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7.2 Explaining Deviance

Learning objective.

  • State the major arguments and assumptions of the various sociological explanations of deviance.

If we want to reduce violent crime and other serious deviance, we must first understand why it occurs. Many sociological theories of deviance exist, and together they offer a more complete understanding of deviance than any one theory offers by itself. Together they help answer the questions posed earlier: why rates of deviance differ within social categories and across locations, why some behaviors are more likely than others to be considered deviant, and why some kinds of people are more likely than others to be considered deviant and to be punished for deviant behavior. As a whole, sociological explanations highlight the importance of the social environment and of social interaction for deviance and the commision of crime. As such, they have important implications for how to reduce these behaviors. Consistent with this book’s public sociology theme, a discussion of several such crime-reduction strategies concludes this chapter.

We now turn to the major sociological explanations of crime and deviance. A summary of these explanations appears in Table 7.1 “Theory Snapshot: Summary of Sociological Explanations of Deviance and Crime” .

Table 7.1 Theory Snapshot: Summary of Sociological Explanations of Deviance and Crime

Major theory Related explanation Summary of explanation
Functionalist Durkheim’s views Deviance has several functions: (a) it clarifies norms and increases conformity, (b) it strengthens social bonds among the people reacting to the deviant, and (c) it can help lead to positive social change.
Social ecology Certain social and physical characteristics of urban neighborhoods contribute to high crime rates. These characteristics include poverty, dilapidation, population density, and population turnover.
Strain theory According to Robert Merton, deviance among the poor results from a gap between the cultural emphasis on economic success and the inability to achieve such success through the legitimate means of working. According to Richard Cloward and Lloyd Ohlin, differential access to illegitimate means affects the type of deviance in which individuals experiencing strain engage.
Deviant subcultures Poverty and other community conditions give rise to certain subcultures through which adolescents acquire values that promote deviant behavior. Albert Cohen wrote that lack of success in school leads lower-class boys to join gangs whose value system promotes and rewards delinquency. Walter Miller wrote that delinquency stems from focal concerns, a taste for trouble, toughness, cleverness, and excitement. Marvin Wolfgang and Franco Ferracuti argued that a subculture of violence in inner-city areas promotes a violent response to insults and other problems.
Social control theory Travis Hirschi wrote that delinquency results from weak bonds to conventional social institutions such as families and schools. These bonds include attachment, commitment, involvement, and belief.
Conflict People with power pass laws and otherwise use the legal system to secure their position at the top of society and to keep the powerless on the bottom. The poor and minorities are more likely because of their poverty and race to be arrested, convicted, and imprisoned.
Feminist perspectives Inequality against women and antiquated views about relations between the sexes underlie rape, sexual assault, intimate partner violence, and other crimes against women. Sexual abuse prompts many girls and women to turn to drugs and alcohol use and other antisocial behavior. Gender socialization is a key reason for large gender differences in crime rates.
Symbolic interactionism Differential association theory Edwin H. Sutherland argued that criminal behavior is learned by interacting with close friends and family members who teach us how to commit various crimes and also about the values, motives, and rationalizations we need to adopt in order to justify breaking the law.
Labeling theory Deviance results from being labeled a deviant; nonlegal factors such as appearance, race, and social class affect how often labeling occurs.

Functionalist Explanations

Several explanations may be grouped under the functionalist perspective in sociology, as they all share this perspective’s central view on the importance of various aspects of society for social stability and other social needs.

Émile Durkheim: The Functions of Deviance

As noted earlier, Émile Durkheim said deviance is normal, but he did not stop there. In a surprising and still controversial twist, he also argued that deviance serves several important functions for society.

First, Durkheim said, deviance clarifies social norms and increases conformity. This happens because the discovery and punishment of deviance reminds people of the norms and reinforces the consequences of violating them. If your class were taking an exam and a student was caught cheating, the rest of the class would be instantly reminded of the rules about cheating and the punishment for it, and as a result they would be less likely to cheat.

A second function of deviance is that it strengthens social bonds among the people reacting to the deviant. An example comes from the classic story The Ox-Bow Incident (Clark, 1940), in which three innocent men are accused of cattle rustling and are eventually lynched. The mob that does the lynching is very united in its frenzy against the men, and, at least at that moment, the bonds among the individuals in the mob are extremely strong.

A final function of deviance, said Durkheim, is that it can help lead to positive social change. Although some of the greatest figures in history—Socrates, Jesus, Joan of Arc, Mahatma Gandhi, and Martin Luther King Jr. to name just a few—were considered the worst kind of deviants in their time, we now honor them for their commitment and sacrifice.

Dr. Martin Luther King Jr.

Émile Durkheim wrote that deviance can lead to positive social change. Many Southerners had strong negative feelings about Dr. Martin Luther King Jr. during the civil rights movement, but history now honors him for his commitment and sacrifice.

U.S. Library of Congress – public domain.

Sociologist Herbert Gans (1996) pointed to an additional function of deviance: deviance creates jobs for the segments of society—police, prison guards, criminology professors, and so forth—whose main focus is to deal with deviants in some manner. If deviance and crime did not exist, hundreds of thousands of law-abiding people in the United States would be out of work!

Although deviance can have all of these functions, many forms of it can certainly be quite harmful, as the story of the mugged voter that began this chapter reminds us. Violent crime and property crime in the United States victimize millions of people and households each year, while crime by corporations has effects that are even more harmful, as we discuss later. Drug use, prostitution, and other “victimless” crimes may involve willing participants, but these participants often cause themselves and others much harm. Although deviance according to Durkheim is inevitable and normal and serves important functions, that certainly does not mean the United States and other nations should be happy to have high rates of serious deviance. The sociological theories we discuss point to certain aspects of the social environment, broadly defined, that contribute to deviance and crime and that should be the focus of efforts to reduce these behaviors.

Social Ecology: Neighborhood and Community Characteristics

An important sociological approach, begun in the late 1800s and early 1900s by sociologists at the University of Chicago, stresses that certain social and physical characteristics of urban neighborhoods raise the odds that people growing up and living in these neighborhoods will commit deviance and crime. This line of thought is now called the social ecology approach (Mears, Wang, Hay, & Bales, 2008). Many criminogenic (crime-causing) neighborhood characteristics have been identified, including high rates of poverty, population density, dilapidated housing, residential mobility, and single-parent households. All of these problems are thought to contribute to social disorganization , or weakened social bonds and social institutions, that make it difficult to socialize children properly and to monitor suspicious behavior (Mears, Wang, Hay, & Bales, 2008; Sampson, 2006).

Sociology Making a Difference

Improving Neighborhood Conditions Helps Reduce Crime Rates

One of the sociological theories of crime discussed in the text is the social ecology approach. To review, this approach attributes high rates of deviance and crime to the neighborhood’s social and physical characteristics, including poverty, high population density, dilapidated housing, and high population turnover. These problems create social disorganization that weakens the neighborhood’s social institutions and impairs effective child socialization.

Much empirical evidence supports social ecology’s view about negative neighborhood conditions and crime rates and suggests that efforts to improve these conditions will lower crime rates. Some of the most persuasive evidence comes from the Project on Human Development in Chicago Neighborhoods (directed by sociologist Robert J. Sampson), in which more than 6,000 children, ranging in age from birth to 18, and their parents and other caretakers were studied over a 7-year period. The social and physical characteristics of the dozens of neighborhoods in which the subjects lived were measured to permit assessment of these characteristics’ effects on the probability of delinquency. A number of studies using data from this project confirm the general assumptions of the social ecology approach. In particular, delinquency is higher in neighborhoods with lower levels of “collective efficacy,” that is, in neighborhoods with lower levels of community supervision of adolescent behavior.

The many studies from the Chicago project and data in several other cities show that neighborhood conditions greatly affect the extent of delinquency in urban neighborhoods. This body of research in turn suggests that strategies and programs that improve the social and physical conditions of urban neighborhoods may well help decrease the high rates of crime and delinquency that are so often found there. (Bellair & McNulty, 2009; Sampson, 2006)

Strain Theory

Failure to achieve the American dream lies at the heart of Robert Merton’s (1938) famous strain theory (also called anomie theory). Recall from Chapter 1 “Sociology and the Sociological Perspective” that Durkheim attributed high rates of suicide to anomie, or normlessness, that occurs in times when social norms are unclear or weak. Adapting this concept, Merton wanted to explain why poor people have higher deviance rates than the nonpoor. He reasoned that the United States values economic success above all else and also has norms that specify the approved means, working, for achieving economic success. Because the poor often cannot achieve the American dream of success through the conventional means of working, they experience a gap between the goal of economic success and the means of working. This gap, which Merton likened to Durkheim’s anomie because of the resulting lack of clarity over norms, leads to strain or frustration. To reduce their frustration, some poor people resort to several adaptations, including deviance, depending on whether they accept or reject the goal of economic success and the means of working. Table 7.2 “Merton’s Anomie Theory” presents the logical adaptations of the poor to the strain they experience. Let’s review these briefly.

Table 7.2 Merton’s Anomie Theory

Adaptation Goal of economic success Means of working
I. Conformity + +
II. Innovation +
III. Ritualism +
IV. Retreatism
V. Rebellion ± ±
+ means accept, − means reject, ± means reject and work for a new society

Despite their strain, most poor people continue to accept the goal of economic success and continue to believe they should work to make money. In other words, they continue to be good, law-abiding citizens. They conform to society’s norms and values, and, not surprisingly, Merton calls their adaptation conformity .

Faced with strain, some poor people continue to value economic success but come up with new means of achieving it. They rob people or banks, commit fraud, or use other illegal means of acquiring money or property. Merton calls this adaptation innovation .

Other poor people continue to work at a job without much hope of greatly improving their lot in life. They go to work day after day as a habit. Merton calls this third adaptation ritualism . This adaptation does not involve deviant behavior but is a logical response to the strain poor people experience.

A homeless woman with dogs

One of Robert Merton’s adaptations in his strain theory is retreatism, in which poor people abandon society’s goal of economic success and reject its means of employment to reach this goal. Many of today’s homeless people might be considered retreatists under Merton’s typology.

Franco Folini – Homeless woman with dogs – CC BY-SA 2.0.

In Merton’s fourth adaptation, retreatism , some poor people withdraw from society by becoming hobos or vagrants or by becoming addicted to alcohol, heroin, or other drugs. Their response to the strain they feel is to reject both the goal of economic success and the means of working.

Merton’s fifth and final adaptation is rebellion . Here poor people not only reject the goal of success and the means of working but work actively to bring about a new society with a new value system. These people are the radicals and revolutionaries of their time. Because Merton developed his strain theory in the aftermath of the Great Depression, in which the labor and socialist movements had been quite active, it is not surprising that he thought of rebellion as a logical adaptation of the poor to their lack of economic success.

Although Merton’s theory has been popular over the years, it has some limitations. Perhaps most important, it overlooks deviance such as fraud by the middle and upper classes and also fails to explain murder, rape, and other crimes that usually are not done for economic reasons. It also does not explain why some poor people choose one adaptation over another.

Merton’s strain theory stimulated other explanations of deviance that built on his concept of strain. Differential opportunity theory , developed by Richard Cloward and Lloyd Ohlin (1960), tried to explain why the poor choose one or the other of Merton’s adaptations. Whereas Merton stressed that the poor have differential access to legitimate means (working), Cloward and Ohlin stressed that they have differential access to illegitimate means . For example, some live in neighborhoods where organized crime is dominant and will get involved in such crime; others live in neighborhoods rampant with drug use and will start using drugs themselves.

In a more recent formulation, two sociologists, Steven F. Messner and Richard Rosenfeld (2007), expanded Merton’s view by arguing that in the United States crime arises from several of our most important values, including an overemphasis on economic success, individualism, and competition. These values produce crime by making many Americans, rich or poor, feel they never have enough money and by prompting them to help themselves even at other people’s expense. Crime in the United States, then, arises ironically from the country’s most basic values.

In yet another extension of Merton’s theory, Robert Agnew (2007) reasoned that adolescents experience various kinds of strain in addition to the economic type addressed by Merton. A romantic relationship may end, a family member may die, or students may be taunted or bullied at school. Repeated strain-inducing incidents such as these produce anger, frustration, and other negative emotions, and these emotions in turn prompt delinquency and drug use.

Deviant Subcultures

Some sociologists stress that poverty and other community conditions give rise to certain subcultures through which adolescents acquire values that promote deviant behavior. One of the first to make this point was Albert K. Cohen (1955), whose status frustration theory says that lower-class boys do poorly in school because schools emphasize middle-class values. School failure reduces their status and self-esteem, which the boys try to counter by joining juvenile gangs. In these groups, a different value system prevails, and boys can regain status and self-esteem by engaging in delinquency. Cohen had nothing to say about girls, as he assumed they cared little about how well they did in school, placing more importance on marriage and family instead, and hence would remain nondelinquent even if they did not do well. Scholars later criticized his disregard for girls and assumptions about them.

Another sociologist, Walter Miller (1958), said poor boys become delinquent because they live amid a lower-class subculture that includes several focal concerns , or values, that help lead to delinquency. These focal concerns include a taste for trouble, toughness, cleverness, and excitement. If boys grow up in a subculture with these values, they are more likely to break the law. Their deviance is a result of their socialization. Critics said Miller exaggerated the differences between the value systems in poor inner-city neighborhoods and wealthier, middle-class communities (Akers & Sellers, 2008).

A very popular subcultural explanation is the so-called subculture of violence thesis, first advanced by Marvin Wolfgang and Franco Ferracuti (1967). In some inner-city areas, they said, a subculture of violence promotes a violent response to insults and other problems, which people in middle-class areas would probably ignore. The subculture of violence, they continued, arises partly from the need of lower-class males to “prove” their masculinity in view of their economic failure. Quantitative research to test their theory has failed to show that the urban poor are more likely than other groups to approve of violence (Cao, Adams, & Jensen, 1997). On the other hand, recent ethnographic (qualitative) research suggests that large segments of the urban poor do adopt a “code” of toughness and violence to promote respect (Anderson, 1999). As this conflicting evidence illustrates, the subculture of violence view remains controversial and merits further scrutiny.

Social Control Theory

Travis Hirschi (1969) argued that human nature is basically selfish and thus wondered why people do not commit deviance. His answer, which is now called social control theory (also known as social bonding theory ), was that their bonds to conventional social institutions such as the family and the school keep them from violating social norms. Hirschi’s basic perspective reflects Durkheim’s view that strong social norms reduce deviance such as suicide.

Hirschi outlined four types of bonds to conventional social institutions: attachment, commitment, involvement, and belief.

  • Attachment refers to how much we feel loyal to these institutions and care about the opinions of people in them, such as our parents and teachers. The more attached we are to our families and schools, the less likely we are to be deviant.
  • Commitment refers to how much we value our participation in conventional activities such as getting a good education. The more committed we are to these activities and the more time and energy we have invested in them, the less deviant we will be.
  • Involvement refers to the amount of time we spend in conventional activities. The more time we spend, the less opportunity we have to be deviant.
  • Belief refers to our acceptance of society’s norms. The more we believe in these norms, the less we deviate.

A gamily sharing some watermelon outside

Travis Hirschi’s social control theory stresses the importance of bonds to social institutions for preventing deviance. His theory emphasized the importance of attachment to one’s family in this regard.

More Good Foundation – Mormon Family Dinner – CC BY-NC 2.0.

Hirschi’s theory has been very popular. Many studies find that youths with weaker bonds to their parents and schools are more likely to be deviant. But the theory has its critics (Akers & Sellers, 2008). One problem centers on the chicken-and-egg question of causal order. For example, many studies support social control theory by finding that delinquent youths often have worse relationships with their parents than do nondelinquent youths. Is that because the bad relationships prompt the youths to be delinquent, as Hirschi thought? Or is it because the youths’ delinquency worsens their relationship with their parents? Despite these questions, Hirschi’s social control theory continues to influence our understanding of deviance. To the extent it is correct, it suggests several strategies for preventing crime, including programs designed to improve parenting and relations between parents and children (Welsh & Farrington, 2007).

Conflict and Feminist Explanations

Explanations of crime rooted in the conflict perspective reflect its general view that society is a struggle between the “haves” at the top of society with social, economic, and political power and the “have-nots” at the bottom. Accordingly, they assume that those with power pass laws and otherwise use the legal system to secure their position at the top of society and to keep the powerless on the bottom (Bohm & Vogel, 2011). The poor and minorities are more likely because of their poverty and race to be arrested, convicted, and imprisoned. These explanations also blame street crime by the poor on the economic deprivation and inequality in which they live rather than on any moral failings of the poor.

Some conflict explanations also say that capitalism helps create street crime by the poor. An early proponent of this view was Dutch criminologist Willem Bonger (1916), who said that capitalism as an economic system involves competition for profit. This competition leads to an emphasis in a capitalist society’s culture on egoism , or self-seeking behavior, and greed . Because profit becomes so important, people in a capitalist society are more likely than those in noncapitalist ones to break the law for profit and other gains, even if their behavior hurts others.

Not surprisingly, conflict explanations have sparked much controversy (Akers & Sellers, 2008). Many scholars dismiss them for painting an overly critical picture of the United States and ignoring the excesses of noncapitalistic nations, while others say the theories overstate the degree of inequality in the legal system. In assessing the debate over conflict explanations, a fair conclusion is that their view on discrimination by the legal system applies more to victimless crime (discussed in a later section) than to conventional crime, where it is difficult to argue that laws against such things as murder and robbery reflect the needs of the powerful. However, much evidence supports the conflict assertion that the poor and minorities face disadvantages in the legal system (Reiman & Leighton, 2010). Simply put, the poor cannot afford good attorneys, private investigators, and the other advantages that money brings in court. As just one example, if someone much poorer than O. J. Simpson, the former football player and media celebrity, had been arrested, as he was in 1994, for viciously murdering two people, the defendant would almost certainly have been found guilty. Simpson was able to afford a defense costing hundreds of thousands of dollars and won a jury acquittal in his criminal trial (Barkan, 1996). Also in accordance with conflict theory’s views, corporate executives, among the most powerful members of society, often break the law without fear of imprisonment, as we shall see in our discussion of white-collar crime later in this chapter. Finally, many studies support conflict theory’s view that the roots of crimes by poor people lie in social inequality and economic deprivation (Barkan, 2009).

Feminist Perspectives

Feminist perspectives on crime and criminal justice also fall into the broad rubric of conflict explanations and have burgeoned in the last two decades. Much of this work concerns rape and sexual assault, intimate partner violence, and other crimes against women that were largely neglected until feminists began writing about them in the 1970s (Griffin, 1971). Their views have since influenced public and official attitudes about rape and domestic violence, which used to be thought as something that girls and women brought on themselves. The feminist approach instead places the blame for these crimes squarely on society’s inequality against women and antiquated views about relations between the sexes (Renzetti, 2011).

Another focus of feminist work is gender and legal processing. Are women better or worse off than men when it comes to the chances of being arrested and punished? After many studies in the last two decades, the best answer is that we are not sure (Belknap, 2007). Women are treated a little more harshly than men for minor crimes and a little less harshly for serious crimes, but the gender effect in general is weak.

