This project examines the medical management of pain and injury in British Olympic sport. By drawing upon the perspectives of health-care providers, it explores key developments such as the professionalisation, formalisation and bureaucratisation of sports medicine and the consequences of such developments on doctors' and physiotherapists' working practices, relationships with each other and on athlete care. A questionnaire about the backgrounds (e.g. the qualifications, experience and methods of recruitment and appointment) was sent to members of the British Olympic Association's Medical Committee and Physiotherapy Forum in November 2007 and in-depth, semi-structured interviews were conducted with 14 doctors and 14 physiotherapists between January and June 2008. Data indicate that attempts to professionalise sports medicine into a medical speciality have created fragmentation and resistance among the various groups involved in athlete care at this level. Whilst clinicians were committed by multi-disciplinary practice overall, data reveal qualitative differences between practitioners who have established themselves within bureaucratic organisations such as the English Institute of Sport (EIS) compared to those who provide largely voluntary medical services via National Governing Bodies of Sport (NGBs). Thus, practitioners in positions of managerial authority were constrained to negotiate the underlying amateur values of numerous sports medicine staff at the same time as striving for a professional ethos. Processes of professionalisation have also impacted upon the inter-professional relations between doctors and physiotherapists and the social organisation of athlete-care. As a consequence of their work setting, clinicians were constrained to adhere to the performance-motivated demands of their athlete and coach clients over longer-term health concerns. Because of their greater orientation towards performance, physiotherapists were able to effectively "compete" with doctors in a number of practice contexts and so claim considerable professional autonomy. This project adds to the existing body of knowledge on the medical practices of sports medicine clinicians in elite level sport and demonstrates the heterogeneity within this area of practice. Furthermore, the thesis highlights the importance of understanding clinicians working practices as a consequence of their particular work setting.

This thesis examines the impact of engineering cultures on women engineering students' gendered and professional identities. It is simultaneously focused on exploring how identity shapes, and is shaped by, women's experiences of engineering cultures and the relationship between gendered and professional identities. The research is set within the context of existing research on women in engineering, much of which has focused either on women's experiences in industry or experiences of staff in academia, which does not acknowledge the importance of higher education (HE) as a gatekeeper to the engineering professions. Furthermore, despite numerous initiatives aimed at increasing the percentage of women entering engineering, the proportion of women studying engineering has remained stable, around fifteen percent, for the last few years. The research is grounded in an interpretivist approach, although it adopts a multimethod research design. Specifically it draws upon qualitative interviews with 43 women and 18 men engineering students, a questionnaire with responses from 656 engineering undergraduates and two focus groups with 13 women engineering students from seven departments at one university. These datasets are analysed with the aid of NVivo and SPSS to explore women engineering students' career choices; women's experiences of the HE engineering culture; the relationship between engineering education culture and women's identities; whether there are cultural nuances between engineering disciplines; and, implications for strategies to attract and retain more women in engineering. Key findings from the research are that women and men make career choices based on similar factors, including the influence of socialisers, knowledge of the engineering professions, skills, ability and attributes, and career rewards. However, the extent to which each of these factors are important is gendered. The research also highlights key characteristics of the HE engineering culture, including competition, camaraderie, gendered humour, intensity, more theoretical than practical, help and support for women students and reinforcement of gender binaries. These findings all suggest that women are assimilated into the engineering culture or, at least, develop coping mechanisms for surviving in the existing culture. These strategies reveal a complex and difficult balancing act between being a woman and being an engineer, in claiming a rightful place as an engineer, denying gendered experiences and becoming critical of other women. The research also tackles two key issues, rarely discussed in the extant literature. Firstly the help and support women students receive from lecturers and other staff, and the negative impact this has, and may continue to have, on women. Secondly, the analysis of discipline differences shows that design and technology is significantly different from other engineering disciplines in terms of culture(s) and women's experiences. The thesis concludes that women's enculturation into engineering results in their ‘doing gender' in a particular way. This means that women's implicit and explicit devaluing and rejection of femaleness, fails to challenge the gendered cultures of engineering and, in many ways, upholds an environment which is hostile to women.

