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Psychoanalysis: neglected ally in an emerging “critical healthcare management studies” (CHMS)?

Nathan Gerard (Department of Health Care Administration, California State University Long Beach, Long Beach, California, USA)

Journal of Health Organization and Management

ISSN: 1477-7266

Publication date: 29 January 2020

Abstract

Purpose

The purpose of this paper is to demonstrate the relevance of psychoanalysis to an emerging sub-field known as “critical healthcare management studies” (CHMS).

Design/methodology/approach

Building upon a wave of critical scholarship in the broader field of management, scholars and practitioners of healthcare management have begun to forge a critical scholarly movement of their own. CHMS, short for “critical healthcare management studies,” formally denotes a new subfield of inquiry dedicated to challenging entrenched assumptions, exposing power relations, and cultivating critical praxis, all the while serving as a vital counterpoint to mainstream scholarship. This paper seeks to augment the CHMS movement with psychoanalysis, and particularly the critical vein of organizational psychoanalysis already well-established in critical management studies.

Findings

The argument is made that a greater engagement with psychoanalysis offers novel avenues for critical theorizing and practice in healthcare management. Specifically three areas are considered: 1) the exploitative role of guilt in the caring professions, 2) the resurgence of authoritarianism and its implications for unconscious organizational dynamics, and 3) the potential for a psychoanalytically informed critical healthcare praxis.

Originality/value

While there remain wide differences of opinion about the utility of psychoanalysis outside of the clinical arena, this paper reveals just how psychoanalysis can inform today's healthcare organizations, and more broadly the social and political organization of health in society.

Keywords

  • Psychoanalysis
  • CHMS
  • Critical scholarship
  • Critical management studies
  • Healthcare management
  • Unconscious dynamics

Citation

Gerard, N. (2020), "Psychoanalysis: neglected ally in an emerging “critical healthcare management studies” (CHMS)?", Journal of Health Organization and Management, Vol. 34 No. 2, pp. 173-180. https://doi.org/10.1108/JHOM-08-2019-0230

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Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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