A third focus concerns the gender difference in serious crime, as women and girls are much less likely than men and boys to engage in violence and to commit serious property crimes such as burglary and motor vehicle theft. Most sociologists attribute this difference to gender socialization. Simply put, socialization into the male gender role, or masculinity, leads to values such as competitiveness and behavioral patterns such as spending more time away from home that all promote deviance. Conversely, despite whatever disadvantages it may have, socialization into the female gender role, or femininity, promotes values such as gentleness and behavior patterns such as spending more time at home that help limit deviance (Chesney-Lind & Pasko, 2004). Noting that males commit so much crime, Kathleen Daly and Meda Chesney-Lind (1988, p. 527) wrote,

A large price is paid for structures of male domination and for the very qualities that drive men to be successful, to control others, and to wield uncompromising power.…Gender differences in crime suggest that crime may not be so normal after all. Such differences challenge us to see that in the lives of women, men have a great deal more to learn.

A young boy posed with his fists up, ready to fight

Gender socialization helps explain why females commit less serious crime than males. Boys are raised to be competitive and aggressive, while girls are raised to be more gentle and nurturing.

Philippe Put – Fight – CC BY 2.0.

Two decades later, that challenge still remains.

Symbolic Interactionist Explanations

Because symbolic interactionism focuses on the means people gain from their social interaction, symbolic interactionist explanations attribute deviance to various aspects of the social interaction and social processes that normal individuals experience. These explanations help us understand why some people are more likely than others living in the same kinds of social environments. Several such explanations exist.

Differential Association Theory

One popular set of explanations, often called learning theories , emphasizes that deviance is learned from interacting with other people who believe it is OK to commit deviance and who often commit deviance themselves. Deviance, then, arises from normal socialization processes. The most influential such explanation is Edwin H. Sutherland’s (1947) differential association theory , which says that criminal behavior is learned by interacting with close friends and family members. These individuals teach us not only how to commit various crimes but also the values, motives, and rationalizations that we need to adopt in order to justify breaking the law. The earlier in our life that we associate with deviant individuals and the more often we do so, the more likely we become deviant ourselves. In this way, a normal social process, socialization, can lead normal people to commit deviance.

Sutherland’s theory of differential association was one of the most influential sociological theories ever. Over the years much research has documented the importance of adolescents’ peer relationships for their entrance into the world of drugs and delinquency (Akers & Sellers, 2008). However, some critics say that not all deviance results from the influences of deviant peers. Still, differential association theory and the larger category of learning theories it represents remain a valuable approach to understanding deviance and crime.

Labeling Theory

If we arrest and imprison someone, we hope they will be “scared straight,” or deterred from committing a crime again. Labeling theory assumes precisely the opposite: it says that labeling someone deviant increases the chances that the labeled person will continue to commit deviance. According to labeling theory, this happens because the labeled person ends up with a deviant self-image that leads to even more deviance. Deviance is the result of being labeled (Bohm & Vogel, 2011).

This effect is reinforced by how society treats someone who has been labeled. Research shows that job applicants with a criminal record are much less likely than those without a record to be hired (Pager, 2009). Suppose you had a criminal record and had seen the error of your ways but were rejected by several potential employers. Do you think you might be just a little frustrated? If your unemployment continues, might you think about committing a crime again? Meanwhile, you want to meet some law-abiding friends, so you go to a singles bar. You start talking with someone who interests you, and in response to this person’s question, you say you are between jobs. When your companion asks about your last job, you reply that you were in prison for armed robbery. How do you think your companion will react after hearing this? As this scenario suggests, being labeled deviant can make it difficult to avoid a continued life of deviance.

Labeling theory also asks whether some people and behaviors are indeed more likely than others to acquire a deviant label. In particular, it asserts that nonlegal factors such as appearance, race, and social class affect how often official labeling occurs.

Handcuffed hands

Labeling theory assumes that someone who is labeled deviant will be more likely to commit deviance as a result. One problem that ex-prisoners face after being released back into society is that potential employers do not want to hire them. This fact makes it more likely that they will commit new offenses.

Victor – Handcuffs – CC BY 2.0.

William Chambliss’s (1973) classic analysis of the “Saints” and the “Roughnecks” is an excellent example of this argument. The Saints were eight male high-school students from middle-class backgrounds who were very delinquent, while the Roughnecks were six male students in the same high school who were also very delinquent but who came from poor, working-class families. Although the Saints’ behavior was arguably more harmful than the Roughnecks’, their actions were considered harmless pranks, and they were never arrested. After graduating from high school, they went on to college and graduate and professional school and ended up in respectable careers. In contrast, the Roughnecks were widely viewed as troublemakers and often got into trouble for their behavior. As adults they either ended up in low-paying jobs or went to prison.

Labeling theory’s views on the effects of being labeled and on the importance of nonlegal factors for official labeling remain controversial. Nonetheless, the theory has greatly influenced the study of deviance and crime in the last few decades and promises to do so for many years to come.

Key Takeaways

  • Both biological and psychological explanations assume that deviance stems from problems arising inside the individual.
  • Sociological explanations attribute deviance to various aspects of the social environment.
  • Several functionalist explanations exist. Durkheim highlighted the functions that deviance serves for society. Merton’s strain theory assumed that deviance among the poor results from their inability to achieve the economic success so valued in American society. Other explanations highlight the role played by the social and physical characteristics of urban neighborhoods, of deviant subcultures, and of weak bonds to social institutions.
  • Conflict explanations assume that the wealthy and powerful use the legal system to protect their own interests and to keep the poor and racial minorities subservient. Feminist perspectives highlight the importance of gender inequality for crimes against women and of male socialization for the gender difference in criminality.
  • Interactionist explanations highlight the importance of social interaction in the commitment of deviance and in reactions to deviance. Labeling theory assumes that the labeling process helps ensure that someone will continue to commit deviance, and it also assumes that some people are more likely than others to be labeled deviant because of their appearance, race, social class, and other characteristics.

For Your Review

  • In what important way do biological and psychological explanations differ from sociological explanations?
  • What are any two functions of deviance according to Durkheim?
  • What are any two criminogenic social or physical characteristics of urban neighborhoods?
  • What are any two assumptions of feminist perspectives on deviance and crime?
  • According to labeling theory, what happens when someone is labeled as a deviant?

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Akers, R. L., & Sellers, C. S. (2008). Criminological theories: Introduction, evaluation, and application . New York, NY: Oxford University Press.

Anderson, E. (1999). Code of the street: Decency, violence, and the moral life of the inner city . New York, NY: W. W. Norton.

Barkan, S. E. (1996). The social science significance of the O. J. Simpson case. In G. Barak (Ed.), Representing O. J.: Murder, criminal justice and mass culture (pp. 36–42). Albany, NY: Harrow and Heston.

Barkan, S. E. (2009). The value of quantitative analysis for a critical understanding of crime and society. Critical Criminology, 17 , 247–259.

Belknap, J. (2007). The invisible woman: Gender, crime, and justice. Belmont, CA: Wadsworth.

Bellair, P. E., & McNulty, T. L. (2009). Gang membership, drug selling, and violence in neighborhood context. Justice Quarterly, 26 , 644–669.

Bohm, R. M., & Vogel, B. (2011). A Primer on crime and delinquency theory (3rd ed.). Belmont, CA: Wadsworth.

Bonger, W. (1916). Criminality and economic conditions (H. P. Horton, Trans.). Boston, MA: Little, Brown.

Cao, L., Adams, A., & Jensen, V. J. (1997). A test of the black subculture of violence thesis: A research note. Criminology, 35, 367–379.

Chambliss, W. J. (1973). The saints and the roughnecks. Society, 11, 24–31.

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Cloward, R. A., & Ohlin, L. E. (1960). Delinquency and opportunity: A theory of delinquent gangs . New York, NY: Free Press.

Cohen, A. K. (1955). Delinquent boys: The culture of the gang . New York, NY: Free Press.

Daly, K., & Chesney-Lind, M. (1988). Feminism and criminology. Justice Quarterly, 5, 497–538.

Gans, H. J. (1996). The war against the poor: The underclass and antipoverty policy . New York, NY: Basic Books.

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Messner, S. F., & Rosenfeld, R. (2007). Crime and the American dream . Belmont, CA: Wadsworth.

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Reiman, J., & Leighton, P. (2010). The rich get richer and the poor get prison: Ideology, class, and criminal justice (9th ed.). Boston, MA: Allyn & Bacon.

Renzetti, C. (2011). Feminist criminology . Manuscript submitted for publication.

Sampson, R. J. (2006). How does community context matter? Social mechanisms and the explanation of crime rates. In P.-O. H. Wikström & R. J. Sampson (Eds.), The explanation of crime: Context, mechanisms, and development (pp. 31–60). New York, NY: Cambridge University Press.

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Sociology Copyright © 2016 by University of Minnesota is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.

Chapter 6: Deviance, Crime, and Social Control

Theories of social deviance, learning outcomes.

  • Explain functionalist views on deviance
  • Explain how conflict theorists understand deviance
  • Describe and differentiate between symbolic interactionists’ approach to deviance
  • Differentiate between functionalist, conflict theorist, and symbolic interactionist explanations for deviance and crime

Since the early days of sociology, scholars have developed theories that attempt to explain what deviance and crime mean to society. These theories can be grouped according to the three major sociological paradigms: functionalism, symbolic interactionism, and conflict theory. Let’s revisit marijuana legalization from a theoretical perspective. How can sociological theories help explain the trends and corresponding human behavior and group patterns we discussed in the first section?

Three jars full of marijuana buds are in the foreground.

Conflict theorists would focus their attention on power and inequality. Who has the power to criminalize, decriminalize, and legalize marijuana use? How has the criminalization of marijuana disproportionately affected minorities and the poor?

Functionalist theorists might examine how the legalization of marijuana might benefit state economies and also how this issue has served to increase social solidarity and redefine social norms.

Interactionist theorists would likely focus on the perceptions of marijuana use and the symbolic nature of the marijuana leaf over time. Labeling is also of interest to interactionists– who  gets labeled (the by   whom  is examined by conflict theorists).

Functionalism and Deviance

Protesters are shown here wearing yellow chicken costumers and holding PETA signs that say “I Am Not a Nugget” and “Stop McCruelty.”

Figure 1.  Functionalists believe that deviance plays an important role in society and can be used to challenge people’s views. Protesters, such as these PETA members, often use this method to draw attention to their cause. (Photo courtesy of David Shankbone/flickr)

Functionalism

Sociologists who follow the functionalist approach are concerned with the way the different elements of a society contribute to the whole. They view deviance as a key component of a functioning society. Social disorganization theory, strain theory, and social control theory represent the main functionalist perspectives on deviance in society.

Émile Durkheim: The Essential Nature of Deviance

Émile Durkheim believed that deviance is a necessary part of a successful society and that it serves three functions: 1) it clarifies norms and increases conformity, 2) it strengthens social bonds among the people reacting to the deviant, and 3) it can help lead to positive social change and challenges to people’s present views (1893).

For instance, segregation laws remained intact for nearly a century in the United States after slavery was abolished. Those who violated these norms reinforced their legitimacy for those in power, which often led to even harsher laws and sanctions, which in turn led to increased conformity or adherence to the norms. Norm violators were often severely punished, even lynched, which led to increased social bonds among racist whites. On the other hand, when norm violations became more widespread and collective, as a result of various historical and cultural factors (i.e. war in Vietnam, other social movements, televised police brutality, etc.), this cycle of continued deviance eventually led to social and legal change. A key example of this dynamic is the Civil Rights Movement, which corrected many historical wrongs by continuously challenging the dominant society’s values and norms.

Social Disorganization Theory

Developed by researchers at the University of Chicago in the 1920s and 1930s, social disorganization theory asserts that crime is most likely to occur in communities with weak social ties and the absence of social control.  Several sociologists at the time, who viewed the city as a laboratory for study, were dubbed “The Chicago School.” These socio logists included Robert Park and Ernest Burgess (1916 and 1925) became the first to utilize an ecological approach, which examined society much as an ecologist examines an organisms and their environment—by paying attention to the social, institutional, and cultural contexts of people-environment relations. They studied deviance by examining rapid changes to the neighborhoods, caused by population increases, immigration, and urbanization in Chicago. P ark, a journalist and sociologist, suggested a program to increase the number of playgrounds to counteract social disorganization and juvenile delinquency.

Proponents of social disorganization theory believe that individuals who grow up in impoverished areas are more likely to participate in deviant or criminal behaviors than an individual from a wealthy neighborhood with a good school system and families who are involved positively in the community. Social disorganization theory points to broad social factors as the cause of deviance. A person isn’t born a criminal but becomes one over time, often based on factors in his or her social environment.

A block of run-down, dirty rowhouses lining an abandoned street are shown.

Figure 2 . Camden, New Jersey. (Photo courtesy of Apollo 1758/Wikimedia Commons)

Although this theory sounds like common sense, critics argue that it places blame on the neighborhoods themselves, which opens the door for politicians to point out social issues like drug use, disrupted families, and violence as endemic to low income neighborhoods, thus allowing them to circumvent the larger structural issues that give rise to these predicaments.

Let’s examine Camden, New Jersey, once one of America’s deadliest cities. As a city of 74,000, there were 58 homicide victims in 1995, and 67 in 2012 (a rate of about 87 murders per 100,000 residents), which ranked Camden fifth nationwide. In 2017, there were 22 homicides [1] .

In 2013, the Camden Police Department was disbanded, reimagined, and renamed the Camden County Police Department, with fewer officers, lower pay—and a strategic shift toward “community policing” (Holder, 2018). The police chief, who has been on the Camden force for over 25 years, says “Nothing stops a bullet like a job” and stresses the importance of increasing access to social services, economic opportunities, and good public schools. In his emphasis on multiple causal factors, he sounds like a functionalist!

By strengthening essential social institutions in communities (a macro approach) and working to increase citizen-police relations, that is, how police see themselves and how residents view police (a micro intervention), Camden provides us an example of how sociological theories can help explain deviance but also inform social policy. 

Strain Theory/Anomie Theory of Deviance

In 1938 Robert Merton expanded on Durkheim’s idea that deviance is an inherent part of a functioning society by developing strain theory  (also called the anomie theory of deviance ) , which notes that access to the means of achieving socially acceptable goals plays a part in determining whether a person conforms and accepts these goals or rebels and rejects them. For example, from birth we’re encouraged to achieve the American Dream of financial success. A woman who attends business school, receives her MBA, and goes on to make a million-dollar income as CEO of a company is said to be a success. However, not everyone in our society stands on equal footing. A person may have the socially acceptable goal of financial success but lack a socially acceptable way to reach that goal. Much more common might be the young person who wants financial security and success but attends a failing school and is not able to attend college, does not have connections in business or finance, and might not have any CEOs in their immediate circle. The young person might be attracted to other types of entrepreneurial activities outside of the corporate world that are more accessible, such as selling stolen goods and/or drugs, gambling, and/or other types of street-level commerce. Another path might be to embezzle from his employer. These types of crimes will be discussed later, but this is one example of the contrast between “crime in the streets” and “crime in the suites.”

Merton defined five ways people respond to this gap between having a socially accepted goal and having no socially accepted way to pursue it.

  • Conformity : Those who conform choose not to deviate. Conformists pursue their goals to the extent that they can through socially accepted means. This is the most common option.
  • Innovation : Innovators pursue goals they cannot reach through legitimate means by instead using criminal or deviant means.
  • Ritualism : People who ritualize lower their goals until they can reach them through socially acceptable ways. These members of society focus on conformity rather than pursuing an unrealistic dream.
  • Retreatism : Others retreat and reject society’s goals and means. For example, some beggars and street people have withdrawn from society’s normative goal of financial success.
  • Rebellion : A handful of people rebel and replace a society’s goals and means with their own. Terrorists or freedom fighters look to overthrow a society’s goals through socially unacceptable means.

In Table 1, you can see how conformists accept societal goals and means, while innovators, ritualists, retreatists, and rebels reject either societal goals or societal means, or both. 

Strain Theory.
Accept Accept college students, professionals who strive to do their best and excel at their job
Reject Reject drug dealers, embezzlers, gamblers
Reject Accept workers who “punch the clock”
Reject Accept homeless, drug addicted
Reject/ Replace Reject/ Replace radicals, revolutionaries, terrorists

Deviant Subcultures

During the 1950s, a group of sociologists theorized deviance as subcultural. As you recall from an earlier module about culture, a subculture is a group that operates within larger society but is distinctive in the values and norms that govern membership (formal or informal). A subculture usually exhibits some type of resistance to the existing social structure and/or social norms. Oftentimes a subcultural group is visibly, aesthetically distinctive (i.e. goths, emo, skaters, etc.).

Much of this early research was a response to a growing concern about street gangs in Chicago in the 1920s and 1930s, with notorious gangsters like Al Capone in national headlines. In 1927, Frederick Thrasher’s  The Gang: A Study of 1,313 Gangs in Chicago highlighted the geography of gang activity within Chicago and examined the “Poverty Belt” as an area within which gang membership would be particularly enticing.  Deviant subcultures theori sts  also uti lized The Chicago School’s models and methods to study delinquency.

Albert K. Cohen (1955) stated that “the crucial condition for the emergence of new cultural forms is the existence,  in effective interaction with one another, of a number of actors with similar problems of adjustment ” (no emphasis added, pp. 12 and 59). Cohen (1955) observed that a “sympathetic moral climate” within which actors’ perception of norms and shared norms is a result of the subculture’s benefit from those norms, which are a “repudiation of the middle class standards.” Walter Miller (1958) broadened Cohen’s framework by looking beyond the “delinquent boys” and using “over eight thousand pages of direct and observational data” in a “slum” district of Chicago. He lists the following six “focal concerns of lower-class culture”: trouble, toughness, smartness, excitement, fate, and autonomy.

This scholarship from the 1950s reflected a growing unrest in post-World War 2 America as the Cold War gained momentum, demonstrating both a fear of ideological dissent from within and a new concern with low income immigrant communities. The work was also implied a gendered exclusionary focus, negating the agency of females as potential deviant actors.

Marvin Wolfgang and Franco Ferracuti published  The Subculture of Violence  in 1967, which blended criminology, psychology, and sociology in an attempt to theorize the causes of assault behavior and homicide. They used empirical data which showed violence as being localized among specific groups and said it “reflects differences in learning about violence as a problem-solving mechanism” (1967, p. 159). Wolfgang and Ferracuti suggest the value systems in subcultural groups, particularly inner city men, differ from centra l    value systems and result in more violence (1967, 97).

Social Control Theory

Another functionalist theory of deviance is Travis Hirschi’s (1969)  social control theory . Similar to Comte’s original question, “What holds society together?” Hirschi asked, “Why do people adhere to social norms?” In other words, why aren’t  people  more deviant ? Building from Durkheim’s work on social solidarity, Hirschi looked at bonds to conventional social institutions as reasons people feel connected to society and thereby less likely to be deviant. He identified four types of bonds: attachment, commitment, involvement, and belief.

