This paper sets out to delve into the relationship trust and professional authority in the context of health care. Understood in its micro-political terms and conceived as impacting on individual organisational levels and the socio-political; this relationship stands at the interface of competing pressures working to produce the increasing complexity of social life. “Trust” is inextricably linked with uncertainty and complexity while professional authority rests on the specialist knowledge claimed by the range of experts and technologists that inhabit the spaces through which social life is governed and complexity managed.
Drawing from interviews and ethnographic research, evidence is provided to suggest a sense of "anxiety" and "regret" amongst state social workers and case managers working on the "front-line" within local authority social service departments. There have been a number of theoretical approaches that have attempted to ground the concept of "power" to understand organizational practice though Foucauldian insights have been most captivating in illuminating power relations and subject positioning. In order to theoretically interrogate the relationship between social theory and professional power, we draw from the neo-Foucauldian work of American Social Philosopher Judith Butler-especially regarding Butler's (1990, 1993 and 1998) powerful work on "performativity" and its relationship to social work. We also attempt to examine the "distances" between the social work role and social workers narratives through an examination of notions of "anxiety" and "regret" in the face of the professionalisation of state social work.
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