Papers by Marianna Fotaki
Encyclopedia of Consumer Culture
This report explores the variety of arrangements for speaking up in the public and private sector... more This report explores the variety of arrangements for speaking up in the public and private sectors. It takes the viewpoint of those who develop, operate and oversee such arrangements, and seeks to provide recommendations for an effective framework.
Academy of Management Proceedings, 2012
Milk or Wine Come Rain or ShinePresenter: Alexandra Bristow; Surrey U.Monkey Business: The Black ... more Milk or Wine Come Rain or ShinePresenter: Alexandra Bristow; Surrey U.Monkey Business: The Black Eyed Peas in HalifaxPresenter: Lawrence T. Corrigan; Saint Mary's U.Presenter: Jean Helms Mills; Sai...
Academy of Management Learning & Education, 2015
The burgeoning economic inequality between the richest and the poorest is a cause of concern for ... more The burgeoning economic inequality between the richest and the poorest is a cause of concern for social, political, and ethical reasons. While businesses are both implicated and affected by growing inequality, business schools have largely neglected to subject the phenomenon to sufficient critique. This is, in part, because far too many management educators rely on orthodox economic perspectives-often represented by neoliberal capitalism-which have dominated the curricula and the teaching philosophy of business schools. To address this issue, this article underscores the need for business schools to critically examine the relationship between neoliberal capitalism and economic inequalities, and to overtly engage with this nexus in pedagogical practice. The article concludes by revisiting the concepts of relationality and answerability as paths by which to address the current predicament. Relationality and answerability collectively offer: i) conceptual and reflexive tools by which to re-imagine business school education, and, ii) space for business schools to debate important questions about the taken-for-granted, but problematic, assumptions underlying the ideology of neoliberal capitalism.
Whistleblowing, or speaking truth to power, is complex. How truth telling is shaped is an importa... more Whistleblowing, or speaking truth to power, is complex. How truth telling is shaped is an important issue, as is the legitimacy of the individual who speaks out. Both the person who blows the whistle, and the disclosure itself, may be framed differently depending upon the agendas of others. This is further shaped and complicated by the various mediums through which disclosures are made. In what follows we present an interview with CIA whistleblower, John Kiriakou, and discuss its implications for theories of whistleblowing including those drawing on the concept of parrhesia. This case demonstrates the complexities involved in establishing a voice and gaining legitimacy amid contemporary forms of media, alongside the effects of this for the whistleblower.
What market-based patient choice can't do for the NHS: the theory and evidence of how choice work... more What market-based patient choice can't do for the NHS: the theory and evidence of how choice works in health care 4 knowledgeable professional capable of interpreting the information. In other words, choice needs to be supported if it is to be effective. In conclusion, the report rejects the application of a narrow consumerist market-based choice model which defines health care users as individualistic actors striving to maximise their preferences, and puts forward a set of proposals recognising patients' multiple needs and their bonds as community members, addressing them as socially embedded individuals. It is also suggested that if choice is dissociated from competition and markets and instead considered in all its complexity, it can be better employed in the provision of responsive, effective and affordable health care. How patients choose and providers respond?. London: Kings Fund.
This Chapter traces the effects of New Public Management (NPM) reform in various public organisat... more This Chapter traces the effects of New Public Management (NPM) reform in various public organisations introduced in Thailand in the early 2000s. It portrays the realities of several bureaucratic organisations in the Thai civil service by investigating how far the concept of the impersonal, inflexible and rule-bound institution is a characteristic of the settings studied, and by clarifying the extent to which cultural values in various public organisations have been (or have not been) altered because of the market-driven type of reform developed in Anglo-Saxon countries. The research highlights the persistence of the clan-oriented culture and its deep-seated roots, which humanise bureaucratic structures, on the one hand, and the perseverance of seniority, and dependent relationship-based local norms, which represent potential explanations for the limited outcomes of the reform, on the other hand.
Relationships at work are a crucial feature for the well-being of people in organizations. For th... more Relationships at work are a crucial feature for the well-being of people in organizations. For this reason we want to contribute to advancing knowledge on factors enhancing the positive experience ...