Let’s apply these types of bonds to an example. Say a high school student is trying to decide whether to skip a class to go to the mall with friends. He or she might consider the following:

  • Attachment : how their teacher and school administration would think about them if they skipped school and/or how their parent/s’ opinion would be affected (“If my parents find out they will be very disappointed”).
  • Commitment : how much they value their education and what they would miss (“I like my American history class and would miss the unit on school desegregation”).
  • Involvement : how much time has been invested in school up until this point (“Why spoil a “clean record” by skipping one class?”).
  • Belief : how the school’s attendance policy reflects societal beliefs about the importance of education (“I want to go to college and know that attending class will be important to my success and future job prospects”).

We can also imagine more serious forms of deviance and consider how attachment, commitment, involvement, and belief might operate in other scenarios. In what ways can this theory help inform prevention strategies, especially for young people? How can we strengthen attachment and commitment, for example?

Conflict Theory and Deviance

Conflict theory looks to social and economic factors as the causes of crime and deviance. Unlike functionalists, conflict theorists don’t see these factors as positive functions of society. They see them as evidence of inequality in the system. They also challenge social disorganization theory and control theory and argue that both ignore racial and socioeconomic issues and oversimplify social trends (Akers, 1991). Conflict theorists also look for answers to the correlation of gender and race with wealth and crime.

Karl Marx: An Unequal System

Conflict theory was greatly influenced by the work of 19th-century German philosopher, economist, and social scientist Karl Marx. Marx believed that the general population was divided into two groups. He labeled the wealthy, who controlled the means of production and business, the bourgeoisie . He labeled the workers who depended on the bourgeoisie for employment and survival the proletariat . Marx believed that the bourgeoisie centralized their power and influence through government, laws, and other authority agencies in order to maintain and expand their positions of power in society. Thus, Marx viewed the laws as instruments of oppression for the proletariat that are written and enforced to maintain the economic status quo and to protect the interests of the ruling class. Though Marx spoke little of deviance, he wrote a great deal about laws and developed a legal theory that created the foundation for conflict theorists.

C. Wright Mills: The Power Elite

In his book The Power Elite (1956), sociologist C. Wright Mills described the existence of what he dubbed the power elite , a small group of wealthy and influential people at the top of society who disproportionately control power and resources. Wealthy executives, politicians, celebrities, and military leaders often have access to national and international power, and in some cases, their decisions affect everyone in society. Because of this, the rules of society are stacked in favor of a privileged few who then manipulate them to maintain their positions. It is these people who decide what is criminal and what is not, and the effects are often felt most by those who have little power. Mills’ theories explain why celebrities such as Chris Brown and Paris Hilton, or once-powerful politicians such as Eliot Spitzer and Tom DeLay, can commit crimes and suffer little or no legal retribution.

Crime, Social Class, and Race

While crime is often associated with the underprivileged, crimes committed by the wealthy and powerful remain an under-punished and costly problem within society. The American Sociological Association’s 1939 President Edwin Sutherland coined the term “white-collar crime” in his address “White Collar Criminality,” which was one of the few such addresses to make front-page news. [2] He defined the term as “crime committed by a person of respectability and high social status in the course of his occupation.” Typically, these are “nonviolent crimes committed in commercial situations for financial gain” and according to the Federal Bureau of Investigation (FBI), white-collar crime is estimated to cost the United States more than $300 billion annually.  [3] When former advisor and financier Bernie Madoff was arrested in 2008, the U.S. Securities and Exchange Commission reported that the estimated losses of his financial Ponzi scheme fraud were close to $50 billion (SEC, 2009). In contrast, property crimes, which include burglary, larceny-theft, motor vehicle theft, and arson, in 2015 resulted in losses estimated at $14.3 billion (FBI, 2015).

Conflict theorists also quickly point out that “crime in the suites” is often committed by white men, whereas “crime in the streets” disproportionately affects communities of color as both perpetrators and victims of property crimes. Property crimes have fallen dramatically over the past twenty years (see chart below); it is also important to keep in mind that only 36 percent of property crimes are reported to police [4] .

Figure 3. Although public perception tends to contradict this data, crime rates have fallen since the early 1990s.  “5 facts about crime in the U.S..”  Pew Research Center, Washington, D.C. (January 30, 2018).  “Crime Rates Have Fallen since the Early 1990s.”  Pew Research Center, Washington, D.C. (February 15, 2017).

Crack, Cocaine, and Opioids

In the 1980s, there was a “crack epidemic” that swept the country’s poorest urban communities. Its pricier counterpart, cocaine, was often the drug of choice for wealthy whites. Most studies show rates of drug use among whites and blacks were similar. From a pharmaceutical standpoint, crack and cocaine are nearly the same in terms of effect.

In 1986, federal law mandated that being caught in possession of 50 grams of crack was punishable by a ten-year prison sentence. An equivalent prison sentence for cocaine possession, however, required possession of 5,000 grams. In other words, the sentencing disparity was 1 to 100 (New York Times Editorial Staff, 2011). This inequality in the severity of punishment for crack versus cocaine paralleled the class and race of the respective users.

A conflict theorist would note that those in society who hold the power make the laws concerning crime that benefit their own interests, while the powerless classes who lack the resources to make such decisions suffer the consequences. Thus, since powder cocaine use was associated with wealthy whites, the laws were enacted to be lenient on powder cocaine but extremely punitive toward crack-cocaine. The crack-cocaine punishment disparity remained until 2010, when President Obama signed the Fair Sentencing Act, which decreased the disparity to 1 to 18 (The Sentencing Project, 2010).

Today, we are in the midst of an “opioid epidemic.” Unlike the 1980s crack epidemic, the opioid epidemic is considered a public health crisis and has widespread support for prevention and treatment programs. Since disproportionate numbers of drug overdose deaths have been among white Americans, conflict theorists would suggest that those in power are more likely to advocate policy changes to help these drug addicts rather than punish them. Why are whites more likely to overdose? The answer, ironically, might be racism; studies show that doctors are more reluctant to prescribe painkillers to minorities because they mistakenly believe minority patients feel less pain and/or are more likely to misuse or sell the prescribed drugs [5]

Feminist Theory and Deviance

Women who are regarded as criminally deviant are often seen as being  doubly deviant . They have broken the laws but they have also violated gender norms governing appropriate female behavior, whereas men’s criminal behavior is seen as consistent with their ostensibly aggressive, self-assertive character. This double standard also explains the tendency to medicalize women’s deviance, to see it as the product of physiological or psychiatric pathology. For example, in the late 19th century, kleptomania was a diagnosis used in legal defenses that linked an extreme desire for department store commodities with various forms of female physiological or psychiatric illness. The fact that “good” middle- and upper-class women, who were at that time coincidentally beginning to experience the benefits of independence from men, would turn to stealing in department stores to obtain the new feminine consumer items on display there, could not be explained without resorting to diagnosing the activity as an illness of the “weaker” sex (Kramar, 2011).

Feminist analysis focuses on the way gender inequality influences the opportunities to commit crime and the definition, detection, and prosecution of crime. In part the gender difference revolves around patriarchal attitudes toward women and the disregard for matters considered to be of a private or domestic nature.

For example, until 1969, abortion was illegal in Canada, meaning that hundreds of women died or were injured each year when they received illegal abortions (McLaren and McLaren, 1997). It was not until the Canadian Supreme Court ruling in 1988 that struck down the law that it was acknowledged that women are capable of making their own choice, in consultation with a doctor, about the procedure. The U.S. Supreme Court in  Roe v. Wade  (1973) decided in a 7-2 decision that states cannot unduly restrict abortions. Since then, a plethora of restrictions including waiting periods, restrictions on public funding for abortions, mandated counseling, parental involvement for minors, and others have made it exceedingly difficult. The State of Mississippi, for example, has one abortion clinic in the state, whereas California has 152 clinics as of 2014.  Read about other differences between the most restrictive state, Mississippi, and the least restrictive state, California.

According to the Centers for Disease Control and Prevention (CDC), an African-American woman is almost five times as likely to have an abortion than a white woman, and a Latina more than twice as likely. [6]

Abortion has been declining with approximately 1.1 million abortions performed in 2011, at a rate of 16.9 abortions for every 1,000 women of childbearing age, down from a peak of 29.3 per 1,000 in 1981 (Dutton, 2014). Low-income women in all racial groups are more likely to experience unintended pregnancies, largely due to a lack of health insurance and access to contraception. The most effective and long-term contraception, an intrauterine device or IUD, costs between $500-1000 and office visit fees are in addition to the cost of the IUD itself; community health centers and Medicaid typically do not cover 100% of the costs, but often IUDs are covered by private insurance. 

Regulating women’s bodies is nothing new, particularly when it comes to minority women in the U.S. White slave owners raped black female slaves with impunity and then increased their “property” with the offspring. Nearly one-third of women of child-bearing age in Puerto Rico were sterilized between 1930 and 1970, as funded by the U.S. Department of Health, Welfare, and Funding to mitigate high levels of unemployment and poverty. Although this was “voluntary,” women were often pressured to undergo sterilization after giving birth [7]

In addition to examining the ways in which the state regulates women’s bodies, feminist theorists also look at violent crimes against women that are sexual in nature. In the #MeToo era, women from many different groups (i.e. actors, gymnasts, students) have come forward to say that they were sexually harassed and/or sexually assaulted by a boss or supervisor, a team doctor, a university gynecologist, or other co-workers. The broadcast media and social media have been rife with stories of #MeToo, which feminists are examining from a macrosociological approach (power and structures of power) and a microsociological approach (hashtag movement, personal identification with others who have similar experiences).

Sexual Assault in Canada:  A Case Study

Until the 1970s, two major types of criminal deviance were largely ignored or were difficult to prosecute as crimes: sexual assault and spousal assault. Through the 1970s, women worked to change the criminal justice system and establish rape crisis centers and battered women’s shelters, bringing attention to domestic violence. In 1983 the Criminal Code was amended to replace the crimes of rape and indecent assault with a three-tier structure of sexual assault (ranging from unwanted sexual touching that violates the integrity of the victim to sexual assault with a weapon or threats or causing bodily harm to aggravated sexual assault that results in wounding, maiming, disfiguring, or endangering the life of the victim) (Kong et al., 2003). Johnson (1996) reported that in the mid-1990s, when violence against women began to be surveyed systematically in Canada, 51 percent of Canadian women had been subject to at least one sexual or physical assault since the age of 16.

The goal of the amendments was to emphasize that sexual assault is an act of violence, not a sexual act. Previously, rape had been defined as an act that involved penetration and was perpetrated against a woman who was not the wife of the accused. This had excluded spousal sexual assault as a crime and had also exposed women to secondary victimization by the criminal justice system when they tried to bring charges. Secondary victimization occurs when the women’s own sexual history and her willingness to consent are questioned in the process of laying charges and reaching a conviction, which as feminists pointed out, increased victims’ reluctance to press charges.

In particular feminists challenged the twin myths of rape that were often the subtext of criminal justice proceedings presided over largely by men (Kramar, 2011). The first myth is that women are untrustworthy and tend to lie about assault out of malice toward men, as a way of getting back at them for personal grievances. The second myth, is that women will say “no” to sexual relations when they really mean “yes.” Typical of these types of issues was the judge’s comment in a Manitoba Court of Appeals case in which a man pleaded guilty to sexually assaulting his twelve- or thirteen-year-old babysitter:

The girl, of course, could not consent in the legal sense, but nonetheless was a willing participant. She was apparently more sophisticated than many her age and was performing many household tasks including babysitting the accused’s children. The accused and his wife were somewhat estranged (cited in Kramar, 2011).

Because the girl was willing to perform household chores in place of the man’s estranged wife, the judge assumed she was also willing to engage in sexual relations. In order to address this type of issue, feminists successfully pressed the Supreme Court to deliver rulings that restricted a defense attorney’s access to a victim’s medical and counseling records, and rules of evidence were changed to prevent a woman’s past sexual history from being used against her. Consent to sexual intercourse was redefined as what a woman actually says or does, not what the man believes to be signaling consent. Feminists also argued that spousal assault was a key component of patriarchal power. Typically it was hidden in the household and largely regarded as a private, domestic matter in which police were reluctant to get involved.

Interestingly, women and men report similar rates of spousal violence—in 2009, 6 percent had experienced spousal violence in the previous five years—but women are more likely to experience more severe forms of violence including multiple victimizations and violence leading to physical injury (Sinha, 2013). In order to empower women, feminists pressed lawmakers to develop zero-tolerance policies that would support aggressive policing and prosecution of offenders. These policies oblige police to pursue charges in cases of domestic violence when a complaint is made, whether or not the victim wishes to press charges (Kramar, 2011).

In 2009, 84 percent of violent spousal incidents reported by women to police resulted in charges being pursued. However, according to victimization surveys only 30 percent of actual incidents were reported to police. The majority of women who did not report incidents to the police stated that they either dealt with them in another way, felt they were a private matter, or did not think the incidents were important enough to report. A significant proportion, however, did not want anyone to find out (44 percent), did not want their spouse to be arrested (40 percent), or were too afraid of their spouse (19 percent) (Sinha, 2013).

Think It Over

  • Pick a famous politician, business leader, or celebrity who has been arrested recently. What crime did he or she allegedly commit? Who was the victim? Explain his or her actions from the point of view of one of the major sociological paradigms. What factors best explain how this person might be punished if convicted of the crime?
  • In what ways do race and class intersect when theorizing deviance from a conflict perspective?

Symbolic Interactionism and Deviance

Symbolic interactionism.

Symbolic interactionism is a theoretical approach that can be used to explain how societies and/or social groups come to view behaviors as deviant or conventional. Labeling theory and differential association theory fall within the realm of symbolic interactionism.

Labeling Theory

Although all of us violate norms from time to time, few people would consider themselves deviant. Those who do, however, have often been labeled “deviant” by society and have gradually come to believe it themselves. Labeling theory examines the ascribing of a deviant behavior to another person by members of society. Thus, what is considered deviant is determined not so much by the behaviors themselves or the people who commit them, but by the reactions of others to these behaviors. As a result, what is considered deviant changes over time and can vary significantly across cultures.

Sociologist Edwin Lemert expanded on the concepts of labeling theory and identified two types of deviance that affect identity formation. Primary deviance is a violation of norms that does not result in any long-term effects on the individual’s self-image or interactions with others. Speeding is a deviant act, but receiving a speeding ticket generally does not make others view you as a bad person, nor does it alter your own self-concept. Individuals who engage in primary deviance still maintain a feeling of belonging in society and are likely to continue to conform to norms in the future.

Sometimes, in more extreme cases, primary deviance can morph into secondary deviance. Secondary deviance occurs when a person’s self-concept and behavior begin to change after his or her actions are labeled as deviant by members of society. The person may begin to take on and fulfill the role of a “deviant” as an act of rebellion against the society that has labeled that individual as such. For example, consider a high school student who often cuts class and gets into fights. The student is reprimanded frequently by teachers and school staff, and soon enough, he develops a reputation as a “troublemaker.” As a result, the student starts acting out even more and breaking more rules; he has adopted the “troublemaker” label and embraced this deviant identity. Secondary deviance can be so strong that it bestows a master status on an individual. A master status is a label that describes the chief characteristic of an individual. Some people see themselves primarily as doctors, artists, or grandfathers. Others see themselves as beggars, convicts, or addicts.

Differential Association Theory

One core premise of culture and socialization is that individuals  learn  the values and norms of a given culture and that this learning process is lifelong. This is particularly helpful when we think about deviance because differential association theorists apply this core premise to deviance. How many of you have committed a deviant act with someone else? A sibling? A friend? Consider something like underage drinking, which often occurs with peers and/or with older siblings. By the time many students arrive on college campuses (still underage), underage drinking has become normalized so that is seems “everyone” is doing it.

In criminology, differential association is a theory developed by Edwin Sutherland (1883–1950) proposing that through interaction with others, individuals learn the values, attitudes, techniques, and motives for criminal behavior. Differential association theory is the most talked-about of the learning theories of deviance. This theory focuses on  how  individuals learn to become criminals, but it does not concern itself with  why  they become criminals.

Differential association predicts that an individual will choose the criminal path when the balance of definitions for law-breaking exceeds those for law-abiding. This tendency will be reinforced if social association provides active people in the person’s life. The earlier in life an individual comes under the influence high status people within a group, the more likely the individual is to follow in their footsteps. This does not deny that there may be practical motives for crime. If a person is hungry but has no money, there is a temptation to steal. But the use of “needs” and “values” is equivocal. To some extent, both non-criminal and criminal individuals are motivated by the need for money and social gain.

Sutherland’s Nine Points

The principles of Sutherland’s theory of differential association can be summarized into nine key points.

  • Criminal behavior is learned.
  • Criminal behavior is learned in interaction with other persons in a process of communication.
  • The principal part of the learning of criminal behavior occurs within intimate personal groups.
  • When criminal behavior is learned, the learning includes techniques of committing the crime (which are sometimes very complicated, sometimes simple) and the specific direction of motives, drives, rationalizations, and attitudes.
  • The specific direction of motives and drives is learned from definitions of the legal codes as favorable or unfavorable.
  • A person becomes delinquent because of an excess of definitions favorable to violation of law over definitions unfavorable to violation of the law.
  • Differential associations may vary in frequency, duration, priority, and intensity.
  • The process of learning criminal behavior by association with criminal and anti-criminal patterns involves all of the mechanisms that are involved in any other learning.

Figure 4. Differential association theory predicts that an individual will choose the criminal path when the balance of definitions for law-breaking exceeds those for law-abiding.

An important quality of differential association theory is the frequency and intensity of interaction. The amount of time that a person is exposed to a particular definition and at what point the interaction began are both crucial for explaining criminal activity. The process of learning criminal behavior is really not any different from the process involved in learning any other type of behavior. Sutherland maintains that there is no unique learning process associated with acquiring non-normative ways of behaving.

One very unique aspect of this theory is that it works to explain more than just juvenile delinquency and crime committed by lower class individuals. Since crime is understood to be learned behavior, the theory is also applicable to white-collar, corporate, and organized crime.

One critique leveled against differential association stems from the idea that people can be independent, rational actors and individually motivated. This notion of one being a criminal based on his or her environment is problematic—the theory does not take into account personality traits that might affect a person’s susceptibility to these environmental influences.

The Right to Vote

A woman is shown voting at a voting booth.

Figure 5.  Should a former felony conviction permanently strip a U.S. citizen of the right to vote? (Photo courtesy of Joshin Yamada/flickr.

Before she lost her job as an administrative assistant, Leola Strickland postdated and mailed a handful of checks for amounts ranging from $90 to $500. By the time she was able to find a new job, the checks had bounced, and she was convicted of fraud under Mississippi law. Strickland pleaded guilty to a felony charge and repaid her debts; in return, she was spared from serving prison time.

<img class=”wp-image-3902″ src=”https://s3-us-west-2.amazonaws.com/courses-images/wp-content/uploads/sites/2034/2016/05/10144941/Screen-Shot-2018-09-10-at-9.49.12-AM.png” alt=” Cartogram showing mishapen states to show the disproportionate number of persons disenfranchised in each state. The Southern States of Mississippi, Alabama, Tennessee, Kentucky, Virginia, and Florida are exceptionally large with rates between 2 to 10%. The Northern states such as Washington, Montana, North Dakota, Minnesota, and Wisconsin are shown to have lower rates between Figure 6. Cartogram of Total Disenfranchisement Rates by State, 2016. This Cartogram adjusts the size of the state to represent the number of persons disenfranchised in each state. You can see the the southeastern states have disproportionately high numbers of disenfranchised voters. Image from  “6 million lost voters”, https://www.sentencingproject.org/publications/6-million-lost-voters-state-level-estimates-felony-disenfranchisement-2016/.

