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A liminal duality of expert authority: the perpetuation of hierarchical authority in UK surgical teams contrary to a national collective leadership policy

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  • Rosell, Tracey

Abstract

This article examines a process which demonstrates institutional liminality. It was initiated by the implementation of a national policy. The policy was intended to reduce personnel's use of hierarchical authority and to encourage greater use of collective authority. The findings show that process, alongside other influences, contradictorily results in preserving personnel's reliance on hierarchical expert authority. This produces liminality in clinical experts' authoritative state.

Suggested Citation

  • Rosell, Tracey, 2025. "A liminal duality of expert authority: the perpetuation of hierarchical authority in UK surgical teams contrary to a national collective leadership policy," Social Science & Medicine, Elsevier, vol. 382(C).
    • Handle: RePEc:eee:socmed:v:382:y:2025:i:c:s0277953625007130
    DOI: 10.1016/j.socscimed.2025.118382
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