Creating organizational cultures:Re-conceptualizing the relations between rhetorical strategies and material practices

PurposeThe purpose of this paper is to re‐conceptualize the relations between rhetorical strategies and material practices in the processes whereby leaders create or change organizational cultures.Design/methodology/approachThe authors compare and contrast two broad perspectives on cultural change in organizations. The first perspective is informed by modern social science, and focuses primarily on material practices. The second perspective is rooted in classical rhetoric, and concentrates on discursive strategies.FindingsIt is found that both perspectives hold pertinent but partial insights. The authors propose an integrated perspective in which material practices and rhetorical strategies are seen as two analytical sides of the same ontological coin. This enables a fuller and more detailed explanation of how organizational cultures are created or changed. A brief illustration is provided of the merits of this approach by revisiting the case of Enron.Originality/valueThe paper constitutes an initial exploration of how social scientific and rhetorical perspectives on organizational change may be brought closer together. It may provide the first step towards the development of a new, integrated theory.</jats:sec

Hamartoma angiomatoso écrino: um tumor doloroso Eccrine angiomatous hamartoma: a painful tumor

O hamartoma angiomatoso écrino (HAE) é lesão benigna, em geral, congênita. Apresenta-se na maioria dos casos como nódulo ou placa cor da pele ou eritematosa associada ou não à hiperidrose focal e dor. Localiza-se preferencialmente nos membros inferiores, próximo aos joelhos ou nos artelhos, mas lesões na face, região cervical, sacra e tronco foram descritas. O principal diagnóstico diferencial deve ser feito com o tumor glômico. Em geral, o HAE tem evolução benigna, havendo relatos de remissão espontânea da dor, sem necessidade de remoção. Contudo, foram descritos casos em que a dor levou à exérese da lesão e mesmo à amputação do membro afetado. Os autores relatam um caso de hamartoma angiomatoso écrino de aparecimento tardio, com sintomatologia exuberante e de difícil tratamento.<br>Eccrine angiomatous hamartoma (EAH) is a benign lesion usually present at birth. In most cases it presents as a flesh-colored or erythematous nodule or patch. It may or may not be associated with focal hyperhydrosis and pain. It is most commonly located in the lower extremities, near the knee or on the toes, but lesions on the face, sacral and cervical region and trunk have been described. The main differential diagnosis should be made with a glomus tumor. In general, EAH shows benign behavior, and spontaneous remission of pain has been described. Cases have been reported in which the pain led to excision and even to amputation of the affected member. The authors present a case of late onset EAH, with exuberant symptoms, which was difficult to treat