Strickland appeared in court in 2001. More than ten years later, she is still feeling the sting of her sentencing. Why? Because Mississippi is one of twelve states in the United States that bans convicted felons from voting (ProCon, 2011).

To Strickland, who said she had always voted, the news came as a great shock. She isn’t alone. As of 2016, an estimated 6.1 million people are disenfranchised due to a felony conviction which equates to approximately 2.5 percent of the total U.S. voting age population or 1 in every 40 adults [8]  These individuals include inmates, parolees, probationers, and even people who have never been jailed, such as Leola Strickland.

While 1 in 40 voting age adults is disenfranchised, when we begin to break it down by racial and ethnic groups the picture becomes much more stark, as 1 in 13 African Americans are disenfranchised. Since felon disenfranchisement is a state-by-state law, African American disenfranchisement rates in Florida, Kentucky, Tennessee, and Virginia now exceed 20 percent of the adult voting age population (Uggen, Larson, & Shannon, 2016).

6 Million Lost Voters: State-Level Estimates of Felony Disenfranchisement, 2016 Christopher Uggen, Ryan Larson, and Sarah Shannon October 2016

Map of U.S. showing number of disenfranchised African-Americans, shown as a percentage in each state. The southeastern states of Kentucky, Tennessee, Virginia, and Florida have the most, with 20% + of the population. The northeastern states Maine, Vermont, and Illinois have lower rates of about 0% to 1.9%.

Figure 7. African American Felony Disenfranchisement Rates, 2016.  African American disenfranchisement numbers are high in many states, but in Florida, Kentucky, Tennessee, and Virginia, over 20% of the African American voting population is disenfranchised. Image from  “6 million lost voters”, https://www.sentencingproject.org/publications/6-million-lost-voters-state-level-estimates-felony-disenfranchisement-2016/.

With two 21st century elections (2000 and 2016) in which the candidate with the most votes did not win (Al Gore in 2000 and Hillary Clinton in 2016), one of which led to an official recount (2000 Election), there has been increased pressure for states with prohibitive voting measures to examine them. Particularly in the State of Florida, a swing state, in which nearly 1.5 million individuals are currently disenfranchised post-sentence (Uggen, Larson & Shannon, 2016). On January 23, 2018 Floridians for a Fair Democracy garnered 766,200 signatures to get an amendment on the 2018 ballot that would give the ability to vote back to Floridians with felony convictions that have completed their sentences. To see what happened track the results at the Brennan Center for Justice , which includes state by state updates on disenfranchisement.

  • Is it fair to deny citizens the right to vote? What factors are important? Should this be a federal issue or a state issue? Using your sociological imagination, what other states’ rights issues have become federal or constitutional issues and why?

Summary of Theoretical Explanations of Deviance

The three major sociological paradigms offer different explanations for the motivation behind deviance and crime. Functionalists point out that deviance is a social necessity since it reinforces norms by reminding people of the consequences of violating them. Violating norms can open society’s eyes to injustice in the system.

Conflict theorists argue that crime stems from a system of inequality that keeps those with power at the top and those without power at the bottom.

Symbolic interactionists focus attention on the socially constructed nature of the labels related to deviance. Crime and deviance are learned from the environment and enforced or discouraged by those around us.

Review each of the main theories associated with each perspective below.

Strain Theory Robert Merton A lack of ways to reach socially accepted goals by accepted methods
Social Disorganization Theory University of Chicago researchers Weak social ties and a lack of social control; society has lost the ability to enforce norms with some groups
Social Control Theory Travis Hirschi Deviance results from a feeling of disconnection from society; social control is directly affected by the strength of social bonds
Unequal System Karl Marx Inequalities in wealth and power that arise from the economic system
Power Elite C. Wright Mills Ability of those in power to define deviance in ways that maintain the status quo
Labeling Theory Edwin Lemert The reactions of others, particularly those in power who are able to determine labels
Differential Association Theory Edwin Sutherlin Learning and modeling deviant behavior seen in other people close to the individual

  • Choose a public figure who has effected a major, controversial political and or legal change. To what extant were this person’s actions or beliefs considered deviant when they first emerged? How can the process by which they were eventually accepted and became new norms be explained by applying the major sociological paradigms? What norms needed to be re-examined? Which paradigm seems most useful? Why?
  • Holder, S. 2018. What happened to crime in Camden? City Lab. ↵
  • Edwin H. Sutherland, ASA Presidents, ASA. http://www.asanet.org/edwin-h-sutherland ↵
  • "White-collar crime." Legal Information Institute, Cornell Law School. https://www.law.cornell.edu/wex/white-collar_crime . ↵
  • Gramlich, J. "Five facts about crime," Pew Research Center.(2018)  https://www.pewresearch.org/fact-tank/2019/10/17/facts-about-crime-in-the-u-s/ ↵
  • Lopez, G. (2016). Why are black Americans less affected," Vox. https://www.vox.com/2016/1/25/10826560/opioid-epidemic-race-black ↵
  • Dutton, Z. (2014). Abortion's racial gap. https://www.theatlantic.com/health/archive/2014/09/abortions-racial-gap/380251/ ↵
  • Andrews, K. (2017) The dark history of Latina sterilization. https://www.panoramas.pitt.edu/health-and-society/dark-history-forced-sterilization-latina-women . ↵
  • Uggen, C. Larson, R. and S. Shannon. (2016). 6 million lost voters. https://www.sentencingproject.org/publications/6-million-lost-voters-state-level-estimates-felony-disenfranchisement-2016/ ↵
  • Introduction to Theories of Social Deviance. Authored by : Sarah Hoiland and Lumen Learning. Provided by : Lumen Learning. License : CC BY: Attribution
  • Modification, adaptation, and original content. Authored by : Sarah Hoiland and Lumen Learning. License : CC BY: Attribution
  • Family dinner. Authored by : skeeze. Provided by : pixabay. Located at : https://pixabay.com/en/family-eating-at-the-table-dining-619142/ . License : CC0: No Rights Reserved
  • Introduction and objectives, modified from Introduction to Sociology 2e. Authored by : OpenStax CNX. Located at : http://cnx.org/contents/02040312-72c8-441e-a685-20e9333f3e1d/Introduction_to_Sociology_2e . License : CC BY: Attribution . License Terms : Download for free at http://cnx.org/contents/[email protected]
  • Authored by : Get Budding. Provided by : Unsplash. Located at : https://unsplash.com/photos/Bu6BSErSL_M . License : CC0: No Rights Reserved . License Terms : https://unsplash.com/license
  • Theoretical Perspectives on Deviance. Authored by : OpenStax CNX. Located at : https://cnx.org/contents/[email protected]:OY7OWJCz@6/Theoretical-Perspectives-on-Deviance . License : CC BY: Attribution . License Terms : Download for free at http://cnx.org/contents/[email protected]
  • William Little. Provided by : BC Open Textbooks. Located at : https://opentextbc.ca/introductiontosociology/chapter/chapter7-deviance-crime-and-social-control/ . Project : Introduction to Sociology. License : CC BY: Attribution
  • Criminal Silhouette. Provided by : Wikimedia. Located at : https://commons.wikimedia.org/wiki/File:Criminal_Silhouette_L.svg . License : CC0: No Rights Reserved
  • Theory & Deviance: Crash Course Sociology #19. Provided by : CrashCourse. Located at : https://www.youtube.com/watch?v=06IS_X7hWWI&index=20&list=PL8dPuuaLjXtMJ-AfB_7J1538YKWkZAnGA . License : Other . License Terms : Standard YouTube License
  • Pew Research Data, 5 facts about crime in the U.S.. Authored by : John Gramlich. Provided by : Pew Research Center. Located at : http://www.pewresearch.org/fact-tank/2018/01/30/5-facts-about-crime-in-the-u-s/ . License : All Rights Reserved
  • labeling theory video. Authored by : Sociology Live!. Located at : https://www.youtube.com/watch?v=QHSvZZ1pnm0 . License : Other . License Terms : Standard YouTube License
  • 6 million lost voters images. Authored by : Uggen, C. Larson, R. and S. Shannon. (2016). . Located at : https://www.sentencingproject.org/publications/6-million-lost-voters-state-level-estimates-felony-disenfranchisement-2016 . Project : The Sentencing Project. License : All Rights Reserved
  • Perspectives on Deviance: Differential Association, Labeling Theory, and Strain Theory. Authored by : Jeffrey Walsh. Provided by : Khan Academy. Located at : https://www.youtube.com/watch?v=MSucylf4KhY . License : Other . License Terms : Standard YouTube License

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Issue Cover

Article Contents

Introduction, norm violations and international norm dynamics, deviance, norm applications, and lawmaking, case studies and method, echr institutions, committee against torture.

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From Norm Violations to Norm Development: Deviance, International Institutions, and the Torture Prohibition

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Max Lesch, From Norm Violations to Norm Development: Deviance, International Institutions, and the Torture Prohibition, International Studies Quarterly , Volume 67, Issue 3, September 2023, sqad043, https://doi.org/10.1093/isq/sqad043

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How do violations affect international norms? This article demonstrates that violations develop norms by analyzing how international institutions determine the meaning of deviant behavior and the breached norm. Decisions by courts, ad hoc tribunals, commissions of inquiry, and expert committees influence formal and informal lawmaking and drive the contested and often ambiguous development of international norms. To illustrate the impact of these norm applications and lawmaking efforts, the article compares two institutions with different mandates to oversee the international torture prohibition. In the 1960s and 1970s, the European human rights institutions defined torture for human rights law and found that Greece and the United Kingdom had violated the torture prohibition, but created ambiguity regarding the threshold of torture. In 1984, the UN Convention against Torture (CAT) adopted this definition, which was informed by earlier norm violations. In the 1990s and early 2000s, the UN Committee against Torture (CmAT) applied the torture prohibition to interrogation techniques used by Israel and the United States in counterterrorism operations. CmAT’s decisions that both countries had deviated from the norm led to General Comment No. 2 on CAT, which reaffirmed and specified the absolute and non-derogable nature of the torture prohibition.

¿Qué efecto tiene el quebrantamiento de las normas internacionales sobre estas? Este artículo demuestra que los quebrantamientos desarrollan normas a través de un análisis de cómo las instituciones internacionales determinan el significado de este comportamiento desconforme y de la norma quebrantada. Las decisiones de los tribunales, los tribunales ad hoc, las comisiones de investigación y los comités de expertos influyen en la legislación, tanto formal como informal, e impulsan el desarrollo controvertido y a menudo ambiguo de las normas internacionales. Este artículo compara, con el fin de ilustrar el impacto de estas aplicaciones de normas y esfuerzos legislativos, dos instituciones con diferentes mandatos para supervisar la prohibición internacional de la tortura. Durante las décadas de 1960 y 1970, las instituciones europeas de derechos humanos definieron la tortura dentro de las leyes de derechos humanos y determinaron que tanto Grecia como el Reino Unido habían violado la prohibición de la tortura, pero creaban ambigüedad con respecto al alcance de la tortura. En 1984, las Convenciones de las Naciones Unidas contra la Tortura (CAT, por sus siglas en inglés) adoptaron esta definición, que se basó en anteriores violaciones de las normas. Durante la década de 1990 y principios de la década de los 2000, el Comité de la ONU contra la Tortura (CmAT, por sus siglas en inglés) aplicó la prohibición de la tortura a las técnicas de interrogatorio utilizadas por Israel y los Estados Unidos en operaciones antiterroristas. Las decisiones de la CmAT con relación a que ambos países se habían desviado de la norma dieron lugar a la observación general n.° 2 acerca de la CAT, en la que se reafirmaba y especificaba el carácter absoluto e inderogable de la prohibición de la tortura.

Quel est l'effet des violations sur les normes internationales ? Cet article démontre que les violations engendrent des normes en analysant comment les institutions internationales déterminent la signification d'un comportement déviant et d'une violation de norme. Les décisions des tribunaux, des tribunaux ad hoc, des commissions d'enquête et des comités d'experts ont une incidence sur la création de lois formelles et informelles, et favorisent l’élaboration contestée, et souvent ambiguë, de normes internationales. Pour illustrer l'effet de l'application de ces normes et de ces efforts de création de lois, l'article compare deux institutions dotées de mandats différents quand il s'agit de surveiller l'interdiction de la torture à l’échelle internationale. Dans les années 1960 et 1970, les institutions des droits de l'Homme de l'Europe ont défini la torture pour les lois relatives aux droits de l'Homme. Elles ont ainsi conclu que la Grèce et le Royaume-Uni avaient violé l'interdiction de la torture, tout en introduisant une ambiguïté quant aux critères de qualification de torture. En 1984, les Conventions des Nations unies contre la torture (CCT) ont adopté cette définition, renseignée par de précédentes violations des normes. Dans les années 1990 et au début des années 2000, le Comité des Nations unies contre la torture (CmCT) a appliqué l'interdiction de la torture aux techniques d'interrogatoire employées par Israël et les États-Unis dans le cadre d'opérations anti-terroristes. Comme le CmCT a établi que les deux pays n'avaient pas respecté la norme, le Commentaire général n° 2 relatif aux CCT est venu renforcer et préciser la nature absolue et non susceptible de dérogation de l'interdiction de la torture.

The international torture prohibition is an absolute and non-derogable norm, codified in several human rights treaties. Historically, the norm has been repeatedly violated—including by democracies ( Rejali 2007 ; Barnes 2017 ). This raises a central question for international relations (IR) theories: How do violations affect international norms? Because the torture prohibition “is a norm that accepts no deviations” ( McKeown 2009 , 15), it has been hypothesized that violations weaken it. Legal scholars emphasize that persistent torture practices call into question the norm’s status in customary international law ( Parry 2010 , 16–17). Following allegations of torture against the United States (US) during the “war on terror”, concerns about the erosion of the torture prohibition grew ( McKeown 2009 ; Brunnée and Toope 2010 , 266, 270; Kutz 2014 ). In retrospect, however, others argued that rather than undermining the norm, it was actually strengthened ( Percy and Sandholtz 2022 , 937; Lesch and Zimmermann 2023 , 115). Building on the now widely shared assumption that violations do not per se weaken norms, explanations for the prohibition’s robustness have focused on contestation types ( Liese 2009 ; Schmidt and Sikkink 2019 ; Stimmer 2019 ; Zimmermann et al. 2023 , 39–40), strategies to deny deviance ( Birdsall 2016 ), and pushback from international society ( Keating 2014 ). This article argues that norm violations themselves develop norms and provides an explanation for the key role of international institutions in this process.

In international norm disputes, states, non-state actors, and institutions struggle over the meaning of norms and their violations. The article provides a refined understanding of how international institutions, while not fully independent from their interactions with states, contribute to the development of international norms. I argue that norm violations are neither fixed nor immediately observable but result from institutions like courts, ad hoc tribunals, commissions of inquiry, and expert committees applying norms to concrete cases and labeling potential infringements as “deviance”. They record their assessment that a particular practice constitutes deviance in informal and formal instruments, thereby significantly shaping the meaning of international norms. Through norm applications by international institutions, norm violations can drive norm development.

To conceptualize the link between norm violations and norm development, I develop a two-pronged model that draws on insights from legal theory, the sociology of deviance, and organization studies. Norm-applying institutions engage in fact-finding to establish knowledge about alleged violations and decide whether certain actions amount to deviance. This influences formal and informal lawmaking: Case-specific decisions on deviant behavior contribute to an evolving body of case law that incrementally shapes the meaning of international norms. By deciding on novel cases or overturning previous interpretations, precedents can be set. By generalizing from specific decisions on deviance, new or adapted normative understandings, mediated through the (non-)recognition by states, become enshrined in treaties, general comments, and similar documents, changing the meaning of international norms—albeit not necessarily in a progressive and consistent manner.

I analyze two international institutions with different mandates for overseeing the torture prohibition. Building on recent scholarship that examines how human rights courts and treaty bodies develop the concept of torture ( Yildiz 2020 , 2023 ; Davidson 2022 ), I compare how and to what effect the judicial bodies of the European Convention on Human Rights (ECHR) 1 and the quasi-judicial United Nations (UN) Committee against Torture (CmAT) react to alleged norm violations. Comparing norm applications and lawmaking before and after the 1984 UN Convention against Torture (CAT) 2 puts recent challenges to the torture prohibition into perspective and helps explain how violations affect norm development.

In the 1960s and 1970s, the European Commission on Human Rights (ECommHR) 3 and the European Court of Human Rights (ECtHR) ruled that Greece and the United Kingdom had deviated from the prohibition of torture and ill-treatment but created ambiguity regarding the threshold of torture. The definition of torture developed by the ECommHR and the decisions of both ECHR bodies later shaped CAT. In the 1990s and early 2000s, CmAT found Israel and the United States in violation of the torture prohibition. Then, in 2008, in response to disputes with both States’ parties, CmAT adopted General Comment No. 2 on CAT to clarify its applicatory scope. The analysis of these cases demonstrates that norm-applying institutions influenced the development of the torture prohibition more than contesting and powerful states did. Without the institutional norm applications, the definition and interpretation of the torture prohibition would be different.

The theoretical model and the case studies contribute to constructivist and rationalist approaches to norm violations. Constructivists focus on the discourse about violations to determine whether there is a shared understanding of the validity of norms ( Wiener 2018 ; Deitelhoff and Zimmermann 2020 ) and how international society defines its boundaries ( Adler-Nissen 2014 ; Zarakol 2014 ). Rationalists focus on the (precedent-setting) effects of violations, which are likely to weaken norms in the absence of formal enforcement mechanisms ( Panke and Petersohn 2012 ; Verdier and Voeten 2015 ). This article builds on these theories and develops them in two ways: Norm researchers have long acknowledged the inherent link between norms and deviance. However, by focusing on state responses to alleged violations, they have treated international institutions primarily as sites of norm contestation. To highlight institutional agency, I shed light on the other side of norm disputes by unpacking how international institutions label certain acts or actors as “deviant” before states accept, contest, or reject their decisions. Building on insights from organization studies, the article traces how international institutions “fix meanings in ways that orient action and establish boundaries for acceptable action” ( Barnett and Finnemore 2004 , 32). In so doing, it helps to explain the normative power of quasi-judicial institutions, thereby contributing to empirical research on the operation of legal norms and institutions ( Finnemore and Toope 2001 ).

The remainder of this article is organized as follows. I begin by mapping IR scholarship on norm violations. Next, I define my key concepts, develop the two-pronged model of norm application and lawmaking, and introduce the case studies and methods. The case studies analyze how the ECHR institutions and CmAT applied the torture prohibition in four cases and thereby influenced lawmaking. Finally, I discuss the comparative findings and implications for further research.

