Freidson also discusses various predictions about the future of the professions, pointing out that virtually all of them have mistaken practitioners for the profession as a whole and ignored members who generate new knowledge, set and implement policy, and communicate with the public through the media. He predicts a reorganization of the professions in which practitioners lose some of their independence and become accountable to standards established and administered by a professional elite.
In contemplating the political, economic, and ideological forces that exert enormous pressure on the professions today, Freidson departs from most writers by defending professionalism as a desirable method of providing complex, discretionary services to the public. He holds that market–based or bureaucratic methods would impoverish the quality of service to consumers and suggests how the virtues of professionalism can be reinforced. This book will appeal to the growing international body of historians, political scientists, sociologists, and policy analysts who are concerned with studying and theorizing about the professions.
Part I: Clarifying the Concepts.
1. The Theory of the Professions: State of the Art.
2. How Dominant are the Professions?.
Part II: Elements of a Theory of Professionalism.
3. The Division of Labor as Social Interaction.
4. Professions and the Occupational Principle.
5. Occupational Autonomy and Labor Market Shelters.
Part III: Prophesying the Future of Professions.
6. Professionalization and the Organization of Middle–Class Labor in Post–Industrial Society.
7. The Futures of Professionalization.
8. The Changing Nature of Professional Control.
Part IV: Choosing Professionalism as Social Policy. .
9. Are Professions Necessary?.
10. Profession as Model and Ideology.
11. The Centrality of Professionalism to Health Care Policy.
12. Nourishing Professionalism.