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                   258               THE ISA HANDBOOK IN CONTEMPORARY SOCIOLOGY


                   kind one finds in care, exposes givers to the  when it goes wrong.  The product itself is
                   danger of ‘patronage and exploitation’, of  invisible. The value of the labour is only rec-
                   personal dependency on the recipient. ‘As  ognized in negative forms, in disorder, rather
                   structures of action, one is concerned with  than in its positive form of “adjustment”’
                   maintaining the value of a timeless human  (James, 1989: 28). Looking after others’
                   commitment; the other, that of a more   bodies and emotions has traditionally been
                   ephemeral autonomy’ (Graeber, 2001: 225).  regarded as ‘women’s work’ and, as such, as
                     In the health care professions, curative  ‘natural’. In fact, this is so much the case that
                   activities (e.g., surgery) were traditionally  it has often not been seen as work at all and
                   identified as male while caring activities  certainly not as something on which one
                   were regarded as female. Curative acts are  would put a price (Hochschild, 1983: 163,
                   punctual and often singular events. They lend  165; James, 1989).
                   themselves to closed relationships of gift or  Different aspects of care have been
                   commodity exchange, and indeed to compet-  abstracted from each other and made to
                   itive displays of power, skill or wealth. (I  appear quite independent of the other aspects.
                   recall my endodontist some years ago calling  Professionals perform work which involves
                   his colleague into the room to boast of the  specialized knowledge and technical skills.
                   difficult root-canal operation he had just   Other tasks are left to poorly paid, unregulated
                   conducted on my tooth and to bask in the  workers, disproportionately women of colour,
                   ensuing praise and admiration.) Caring acts,  often immigrants. Some professionals, who
                   by contrast, are fluid and plural, in constant  have been engaged in a decades-long struggle
                   need of repetition (James, 1989; Neysmith,  for increasing status, recognition and auton-
                   1998;  Twigg, 2000), entail open-ended  omy, seek to dissociate themselves from such
                   giving, and are prone to lead to patterns of  subaltern tasks. In fact, the emotional labour
                   dependency.                             that is thought to be an unskilled and sponta-
                     Not only are the vast majority of those  neous extension of women’s nature is subtle
                   who occupy caring (as opposed to curing)  and demanding, requiring not only reserves of
                   profession’s women, but the perception and  patience, empathy and tact, but powers of psy-
                   response to caregiving varies as a function of  chological analysis. Emotional labour is not
                   the gendered construction of each profes-  easily quantified, is difficult to account for, is
                   sional category (care by physicians and  often regarded as an unskilled activity accom-
                   nurses is not perceived in the same light)  plished by people of a lower social status, and
                   (Twigg, 2000) and as a function of whether it  can expose its practitioners to the risk of
                   is occupied by a man or a woman (patients  dependency; body work is associated with
                   and other professionals may not relate the  dirt, waste and decay (Twigg, 2000).  The
                   same way to a male or female physician or  social division of care work, and thus the dif-
                   surgeon, for example) (Molinier, 2003).  ferent constructions of the nature of care, are
                   More broadly, men’s and women’s respective  key issues in the competition between profes-
                   relations to caring, in its physical, emotional  sions for status, salaries and power.
                   and intellectual aspects, are differently con-  In a context of ‘lean production’, non-
                   structed, as are (correlatively) their respec-  standardizable tasks, such as emotion work,
                   tive relations to giving. Where men’s giving  still need to be done – only they often have to
                   and caring may be the object of praise as the  be done on the side, because they are no
                   manifestation of virtue, women’s caring and  longer considered ‘value-added’ and are
                   giving is more likely to be reified as an  therefore no longer remunerated, or because
                   expression of women’s nature, and as such is  increasingly rationed time makes them more
                   more likely to be socially invisible.   and more difficult to accomplish.  Workers
                   ‘Emotional labor is recognized not when the  continue to perform them as ‘extras’, as gifts
                   outcome is right, but on those occasions  – transforming ‘labour’ into ‘work’ – and are
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