Organizational necessities force professionals to abandon their trained individualized practice.

Evidence

In addition, the operating necessities of the organization will likely interfere with providing professional services. The example of the court psychiatrist illustrates this familiar observation. Psychiatrists are trained to render highly personalized and individualized services through interaction with clients in a sustained period of consultation and intervention. Yet the court psychiatrist is often placed in the absurd position of having an extremely brief period to diagnose and label people referred by judges anxious to avoid consigning defendants to the harsh and counter-productive penalties of the prison system. Court psychiatrists are chronically misused because the social function of psychiatric referral by judges outweighs protection of the psychiatric milieu. — Michael Lipsky, Street-Level Bureaucracy, 353

Categorization

  • SEED: The court psychiatrist being chronically misused - a trained practitioner whose professional method is destroyed by institutional throughput demands - is a concrete case embodying how role demands outpace professional norms.
  • XREF: connects to: Even preeminent professionals become constrained by rigid organizational rules — Michael Lipsky, Street-Level Bureaucracy: Dilemmas of…, 197; Mass processing demands structurally compromise individualized treatment in public services. — Michael Lipsky, Street-Level Bureaucracy: Dilemmas of…, 356; Work situations structurally erode the individual responsiveness that professional norms demand. — Michael Lipsky, Street-Level Bureaucracy: Dilemmas of…, 1172 (+3 more)

Broader Connections