RE: Foucault and Clinical Audit

Having been an internal auditor for about 10 years I recognise this
discussion as an amusing reversal of gaze. It is not the
profession/institution's power over the individual, but the individual's
power over the profession/instituion. In fact, the great challenge for
internal auditors is not to be corrupted by the power that flows through
them in the course of an audit.

This all needs much more thought on my part. I am annoyed at myself for not
thinking of this!

Lionel Boxer CD PhD MBA - 0411267256 - lboxer@xxxxxxxxxxx
Attend MAAOE 03 --- Melbourne --- 20-22 Oct 03 --
In 1976 Michale Foucualt said: ... terrorism ... has a totally opposite
effect which is to make the bourgeois class even more closely attached to
its ideology ... (original in French) 'Le Savoir Comme Crime'

>From: "Hennon, Lisa" <hennon@xxxxxxxxxxx>
>Reply-To: foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx
>To: <foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx>
>Subject: RE: Foucault and Clinical Audit
>Date: Thu, 25 Sep 2003 12:22:02 -0400
>Yes, indeed, Foucault's work lends itself to an analysis of the current
>technique of the audit. How exciting that you are taking up this question!
> I am sure there are many scholars working on this issue, but the one who
>comes to my mind is Nikolas Rose, especially in his book _Powers of
>Freedom: Reframing political thought_(1999).
>-----Original Message-----
>From: claudius [mailto:claudius.laumanns@xxxxxx]
>Sent: Thursday, September 25, 2003 11:17 AM
>To: foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx
>Subject: RE: Foucault and Clinical Audit
>I am afraid one could explain the audit with Foucault as governing the
>healthcare system. He definitly liked radical anti- medical movements
>and tried to support them with his early work. (says Lembke)
>I think never gave any direct suggestions how to improve institutions,
>it would have been a contradiction to his critic of universal
>But he mentiones some features of architecture and methods of gaining
>Data. So I suggest (with Foucault) to avoid organizing the health care
>system after these principles. (and not to develope worse, i think the
>crucial point is to avoid changing the life of the sick.)
>-----Original Message-----
>From: owner-foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx
>[mailto:owner-foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx] On Behalf Of max
>Sent: Thursday, September 25, 2003 1:02 PM
>To: foucault@xxxxxxxxxxxxxxxxxxxxxxxxxx
>Subject: Foucault and Clinical Audit
>I am currently preparing to carry out some kind of audit of the
>healthcare setting I am training in. The idea is to look at quality of
>care delivered
>compared with national benchmarks. I am interested in how much Foucault
>would have seen this as aiming to improve patient experience - it's
>ostensible aim, and how much it would be seen as a tool of panoptical
>'institutional gaze'. Any thoughts, or good references?
>How pleasant
>Just once not to see
>Fuji through mist. (Basho)

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