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Public Problems
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return for this boon to human welfare, the angel demanded that
every year 5,000 Americans be put to death on the steps of the
Capitol. Having posed the question, the philosopher then asked the
class what answer should be given to the angel. After the ethical
dilemma had been discussed for some time, the professor pointed
out that every year many more than 5,000 were killed in
automobile accidents in the United States.
At the outset I have had the problem of naming the problem. To talk
about the "drinking-driving problem" is already to assume the character
of the phenomenon (automobile safety) and to define it as having such
and such a shape. Human problems do not spring up, full-blown and
announced, into the consciousness of bystanders. Even to recognize a
situation as painful requires a system for categorizing and defining
events. All situations that are experienced by people as painful do not
become matters of public activity and targets for public action. Neither
are they given the same meaning at all times and by all peoples. "Objec-
tive" conditions are seldom so compelling and so clear in their form that
they spontaneously generate a "true" consciousness. Those committed to
one or another solution to a public problem see its genesis in the neces-
sary consequences of events and processes; those in opposition often
point to "agitators" who impose one or another definition of reality.
The existence of a "drinking-driving problem" is the result of a procedure
by which the automobile and fatalities have been construed as a
problem of societal concern, to be acted upon by public officials and
agencies. Alcohol has already been perceived as important in the genesis
of such fatalities and accorded an importance as a target in the resolution
of the problem. That target character is not a given, is not in the nature of
reality as a Ding an sich (a thing in itself), but represents a selective
process from among a multiplicity of possible and potential realities
which can be seen as affecting auto fatalities and injuries. Before the
nineteenth century drinking and drunkenness were seldom used to ac-
count for accidents or crime (H. G. Levine 1978). The problematic
character of the "drinking-driving problem" is the first concern of the
sociologist interested in understanding the character of public problems.
He must account for its status as a matter of public concern rather than
accept it as given in the nature of things.
The sociologist has come to recognize that many human situations and
problems have histories; they have not always been construed and rec-
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ognized as they are today or will be in the future. What is now labeled
and seen as "mental disorder" has a history in which the same behavior
was accorded different statuses in different historical periods, and some-
times seen as valued, sometimes as condemned and irremediable. Its
present place in the spectrum of medical "illnesses" is another way of
talking about it. Recent criticisms of the concept of "mental illness" have
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built upon this theme of its historical diversity (Rosen 1968; Foucault
1965; Rothman 1971). The same has occurred with the phenomenon now
labeled in American society as "poverty." At some periods in Western
history, the poor were objects of reverence; at others they were the
objects of condemnation. In the 1950s the issue of poverty was a minor
one in American public consciousness. In the 1960s, with little changed
in the levels and distribution of income, it became a significant part of
public actions. Where poverty had once been a term for a margin below
which incomes fell it has become instead primarily a matter of the dis-
tribution of income; a question of equality rather than penury (Matza
1966; Bell 1972).
It is then a major effort of this essay to illuminate the process by which
the association between alcohol and driving has come to be a public
problem. In this we follow the advice of Malcolm Spector and John
Kitsuse (1973): "the process by which members of groups or societies
define a putative condition as a problem—is the distinctive subject matter
of the sociology of social problems." 1 Pressed to the wall to solve the
problem of drinking-driving I can only shout "Why do you ask?"
Some years ago I passed a movie marquee with the title Marriage Is a
Private Affair. And so it is in American life today. Much attention, time,
and money are devoted to problems of marital relationships. Divorces are
daily lamented, accepted, or exulted over in public communications, but
the situations, perceived as painful or problematic or even immoral, do
not result in public actions to assure their resolutions. Marital happiness,
parent-child satisfactions, sexual frustration, unrequited love,
disappointment in friendships are among the most keenly felt of human
experiences and their joys and sorrows the occasions for some of the
deepest and most profound aspirations. Yet no public agency exists to
provide for their quick or beneficent satisfaction. Only in musical com-
edies do political parties campaign on platforms that promise to bring
everyone love and sexual fulfillment.
It is useful to distinguish public problems from private ones. That is
why I prefer the term "public problems" to that of "social problems." All
social problems do not necessarily become public ones. They do not
become matters of conflict or controversy in the arenas of public action.