The role of norm violations is at the center of several overlapping IR theories. 4 For norm researchers, norms indicate what constitutes appropriate and deviant behavior ( Finnemore and Sikkink 1998 , 891–92; Jurkovich 2020 , 695). Norms are “counterfactually valid” despite their violation ( Kratochwil and Ruggie 1986 , 767). Contestation scholars even argue that “Norms often only become visible when they are violated” ( Deitelhoff and Zimmermann 2020 , 53). Similarly, research on stigmatization emphasizes that “deviant actors help to clarify norms” ( Adler-Nissen 2014 , 144). For judicialization scholars, norm violations are the key concern of adjudicatory bodies ( Alter, Hafner-Burton, and Helfer 2019 , 451). All of these approaches study “how the community assesses the violation and responds to it” ( Kratochwil and Ruggie 1986 , 767). Based on this widely shared assertion, scholarship has taken three directions, focusing on norm compliance, challenges , and change .

First, scholars have studied the promotion of compliance . Constructivists have demonstrated how non-governmental organizations (NGOs) trigger socialization processes ( Finnemore and Sikkink 1998 ; Keck and Sikkink 1998 ), sometimes even acting as norm enforcers ( Eilstrup-Sangiovanni and Sharman 2022 ). In contrast to a progressive socialization narrative, others point to the ambivalent links between stigmatization and compliance ( Zarakol 2014 , 315–17). Rational institutionalists study the politics and effects of naming and shaming norm violations ( Lebovic and Voeten 2006 ; Hafner-Burton 2008 ) and the role of international courts in inducing compliance ( Zangl 2008 ; Hillebrecht 2014 ; Staden 2018 ). More recently, this scholarship has begun to study the effects of quasi-judicial institutions ( Carraro 2019 ; Creamer and Simmons, 2019 , 2020 ; Ullmann and Staden 2023 ). This research focuses mainly on mechanisms that promote compliance and is primarily interested in state behavior rather than norm development.

Second, norm violations are a trigger for norm challenges . Contestation scholars have developed typologies to study the discourse of norm challengers to justify norm violations ( Sandholtz 2007 , 14–17; Wiener 2018 , 38–42; Stimmer 2019 , 272; Deitelhoff and Zimmermann 2020 , 54–56; Lesch and Marxsen 2023 , 29–34). The backlash literature identifies patterns in challenges to international courts ( Soley and Steininger 2018 , 240–41; Stiansen and Voeten 2020 , 773–75; Kucik and Puig 2022 , 2–3). Scholars of deviance distinguish different types of norm violations ( Evers 2017 , 789–91) and study how actors “manage” their stigma ( Adler-Nissen 2014 , 153–55; Saha 2022 , 5–7). As a discursive phenomenon, however, norm challenges differ from norm violations in practice. 5 Less attention has been paid to how such norm violations affect norm development (see also Evers 2017 , 788).

Third, scholars study how violations affect norm change . Norm researchers have demonstrated how disapproval and stigmatization of violations trigger norm emergence ( Finnemore and Sikkink 1998 , 892; Rosert 2019 , 1108–10). State actions and arguments about alleged violations are a constant driver of norm change ( Sandholtz 2007 ). Recent studies show how deviators even act as norm entrepreneurs ( Smetana and Onderco 2019 ; Wunderlich 2020 ). In the absence of enforcement, in contrast, rationalists view violations as an indicator for norm decay ( Panke and Petersohn 2012 , 722–23; Verdier and Voeten 2015 , 12). From a slightly different angle, constructivists study violations as an indicator of norm weakening when they are not condemned ( Deitelhoff and Zimmermann 2019 , 6–7). However, this scholarship brackets the question of how norm violations are determined in the first place and affect the meaning of norms (see also Pratt 2020 , 77; Kinsella and Mantilla 2020 , 651)—especially when it comes to the role of international institutions ( Yildiz 2020 , 41). This is surprising because constructivist research highlights the power of international organizations in creating, applying, and diffusing norms ( Barnett and Finnemore 2004 , 31). Although judicialization scholarship makes legal institutions its object of study, it is mainly interested in their relations with states ( Abbott et al. 2000 ; Alter, Hafner-Burton, and Helfer 2019 ; Stiansen and Voeten 2020 ). In contrast to judicial lawmaking scholarship ( Venzke 2012 ), it has paid less attention to the processes of applying and interpreting norms (see also Stappert 2020 , 37). Moreover, this research has focused primarily on judicial institutions like courts—less on quasi-judicial bodies ( Alter, Hafner-Burton, and Helfer 2019 , 453; but see recently Zvobgo and Graham 2020 ; Davidson 2022 ; Reiners 2022 ; Lesch and Reiners 2023 ).

In short, most of this literature studies norm violations in close relation to states—either as norm violators or as challengers. In doing so, it often assumes that we know a norm violation when we see it. But norms do not “interpret, or apply themselves; doing so requires agents and agency” ( Putnam 2020 , 32). While acknowledging the central role of states in norm change, this article focuses on the role of international institutions in this process. The next section advances this literature by showing how deviance not only triggers lawmaking but also shapes its content through the activities of international institutions.

To conceptualize the impact of violations on norm development, I draw on legal theory, the sociology of deviance, and organization studies. Based on a dynamic definition of deviance and a constructivist understanding of norm-applying institutions, I introduce a two-pronged model to analyze how norm violations are determined in institutionalized norm applications and how the resulting findings of deviance influence lawmaking.

Norms are inherently linked to deviance. Prohibition norms in particular gain meaning by critiquing behaviors they seek to prohibit ( Möllers 2020 , 90). A norm indicates that certain behaviors ought and ought not to be enacted ( Finnemore and Sikkink 1998 , 891; Winston 2018 , 640; Jurkovich 2020 , 695–96). The critique of targeted killings—though not universal—is based on the shared understanding that national sovereignty ought to protect certain individuals from assassination ( Keating 2022 , 2). The practice of targeted killing does not automatically invalidate norms against it (see Kratochwil and Ruggie 1986 , 767). Taking this theoretical argument further, Möllers (2020 , 61) even argues that “Without the possibility of norm violation , there is no normativity.” This builds on Durkheim (1982 , 79), who argued that “normal” and “pathological social facts” should be analyzed as two sides of the same coin: Deviance “is not a property inherent in certain forms of behavior; it is a property conferred upon these forms by the audiences which directly or indirectly witness them” ( Erikson 1962 , 308). That is, a particular act is not a crime in itself: Social reprobation makes it a crime ( Durkheim 1969 , 81–82). The sociology of deviance foregrounds the role of norm-violating behavior in norm development.

Based on these assumptions, I define deviance as the outcome of a process in which certain actions are determined as breaching a norm and the wrongdoer is labeled . This dynamic concept of deviance is akin to pragmatist theories that suggest focusing less on whether or not actors follow prescriptions and more on the social interactions that negotiate “what counts as conforming to them” and what does not ( Pratt 2020 , 77; see also Lesch 2021 , 616). In the targeted killing case, similar to the debates over autonomous weapons, this has often been difficult. Several state, non-state, and institutional actors struggle to determine this practice as norm violation, hindering the clarification of the scope of anti-assassination norms and the adoption of new norms to regulate emerging technologies ( Rosert and Sauer 2021 , 15–18; Keating 2022 , 6–8). Determinations of deviance would specify, which practices are prohibited. This, in turn, would render existing norms less ambiguous and help to develop new rules against the use of force by drones and autonomous weapons.

Who determines deviance in world politics? Multiple actors determine and label deviance through various practices, including diplomatic practices of exclusion ( Adler-Nissen 2014 ), NGO naming and shaming ( Keck and Sikkink 1998 ; Eilstrup-Sangiovanni and Sharman 2022 ), and institutional pronouncements on non-compliance, outcasting norm violators ( Hathaway and Shapiro 2011 , 305–10; Hirsch 2015 , 170–71). The different actors and modes of determining deviance can be illustrated in the context of the Russian war of aggression against Ukraine: Peace rallies across the globe and NGO reports have condemned the war; many states have sanctioned Russia, invoking core norms of the international order; the UN General Assembly (UNGA) has denounced the invasion as an illegal aggression; the Human Rights Council has dispatched a fact-finding mission to investigate violations of human rights and humanitarian law; and the International Court of Justice (ICJ) has issued the only legally binding decision do date ordering Russia to cease its military activities. It remains to be seen in which direction—if any—these determinations of deviance, which are not supported by all states and are disputed by some, will develop the international prohibition on the use of force. Yet this example shows that multiple and diverse actors are engaged in disputes over what constitutes deviance.

Deviance is the outcome of intermeshed social, political, and legal processes, triggered by alleged norm violations. In this article, I focus on “norm-applying institutions” defined as international bodies tasked to oversee treaties by ascertaining and applying norms (see Abbott et al. 2000 , 415). They determine what violations are and fix what norms mean (see Barnett and Finnemore 2004 , 32). My definition is broader than the usual definition of international courts and includes norm applications and lawmaking practices that do not depend on formal authority, binding decisions, and coercive enforcement (see also Alter, Hafner-Burton, and Helfer 2019 , 453; Finnemore and Toope 2001 , 747). Many institutions, like human rights treaty bodies or compliance panels in development institutions, monitor, review, and otherwise act as custodians of international norms ( Creamer and Simmons 2019 , 2020 ; Çalı, Costello, and Cunningham 2020 , ; Zvobgo and Graham 2020 ). They determine deviance even without formal adjudication.

In these institutions, lawyers and other international experts, bureaucrats, government officials, and NGO staff apply norms by establishing the facts of a case and determining whether or not those facts amount to deviance. Their agency depends on the willingness of states to activate adjudication bodies, cooperate in the process, and recognize their decisions ( Alter, Hafner-Burton, and Helfer 2019 , 454–56). Friendly settlements, which are increasingly used by the ECtHR, are a way to suppress norm applications and determinations of deviance, thus hindering norm development ( Fikfak 2022 , 946). Judges and experts in these institutions are not independent in enacting (quasi-) judicial practices that go beyond a purely formalistic norm application as they are embedded in professional fields and political structures. Judges in human rights courts and experts in treaty bodies are influenced in their decision-making by professional backgrounds, networks, and relations to States parties ( Stiansen and Voeten 2020 , 773–75; Caserta and Madsen 2022 , 938–39; Reiners 2022 , 58–62). The determination of deviance and its effects on norm development are entrenched in the environment of international institutions.

The practice of norm-applying institutions affects specific norm disputes and the broader normative structure in two ways ( Figure 1 ). First, norm-applying institutions respond to allegations that a state has acted in violation of international norms. They gather information and evaluate the facts in light of these norms. This “norm application” results in institutional statements that label deviators. Second, norm applications link norm violations with formal and informal “lawmaking”. In case-specific decisions and general legal instruments, norm violations contribute to the development of international norms. Lawmaking can reaffirm or alter norms that are tested by future actions and allegations of norm violations as norm development evolves in ongoing cycles ( Sandholtz 2007 , 9–11). The next two sections further unpack both dimensions.

Norm Development through Norm Violations.

Norm Development through Norm Violations.

Norm Application

International institutions use norms to evaluate an action or a situation to determine whether standards of appropriateness are met or whether certain actions deviate from the norm ( Kratochwil 1989 , 42; Möllers 2020 , 109). Norm applications are based on a dual, interwoven “empirical” and “normative” process ( Creamer and Simmons 2019 , 1053). Empirically, norm-applying institutions engage in fact-finding to establish knowledge about cases of alleged norm violations. Normatively, they determine whether the empirical findings amount to deviance by interpreting and linking the relevant norms to the facts ( Table 1 ).

Norm Applications: Fact-Finding and Determining Deviance

Fact-findingDetermining deviance
ProcessEmpiricalNormative
Practices Collecting facts, hearing witnesses Interpreting norms, invoking precedents
Validating evidence Linking facts to norms, evaluating meaning
Fact-findingDetermining deviance
ProcessEmpiricalNormative
Practices Collecting facts, hearing witnesses Interpreting norms, invoking precedents
Validating evidence Linking facts to norms, evaluating meaning

To establish the facts of a case, norm-applying institutions gather information and give it meaning—thus creating knowledge about alleged norm violations ( Barnett and Finnemore 2004 , 29–30). They do this on-site by visiting the places where alleged norm violations occurred, e.g., inspecting detention centers or manufacturing sites for illegal weapons. Off-site fact-finding at institutional premises works differently: While many courts operate in an adversarial setting, allowing all parties to produce evidence and witnesses and to cross-examine them ( Devaney 2016 , 12–13), monitoring bodies typically rely on review-based fact-finding in which experts evaluate government and NGO reports ( Viljoen 2004 ). In both cases, norm-applying institutions validate information in light of competing assessments to establish credible facts as the basis for determining deviance.

The institutions decide whether these facts constitute evidence of a deviation from a particular norm by engaging with the norm in the abstract and with the situation in the concrete. First, they interpret treaty norms and assess existing case law ( Stappert 2020 , 47–49). When necessary, they deal with potential ambiguities that general norms naturally leave and that are not always resolved in interpretations. Second, institutional actors link norms and their interpretations to specific situations and established facts. They evaluate whether a particular action deviates from or conforms with a norm and indicate what the norm means in specific situations ( Alter 2014 , 9). This process is not only about subsuming factual findings under normative interpretations. It is also about making decisions in controversies about competing evaluations ( Kratochwil 1989 , 227). Determining deviance ascribes meaning to the specific act and the applied norm ( Möllers 2020 , 109–10). For example, describing a state’s use of force as illegal aggression rather than self-defense affirms, specifies, or changes the meaning of the norm that prohibits the use of force in that and future cases. In so doing, norm applications can also create new ambiguities and even backtrack from earlier clarifications.

In short, in this contested process, actors like judges, experts, and state representatives—while embedded in social, political, and professional structures beyond the courtroom or committee panel—argue over their recollections of the facts and how to interpret a norm. Finally, norm-applying institutions publicize the outcomes of these processes, explicitly labeling and outcasting deviants, which affects their status and institutional membership ( Hathaway and Shapiro 2011 , 305–10; Hirsch 2015 , 170–71).

Fact-finding and determining deviance lead to a decision about whether a norm has been violated. These decisions can take different (usually written) forms, all of which I understand as contributing to lawmaking defined as “an activity that produces outputs that can be argued for as […] law” ( Reiners 2022 , 3, footnote 5). I distinguish between case-specific and general forms of lawmaking that record deviance in either formal or informal instruments ( Table 2 ). 6

Formal and Informal Lawmaking

FormalInformal
Judgments, advisory opinionsObservations, reports
TreatiesStandard-setting, general comments
FormalInformal
Judgments, advisory opinionsObservations, reports
TreatiesStandard-setting, general comments

Specific lawmaking includes all decisions made by norm-applying institutions in cases of alleged norm violations. Formal outputs of norm applications can be found in the judgments of courts. Advisory opinions are another example of specific, formal lawmaking by international institutions, such as the ICJ on the right to self-determination ( Sparks 2023 , Chapters 5–6). Decisions on norm violations are also recorded in informal outputs like observations and recommendations by quasi-judicial bodies such as the human rights treaty bodies ( Çalı, Costello, and Cunningham 2020 ; Creamer and Simmons 2019 , 2020 ), as well as World Bank inspection panels and OECD review processes (e.g., Zvobgo and Graham 2020 ). While they differ procedurally and legally, the formal and informal outputs manifest the meaning of a norm. In so doing, they add to the evolving case law and jurisprudence of norm-applying institutions, which provide reference points for future norm applications that can invoke these decisions—thus incrementally developing the norm.

When decisions on norm violations create new understandings of a norm or apply it to new situations, they can become important precedents as institutions cite these decisions ( Lupu and Voeten 2012 ) or states invoke them to justify their actions ( Sandholtz 2007 , 16). At the same time, precedents are often a major concern for states. The Appellate Body of the World Trade Organization (WTO), for example, has increasingly relied on precedents in its rulings. While some states agree with these precedents, others challenge them as going too far beyond the original treaty ( Kucik and Puig 2022 , 7), underlining the limits of institutional lawmaking. Following Stappert (2020 , 45), I assume that the basic logic of precedent applies to formal and informal settings like the human rights treaty bodies.

The central mechanism of general lawmaking is the formal adoption of international treaties through which states signal their consent and bind themselves to these norms. Yet this has never been the only source of international law, and recent research highlights the growing influence of informal lawmaking ( Pauwelyn, Wessel, and Wouters 2013 ; Krisch 2014; , Rogers 2020 ). International organizations, secretariats, and expert committees increasingly make law—sometimes even in direct opposition to formal processes ( Venzke 2012 ). For the purpose of this article, “general comments” by UN treaty bodies are a prime example of general informal lawmaking ( McCall-Smith 2016 ), for example, in making water a human right ( Reiners 2022 ). OECD standard-setting in development assistance is another example of a general, informal instrument.

The empirical part of this article applies this model and shows that norm violations and applications influenced formal and informal lawmaking to prohibit torture: CAT and General Comment no. 2 to CAT. The case studies reconstruct how, in the 1960s and 1970s, ECHR institutions defined torture and determined Greek and British interrogation practices as torture, and how, in the 1990s and early 2000s, CmAT established that similar Israeli and US practices constituted torture. Greek and British norm violations shaped the understanding of torture adopted by the drafters of the CAT. Israeli and US deviations were key for CmAT in drafting its second general comment.

The torture prohibition is deeply rooted in human rights law with several institutions monitoring compliance and implementing the norm ( Nowak, Birk, and Monina 2019 , 2). I analyze how norm violations have driven the development of the torture prohibition by comparing norm applications and lawmaking in the ECHR institutions and CmAT ( Table 3 ). These institutions oversee the torture prohibition but differ in design and practice. The ECHR institutions issue legally binding decisions through adversarial proceedings. As an informal body, CmAT does not pronounce legally binding decisions; its self-reporting mechanisms are based on expert reviews. The case studies demonstrate how the model works by analyzing how the meaning of violations, conveyed through fact-finding and determinations of deviance, affects norm development.

Comparing ECHR Institutions and CmAT

InstitutionECHR institutionsCommittee against Torture (CmAT)
Legal natureCourt, judicialExpert committee, quasi-judicial
Treaty lawECHRCAT
MechanismsInter-state complaints, individual petitionsSelf-reporting, inter-state complaints, individual communications, inquiries
ProcedureAdversaryExpert review
OutcomeBinding judgmentsNon-binding decisions and observations
Norm applicationsGreek case, Ireland v. United Kingdom (1969–1978)Israeli and US reviews
(1994–2006)
InstitutionECHR institutionsCommittee against Torture (CmAT)
Legal natureCourt, judicialExpert committee, quasi-judicial
Treaty lawECHRCAT
MechanismsInter-state complaints, individual petitionsSelf-reporting, inter-state complaints, individual communications, inquiries
ProcedureAdversaryExpert review
OutcomeBinding judgmentsNon-binding decisions and observations
Norm applicationsGreek case, Ireland v. United Kingdom (1969–1978)Israeli and US reviews
(1994–2006)

The ECHR institutions addressed allegations of torture in Greece and Northern Ireland in inter-state complaints between 1969 and 1978. CmAT dealt with allegations of torture against Israel and the United States in the self-reporting procedure between 1994 and 2006. The focus on these specific cases in the context of counterterrorism limits the jurisprudential terrain somewhat. 7 However, the comparison of judicial and quasi-judicial institutions provides explanatory insights into whether legally binding judgments in inter-state complaints differ from informal observations in expert reviews; whether the practices and outcomes of norm applications and lawmaking affect norm development in different or similar ways; and how this, in turn, affects recognition by states. Finally, the analysis of cases before and after the adoption of CAT in 1984—a watershed moment for the prohibition—adds a longitudinal perspective that puts into perspective the debates about norm erosion in the early 2000s.

