research aims to highlight the mechanisms and scientific discourses in place that allowed nurses to perceive patients as unworthy of life, and thus able to be killed. Using Foucauldian concepts of “biopower” and “State racism,” this discourse analysis is carried out on several levels. First, it analyzes nursing notes in one specific patient record and interprets them in relation to the kinds of scientific discourses that are identified, for example, in nursing journals between 1900 and 1945. Second, it argues that records are not static but rather produce certain effects; they are “performative” because they are active agents. Psychiatry, with its need to make patients completely visible and its desire to maintain its dominance in the psychiatric field, requires the utilization of writing in order to register everything that happens to individuals, everything they do and everything they talk about. Furthermore, writing enables nurses to pass along information from the “bottom-up,” and written documents allow all information to be accessible at any time. It is a method of centralizing information and of coordinating different levels within disciplinary systems. By following this approach it is possible to demonstrate that the production of meaning within nurses’ notes is not based on the intentionality of the writer but rather depends on discursive patterns constructed by contemporary scientific discourses. Using a form of “institutional ethnography,” the study analyzes documents as “inscriptions” that actively interven in interactions in institutions and that create a specific reality on their own accord. The question is not whether the reality represented within the documents is true, but rather how documents worked in institutions and what their effects were. Third, the study demonstrates how nurses were actively involved in the construction of patients’ identities and how these “documentary identities” led to the death of thousands of humans whose lives were considered to be “unworthy lives.” Documents are able to constitute the identities of psychiatric patients and, conversely, are able to deconstruct them. The result of de-subjectification was that “zones for the unliving” existed in psychiatric hospitals long before the Nazi regime and within these zones, patients were exposed to an increased risk of death. An analysis of the nursing notes highlights that nurses played a decisive role in constructing these “zones” and had an important strategic function in them. Psychiatric hospitals became spaces where patients were reduced to a “bare life;” these spaces were comparable with the concentration camps of the Holocaust. This analysis enables the integration of nursing practices under National Socialism into the history of modernity. Nursing under Nazism was not simply a relapse into barbarism; Nazi exclusionary practices were extreme variants of scientific, social, and political exclusionary practices that were already in place. Different types of power are identifiable in the Nazi regime, even those that Foucault called “technologies of the self” were demonstrated, for example, by the denunciation of “disabled persons” by nurses. Nurses themselves were able to employ techniques of power in the Nazi regime.

Under the Nazi regime in Germany (1933-1945) a calculated killing of chronic “mentally ill” patients took place that was part of a large biopolitical program using well-established, contemporary scientific standards on the understanding of eugenics. Nearly 300,000 patients were assassinated during this period. Nurses executed this program through their everyday practice. However, suspicions have been raised that psychiatric patients were already assassinated before and after the Nazi regime, suggesting that the motives for these killings must be investigated within psychiatric practice itself. My research aims to highlight the mechanisms and scientific discourses in place that allowed nurses to perceive patients as unworthy of life, and thus able to be killed. Using Foucauldian concepts of “biopower” and “State racism,” this discourse analysis is carried out on several levels. First, it analyzes nursing notes in one specific patient record and interprets them in relation to the kinds of scientific discourses that are identified, for example, in nursing journals between 1900 and 1945. Second, it argues that records are not static but rather produce certain effects; they are “performative” because they are active agents. Psychiatry, with its need to make patients completely visible and its desire to maintain its dominance in the psychiatric field, requires the utilization of writing in order to register everything that happens to individuals, everything they do and everything they talk about. Furthermore, writing enables nurses to pass along information from the “bottom-up,” and written documents allow all information to be accessible at any time. It is a method of centralizing information and of coordinating different levels within disciplinary systems. By following this approach it is possible to demonstrate that the production of meaning within nurses’ notes is not based on the intentionality of the writer but rather depends on discursive patterns constructed by contemporary scientific discourses. Using a form of “institutional ethnography,” the study analyzes documents as “inscriptions” that actively interven in interactions in institutions and that create a specific reality on their own accord. The question is not whether the reality represented within the documents is true, but rather how documents worked in institutions and what their effects were. Third, the study demonstrates how nurses were actively involved in the construction of patients’ identities and how these “documentary identities” led to the death of thousands of humans whose lives were considered to be “unworthy lives.” Documents are able to constitute the identities of psychiatric patients and, conversely, are able to deconstruct them. The result of de-subjectification was that “zones for the unliving” existed in psychiatric hospitals long before the Nazi regime and within these zones, patients were exposed to an increased risk of death. An analysis of the nursing notes highlights that nurses played a decisive role in constructing these “zones” and had an important strategic function in them. Psychiatric hospitals became spaces where patients were reduced to a “bare life;” these spaces were comparable with the concentration camps of the Holocaust. This analysis enables the integration of nursing practices under National Socialism into the history of modernity. Nursing under Nazism was not simply a relapse into barbarism; Nazi exclusionary practices were extreme variants of scientific, social, and political exclusionary practices that were already in place. Different types of power are identifiable in the Nazi regime, even those that Foucault called “technologies of the self” were demonstrated, for example, by the denunciation of “disabled persons” by nurses. Nurses themselves were able to employ techniques of power in the Nazi regime.

This in-depth exploratory case study examines the real estate decision-making processes in four small, charitable organizations through the lens of Actor Network Theory (ANT). While decision-makers in these cases followed logical pathways and criteria in searching for and evaluating alternatives, this investigation also found these processes were often lengthy, complex, bounded rational, and political. The analysis looked at the relative roles played by various internal and external actors (including influential non-human actors such as feasibility studies, renderings, budgets, and plans) and the resulting fragile, but acceptable outcomes. From the presented engaged scholarship, practical implications emerged that can aid nonprofit managers and their boards in their real estate decision-making processes. Lastly, in addition to helping understand the process of creating real estate decisions in the context of nonprofit organizations, the analysis demonstrates how ANT with its focus on how heterogeneous human and non-human actors interact and come together to act as a whole, can be a valuable framework in examining the socio-technical, political process of real estate decision-making.

This paper investigates, through an actor-network theory perspective, how the recreation area Lövsta-Kyrkhamn-Riddersvik northwest of Stockholm has developed from being a dumping site into becoming a nature reserve. This investigation also tries to describe and explain which values that have been promoted in the area by the local voluntary associations and companies. Lövsta-Kyrkhamn-Riddersvik has been inhabited for more than 3000 years, originally with farming as the most important business. The area served as Stockholm’s waste disposal site from the late 1890’s and has today become an important area for recreational use. The actor- network theory perspective is used to identify different actors, both human and non-human, that has worked for the protection of the area and thus gained power over the decision-making.

Thesis (Ph.D.)--Saint Mary's University, 2009. / Includes abstract. Advisor: Albert J. Mills. Includes bibliographical references (leaves 325-352).