This study examines how professionals contend with threats to self-regulation from social movements outside the profession by providing an analysis of rule development by the Washington State Board of Pharmacy. A case study method using interviews, observations, and content analysis examines how pharmacists and pro-choice groups affected a “pharmacists’ responsibility” rule dictating whether pharmacists can refuse to dispense medications they morally oppose. Findings suggest that movements can influence rulemaking by framing professional responsibilities and enlisting allies, thereby turning a relatively closed process of self-regulation into a contentious one, resulting in a settlement that favors the movement over the profession.
AbbottA. D. (1988). The system of professions: An essay on the division of expert labor. Chicago: University of Chicago Press.
2.
AlkhateebF.UnniE.LatifD.ShawaqfehM.Al-RousanR. (2009). Physician attitudes toward collaborative agreements with pharmacists and their expectations of community pharmacists’ responsibilities in West Virginia. Journal of the American Pharmacists Association, 49, 797-800.
3.
American Society of Health-System Pharmacists. (1999). ASHP statement on pharmacist’s decision-making on assisted suicide. American Journal of Health-System Pharmacy, 56, 1661-1664. Retrieved from http://www.ashp.org/DocLibrary/BestPractices/EthicsStSuicide.aspx
CohenH. S. (1973). Licensure, organizational behavior, and the public interest. Milbank Memorial Fund Quarterly, 51, 73-88.
13.
CorbinJ. M.StraussA. L. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Los Angeles, CA: SAGE.
14.
CostainA. N. (1981). Representing women: The transition from social movement to interest group. Western Political Quarterly, 34(1), 100-113.
15.
CressD. M.SnowD. A. (2000). The outcomes of homeless mobilization: The influence of organization, disruption, political mediation, and framing. American Journal of Sociology, 105, 1063-1104.
16.
DearloveJ. V.GlantzS. A. (2002). Boards of health as venues for clean indoor air policy making. American Journal of Public Health, 92, 257-265.
17.
DowningD. (2001). Pharmacist prescribing of emergency contraception: The Washington State experience. In Emergency contraception: The pharmacist’s role (APhA special report). Washington, DC: American Pharmaceutical Association.
18.
EpsteinS. (1996). Impure science: AIDS, activism, and the politics of knowledge. Berkeley: University of California Press.
19.
EvansJ. H. (1997). Multi-organizational fields and social movement organization frame content: The religious pro-choice movement. Sociological Inquiry, 67, 451-469.
20.
FerreeM. M.GamsonW. A.GerhardsJ. G.RuchtD. (2002). Shaping abortion discourse : Democracy and the public sphere in Germany and the United States. New York, NY: Cambridge University Press.
21.
FreidsonE. (1970a). Professional dominance: The social structure of medical care. New York, NY: Atherton.
22.
FreidsonE. (1970b). Profession of medicine: A study of the sociology of applied knowledge. New York, NY: Dodd, Mead.
23.
FreidsonE. (1984). The changing nature of professional control. Annual Review of Sociology, 10, 1-20.
24.
FreidsonE. (1986). Professional powers: A study of the institutionalization of formal knowledge. Chicago, IL: University of Chicago Press.
GardnerJ. S.HutchingsJ.FullerT. S.DowningD. (2001). Increasing access to emergency contraception through community pharmacies: Lessons from Washington State. Family Planning Perspectives, 33, 172-175.
27.
GilsonA. M.MaurerM. A.JoransonD. E. (2005). State policy affecting pain management: Recent improvements and the positive impact of regulatory health policies. Health Policy, 74, 192-204.
28.
GregoireC. (2006a, January18). Letter to the Washington State Board of Pharmacy.
29.
GregoireC. (2006b, May30). Letter to the Washington State Board of Pharmacy.
30.
GregoireC. (2006c, June1). Letter to the Washington State Board of Pharmacy.
31.
HughesE. C. (1958). Men and their work. Glencoe, IL: Free Press.
32.
JoffeC. E. (1995). Doctors of conscience: The struggle to provide abortion before and afterRoe v. Wade. Boston, MA: Beacon.
33.
KaneM. D. (2003). Social movement policy success: Decriminalizing state sodomy laws, 1969-1998. Mobilization, 8, 313-334.
34.
KellyC. Y.ClancyC. M. (2009). Pharmacists emerge as key stakeholders in quality, patient safety efforts. Journal of the American Pharmacists Association, 49, 146-150.
35.
KingdonJ. W. (1984). Agendas, alternatives, and public policies. New York, NY: Harper Collins.
36.
KleinE. (1984). Gender politics: From consciousness to mass politics. Cambridge, MA: Harvard University Press.
37.
LarsonM. S. (1977). The rise of professionalism: A sociological analysis. Berkeley: University of California Press.
38.
LipskyM. (1980). Street-level bureaucracy: Dilemmas of the individual in public services. New York, NY: Russell Sage.
39.
LoflandJ.SnowD.AndersonL.LoflandL. H. (2006). Analyzing social settings: A guide to qualitative observation and analysis. Belmont, CA: Wadsworth/Thomson Learning.
40.
