ABSTRACT

This chapter explores how multiple categorical commitments coalesce and coordinate relationally, through emotion, to create the organisation in action. It considers the ways in which anxiety and loss underpin modernisation, but this time at the institutional rather than the individual level. The chapter represents the symbolic processes of transference and counter transference, the projective communications which work to circulate these blaming dynamics between material subject-objects, in this case person to person between group members, which enacts blame symbolically moving from one set of practitioners to another. This circulation of blame constitutes organisational insiders and outsiders attaching certain unwanted social characteristics and behaviours to professional groups. The imagined dialogue shows the emotions of loss, fear and frustration coalesce around new managerial organisational change to generate blaming dynamics within the process of health policy formation. This uneven distribution of bad feeling serves to enact organisation and its members in a particular form.