ABSTRACT
This chapter focuses on how Karuna Hospice Service (KHS), once it became established, managed to retain its difference in the ongoing struggle against hegemonic processes of professionalism and bureaucratisation. It purposes firstly, to articulate the assumptions underpinning the belief that bureaucratic and professional encroachment on KHS’s ideology is inevitable. The chapter also purposes secondly, to demonstrate how, in the face of such ‘inevitable power, KHS’s discursive response incorporates aspects of rationalisation ‘both/and’ a Taoist response to such power. It explores how the notion of spirituality can be seen to be offering some ‘freedom’ from the demands of such hegemonic power by creating the discursive space for other ‘ways’ of responding both organizationally. The chapter discusses future research agendas, the next KHS project of Cittamini, would provide excellent comparative research material to explore how different social circumstances translate into dissimilarity under the one guiding ideology.
