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The study explores the process of boundary demarcation within hospital settings by examining a new phenomenon in modern medicine: collaboration between alternative and biomedical practitioners (primarily physicians) working together in biomedical settings. The study uses qualitative methods to examine the nature of this collaboration by calling attention to the ways in which the biomedical profession manages to secure its boundaries and to protect its hard-core professional knowledge. It identifies the processes of exclusion and marginalization as the main mechanisms by which symbolic boundaries are marked daily in the professional field. These processes enable the biomedical profession to contain its competitors and at the same time to avoid overt confrontations and mitigate potential tensions between the two medical systems.

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Sociologists and other social scientists have recently renewed their interest in the concept of trust. Multidisciplinary studies have identified social psychological, economic, and structural determinants of trust; traced its development in interpersonal relationships; and explored its transformation in response to modernization. Drawing on ethnographic research at a multinational corporation operating in a politically charged environment, we reexamine these approaches to trust. We explore trust relations between Israeli and Jordanian managers in an Israeli-Jordanian industrial site. Trust, always tenuous in multinational collaboration, poses formidable challenges to this fragile relationship between former enemies. Comparing trust relations during normalization and political unrest provides a natural experiment for observing how forms of trust change in response to a transformed political environment. We show how Jordanians and Israelis apply different forms of trust alternately and interchangeably, transcending cultural dichotomies such as tradition and modernity and deviating from presupposed developmental paths. Following practice theory, our “trust repertoires” approach depicts actors as knowledgeable agents who select, compose, and apply different forms of trust as part of their cultural repertoires. By applying forms of trust, actors demarcate the boundaries of their social relationships. At the same time, actors' strategies are inextricably intertwined with the power structure and political context. In the conclusion, we consider the implications of this analysis for control and coordination in the workplace, including labor process theories.

In this article, the authors address the boundaries of institutional structures, the dynamics of their configuration, and the nature of their permeability. The authors explored these issues in Israel, where the changing relationship of bio- and alternative medicine elucidates recent processes of professional boundary redefinition. They used qualitative methods to analyze in-depth interviews in clinics and hospitals where alternative and biomedical practitioners work under the formal auspices of publicly sponsored biomedical organizations. The findings show an incursion by alternative practitioners into territories viewed until fairly recently as the exclusive domain of biomedicine. However, the "alternatives" are not defined as regular staff members, and their marginality is elucidated by a variety of visible structural, symbolic, and geographical cues. The authors used decoupling theory in interpreting the findings. Changed boundary contours signal underlying processes of social change that could have meaningful implications in defining membership criteria in the biomedical community.