The Managed Heart Revisited: Health and Social Control

Abstract

In this paper I investigate emotional labour in the field of nursing. I show how new ideologies of health promotion have become attached to the prior agenda and already-embedded relationships which structure health provision. Beginning with an outline of health promotion principles and policies the paper goes on to trace how the radical dimensions of health promotion philosophies are subverted in practice by discussing data from a research project into nursing roles in health promotion. I present the data to show how nursing's focus on relationships and relationship skills create divisions of knowledge and information between ‘expert’ discourses located in the institutions of health provision and the everyday agenda of the populations using their services. In the final section of the paper I argue that a focus on the deployment of emotion work in specific social and institutional contexts provides a perspective on emotions as resources that are consciously drawn upon by actors in order to achieve socio-cultural and wider political ends.