Sure Start Children’s Centres and their predecessors, the Sure Start Local Programmes, were central to New Labour’s drive to reduce social exclusion through early intervention in the lives of families with young children. Where previous research predominantly focused on the impact and effectiveness of programme delivery, there has also been a great deal of emphasis on those families who do not use these services. However, in attempting to understand why parents do not use Children’s Centres, the approach has been one that placed non-participation experiences away from Centres, distanced and unrelated. This thesis presents a sociological analysis of two Children’s Centres where the institutional processes and practices that shape what these spaces mean are explored in depth. In exploring some of the day to day interactions and practices, this thesis challenges some of the taken for granted assumptions, in order to create a meaningful space for dialogue. Using an ethnographic methodology two Centres were studied to explore how Children’s Centres were perceived by those who used them, those who work in them and those who walked past them. The fieldwork was conducted over an eighteen month period and involved a multitude of methods; participation and observation in Centre activities, focus groups with staff, and parents and interviews with parents within and outside Centres. I also had many ‘conversations with a purpose’ with parents in community toddler groups and other spaces that parents, predominantly mothers occupy with their young children. What emerged was that an understanding of these spaces is complex and whilst invaluable to a small number of very regular users they are also insignificant to others. For other users the plurality of meaning reflects the many ways that these spaces are occupied by parents and children. Points of tension were apparent as parents made these spaces their own, sometimes in conflict with how they ‘ought’ to be used. The thesis uses the work of Foucault to explore how power relations are played out within the Centres and the way that government operates at a distance. From this perspective it is clear that Children’s Centres are political spaces, where they have become ‘depoliticised’ as part of the disciplinary processes of the ‘conduct of conduct’. They are spaces where ‘technologies of government’ are employed in practice and where the drive to evidence outcomes focuses practitioners’ attention on end results. As a result the processes, the means to achieving those results, can go unexamined.

Set against a changing backdrop of reforms in higher education and English language teaching (ELT), the thesis explores the notion of professionalism for university English teachers in Vietnam: What is defined as professionalism in this particular period of time? How is professionalism constructed in this context? The research approaches professionalism as a critical concept: A list of aspired traits and features are always value-laden and concern the question of power. From this premise, the thesis discusses a “kaleidoscope” relationship between different actors in the making of professionalism. Using Freidson’s (2001) ideas on the contingencies of professionalism, the study views the notion as a process rather than a product. Professionalism has its own logic that needs to be respected, but this logic is also incidental to other logics for its establishment and development. The study uses embedded case study to address its research questions. Defining the case as professionalism for university ELT teachers in contemporary Vietnam higher education, the thesis studies the notion as articulated at national, institutional, and individual levels. The primary data sources include five national policies, institutional policies and management practices at a university and its foreign languages department, and interviews with six academic managers and eleven ELT lecturers. The data were analysed using thematic analysis approach within constructivist, interpretive traditions. The results show that professionalism for ELT lecturers in Vietnam can largely be characterised as a professionalism of entrepreneurship, measurability and functionality. ELT is largely considered as a tool for international integration. Each type of professionalism project involves several actors (the state, expert groups, the institution, and ELT academics) with their own logic, but they interrelate in responding to the imperatives of the knowledge-based economy and globalisation. How the meaning of professionalism is established and argued for by the different actors in this study reveals that it is not easy to conceptualise the notion in a binary system of “from above” professionalism versus “from within” professionalism; and “organisational” professionalism versus “occupational” professionalism. The complexities of the logics of professionalism – with an ”s”, affect whether a professionalisation project can be perceived as being positive or negative – Is it professionalisation or is it deprofessionalisation? The relativity of “from above” and “from within” reflects the contingencies of professionalism, and also suggests authority power is plural, shifting, and fluid, rather than single, normative, and static. Meanwhile, it means human’s individual power is not of an ultimate freedom but dependent on external conditions. With these considerations, the study proposes interpreting professionalism as a ”social contract”. This helps not only recognise a mutual relationship between the state, the institution, and academics, but also illuminate how each party enables, maintains, and contributes to this relationship.