They do not eventuate in agencies to secure or in movements to work for
their resolution. Whether or not situations should be public problems is
itself often a major issue. The abortion question is today a source of great
and bitter political conflict in the United States. It poses the question as to
the place of public authority in accepting responsibility for providing
sanction to private abortions and entitling citizens to facilities for
achieving abortions. It is not straining the imagination to perceive a
somewhat similar destiny in store for sexual pleasure. In the past decade
sexual dissatisfaction has become the source of a new, growing occupation
—sexual therapist. I can imagine in the next quarter-century the
movement to define sexual disappointment as illness and a governmental
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other ways of "seeing" the phenomenon, other resources that might have
been explored as solutions to the problem. The definition of the problem,
which participants to the process took for granted, was to me
problematic. This situation became something that required my ex-
planation and understanding. An alternative consciousness was possible,
and it seemed the task of this sociologist to develop it and to understand
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literature and a set of programs and movements since the mid-1960s that
had done exactly that (cf. chapter 2, below).
Causal imputation in itself, of course, is ambiguous and open to multiple
attributions and imputations. The absence of alternative modes of
transportation is logically as much a cause of drinking-driving as is the
use of alcohol. To see public problems as the application of values to an
objective set of conditions puts the car in front of the motorist. The
conditions are themselves part and parcel of the process through which
problems are attacked. There was a structure of thought and action, of
institutions and groups within which the problem was contained and
alternatives were excluded.
The idea of structure implies an orderliness to things. Ideas have
structure insofar as they follow from generalized rules of thought. Be-
havior has structure when it, too, is orderly. Analyzing public problems
as structured means finding the conceptual and institutional orderliness in
which they emerge in the public arena. The public arena is not a field on
which all can play on equal terms; some have greater access than others
and greater power and ability to shape the definition of public issues. Nor
do all ideas have public problems as their consequences.
The social construction of public problems implies a historical dimen-
sion. The same "objective" condition may be defined as a problem in one
time period, not in another. But there is more to the analysis of public
issues than the idea of historicity. As my experience with the initial study
suggested, there is a pattern to how issues and problems arise, emerge,
and evidence a structure. At any specific moment, all possible parties to
the issue do not have equal abilities to influence the public; they do not
oossess the same degree or kind of authority to be legitimate sources of
definition of the reality of the problem, or to assume legitimate power to
regulate, control, and innovate solutions. To describe the structure of
public problems is to describe the ordered way in which ideas and ac-
tivities emerge in the public arena.
The concept of "structure" lends itself too much to a distorted sense of
public events as having a fixed, permanent, unchanging character. I do
not want to convey that interpretation. At any moment the "structure"
itself may be fought over as groups attempt to effect the definitions of
problems and authority to affect them. At any moment the structure is
itself problematic in its implementation. Structure is process frozen in
time as orderliness. It is a conceptual tool with which to try to make that
process understandable. What is important to my thought here is that all
is not situational; ideas and events are contained in an imprecise and
changing container.4
Cognitive and Moral Judgments
As ideas and consciousness public problems have a structure which in-
volves both a cognitive and a moral dimension. The cognitive side con-
sists in beliefs about the facticity of the situation and events comprising
the problem—our theories and empirical beliefs about poverty, mental
disorder, alcoholism, and so forth. The moral side is that which enables
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health, that the patient should want to be well. Someone who elects to
continue an unhealthy occupation because of the value of its rewards may
decide, however, that illness is preferable to health. Issues of equality, of
justice, of economy all involve judgments of goodness, badness, and
morality.
But events and situations are also cognitively assessed. A world of fact is
posited. Crime may be seen as a result of broken homes, poverty,
genetics, community disorganization, or any number and type of vari-
ables. Significantly there are beliefs about the alterability of phenomena.
They are, but need not be. The aging process is seen as physiologically
painful and unwelcome in contemporary societies, but it also is seen as
inevitable and unalterable. Inequality between races is also seen by many
as painful and unwelcome but believed to be alterable. In that is its status
as a problem.
