Areas of interest:

  • philosophy of psychiatry
  • sociology of medicine
  • sociology of the body

MA in sociology from the University of Manchester and the Higher School of Economics, Moscow. Independent researcher.

Participated in urban studies with colleagues from KB 23 and collaborated with the Center for Sociological Research at the Russian Presidential Academy of National Economy and Public Administration (RANEPA). Currently working on a course concerning the sociology of the body first taught at the Faculty of Philosophy and Sociology at the RANEPA in 2018.

Founded and organised the Analytical Reading Club, held regularly at the Higher School of Economics, Moscow. The reading group was founded in 2014, during study at the Faculty of Philosophy and Sociology at the Institute for Social Sciences of RANEPA.

List of academic publications:

Лебедева Н. Д. Феноменология и социология чужого: как связаны ощущение чуждости города и отчуждение людей внутри города // Логос. 2019 (принято к публикации)

Лебедева Н. Д. Почему выдохлась критика праздного класса: реалии практические и дискуссионные // Логос. 2019. № 1 (в печати)

Лебедева Н. Д. От феноменологии тела к изучению форм взаимодействия: социологическое прочтение Г. Шмитца // Социология власти. 2016. № 1. С. 14−34

Ерофеева М. А., Лебедева Н. Д. К вопросу о социологической рефлексии: утопии и симметрия // Социология власти. 2014. № 4. С. 38−57

Лебедева Н. Д. Рецензия на книгу: Эмбри Л. Рефлексивный анализ. Первоначальное введение в феноменологию / Пер. с англ. В. Молчанова. М.: Три квадрата, 2005 // Социология власти. 2014. № 1. С. 256−261

Лебедева Н. Д. Рецензия на книгу: Анкерсмит Ф. Р. Политическая репрезентация / Пер. с англ. А. Глухова. М.: Издательский дом Высшей школы экономики, 2012 // Социология власти. 2012. № 8. С. 183−186

Лебедева Н. Д. Рецензия на книгу: Сеннет Р. Падение публичного человека. М.: Логос, 2002 // Социология власти. 2012. № 6−7 (1). С. 282−287

List of media publications, speeches at conferences and seminars:

Лебедева Н. 12 минут на пациента и 4 часа бумажной работы в день. Как государство пытается оптимизировать психиатрические больницы // Republic, 26.04.2019.

Medicalization of mental disorders in Russia today: social arrangements of diagnosis and clinical observation

Since 2010, the psychiatric system of Moscow and Moscow region has seen a period of intense transformation. The most essential changes are connected to the transfer of state psychiatric help to compulsory medical insurance financing in the framework of a pilot project to «optimize» mental health care, integration of electronic systems into patient care, and, last but not least, global re-profiling of institutions according to the new developmental concept for psychiatric services in Moscow under the pretext of their deinstitutionalisation. These institutional changes raise the question of how exactly directives function within local social orders of psychiatric organizations: how they affect relational structures of medical agents within different organisations, and how they impact the way of handling of psychoneurological centers' professionals with formal and informal rules.

Transformations in psychiatric service in Russia have primarily impacted the traditional system of informal and formal institutional constraints (North, 1990). We define formal rules as written proscriptions, public and obligatory for execution, while formal ones are those not declared openly and concealed from outsiders. The rules also differ in terms of their applicability— they can be either generally known to an entire professional group or to only particular staff members (Radaev, 2001).

Common Particular
Formal laws and other legislation documented business contracts
Informal social norms business arrangements (hidden contracts)

The reorganization of the psychiatric system in Russia has also impacted the relational structures between different medical agents. In the first place, it is connected with increased oversight and control of the medical staff from different supervisory instances. Firstly, the relations are distinguished by their level of indirectness (direct and indirect). Secondly, there are inner and outer relations, that is, inside a particular organization and beyond it. And, third, the nature of relations can be authoritarian or collegial.

The change in the disposition of different medical agents has, in turn, affected governance systems — those mechanisms, which «support regularized control"(Scott, et al., 2000, p. 21). The emergence of a new type of player in Moscow regions' psycho-neurological centres, insurers, as well as a change in the hierarchy of psychiatric services in Moscow has led to a mix of professional, market and state controls—forming managerial governance mechanisms based on principles of efficiency assessment and the standardisation of public services. To estimate the variability of rules and relational structures, we made a comparative analysis of psycho-neurological centres in Moscow and the Moscow region. The collection of data was implemented through semi-structured interviews with professional experts — high- and mid-level healthcare workers. As formal rules in Moscow’s asylums are internally heterogeneous, the sample contains the staff of psycho-neurological centres from three municipal asylums and the staff from three ambulant modules in Moscow region. In the follow-up to the study, 24 interviews were made (4 interviews from each institution).