Human Relations
Why do social entrepreneurs retain their faith in social entrepreneurship despite the organizatio... more Why do social entrepreneurs retain their faith in social entrepreneurship despite the organizational tensions and anxieties inherent to this field of practice? In this article, we employ the psychoanalytic concept of fantasy to advance knowledge on social enterprise creation. The research analyses qualitative data relating to the adoption of the Community Interest Company, a bespoke organizational form for social enterprise. We argue that social entrepreneurs adopt a specific organizational form because it represents a fantasmatic object that supports their desire for pro-social work. This fantasmatic form appears to temporarily neutralize tensions and anxieties while preserving attachments to pro-social ideals. Our first contribution is to extant research on the role of fantasy in social enterprise. Specifically, we elucidate how social enterprise creation is riven with fantasy-laden attachments to ideals of pro-social work that promise to counteract concerns about future viability...
International Journal of Health Policy and Management, 2013
Patient and user choice are at the forefront of the debate on the future direction of health and ... more Patient and user choice are at the forefront of the debate on the future direction of health and public services provision in many industrialized countries in Europe and elsewhere. It is used both, as a means to achieve desired policy goals in public health care systems such as greater efficiency and improved quality of care, and as a good with its own intrinsic value. However, the evidence suggests that its impact on efficiency and quality is at best a very limited while it might have negative consequences on equity because the pre-existing inequalities of income and education could influence patients' access to information and, consequently, choices. The paper attempts to introduce multidisciplinary frameworks to account for the social and cultural factors guiding patients' choices and to explain the rationale, processes and outcomes of decision making in health care.
International journal of health policy and management, 2013
Purpose-This paper aims to employ the concept of subjectivity taken from Lacanian psychoanalysis ... more Purpose-This paper aims to employ the concept of subjectivity taken from Lacanian psychoanalysis and Slavoj Ž ižek's idea of the law, enabled via its "inherent transgression", to critique the premises of neolibertarian theory about the market's superior ways of organizing society. Design/methodology/approach-An alternative conceptual framework is being developed and applied to the analysis of the transition from a planned to a market economy in former socialist countries using the example of informal payments in the health system in Russia. The proposed schema builds on the idea of the subject eternally divided between the imaginary conceptions of the self/the other, and the socio-symbolic order, which is offered to theorize on the role of phantasy in this transformation. Findings-The applied (psycho)-analytic schema reveals why the totalizing discourse of the market is no less tyrannical and no less totalitarian in its intent than the socialist ideology it opposes. The central argument is how dominant ideologies are made of, and stand for, an unattainable phantasy, as it was demonstrated in both socialism and the market. Originality/value-By re-engaging psychoanalysis to understand social and political projects and by unearthing the imaginary underpinnings of the symbolic order, the study argues for considering the phantasmatic dimensions of political and organizational transformations in management studies.
Health Policy and Planning, 2012
The question of how priority setting processes work remains topical, contentious and political in... more The question of how priority setting processes work remains topical, contentious and political in every health system across the globe. It is particularly acute in the context of developing countries because of the mismatch between needs and resources, which is often compounded by an underdeveloped capacity for decision making and weak institutional infrastructures. Yet there is limited research into how the process of setting and implementing health priorities works in developing countries. This study aims to address this gap by examining how a national priority setting programme works in the centralized health system of Iran and what factors influence its implementation at the meso and micro levels. We used a qualitative case study approach, incorporating mixed methods: in-depth interviews at three levels and a textual analysis of policy documents. The data analysis showed that the process of priority setting is non-systematic, there is little transparency as to how specific priorities are decided, and the decisions made are separated from their implementation. This is due to the highly centralized system, whereby health priorities are set at the macro level without involving meso or micro local levels or any representative of the public. Furthermore, the two main benefit packages are decided by different bodies (Ministry of Health and Medical Education and Ministry of Welfare and Social Security) and there is no co-ordination between them. The process is also heavily influenced by political pressure exerted by various groups, mostly medical professionals who attempt to control priority setting in accordance with their interests. Finally, there are many weaknesses in the implementation of priorities, resulting in a growing gap between rural and urban areas in terms of access to health services.
Working Life and Gender Inequality
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Papers by Marianna Fotaki