This study generates new understandings of how institutionalization of organizations comes about and contributes fresh insight to the area of social welfare policies.

Mikael Holmqvist is an associate professor in organization theory at the School of Business, Stockholm University.

1. Problems of Institutionalization 2. Management 3. Medicalization 4. Samhall of Sweden 5. Recruitment 6. Development 7. Transition 8. Medicalizing Management: Diagnosis 9. Medicalizing Management: Treatment 10. Enacting the Welfare Disabled Client 11. Conclusions