This study discusses the professionalisation of higher education management and emerging patterns of decision making within a context of academic and organisational change. A total of thirty interviews were conducted across six Universities, with five similar roles interviewed in each institution. Respondents were drawn from both centralised and decentralised parts of the organisation, and represented both academic and professional services perspectives. Three ideas are proposed. The first is an emerging New Collegiality in which decision making behaviour is developing that reflects traditional collegial debate, but within new peer groups of academic and professional services managers. Academic managers are also using New Collegiality to share good management practice, with new organisational combinations offering new forms of collaborative working within and across subject disciplines. A second theme proposes that a Higher Education Professional Services Framework exists, which has situationally contingent characteristics that are unique to the professional services in higher education. These features combine decision making and management behaviours to operate as a singular body positioned throughout the organisation in context specific ways. Finally, a third concept identifies three linked levers of management used by the centre to address tensions of internal demands for decentralisation against the external pressures to centralise. These linked levers consist of the creation of an intermediate tier such as a faculty or college, a proactive use of management information as an evidential tool for decision making, and a particular use of the Higher Education Professional Services Framework. The findings suggest that Universities are ostensibly decentralising their organisational structures while simultaneously centralising decision making authority through changes in accountability. These trends raise a number of relevant issues to the professionalisation of higher education. .

This thesis examines the impact of the engineering culture on women engineering students??? gendered and professional identities. It is simultaneously focused on exploring how identity shapes, and is shaped by, women???s experiences of the engineering culture and, the relationship between gendered and professional identities. The research is set within the context of existing research on women in engineering, much of which has focused either on women???s experiences in industry or experiences of staff in academia, failing to recognise the importance of higher education (HE) as a gatekeeper to the engineering professions. Furthermore, despite numerous initiatives aimed at increasing the percentage of women entering engineering, the proportion of women studying engineering has remained stable, around fifteen percent, for the last few years. The research is grounded in an interpretivist approach, although it adopts a multimethod research design. Specifically it draws upon qualitative interviews with 43 women and 18 men engineering students, a questionnaire with responses from 656 engineering undergraduates and two focus groups with 13 women engineering students from seven departments at one university. These datasets are analysed with the aid of NVivo and SPSS to explore women engineering students??? career choices; women???s experiences of the HE engineering culture; the relationship between engineering education culture and women???s identities; whether there are cultural nuances between engineering disciplines; and, implications for strategies to attract and retain more women in engineering. Key findings from the research are that women and men make career choices based on similar factors, including the influence of socialisers, knowledge of the engineering professions, skills, ability and attributes, and career rewards. However, the extent to which each of this factors are important is gendered. The research also highlights key characteristics of the HE engineering culture, including competition, camaraderie, gendered humour, intensity, more theoretical than practical, help and support for women students and reinforcement of gender binaries. These findings all suggest that women are assimilated into the engineering culture or, at least, develop coping mechanisms for surviving in the existing culture. These strategies reveal a complex and difficult balancing act between being a woman and being an engineer by claiming a rightful place as an engineer, denying gendered experiences and becoming critical of other women. The research also tackles two key issues, rarely discussed in the extant literature. Firstly the help and support women students receive from lecturers and other staff, and the negative impact this has, and may continue to have, on women. Secondly, the analysis of discipline differences shows that design and technology is significantly different from other engineering disciplines in terms of culture(s) and women???s experiences. The thesis concludes that women???s enculturation into engineering results in their ???doing gender??? in a particular way. This means that women???s implicit and explicit devaluing and rejection of femaleness, fails to challenge the gendered cultures of engineering and, in many ways, upholds an environment which is hostile to women.

This thesis is about the contemporary challenges facing herbal medicine. Specifically it concerns the difficulties faced by Australian herbalists in their attempts to maintain authority over the knowledge base of their craft and a connection with traditional understandings of the uses of plant medicines, while at the same time engaging with biomedicine and the broader Australian healthcare system. It contributes to the study of the nascent field of qualitative studies in contemporary western herbal medicine by making three main arguments.Firstly, Australian herbal medicine is characterised by its origins as a European colonial practice and its history of professional marginalisation during most of the 20th century. Secondly herbal practitioners have been unable to capitalise significantly on a surge of public popularity in the closing years of the 20th century which brought with it the interest of industry, the scrutiny of regulators and the renewed attention of biomedicine. Herbalists continue to struggle for recognition in the face of these more powerful interests. Thirdly it is argued that herbalists are attempting to gain legitimacy and acceptance as a healthcare profession through a process of underpinning their knowledge base with science, which is replacing their traditional philosophical basis. This has the effect of weakening the ability of herbalists to maintain their identity as an independent profession and makes its knowledge base vulnerable to appropriation by other healthcare professions.Gross’ model of the cultural location of traditions in contemporary societies is used to clarify the situation of herbalists and to identify problems consequent to the political choices they have made or which have been forced upon them. Gross suggests that traditions which place themselves close to power have difficulty in maintaining their own character and integrity, but that other cultural locations are also problematic and limit full participation in society. vi It is argued that there are compelling reasons to move beyond Gross’ analysis and to find ways to strengthen the independence of the herbal profession. Given the financial problems facing the current healthcare system in Australia and the looming ecological challenges, radical changes to the current system are required. The central concepts of herbal practice, in particular vitalism and holism, lead to approaches to healthcare which are potentially both costeffective and ecologically sustainable. A robust and independent profession of western herbalists, with their philosophy articulated and restored, could provide a valuable and sustainable contribution to Australian healthcare.