The case studies trace the process leading from an alleged norm violation to a new legal instrument to identify the mechanisms at work between norm violation, application, and lawmaking (see Meegdenburg 2023 ). Each case study begins with a brief introduction to the institutional setting. The case studies then summarize the actions that triggered allegations of norm violations and analyze how international institutions conducted their fact-finding and determined and labeled deviance. Next, I turn to lawmaking efforts that shaped the torture prohibition to trace how norm violations procedurally and substantively influenced new formal and informal instruments. The case studies provide empirical evidence for the claim that the outcomes of norm applications are integrated into new legal instruments—either during the drafting process or in the instrument itself. The in-depth analysis is based on archival materials, the official travaux préparatoires , meeting minutes, expert interviews, participant observations at a CmAT session in 2016, and secondary literature.

Adopted in 1950 under the auspices of the Council of Europe (CoE), the ECHR established a tripartite architecture to oversee compliance with its norms—including the absolute and non-derogable torture prohibition ( Mavronicola 2021 , 16–17). The ECommHR was tasked with receiving applications, establishing facts, and reporting on norm violations. Initially, the CoE Committee of Ministers made the final decisions. Then, in 1959, the ECtHR was established to render legally binding decisions and order remedies in cases referred by States parties or ECommHR. Cases could be brought to the ECommHR—until its dissolution in 1998, a pre-trial chamber of the ECtHR that was also tasked with mediating friendly settlements—through individual and inter-state applications ( Bates 2010 , 120–24).

Adjudicating Interstate Complaints

In April 1967, the infamous “Greek colonels” overthrew the democratic government, claiming to fight communism ( Bates 2010 , 264). Reports of torture soon began to circulate. In September 1967, Denmark, Norway, Sweden, and the Netherlands filed interstate complaints against Greece under the ECHR, which became known as the Greek case ( CoE 1972 , 5–6). In 1969, the ECommHR found Greece in violation of the ECHR torture prohibition. In 1971, as the Northern Ireland conflict escalated, the British were accused of torturing detainees with the “five techniques”: wall-standing, hooding, white noise, sleep, and food deprivation ( Rejali 2007 , 363). British inquiries into the torture allegations produced findings that refuted them and were ambivalent about their legality under international law ( Foley 2021 , 112–13). Ireland was dissatisfied and, in December 1971, filed an interstate complaint against the United Kingdom at the ECommHR ( Dickson 2010 , 61). In October 1975, Ireland declined the proposal for a friendly settlement ( Dickson 2010 , 35, n 67). The ECommHR issued its decision in 1976 followed by an ECtHR judgment of 1978, both of which found the United Kingdom in violation of ECHR Article 3 on torture and inhumane treatment but differed in their interpretation of torture.

Fact-Finding

The ECommHR used an adversarial procedure—hearing both applicant and respondent government representatives—to establish the facts of the case. In the Greek case , the commissioners received memoranda and countermemos from Scandinavian and Greek representatives, heard witnesses from both sides, and visited Greece ( Becket 1970 , 96–104). They collected information in a representative sample of 213 submissions. Based on this material, ECommHR found that Greece practiced falanga (beating on soles), electric shocks, beatings, mutilations, and various forms of sensory deprivation (see also Rejali 2007 , 276). In Ireland v. United Kingdom , the commissioners received oral and written submissions from the Irish and British governments and heard 100 witnesses speak to the allegations ( CoE 1977 , 522, 528). Striving to maintain a careful balance between the disputing parties, they heard witnesses produced and cross-examined by both sides. It found that the five techniques had indeed been used. As British commissions of inquiry had made similar assessments, the United Kingdom did not contest this finding. In both cases, fact-finding was based on written submissions, witnesses, and, in the Greek case , visits to places of detention. ECommHR validated the findings as credible facts in adversarial proceedings.

Determining Deviance

ECommHR then evaluated whether these facts constituted evidence of violating the torture prohibition. They began by interpreting the norm from scratch because key terms were not defined in European and international human rights law. The commissioners defined “torture” and “inhumane treatment” in the Greek case :

The notion of inhuman treatment covers at least such treatment as deliberately causes severe suffering, mental or physical, which, in the particular situation, is unjustifiable. The word ‘torture’ is often used to describe inhuman treatment, which has a purpose, such as the obtaining of information or confession, or the infliction of punishment, and is generally an aggravated form of inhuman treatment. ( CoE 1972 , 186).

This definition distinguishes torture— inhumane treatment that causes severe suffering—from inhumane treatment by its deliberateness and aggravation. In the Greek case , the ECommHR found evidence of an administrative practice: persistent acts of torture tolerated by the state ( CoE 1972 , 501). By thoroughly examining the torture allegations, it was able to “make a decision based on extensive evidence” ( Becket 1970 , 110). ECommHR established that the Greek practices crossed the threshold of torture and violated the country’s obligations under the ECHR. In Ireland v. United Kingdom , the commissioners based its interpretation on the Greek case . Addressing ambiguities in the Greek decision, it emphasized the non-derogable nature of the prohibition, which does not allow for exceptions even in cases of emergency ( CoE 1977 , 752). Based on two representative cases, they were convinced that the United Kingdom had used the five techniques to cause severe stress and suffering to obtain information—which constitutes ill-treatment and meets the threshold of torture ( CoE 1977 , 792–94). It found that the United Kingdom had violated Article 3 of the ECHR.

Ireland then referred the case to the ECtHR, which also found the United Kingdom in violation of the ECHR but differed in its interpretation of torture: A majority of judges found that the five techniques, while ill-treatment, did not amount to torture. The ECtHR ( 1978 , para. 167) held that torture is limited to “a special stigma to deliberate inhuman treatment causing very serious and cruel suffering.” The special stigma notion has no roots in human rights law and jurisprudence; it was “invented” by the ECtHR to reserve the concept of torture to “particularly brutal” practices that leave visible marks ( Farrell 2022 , 4). The ECtHR cited the recently adopted 1975 UNGA Declaration on Torture, which states that torture is “aggravated and deliberate” inhumane treatment. 8 Demonstrating the close links between norm violations and lawmaking (see below), the UNGA Declaration based its definition on the wording used in the Greek case , emphasizing the degree of suffering inflicted by each technique rather than its purpose .

The dissenting judges Franz Matscher and Dimitris Evrigenis took issue with the interpretation that reopened the uncontested ECommHR finding, arguing that modern torture also targets the psychological level, which should not be excluded from the ECHR definition ( ECtHR 1978 , 123–27; see also Mavronicola 2021 , 65). These different positions in Ireland v. United Kingdom illustrate how norm applications are open to negotiation, which is not without social, political, and legal interactions beyond the courtroom, as the ECtHR decision and the dissenting opinions—including the opposing views by the Irish and British judges—show. Deviance is not predetermined, and its meaning does not necessarily evolve progressively.

Greece and the United Kingdom reacted differently to the decisions. Greece denounced the ECHR and withdrew from the CoE before being expelled ( Becket 1970 , 107). The United Kingdom did not contest the ECommHR report. As Commissioner Jochen Frowein noted, British recognition was partly based on satisfaction with the procedures of the case. The United Kingdom delegation had been skeptical as to whether “this Commission of continental lawyers” could handle their case (quoted in Wolfrum and Deutsch 2009 , 23). Unsurprisingly, the United Kingdom accepted the ECtHR judgment, which acquitted it from the charge of torture. While the United Kingdom subsequently changed its discourse on torture ( Foley 2021 ), the ECtHR decision had permissive effects as evidenced by the United Kingdom’s use of the five techniques in the early 2000s ( Farrell 2022 , 11–13).

From ECHR Precedents to CAT

The Greek case and Ireland v. United Kingdom are important instances of case-specific lawmaking that set precedents for the application of the torture prohibition and also shaped formal lawmaking in new international treaties. In the Greek case , the ECommHR articulated the first international definition of torture; it was also the first time that an international institution found a state in violation of the norm ( Bates 2010 , 266). Ireland v. United Kingdom was the first time that the ECtHR made such a decision ( Yildiz 2020 , 90). The special stigma notion has continued to shape its jurisprudence ( Farrell 2022 , 6–9). While the ECtHR 20 years later acknowledged that its concept of torture was open to change when it issued its first decision finding a state (France) guilty of torture ( Yildiz 2020 , 90), its unsystematic approach to Article 3 has been criticized for undermining its “capacity to guide” ( Mavronicola 2021 , 49–50). Even beyond the ECHR context, the decision had precedential effects: Decades later, Israel and the United States used the ECtHR’s narrow understanding of torture as a precedent to justify interrogation practices (see also below).

The decisions in the Greek case and Ireland v. United Kingdom also influenced lawmaking at the UN, where concerns about human rights in Chile inspired new efforts to combat torture ( Burgers and Danelius 1988 , 14–16). In 1975, the UNGA adopted the Declaration on Torture, which relied on the ECommHR decision in the Greek case to define torture ( Burgers and Danelius 1988 , 115). Article 1 of the Declaration restates the ECommHR definition from the Greek case and is based on its determination of deviance. As noted above, the ECtHR used the definition in the UN Declaration to justify its controversial conclusion that the five techniques did not constitute torture, thus demonstrating the close links between norm violations, applications, and lawmaking.

When the drafters of CAT sought to define torture, the main bone of contention was the second paragraph in the Declaration of 1975 and the notion of “aggravated” inhumane treatment ( Burgers and Danelius 1988 , 44). With the United States support, the United Kingdom pushed for language consistent with the ECtHR judgment that had acquitted them of torture ( Burgers and Danelius 1988 , 42–45, 73; Nowak, Birk, and Monina 2019 , 31–32, 43). The first Swedish draft of CAT included “aggravation” in the definition of torture ( Burgers and Danelius 1988 , 203). A revised version bracketed this subclause ( Burgers and Danelius 1988 , 208), which was omitted in the final text: CAT Article 1 defines torture as

any act by which severe pain or suffering, whether physical or mental, is intentionally inflicted on a person for such purposes as obtaining from him or a third person information or a confession, punishing him for an act he or a third person has committed or is suspected of having committed, or intimidating or coercing him or a third person, or for any reason based on discrimination of any kind, when such pain or suffering is inflicted by or at the instigation of or with the consent or acquiescence of a public official or other person acting in an official capacity.

This definition echoes the Greek case but avoids the ambiguity about “aggravation” in the second sentence of the UN Declaration on Torture and its interpretation in Ireland v. United Kingdom . The drafters of CAT adopted ECommHR’s interpretation of torture in Ireland v. United Kingdom , which defined a different threshold for torture than the 1978 ECtHR decision, which the United Kingdom and the United States had unsuccessfully advocated in the CAT drafting process ( Nowak, Birk, and Monina 2019 , 44). Unlike the ECtHR decision, ECommHR considered the five techniques and similar interrogation techniques (including sensory deprivation) to be torture by placing greater emphasis on their purpose. This is also key to the multidimensional CAT definition, which went beyond the focus on the severity of suffering that the ECtHR had advocated in 1978 ( Nowak, Birk, and Monina 2019 , 45). 9 The torture definition in CAT translated this decision on norm violations against the United Kingdom into a general, formal instrument of international law. In terms of the norm’s applicatory scope, however, CAT obligations regarding torture in Article 2 and ill-treatment in Article 16 created space to exploit the vague distinction between torture and ill-treatment under CAT ( Nowak, Birk, and Monina 2019 , 443–46).

Norm violations by Greece and the United Kingdom and their determination as deviance by the ECHR institutions did not only shape law through case-specific decisions and precedents regarding the torture prohibition’s meaning. They were also essential for defining torture during the formal lawmaking process that led to CAT. While norm violations are crucial to norm development, the disputes over the “special stigma” of torture show that it can also stall or even go awry when institutions fail to unequivocally determine deviance.

CAT builds on the absolute and non-derogable torture prohibition in the International Covenant on Civil and Political Rights (ICCPR) and develops means to effectively implement this norm ( Burgers and Danelius 1988 , 1; Nowak, Birk, and Monina 2019 , 6–7). CmAT is an expert body of ten elected members that was established in 1989 under CAT. Its central monitoring mechanism—obligatory for all States parties—is the review of self-reports and NGO shadow reports in “constructive dialogues” with state delegations ( Creamer and Simmons 2019 , 1052). The professionally diverse composition of CmAT shapes its interactions with state delegations (see Reiners 2022 , 60). For example, longtime CmAT chair Jens Modvig’s medical background led him to ask different questions than the lawyers on the committee. The outcome of the review is observations and recommendations to improve the implementation of the norm. While non-binding and not always explicitly addressing norm violations ( Kelly 2009 , 793), even these informal documents raise “the political stakes of ignoring them” ( Creamer and Simmons 2020 , 17).

Reviewing State and Shadow Reports

In the 1990s, Israel was criticized for interrogation practices, including shabeh , overwhelming restraint, stress positions (forced squatting, sitting, and standing), strenuous physical exercises, white noise, and beatings ( Rejali 2007 , 354–57). The methods were often intensified through sleep deprivation and shaking ( Rejali 2007 , 329, 337). In the early 2000s, the United States used similar techniques, including waterboarding, stress positions, sleep and food deprivation, white noise, beatings, and mock burials (US Senate 2014 , 32). The methods were accompanied by legal justifications. In Israel, the Landau Report of 1987 included guidelines for “moderate physical pressure”. In the United States, the 2002 Bybee Memorandum made the case for the legality of “enhanced interrogation techniques”. Both countries referred to the ECtHR judgment in Ireland v. United Kingdom to justify their methods ( Landau Commission 1987 , 69–70; Bybee [2002] 2005 , 197–98). This underscores the (unintended) precedential effects of this decision. As before CAT, there was growing uncertainty about the legality of certain interrogation practices. CmAT applied the torture prohibition in reviewing Israeli and US state reports. Despite the informal procedure, both countries dispatched high-level delegations to engage with CmAT (see also Schmidt and Sikkink 2019 , 108).

In contrast to the adversarial ECHR procedures, CmAT finds facts “indirectly” by having its experts review state reports and NGO “shadow reports” ( Viljoen 2004 , 59–61). The review is less formalized and relies heavily on secondary sources ( Kelly 2009 , 789). In the 1990s, Israel appeared before CmAT in 1994 and 1998 for its initial and second periodic reports, and in 1996, after submitting a special report requested by CmAT. It also used reports on the interrogation techniques by Amnesty International and Al-Haq , the Palestinian branch of the International Commission of Jurists ( CmAT 1994b , para. 239). In 2006, after submitting its initial report, the United States met with CmAT for the first time. In addition to the US report, CmAT reviewed over 3,000 pages of NGO reports. 10 It heard the Israeli and US positions and questioned the delegations. In meetings with the Israelis, CmAT experts referred to the findings of Amnesty International and Al-Haq, which they described as reputable sources ( CmAT 1994a , para. 11). By 1998, Peter Burns, the country rapporteur for Israel, was confident that CmAT had “full knowledge of the facts” about Israeli interrogation techniques like beatings, hooding, sleep deprivation, stress positions, and shaking ( CmAT 1998 , para. 13). The Landau Report and Israeli Supreme Court rulings provided additional information on interrogations using moderate physical pressure ( CmAT 1998 , paras. 22–24). With regard to the United States, CmAT used shadow reports by Amnesty International, Human Rights Watch and others as important points of reference ( CmAT 2006a , paras. 85, 97, and 102). CmAT members then inquired about the US position on water-boarding, sexual abuse, stress positions, and other techniques ( CmAT 2006a , paras. 82 and 97), pointing out that some were explicitly sanctioned in official US documents ( CmAT 2006b , para. 43).

CmAT assessed state and NGO reports on the relevant interrogation techniques. A review based on such documentation resembles an inquisitorial setting, with NGOs presenting evidence to the reviewing experts (on behalf of the plaintiffs as it were) to which the state under review reacts. Israel and the United States challenged that procedure by questioning the validity of NGO reports and demanding to respond to the allegations with their own information ( CmAT 1998 , para. 2). In contrast to the United Kingdom in the 1970s, neither Israel nor the United States was fully satisfied with this review-based fact-finding.

CmAT then evaluated these facts, addressing the specific interrogations techniques and the prohibition’s applicatory scope. The findings on the interrogation techniques were key to CmAT’s evaluation of these facts as evidence of torture. The Israeli delegation was asked whether it considered the practices to be torture or ill-treatment, since it did not contest using “moderate physical pressure”. CmAT disagreed with Israel’s view that it was not torture. Bent Sørensen, the alternate rapporteur for Israel, applied the CAT definition of torture to shaking “inflicted intentionally by public officials with a view to obtaining information”. He concluded that “there was no doubt that those cases fell within the meaning of article 1 of the Convention” ( CmAT 1998 , para. 25). For him, it was primarily the purpose of the technique, not the intensity of pain, that made it torture. Similarly, CmAT rejected Israel’s reliance on Ireland v. United Kingdom to show that practices involving moderate physical pressure were not torture ( CmAT 1994a , para. 34; 1997b , para. 29). The US delegation was questioned about its interpretation of the CAT definition of torture and whether its enhanced interrogation constituted torture ( CmAT 2006a , paras. 18, 82, and 99). Nora Sveaass stated that

according to official documents of the United States, certain methods of interrogation being applied covered practices that the Committee defined as acts of torture, such as forced naked exposure, being required to remain in painful position, and the exploitation of phobias in the person being interrogated. ( CmAT 2006b , para. 43)

When Israel and the United States sought to exploit ambiguities in the non-derogable prohibition of torture, CmAT responded that CAT applies at all times and in all circumstances—rejecting arguments about its limited applicability in territory under de facto control or in occupied territory ( CmAT 2006a , paras. 14–15, 18–19, 1994a , para. 167, 1998 , para. 238).

Based on this assessment, CmAT concluded that Israeli and US interrogation techniques violated the torture prohibition. In 1997, CmAT stated that moderate physical pressure constitutes “breaches of article 16 and also constitute torture as defined in article 1 of the convention. This conclusion is particularly evident where such methods of interrogation are used in combination, which appears to be the standard case” ( CmAT 1997a , para. 5). Similarly, CmAT found that the United States had authorized interrogation techniques that “led to serious abuses of detainees” under CAT Articles 1 and 16. CmAT rejected the US interpretation of the torture prohibition and concluded that US interrogation techniques clearly violated CAT. In its concluding observations, CmAT called on the United States to

rescind any interrogation technique, including methods involving sexual humiliation, ‘waterboarding’, ‘short shackling’ and using dogs to induce fear, that constitutes torture or cruel, inhuman or degrading treatment or punishment, in all places of detention under its de facto effective control, in order to comply with its obligations under the Convention. ( CmAT 2006c , para. 24).

