State and professions : a study of lawyers and doctors in reform China
Abstract
This dissertation adopts an institutionalist paradigm to examme the
relationship between the state and the lawyers and doctors in reform China. It seeks
to explain the two professions' differing courses of professionalization in terms of
their evolving relationship with the state over the past two decades by looking at the
macro, meso, and micro institutional environments in which lawyers and doctors are
located in the reform era. It argues that there is no linear relationship between
economic development and professional development. The favorable conditions
opened up for the professions at the macro level are essentially mediated by the
different constellations of state interests at the meso level. As a result of the
historical past in the legal and medical sectors, the state imposed differing logics in
the institutionalization of law and medicine in the reform era. This shaped concrete
reform polices at the micro level, particularly in the arenas of education and
professional practice, and this in tum presented different institutional opportunities
and constraints for lawyers and doctors to act upon and different niches from within
which they could gain different senses of being a "profession". The dissertation
argues that professionalization in China must be understood in such an interlocking
institutional complexity, and that the interests and actions of actors, including both
the state and professions, must be interpreted in terms of their institutional
embeddedness.
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