This work presents an approach derived from direct participant
observation of small units within institutions, all in the health
and social services sector. A range of contributors bring together
the results of their own observational projects - in settings as
diverse as a mental hospital canteen, an acute psychiatric
admission ward and a palliative care unit - to show how they were
able to come to a psychoanalytically informed understanding of the
cultures that arise within healthcare organizations, and how this
understanding can be used to overcome difficulties that arise. This
work should help healthcare workers, teachers and managers better
understand the functioning and difficulties of their organizations
and therefore help in the management and practice of the work.
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