Even as informal decisions about deviance, CmAT’s concluding observations put the torture prohibition into effect. While the United States and Israel attempted to blur the distinction between “what the rules allow and forbid” with respect to torture ( Hurd 2017 , 125), CmAT established that the torture prohibition had been violated and exhibited US deviance for all to see (similarly, Creamer and Simmons 2019 , 1053).

Although Israel and the United States challenged the findings by questioning CmAT’s authority to adopt general conclusions and interpretations, both countries officially denounced their own interrogation techniques. CmAT helped bring “international law to bear on Israeli domestic actions” when the Israeli High Court of Justice ruled in 1999 that moderate physical pressure was illegal ( Grosso 2000 , 333). By decree, Israeli security agencies were ordered to comply with this judgment ( Barnes 2017 , 134). Yet its implementation remains controversial, which also shapes the ongoing exchange with CmAT ( CmAT 2019 , para. 30). The institutional determination of deviance by CmAT also provided an important counterweight to the US challenge, which received little international support ( Keating 2014 , 80–81; Schmidt and Sikkink 2019 , 109–12; Stimmer 2019 , 277). In one of its first decisions, the Obama administration rescinded the enhanced interrogation techniques. In 2014, the United States returned to CmAT for its second and third periodic reports, seeking to revoke the deviator label by accepting that enhanced interrogation constituted torture and assuring CmAT that it had ended all related methods ( CmAT 2014 , paras. 4–5).

General Comment No. 2

The CmAT review process was not just important for the US case. As an example of informal, specific lawmaking it clarified “antitorture norms more generally and what normatively defines torture and cruel, inhumane, and degrading treatment” ( Creamer and Simmons 2019 , 1053). In rejecting the ECtHR decision, CmAT applied the ECommHR interpretation of the torture prohibition and rebuffed attempts to accommodate counterterrorism practices under the torture prohibition. This is important because some states emulated US arguments to justify torture ( Schmidt and Sikkink 2019 , 111). By determining and labeling deviance, CmAT helped push back on these challenges. These two norm applications also influenced more general lawmaking in CmAT’s second “general comment” on CAT ( CmAT 2008 ). 11

Human rights treaty bodies are created to monitor human rights norms and are not explicitly mandated to engage in lawmaking. However, drafting general comments helps them to develop norms relatively independently ( Reiners 2022 , 21). They use this informal instrument to enshrine their interpretation of human rights norms and to inform states of their obligations ( Creamer and Simmons 2020 , 33). CmAT was long reluctant to use general comments ( Nowak, Birk, and Monina 2019 , 528). The first was adopted in 1998, but several attempts to draft others were stifled. One of the reasons for this reluctance can be found in the professional background of CmAT members as international lawyers from a common law tradition have argued for maintaining a case-specific approach (e.g., CmAT 2002 , para. 73). Discussions about commenting on CAT Article 2 only took off in 2006 in the face of US norm violations and ongoing disputes with Israel ( Gaer 2008 , 195; Rodley 2008 , 354; for a detailed reconstruction of the drafting process, see Lesch and Reiners 2023 ).

Article 2 of CAT codifies state obligations regarding the universal territorial applicability and non-derogability of the norm. Building on the ICCPR, it is one of CAT’s core provisions ( Nowak, Birk, and Monina 2019 , 72–73). After Israel and the United States attempted to exploit the ambiguity of Article 16 with respect to ill-treatment, CmAT drafted General Comment No. 2 to counter their arguments in a general informal instrument, based on a letter that CmAT had circulated to all States parties to CAT in the wake of September 11, 2001 ( CmAT 2006d , para. 26, 2008 , para. 6, n1). In the drafting process, CmAT members cited Israeli arguments about moderate physical pressure as an attempt to blur the line between torture and ill-treatment ( CmAT 2006d , para. 23). CmAT clarified that the “obligation to prevent ill-treatment in practice overlaps and is largely congruent with the obligation to prevent torture”, including its non-derogability ( CmAT 2008 , para. 3). General Comment No. 2 builds on and reaffirms CmAT’s position on Israel and the United States, and distinguishes CAT from the ECtHR decision in Ireland v. United Kingdom by treating torture and ill-treatment as equally prohibited—and not “at the top end of a pyramid of pain and suffering” as implied by the 1978 ECtHR decision and subsequent Israeli and US interpretations ( Rodley 2008 , 356–57).

General Comment No. 2 also addresses CAT’s territorial scope and non-derogability. It further specifies that the torture prohibition applies in the context of “any threat of terrorist acts or violent crime as well as armed conflict, international or non-international” ( CmAT 2008 , para. 5). During the drafting process, CmAT members explicitly referred to the dialogue with the United States to clarify that terrorism could not justify an exception ( CmAT 2006d , para. 28). General Comment No. 2 states that CAT applies to all territories under the de jure and de facto control of States parties ( CmAT 2008 , para. 7). CmAT’s determination of deviance in Israeli and US self-reports helped to reinforce the norm by underlining that torture and ill-treatment are prohibited under international law in all circumstances and in all territories under the legal and effective control of States parties. This rejects arguments that implicitly seek exceptions for counterterrorism, in (secret) detention facilities, and in occupied territories.

General Comment No. 2 critically developed the torture prohibition and became a central point of reference in CmAT’s practice. 12 The legally amorphous nature of general comments means that, perhaps more than other lawmaking mechanisms, they depend on recognition ( Reiners 2022 , 32–33). Many States parties supported CmAT during the drafting process ( CmAT 2007 , para. 4). The UNGA included General Comment No. 2 in its 2008 resolution on the torture prohibition to emphasize its absoluteness and non-derogability—a sign of broad support by states. 13 The US State Department, however, has issued a detailed critique of General Comment No. 2, aimed primarily at denying it any legal effects ( US State Department 2008 ). Yet human rights courts cite General Comment No. 2, 14 which underlines that this informal lawmaking has been recognized as part of international human rights law (see also McCall-Smith 2016 , 34–45). By establishing that Israeli and U.S. interrogation techniques violated the torture prohibition, CmAT has significantly reinforced the norm, which also shaped informal lawmaking in General Comment No. 2.

Norm violations are a driving force behind the development of international norms. In this article, I have demonstrated how international institutions determine deviance and engage in lawmaking. In the two case studies, norm violations influenced formal and informal lawmaking through norm applications by institutions ranging from courts to expert committees—even despite powerful challenges to the norm.

Once the ECHR institutions had defined torture and determined Greek and British interrogation techniques as “torture”, these violations shaped CAT. However, the ECtHR precedent in Ireland v. United Kingdom continued to influence contestations of the torture prohibition. Although institutionally very different, CmAT advanced norm development by reviewing Israeli and US interrogation techniques and establishing that they deviated from the prohibition. Then, in General Comment No. 2, CmAT took on the role of a lawmaker. It reaffirmed the non-derogability of the torture prohibition in light of Israeli and US deviance and ruled out arguments based on the “bad precedent” of Ireland v. United Kingdom . Norm-applying institutions—even without formal authority—can engage in lawmaking when their pronouncements are judicially or politically recognized. CmAT’s General Comment No. 2 is part of a series of successful lawmaking efforts by several treaty bodies ( Reiners 2022 , 116). More research is needed on whether and how general comments have been driven by norm violations. This should also extend beyond human rights to study the link between norm violations and other informal lawmaking efforts by compliance panels, commissions of inquiry, peer-review mechanisms, and NGO reporting.

The case studies also shed light on how the design of different institutions affects the way states perceive them and react to their judgments, adding to research on compliance with decisions of expert bodies and courts. More research is needed to identify conditions under which states accept or reject labels of deviance from international institutions. This should link insights on contestation patterns and stigma management with the practice of norm-applying institutions. Although both the Greek and British delegations acknowledged the adversarial procedures—similar to common law court proceedings—only the United Kingdom accepted the verdict. On the other hand, Israel and the United States contested the procedures and decisions by CmAT, whose members review evidence based on self-reports and shadow reports by NGOs—closer to proceedings in a civil law tradition. British recognition of the ECHR’s adversary procedures and Israeli and US critiques of the practice of expert review suggest that states are more likely to recognize proceedings in which they are closely involved. Such research could also add another layer to scholarship on the backlash against international institutions.

Beyond human rights, future studies should examine the informal and confidential approach by the International Committee of the Red Cross to monitoring compliance in armed conflicts and analyze how norm violations have influenced formal and informal lawmaking efforts to improve, for example, the protection of civilians in the Additional Protocols to the Geneva Conventions or the recent Dublin Declaration ( Kinsella and Mantilla 2020 ). In trade law, scholars should study how, for example, disputes over intellectual property rights violations have influenced lawmaking in the 1994 Agreement on Trade-Related Intellectual Property Rights and the 2001 Doha Declaration. These disputes continue to shape debates about the limits of intellectual property rights with regard to compulsory licensing of medicines in health crises ( Sell and Prakash 2004 , 157–58). Finally, future research should study how institutions that are unable or unwilling to determine deviance affect norm development. This can be seen in the blockade of the WTO Appellate Body ( Kucik and Puig 2022 ) and the silence of the UN Security Council regarding interventions against non-state actors ( O'Connell, Tams, and Tladi 2019 ). Studying norm violations and international institutions in these and other cases will provide better explanations for the puzzle of why norms remain robust and develop despite—or even because—of their violation.

European Treaty Series, No. 5.

UN Treaty Series, no. 24841, vol. 1465 at 85.

ECommHR functioned as a pre-trial chamber of the ECtHR ( Bates 2010 , 120). It was dismantled in the 1998 reform.

For a recent international law approach to study the link between norm violations and the international legal order, see Marxsen (2021 ).

Stimmer and Wisken (2019 , 521–22) include behavioral contestation that not necessarily violates norms.

Next to norm violations, technological and societal changes, emerging issues, social pressure on states, and agenda setting by transnational coalitions also influence lawmaking ( Keck and Sikkink 1998 ; Sandholtz 2007 ; Rosert 2019 ; Kinsella and Mantilla 2020 ; Reiners 2022 ).

For comprehensive assessments of ECHR jurisprudence, see Yildiz (2020 , 2023 ) and  Mavronicola (2021 ); for an inter-institutional perspective, see Davidson (2022 ).

UNGA Resolution 3452 (XXX), Article 1(2).

Recent ECtHR jurisprudence frequently cites CAT, emphasizing “purpose” as a definitional criterion ( Mavronicola 2021 , 74–75).

Interview with CmAT member, May 2016.

It was also important to frame domestic violence as torture ( Davidson 2022 , 214–18).

UNGA Resolution 63/166, para. 26.

The ECtHR cited General Comment No. 2 in five decisions: 67258/13, 36391/02, 25703/11, 26828/06, and 41261/17; https://hudoc.echr.coe.int (accessed December 2, 2022).

Author Biography

Max Lesch is a Postdoctoral Researcher at the Peace Research Institute Frankfurt (PRIF). His research interests include norm contestation and deviance in human rights and peace and security law, as well as international practice theories, fact-finding missions, and (in)formal lawmaking.

Author’s note: This paper has benefited greatly from discussions with Rebecca Adler-Nissen, Antonio Arcudi, Nicole Deitelhoff, Klaus Dingwerth, Jennifer Erickson, Frank Gadinger, Nele Kortendiek, Stefan Kroll, Christian Marxsen, Galia Press-Barnathan, Elvira Rosert, Philip Wallmeier, and Lisbeth Zimmermann. I would like to thank the editors of International Studies Quarterly and the three anonymous reviewers for their constructive feedback and helpful comments on earlier versions of this article.

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7.2 Theoretical Perspectives on Deviance and Crime

Learning objectives.

By the end of this section, you should be able to:

  • Describe the functionalist view of deviance in society through four sociologist’s theories
  • Explain how conflict theory understands deviance and crime in society
  • Describe the symbolic interactionist approach to deviance, including labeling and other theories

Why does deviance occur? How does it affect a society? Since the early days of sociology, scholars have developed theories that attempt to explain what deviance and crime mean to society. These theories can be grouped according to the three major sociological paradigms: functionalism, symbolic interactionism, and conflict theory.

Functionalism

Sociologists who follow the functionalist approach are concerned with the way the different elements of a society contribute to the whole. They view deviance as a key component of a functioning society. Strain theory and social disorganization theory represent two functionalist perspectives on deviance in society.

Émile Durkheim: The Essential Nature of Deviance

Émile Durkheim believed that deviance is a necessary part of a successful society. One way deviance is functional, he argued, is that it challenges people’s present views (1893). For instance, when Black students across the United States participated in sit-ins during the civil rights movement, they challenged society’s notions of segregation. Moreover, Durkheim noted, when deviance is punished, it reaffirms currently held social norms, which also contributes to society (1893). Seeing a student given detention for skipping class reminds other high schoolers that playing hooky isn’t allowed and that they, too, could get detention.

Durkheim’s point regarding the impact of punishing deviance speaks to his arguments about law. Durkheim saw laws as an expression of the “collective conscience,” which are the beliefs, morals, and attitudes of a society. “A crime is a crime because we condemn it,” he said (1893). He discussed the impact of societal size and complexity as contributors to the collective conscience and the development of justice systems and punishments. For example, in large, industrialized societies that were largely bound together by the interdependence of work (the division of labor), punishments for deviance were generally less severe. In smaller, more homogeneous societies, deviance might be punished more severely.

Robert Merton: Strain Theory

Sociologist Robert Merton agreed that deviance is an inherent part of a functioning society, but he expanded on Durkheim’s ideas by developing strain theory , which notes that access to socially acceptable goals plays a part in determining whether a person conforms or deviates. From birth, we’re encouraged to achieve the “American Dream” of financial success. A person who attends business school, receives an MBA, and goes on to make a million-dollar income as CEO of a company is said to be a success. However, not everyone in our society stands on equal footing. That MBA-turned-CEO may have grown up in the best school district and had means to hire tutors. Another person may grow up in a neighborhood with lower-quality schools, and may not be able to pay for extra help. A person may have the socially acceptable goal of financial success but lack a socially acceptable way to reach that goal. According to Merton’s theory, an entrepreneur who can’t afford to launch their own company may be tempted to embezzle from their employer for start-up funds.

Merton defined five ways people respond to this gap between having a socially accepted goal and having no socially accepted way to pursue it.

  • Conformity : Those who conform choose not to deviate. They pursue their goals to the extent that they can through socially accepted means.
  • Innovation : Those who innovate pursue goals they cannot reach through legitimate means by instead using criminal or deviant means.
  • Ritualism : People who ritualize lower their goals until they can reach them through socially acceptable ways. These members of society focus on conformity rather than attaining a distant dream.
  • Retreatism : Others retreat and reject society’s goals and means. Some people who beg and people who are homeless have withdrawn from society’s goal of financial success.
  • Rebellion : A handful of people rebel and replace a society’s goals and means with their own. Terrorists or freedom fighters look to overthrow a society’s goals through socially unacceptable means.

Social Disorganization Theory

Developed by researchers at the University of Chicago in the 1920s and 1930s, social disorganization theory asserts that crime is most likely to occur in communities with weak social ties and the absence of social control. An individual who grows up in a poor neighborhood with high rates of drug use, violence, teenage delinquency, and deprived parenting is more likely to become engaged in crime than an individual from a wealthy neighborhood with a good school system and families who are involved positively in the community.

Social disorganization theory points to broad social factors as the cause of deviance. A person isn’t born as someone who will commit crimes but becomes one over time, often based on factors in their social environment. Robert Sampson and Byron Groves (1989) found that poverty and family disruption in given localities had a strong positive correlation with social disorganization. They also determined that social disorganization was, in turn, associated with high rates of crime and delinquency—or deviance. Recent studies Sampson conducted with Lydia Bean (2006) revealed similar findings. High rates of poverty and single-parent homes correlated with high rates of juvenile violence. Research into social disorganization theory can greatly influence public policy. For instance, studies have found that children from disadvantaged communities who attend preschool programs that teach basic social skills are significantly less likely to engage in criminal activity. (Lally 1987)

Conflict Theory

Conflict theory looks to social and economic factors as the causes of crime and deviance. Unlike functionalists, conflict theorists don’t see these factors as positive functions of society. They see them as evidence of inequality in the system. They also challenge social disorganization theory and control theory and argue that both ignore racial and socioeconomic issues and oversimplify social trends (Akers 1991). Conflict theorists also look for answers to the correlation of gender and race with wealth and crime.

Karl Marx: An Unequal System

Conflict theory was greatly influenced by the work of German philosopher, economist, and social scientist Karl Marx. Marx believed that the general population was divided into two groups. He labeled the wealthy, who controlled the means of production and business, the bourgeois. He labeled the workers who depended on the bourgeois for employment and survival the proletariat. Marx believed that the bourgeois centralized their power and influence through government, laws, and other authority agencies in order to maintain and expand their positions of power in society. Though Marx spoke little of deviance, his ideas created the foundation for conflict theorists who study the intersection of deviance and crime with wealth and power.

C. Wright Mills: The Power Elite

In his book The Power Elite (1956), sociologist C. Wright Mills described the existence of what he dubbed the power elite , a small group of wealthy and influential people at the top of society who hold the power and resources. Wealthy executives, politicians, celebrities, and military leaders often have access to national and international power, and in some cases, their decisions affect everyone in society. Because of this, the rules of society are stacked in favor of a privileged few who manipulate them to stay on top. It is these people who decide what is criminal and what is not, and the effects are often felt most by those who have little power. Mills’ theories explain why celebrities can commit crimes and suffer little or no legal retribution. For example, USA Today maintains a database of NFL players accused and convicted of crimes. 51 NFL players had been convicted of committing domestic violence between the years 2000 and 2019. They have been sentenced to a collective 49 days in jail, and most of those sentences were deferred or otherwise reduced. In most cases, suspensions and fines levied by the NFL or individual teams were more severe than the justice system's (Schrotenboer 2020 and clickitticket.com 2019).

Crime and Social Class

While crime is often associated with the underprivileged, crimes committed by the wealthy and powerful remain an under-punished and costly problem within society. The FBI reported that victims of burglary, larceny, and motor vehicle theft lost a total of $15.3 billion dollars in 2009 (FB1 2010). In comparison, when former advisor and financier Bernie Madoff was arrested in 2008, the U.S. Securities and Exchange Commission reported that the estimated losses of his financial Ponzi scheme fraud were close to $50 billion (SEC 2009).

This imbalance based on class power is also found within U.S. criminal law. In the 1980s, the use of crack cocaine (a less expensive but powerful drug) quickly became an epidemic that swept the country’s poorest urban communities. Its pricier counterpart, cocaine, was associated with upscale users and was a drug of choice for the wealthy. The legal implications of being caught by authorities with crack versus cocaine were starkly different. In 1986, federal law mandated that being caught in possession of 50 grams of crack was punishable by a ten-year prison sentence. An equivalent prison sentence for cocaine possession, however, required possession of 5,000 grams. In other words, the sentencing disparity was 1 to 100 (New York Times Editorial Staff 2011). This inequality in the severity of punishment for crack versus cocaine paralleled the unequal social class of respective users. A conflict theorist would note that those in society who hold the power are also the ones who make the laws concerning crime. In doing so, they make laws that will benefit them, while the powerless classes who lack the resources to make such decisions suffer the consequences. Throughout the 1980s and early 1990s, states passed numerous laws increasing penalties, especially for repeat offenders. The U.S. government passed an even more significant law, the Violent Crime Control and Law Enforcement Act of 1994 (known as the 1994 Crime Bill), which further increased penalties, funded prisons, and incentivized law enforcement agencies to further pursue drug offenders. One outcome of these policies was the mass incarceration of Black and Hispanic people, which led to a cycle of poverty and reduced social mobility. The crack-cocaine punishment disparity remained until 2010, when President Obama signed the Fair Sentencing Act, which decreased the disparity to 1 to 18 (The Sentencing Project 2010).

