I don't know Latours work, so I will be off to read this, however I did infer
there was a concern over the power dimensions, micro and indeed macro as i
would see it within the clinical micro and macrosystems. Neither can be
disconnected from the other as there is a diffusion between the micro and macro
dimensions. 

The issue is that alteration of the power within the different temporal spaces
within the systems (I see them as 3 dimensional) suggests that any change will
casue a shift and movement of power. The issue then arises  of how this happens
withou the potenital power space being 'owned' by another perspective. It is
the tension between the micr and macro dimensions that offer a degree of
equilibrium. I have no idea how that is achieved without consensus and many
many conversations...is there time for these? 

Quoting Ceri Brown <[log in to unmask]>:

> In a message dated 25/05/2004 12:04:26 GMT Daylight Time, 
> [log in to unmask] writes:
> 
> > (2) Even Foucault when writes about “regimes of truth” and “
> > epistemic/knowledge regimes”, he argues that the institutional practices
> result from the 
> > local “micro-physics” of power.  This may be a useful perspective from
> which 
> > to explore the contemporary practice of the NHS since each of the localized
> 
> > interactions do not just happen in a contextual vacuum; they have a
> history.  
> > (3) And as such, have perpetual openings for alternative activities.
> > 
> >   
> > 
> > (1) Where I strongly disagree with you is that you claim creativity should
> 
> > be compartmentlized into an alternative activity to regularity.  
> > 
> > 
> 
> 1. Not my original claim, but inferred from Anita.
> 
> 2. So, to alter institutional practices, the effective thing to do is alter 
> the microphysics of power in the 'clinical microsystem.'
> 
> 3. Be aware that Latour has also said that power is an effect, not a cause, 
> of actions. Alter the microphysics and you can alter the power.
> 
> Uncertainty, in Spades!!
> 
> Ceri
>