In a Swedish context this thesis deals with male integration in the profession of nursing during the last 50 years of the twentieth century. I focus on four different topics. At first the pioneer era is discussed, that is in the beginning of the 50s, when men were allowed to enter the nursing profession and become nurses. Here I discuss on the Swedish Society of Nursings (Svensk Sjuksköterskeförening, SSF)) standpoint on the matter of men’s ability to participate in a sphere so closely connected with professional values as well as feminine values of caring and support. The second topic deals with the question of using the concept ‘sjuksköterska’ (nurse), in Sweden a feminine marked word, as a title for both men and women. The result of a long and keen debate is that a lot of imaginative titles were refused and that still today both women and men use the female title ‘sjuksköterska’. This might be one reason for men not seeking the profession of nursing. In the third place I look at the pecuniary result for nurses especially after 1986 when a new individual oriented wage determination was launched. The local investigation comprises four different clinics at the University hospital in Malmö (Universitetssjukhuset Malmö allmänna sjukshus, UMAS) and takes a special interest in earnings between male and female nurses. In countries with long experience of individual wage systems male nurses usually earn more than their female counterparts. The question I ask is if the same tendency is about to happen in Sweden. Finally, the possibilities of making a career in the profession of nursing is analyzed. The local investigation stresses that female nurses seem to prefer an administrative career in an increasing extent than men do. Male nurses, on the other hand, made union careers in the 70s and 80s and especially the post as ombudsman is popular. In the mid 90s the male appointment to union position is growing weaker probably connected to an increasing feminine consciousness among female nurses. Also the professionalisation process of the nurse corps is shortly examined.

L'auteure présente une lecture personnelle de la contribution aux études en communication et en journalisme de James W. Carey, considéré par certains comme étant un des pionniers du courant des Cultural Studies américaines. Présenté sous la forme d'un essai, ce mémoire propose une façon différente de conceptualiser le journalisme dans le contexte québécois. D'abord, l'auteure présente en quoi la version des Cultural Studies de Carey est marquée par le courant du tournant linguistique et comment elle constitue une alternative à la théorie de l'information. Ensuite, elle propose de concevoir le travail journalistique comme étant subjectif et culturel et non généralement véridique et objectif, tel que proposé par le modèle professionnel du journalisme. Enfin, l'auteure aborde la question de l'interprétation de la liberté de presse et du journalisme au Québec et illustre comment ce principe est marqué par la professionnalisation du journalisme, la légitimation de l'autorité du journalisme et le sens juridique de la liberté de presse. ______________________________________________________________________________ MOTS-CLÉS DE L’AUTEUR : Communication, Cultural Studies, James W. Carey, Journalisme, Tournant linguistique, Liberté de presse.

This study scrutinizes the mothering experiences of professional women living in istanbul. It is about class based mothering experiences of professional women, who are being influenced from both mothering and professionalisation ideology. It analyses many different aspects of mothering experience starting from the pregnancy period to the decision making about the socialization of children through their relation with the changing understanding of control on mothering experience. It is argued that professional understanding of mothering necessitates being successful and this necessity is supported by the mothering ideology assigning women as the primary responsible parent from child caring. Professional women, who have been considered as advantageous because of both their class positioning and professional role in the labor market, continue to experience the burden of the gendered structure of parenting. On the other hand, they have an active role in the reproduction of gender and class based structure.