This article considers the moral notion of care in the context of Quality of Care discourses. Whilst care has clear normative implications for the delivery of health care it is less clear how Quality of Care, something that is centrally involved in the governance of UK health care, relates to practice.

This article locates Bourdieu’s sociology within the lasting controversy concerning the nature of causal explanation and interpretative understanding in the social sciences, with a special focus on the classical problem surrounding the alleged compatibility between these procedures. First, it is argued that Bourdieu’s praxeological and relational perspective on the social universe leads him not only to join the ‘compatibility field’ of the debate, but to sustain, more radically, the identity between explanation and understanding. Second, the article defends the view that (...) this methodological proposal is tied to a distinction often ignored among the commentators of Bourdieu’s oeuvre, namely that between objectivism, a mode of knowledge of the social which he intends to integrate and overcome in his structural praxeology, and determinism, adopted by the author as a fundamental scientific principle and, at the same time, a potentially emancipatory ethico-political tool bequeathed by his reflexive sociology. While basically sympathetic to Bourdieu’s perspective, the article concludes in a more critical vein, by defending the need to bridge the gap between the ‘pessimism of the intellect’ that marks his portrayal of the reflexive capabilities of the lay agent, on the one hand, and the ‘optimism of the will’ infused in the critical program of reflexive sociology, on the other. (shrink)