These attitudes contrast rather sharply with those of administrative middle-managers, whose major concern appears to be operational cost-effectiveness - even at the price of lowered quality therapeutic standards, and who express understanding if not total acquiescence of the operational changes.
With a view to testing these propositions, the researcher planned a survey of administrative middle-managers, direct-delivery healthcare professionals, and patients. These propositions were adopted as the hypotheses to be tested.
The survey - the micro-analytical analysis in social change, was conducted within the perspective of symbolic interactionist and dramaturgical theories of sociology. The choice of perspective was dictated in part by the advantage of the researcher's hierarchical and functional position as an Asylum's employee. Indeed, he was able to observe group and personal interactions at the micro-level as they seemed to reflect operational changes; moreover, he obtained authorization from top management and the ready collaboration of staff members to carry out systematic observations and individual interviews. The other reason for the particular strategic approach was that reality reconstructionists (including symbolic interactionists) describe social dynamics as insiders, rathe