LongestB. B. (1994). Health policymaking in the United States. Ann Arbor, MI: AUPHA Press/Health Administration Press.
41.
LoveR. C. (2007). Statute to regulation: A continuum of authority. In BoyleC. J.BeardsleyR. S.HoldfordD. A. (Eds.), Leadership and advocacy for pharmacy (pp. 101-111). Washington, DC: American Pharmacists Association.
42.
LukerK. (1984). Abortion and the politics of motherhood. Berkeley: University of California Press.
43.
McAdamD.ScottW. R. (2005). Organizations and movements. In DavisG. F.McAdamD.ScottW. R.ZaldM. N. (Eds.), Social movements and organization theory (pp. 4-40). New York, NY: Cambridge University Press.
44.
McCammonH. J. (2009). Beyond frame resonance: The argumentative structure and persuasive capacity of twentieth-century U.S. women’s jury-rights frames. Mobilization, 14(1), 45-64.
45.
McCarthyJ. D.ZaldM. N. (1977). Resource mobilization and social movements: A partial theory. American Journal of Sociology, 82, 1212-1241.
46.
MeyerD. S.StaggenborgS. (1996). Movements, countermovements, and the structure of political opportunity. American Journal of Sociology, 101, 1628-1660.
47.
MorrillC.ZaldM. N.RaoH. (2003). Covert political conflict in organizations: Challenges from below. Annual Review of Sociology, 29, 391-415.
PaulsonA. (2005, April8). Culture war hits local pharmacy. Christian Science Monitor, p. 1.
50.
PollettaF.JasperJ. M. (2001). Collective identity and social movements. Annual Review of Sociology, 27, 283-305.
51.
QuadagnoJ.McKelveyJ. B. (2010). The challenge of universal health care: social movements, presidential leadership, and private power. In Banaszak-HollJ. C.LevitskyS. R.ZaldM. N. (Eds.), Social movements and the transformation of American health care (pp. 50-63). New York, NY: Oxford University Press.
52.
RaeburnN. C. (2004). Changing corporate America from inside out. Minneapolis: University of Minnesota Press.
ShimbergB. (1982). Occupational licensing: A public perspective. Princeton, NJ: Center for Occupational and Professional Assessment, Educational Testing Service.
60.
SnowD. A. (2004). Social movements as challenges to authority: Resistance to an emerging conceptual hegemony. Research in Social Movements, Conflicts and Change, 25, 3-25.
61.
SnowD. A.BenfordR. D. (1988). Ideology, frame resonance, and participant mobilization. International Social Movement Research, 1, 197-217.
62.
SnowD. A.RochfordE. B.Jr.WordenS. K.BenfordR. D. (1986). Frame alignment processes, micromobilization, and movement participation. American Sociological Review, 51, 464-481.
63.
SouleS. A. (2004). Going to the chapel? Same-sex marriage bans in the United States, 1973-2000. Social problems, 51, 453-477.
64.
SouleS. A. (2009). Contention and corporate social responsibility. New York, NY: Cambridge University Press.
65.
SouleS. A.McAdamD.McCarthyJ. D.SuY. (1999). Protest events: Cause or consequence of state action? The U.S. Women’s Movement and Federal Congressional Activities, 1956-1979. Mobilization, 4, 239-256.
66.
StarrP. (1982). The social transformation of American medicine. New York, NY: Basic Books.
67.
StrongD. (1999). Professional regulation. In KilpatrickA. O.JohnsonJ. A. (Eds.), Handbook of health administration policy (pp. 51-64). New York, NY: Marcel Dekker.
68.
TarrowS. (1996). States and opportunities: The political structuring of social movements. In McAdamD.McCarthyJ. D.ZaldM. N. (Eds.), Comparative perspectives on social movements (pp. 41-61). Cambridge, MA: Cambridge University Press.
69.
Wade-BenzoniK. A.HoffmanA. J.ThompsonL. L.MooreD. A.GillespieJ. J.BazermanM. H. (2002). Barriers to resolution in ideologically based negotiations: The role of values and institutions. Academy of Management Review, 27(1), 41-57.
Washington State Legislature. (2006). Pharmacists’ professional responsibilities (Washington Administrative Code, WAC 246-863-095). Olympia, WA: Author. Retrieved from http://apps.leg.wa.gov/WAC/default.aspx?cite=246-863-095
WeaverG. R.AgleB. R. (2002). Religiosity and ethical behavior in organizations: A symbolic interactionist perspective. Academy of Management Review, 27(1), 77-97.
74.
WellsE. S.HutchingsJ.GardnerJ. S.WinklerJ. L.FullerT. S.DowningD.ShaferR. (1998). Using pharmacies in Washington State to expand access to emergency contraception. Family Planning Perspectives, 30, 288-290.
75.
ZaldM. N.MorrillC.RaoH. (2005). The impact of social movements on organizations: Environment and responses. In DavisG. F.McAdamD.ScottW. R.ZaldM. N. (Eds.), Social movements and organization theory. New York, NY: Cambridge University Press.
76.
ZussmanR. (1992). Intensive care: Medical ethics and the medical profession. Chicago, IL: University of Chicago Press.