"Without both a cognitive belief in alterability and a moral judgment of
its character, a phenomenon is not at issue, not a problem. In recent years
biologists have begun to take the aging process as potentially alterable
and have begun to study it. It may become a problem and the reality of
aging itself a center of public controversy. At present it is not. The reality
of a problem is often expanded or contracted in scope as cognitive or
moral judgment shifts. The composition of the criminal has been open to
considerable argument over such phenomena as "war crime," "white
collar crime," "victimless crime," and "juvenile delinquency" (Quinney
1971; Cressey 1953; Plan 1969; Schur 1965).
They are looked at and reported to by others anxious for definitions and
solutions to the problem. They possess authority in the field. Even if
opposed by other groups, they are among those who can gain the public
ear. Thus the American Psychiatric Association has been the owner of
the problem of homosexuality, and their support or opposition to the
definition of homosexuality as a psychiatric problem has been
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significant.
What the Chamber of Commerce does about homosexuality is far less
significant in its influence on others.5
Different groups and institutions have authority and influence for dif-
ferent problems and at different times. The orbit in which religion has
control over health has greatly diminished while that of medicine has
expanded in Western countries. At one stage in the history of the social
organization of health, ecclesiastical authorities possessed great power
and influence; today they do not.
The history of the control of alcohol problems illustrates the concept of
ownership in an area central to this study. During the nineteenth and
early twentieth centuries in the United States, the Protestant churches
wielded a heavy club over alcohol problems, providing by themselves, or
through allied organizations, much of the public, persuasional material on
temperance and Prohibition. When they defined the legitimate cognitive
and moral approaches toward alcohol use, many listened. The churches,
the Woman's Christian Temperance Union, the Anti-Saloon League all
acted to place and keep alcohol high on the public agenda.
The churches came to "own" the problem of drinking in American
society. They set the pace and much of the framework of the debates,
Other possible sources of competing ownership were absent. The medical
profession was poorly organized and unable to gain a loud voice in
suggesting alternative perceptions of the problems of drinking and
drunkenness. The same was true of the universities. They were far from
autonomous from religious influences. The sciences were less well orga-
nized and equipped to play a role in public affairs than at present. The
effort of the Committee of Fifty, a group of private citizens, to be arbiters
of fact in the area was short-lived. Government was less the initiator than
the recipient of alcohol policies.
With Repeal, the authority of the churches to be judges of public tastes
was "disowned." Whatever the desires and attempts of temperance and
Prohibitionist organizations, theirs was no longer the authoritative voice.
Their pronouncements no longer commanded attention but were the "kiss
of death" for proponents of alcohol control policies. Ownership passed to
the universities, the medical profession, and the problem drinkers
themselves. In recent years government has entered the field as federal
agencies have been charged with solving alcohol problems (Room 1979).
Disowning Public Problems
Some groups, institutions, and agencies are interested in defining, affect-
ing, and solving public problems. Others may be especially interested in
avoiding the obligation to be involved in the problem creating or problem
solving process. They deliberately seek to resist claims that the phenome-
non is their problem. For much of the active period of the temperance
and Prohibition movements the liquor and beer industries made little
effort to counter temperance assertions, took little notice of the issue, and
derogated the importance of alcohol as a cause of suffering, crime, or
other public woes. Today theirs is a similar, though unstated, aloofness
from attempts to provide definitions or solutions to the problems as-
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and later failed to fix responsibility for solution on the beer and liquor
industries. Government and law intervened but not as solvers of the
problem. The definition of alcohol problems, their cause, and their cure
were given by the programs of the movement.7
The unique position of the state makes it a key figure in fixing re-
sponsibility. In some historical periods and for some issues it may be a
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people.
Kenneth Burke, the literary critic who has been the seminal figure of
dramaturgy, has taught us to be attentive to the language of metaphors
by which phenomena are presented, and in this study I am concerned
with knowledge, law, medicine, and technology as cultural patterns, as
metaphors by which a reality is presented. 12 This method of analysis is
itself dependent on a metaphor, that of the theater. To see public actions
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that final, most stubborn illusion that bedevils realists—the illusion that
they were free from illusions" (Gay 1966, p. 27).
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