Historical and cross-cultural data call into question the concept of profession as formulated by British and American sociologists. A common underlying theme, however, is the monopolization of esoteric knowledge as a basis for professional authority. Because of the rapid proliferation of knowledge and technology, Daniel Bell has forecast a professionalized society, in which knowledge will be a source of power. This paper projects an alternative hypothesis based on several societal trends, using medicine as the prototypical profession and providing some cross-cultural evidence. These trends include an erosion of the knowledge monopoly as a result of rising levels of public schooling and sophistication and specific patient education, as well as computerization—which changes accessibility patterns—and new divisions of labor, which disseminate practice skills and information more widely. The consequences are decline of trust in professional decisions and diminution of professional power and authority over clients. Ideological challenges to professional status accompany these developments, which coverge to suggest a deprofessionalized future.
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