Symbolic Interactionism

Symbolic interactionism is a theoretical approach that can be used to explain how societies and/or social groups come to view behaviors as deviant or conventional.

Labeling Theory

Although all of us violate norms from time to time, few people would consider themselves deviant. Those who do, however, have often been labeled “deviant” by society and have gradually come to believe it themselves. Labeling theory examines the ascribing of a deviant behavior to another person by members of society. Thus, what is considered deviant is determined not so much by the behaviors themselves or the people who commit them, but by the reactions of others to these behaviors. As a result, what is considered deviant changes over time and can vary significantly across cultures.

Sociologist Edwin Lemert expanded on the concepts of labeling theory and identified two types of deviance that affect identity formation. Primary deviance is a violation of norms that does not result in any long-term effects on the individual’s self-image or interactions with others. Speeding is a deviant act, but receiving a speeding ticket generally does not make others view you as a bad person, nor does it alter your own self-concept. Individuals who engage in primary deviance still maintain a feeling of belonging in society and are likely to continue to conform to norms in the future.

Sometimes, in more extreme cases, primary deviance can morph into secondary deviance. Secondary deviance occurs when a person’s self-concept and behavior begin to change after his or her actions are labeled as deviant by members of society. The person may begin to take on and fulfill the role of a “deviant” as an act of rebellion against the society that has labeled that individual as such. For example, consider a high school student who often cuts class and gets into fights. The student is reprimanded frequently by teachers and school staff, and soon enough, develops a reputation as a “troublemaker.” As a result, the student starts acting out even more and breaking more rules; the student has adopted the “troublemaker” label and embraced this deviant identity. Secondary deviance can be so strong that it bestows a master status on an individual. A master status is a label that describes the chief characteristic of an individual. Some people see themselves primarily as doctors, artists, or grandfathers. Others see themselves as beggars, convicts, or addicts.

Techniques of Neutralization

How do people deal with the labels they are given? This was the subject of a study done by Sykes and Matza (1957). They studied teenage boys who had been labeled as juvenile delinquents to see how they either embraced or denied these labels. Have you ever used any of these techniques?

Let’s take a scenario and apply all five techniques to explain how they are used. A young person is working for a retail store as a cashier. Their cash drawer has been coming up short for a few days. When the boss confronts the employee, they are labeled as a thief for the suspicion of stealing. How does the employee deal with this label?

The Denial of Responsibility: When someone doesn’t take responsibility for their actions or blames others. They may use this technique and say that it was their boss’s fault because they don’t get paid enough to make rent or because they’re getting a divorce. They are rejecting the label by denying responsibility for the action.

The Denial of Injury: Sometimes people will look at a situation in terms of what effect it has on others. If the employee uses this technique they may say, “What’s the big deal? Nobody got hurt. Your insurance will take care of it.” The person doesn’t see their actions as a big deal because nobody “got hurt.”

The Denial of the Victim: If there is no victim there’s no crime. In this technique the person sees their actions as justified or that the victim deserved it. Our employee may look at their situation and say, “I’ve worked here for years without a raise. I was owed that money and if you won’t give it to me I’ll get it my own way.”

The Condemnation of the Condemners: The employee might “turn it around on” the boss by blaming them. They may say something like, “You don’t know my life, you have no reason to judge me.” This is taking the focus off of their actions and putting the onus on the accuser to, essentially, prove the person is living up to the label, which also shifts the narrative away from the deviant behavior.

Appeal to a Higher Authority: The final technique that may be used is to claim that the actions were for a higher purpose. The employee may tell the boss that they stole the money because their mom is sick and needs medicine or something like that. They are justifying their actions by making it seem as though the purpose for the behavior is a greater “good” than the action is “bad.” (Sykes & Matza, 1957)

Social Policy and Debate

The right to vote.

Before she lost her job as an administrative assistant, Leola Strickland postdated and mailed a handful of checks for amounts ranging from $90 to $500. By the time she was able to find a new job, the checks had bounced, and she was convicted of fraud under Mississippi law. Strickland pleaded guilty to a felony charge and repaid her debts; in return, she was spared from serving prison time.

Strickland appeared in court in 2001. More than ten years later, she is still feeling the sting of her sentencing. Why? Because Mississippi is one of twelve states in the United States that bans convicted felons from voting (ProCon 2011).

To Strickland, who said she had always voted, the news came as a great shock. She isn’t alone. Some 5.3 million people in the United States are currently barred from voting because of felony convictions (ProCon 2009). These individuals include inmates, parolees, probationers, and even people who have never been jailed, such as Leola Strickland.

Under the Fourteenth Amendment, states are allowed to deny voting privileges to individuals who have participated in “rebellion or other crime” (Krajick 2004). Although there are no federally mandated laws on the matter, most states practice at least one form of felony disenfranchisement .

Is it fair to prevent citizens from participating in such an important process? Proponents of disfranchisement laws argue that felons have a debt to pay to society. Being stripped of their right to vote is part of the punishment for criminal deeds. Such proponents point out that voting isn’t the only instance in which ex-felons are denied rights; state laws also ban released criminals from holding public office, obtaining professional licenses, and sometimes even inheriting property (Lott and Jones 2008).

Opponents of felony disfranchisement in the United States argue that voting is a basic human right and should be available to all citizens regardless of past deeds. Many point out that felony disfranchisement has its roots in the 1800s, when it was used primarily to block Black citizens from voting. These laws disproportionately target poor minority members, denying them a chance to participate in a system that, as a social conflict theorist would point out, is already constructed to their disadvantage (Holding 2006). Those who cite labeling theory worry that denying deviants the right to vote will only further encourage deviant behavior. If ex-criminals are disenfranchised from voting, are they being disenfranchised from society?

Edwin Sutherland: Differential Association

In the early 1900s, sociologist Edwin Sutherland sought to understand how deviant behavior developed among people. Since criminology was a young field, he drew on other aspects of sociology including social interactions and group learning (Laub 2006). His conclusions established differential association theory , which suggested that individuals learn deviant behavior from those close to them who provide models of and opportunities for deviance. According to Sutherland, deviance is less a personal choice and more a result of differential socialization processes. For example, a young person whose friends are sexually active is more likely to view sexual activity as acceptable. Sutherland developed a series of propositions to explain how deviance is learned. In proposition five, for example, he discussed how people begin to accept and participate in a behavior after learning whether it is viewed as “favorable” by those around them. In proposition six, Sutherland expressed the ways that exposure to more “definitions” favoring the deviant behavior than those opposing it may eventually lead a person to partake in deviance (Sutherland 1960), applying almost a quantitative element to the learning of certain behaviors. In the example above, a young person may find sexual activity more acceptable once a certain number of their friends become sexually active, not after only one does so.

Sutherland’s theory may explain why crime is multigenerational. A longitudinal study beginning in the 1960s found that the best predictor of antisocial and criminal behavior in children was whether their parents had been convicted of a crime (Todd and Jury 1996). Children who were younger than ten years old when their parents were convicted were more likely than other children to engage in spousal abuse and criminal behavior by their early thirties. Even when taking socioeconomic factors such as dangerous neighborhoods, poor school systems, and overcrowded housing into consideration, researchers found that parents were the main influence on the behavior of their offspring (Todd and Jury 1996).

Travis Hirschi: Control Theory

Continuing with an examination of large social factors, control theory states that social control is directly affected by the strength of social bonds and that deviance results from a feeling of disconnection from society. Individuals who believe they are a part of society are less likely to commit crimes against it.

Travis Hirschi (1969) identified four types of social bonds that connect people to society:

  • Attachment measures our connections to others. When we are closely attached to people, we worry about their opinions of us. People conform to society’s norms in order to gain approval (and prevent disapproval) from family, friends, and romantic partners.
  • Commitment refers to the investments we make in the community. A well-respected local businessperson who volunteers at their synagogue and is a member of the neighborhood block organization has more to lose from committing a crime than a person who doesn’t have a career or ties to the community.
  • Similarly, levels of involvement , or participation in socially legitimate activities, lessen a person’s likelihood of deviance. A child who plays little league baseball and takes art classes has fewer opportunities to ______.
  • The final bond, belief , is an agreement on common values in society. If a person views social values as beliefs, they will conform to them. An environmentalist is more likely to pick up trash in a park, because a clean environment is a social value to them (Hirschi 1969).
Strain TheoryRobert MertonA lack of ways to reach socially accepted goals by accepted methods
Social Disorganization TheoryUniversity of Chicago researchersWeak social ties and a lack of social control; society has lost the ability to enforce norms with some groups
Unequal SystemKarl MarxInequalities in wealth and power that arise from the economic system
Power EliteC. Wright MillsAbility of those in power to define deviance in ways that maintain the status quo
Labeling TheoryEdwin LemertThe reactions of others, particularly those in power who are able to determine labels
Differential Association TheoryEdwin SutherlandLearning and modeling deviant behavior seen in other people close to the individual
Control TheoryTravis HirschiFeelings of disconnection from society

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  • Authors: Tonja R. Conerly, Kathleen Holmes, Asha Lal Tamang
  • Publisher/website: OpenStax
  • Book title: Introduction to Sociology 3e
  • Publication date: Jun 3, 2021
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  • Book URL: https://openstax.org/books/introduction-sociology-3e/pages/1-introduction
  • Section URL: https://openstax.org/books/introduction-sociology-3e/pages/7-2-theoretical-perspectives-on-deviance-and-crime

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  • DOI: 10.2308/AJPT-51665
  • Corpus ID: 157822738

The “Normalization” of Deviance: A Case Study on the Process Underlying the Adoption of Deviant Behavior

  • Cynthia Courtois , Y. Gendron
  • Published 2017
  • Sociology, Political Science
  • Auditing-a Journal of Practice & Theory

32 Citations

The intersection between ‘the audit society’ and public sector corruption and fraud: – a literature review and future research agenda, monetization of politics and public procurement in ghana, the dis-embedded arbitrator: releasing arbitration from corruption-shaped environments in the wake of the odebrecht arbitral ordeal in peru, how the colonial legacy frames state audit institutions in benin that fail to curb corruption.

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Normalising deviance in construction project organizations: a case study on the collapse of Carillion

The labyrinth of corruption in the construction industry: a system dynamics model based on 40 years of research, accounting for crime in the us: race, class and the spectacle of fear, the corruption of project governance through normalization of deviance, organized decoupling of management control systems: an exploratory study of traders’ unethical behavior, anticorruption practices in construction projects: looking through two theoretical lenses, 43 references, illusions of control the extension of new public management through corporate governance regulation, re‐theorizing change: institutional experimentation and the struggle for domination in the field of public accounting, accounting and networks of corruption, the construction of the risky individual and vigilant organization: a genealogy of the fraud triangle, fear and risk in the audit process, identity narratives under threat: a study of former members of arthur andersen, the ties that bind: the decision to co-offend in fraud, the audit expectations gap—plus ca change, plus c'est la meme chose, regulating audit beyond the crisis: a critical discussion of the eu green paper, twenty‐five years of audit deregulation and re‐regulation: what does it mean for 2005 and beyond, related papers.

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deviance theory case study

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deviance theory case study

Element contents

1 introduction, 1.1 what is positive deviance, 1.2 the origins of positive deviance and its underpinning assumptions, 1.3 applying positive deviance to healthcare improvement, 1.4 what the approach is (and what it is not), 2 the positive deviance approach in action, 2.1 stage 1: identifying positive deviants, 2.2 stage 2: generating hypotheses about how positive deviants succeed, 2.3 stage 3: testing hypotheses in larger samples, 2.4 stage 4: disseminating positively deviant strategies to others, 3 critiques of the positive deviance approach, 3.1 robust discoveries require robust data, 3.2 using positive deviance in healthcare is unlikely to uncover surprises, 3.3 the positive deviance approach must account for the complexity of the healthcare system, 3.4 applications need to explore the mechanisms of change, 3.5 there is a lot we do not yet know about positive deviance, 4 conclusions, 5 further reading, conflicts of interest, acknowledgements, about the authors.

  • Contributors
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  • Improving Quality and Safety in Healthcare

The Positive Deviance Approach

Published online by Cambridge University Press:  17 August 2022

Generally speaking, the term ‘deviance’ can be used to refer to both:

a behaviour or practice that deviates from the norm and may not be socially acceptable

an individual or group that is an outlier in terms of their overall performance.

What we describe in this Element uses the second of these meanings. When we refer to positive deviance, we are describing an approach that involves identifying those who demonstrate exceptionally good performance on particular measures (the ‘positive deviants’) and then trying to understand what allows them to achieve this high level of performance. Their behaviours may differ from the norm, but more importantly they represent behaviours, practices, or systems that facilitate exceptional success.

The term ‘positive deviance’ was first used in the field of international public health in the 1960s. The approach was fuelled by a backlash against a perceived imperialist, professionalised view of public health interventions, and a move to recognise the knowledge and expertise that already exists within communities. For example, Wray, writing in 1972, describing mothers who were able to keep their children fed in the harshest conditions, proposed that:

Such mothers, it would appear, know more than we professionals do. They know how, in that incredible environment, to provide their children with basically adequate diets and to protect them from too frequent infections. Perhaps they can teach us. At the very least, we ought to search out the successful mothers in such circumstances, examine their child care practices, and try to identify what it is they are doing that makes the difference in their children. If we cannot teach these things to other mothers in that environment, perhaps they can. Reference Wray 1

The approach is perhaps even more clearly articulated in one of the earliest papers to refer to positive deviance as an alternative approach to studying and improving public health:

[T]o identify those families in which a child between age six months and five years falls in the upper 25 per cent in height and weight measurements. These families are labelled as being ‘Positive Deviants’ from the undernutrition that prevails in the population. They are then studied anthropologically to uncover any practices related to food sources, storage, preparation, consumption, and content. The information would be used in designing food supplementation or other nutritional promotion in the population at large on the assumption that the observed ‘favourable’ practices, although atypical, are feasible and culturally acceptable because they are indigenously rather than extraneously derived. Reference Wishik 2

Most famously, positive deviance was used in the 1990s to improve the nutritional status of children in Vietnam. 3 In this case, an international charity, Save the Children, identified several positively deviant behaviours, including the unusual practice of feeding shrimps from the paddy fields to small children, and other more accepted behaviours, such as hygienic food preparation. Reference Sternin, Sternin, Marsh, Wollinka, Keeley, Burkhalter and Bashir 4, Reference Sternin, Sternin, Marsh and Marchione 5 Through an education programme to help others adopt these practices and behaviours, the organisation saw a 74% reduction in severe malnutrition among children under three years of age. This impact was sustained many years after Save the Children left the communities. Reference Mackintosh, Marsh and Schroeder 6 Following this, the approach was scaled up to address childhood malnutrition locally and internationally, through a community-based nutrition rehabilitation model combining the positive deviance approach and ‘hearth’ education sessions. 3 The hearth approach gathers communities around fireplaces or kitchen hearths for education and rehabilitation and to promote the wider adoption of positively deviant behaviours. Reference Bisits Bullen 7, 8 Since then, positive deviance has been used to address various public health issues such as pregnancy outcomes, 9 the care of newborn children, Reference Marsh, Sternin and Khadduri 10 weight control, Reference Stuckey, Boan and Kraschnewski 11 and female genital mutilation. Reference Masterson and Swanson 12

Although positive deviance can take different forms, its use in international public health is built on some underpinning assumptions:

that positive deviants succeed despite facing similar constraints as others

◦ already exist within communities (in healthcare, these communities are teams, groups, departments, and organisations)

◦ can be identified or uncovered by anthropological methods

◦ are acceptable, feasible, and sustainable within existing resources because they are already practised by people within the community

that these features increase the likelihood that the solutions are generalisable to, and can be adopted by, other communities.

Use of the term ‘positive deviance’ has increased substantially in recent years, and many different definitions and applications have now emerged. Reference Herington and van de Fliert 13 Since the early 2000s, it has expanded into healthcare and has been implemented in diverse ways. Two key frameworks are often used to help operationalise the positive deviance approach: the 4Ds framework and the Bradley et al. framework. These frameworks are explored in more detail next, although it is important to note that some studies offer only poor descriptions of how positive deviance has been implemented in healthcare. Reference Baxter, Taylor, Kellar and Lawton 14

The 4Ds framework (see Figure 1 ), or variations of it, is most closely aligned to the approach’s origins in international public health. It centres around four steps:

defining the problem

determining the presence of positive deviants

discovering the uncommon but successful strategies

designing interventions to allow others to practise these strategies or behaviours.

Variations of this framework include a fifth Reference Initiative 15 and sometimes sixth step, Reference Singhal and Dura 16 which typically focus on monitoring and evaluating the effectiveness of solutions to support wider dissemination ( Figure 1 ). This framework and its variations have been used across a range of studies, for example to reduce MRSA infections, Reference Singhal and Dura 16 help smoking cessation among prisoners, Reference Awofeso, Irwin and Forrest 17 and to improve how medical students acquire clinical skills. Reference Zaidi, Jaffery and Shahid 18

Box 1 , highlighting research by Bradley et al., Reference Bradley, Curry and Ramanadhan 19 describes one of the most well-known examples of a positive deviance study in healthcare. It led to the development of another four-stage framework ( Figure 2 ) designed to support the positive deviance approach in healthcare organisations specifically. Bradley et al. recommend identifying positive deviants using concrete, routinely collected, and widely endorsed data (stage 1). Qualitative methods should then be used to generate hypotheses about the positively deviant strategies used to succeed (stage 2). These hypotheses can be tested in larger, more representative samples (stage 3), and the newly characterised best practice disseminated to others with the help of key stakeholders (stage 4).

deviance theory case study

Figure 1 The 4Ds/6Ds framework for implementing the positive deviance approach

Box 1 Improving door-to-balloon times for patients with acute myocardial infarction in the USA Reference Bradley, Curry and Ramanadhan 19 – Reference Bradley, Roumanis and Radford 21

The problem.

Prompt treatment is critical for the survival of patients with acute myocardial infarction. During 2004–05, a national guideline stated that the door-to-balloon time – the time from the patient arriving in hospital to a stent being inserted to reopen their blocked artery – should be within 90 minutes. Reference Antman, Anbe and Armstrong 22, Reference Van de Werf, Ardissino and Betriu 23 Yet less than 50% of patients received care that met this target. Door-to-balloon performance had remained static for several years, even though other key cardiac care indicators had improved and some hospitals were managing to meet the target.

How Was Positive Deviance Used?

A team of academics, clinical academics, and clinicians used national registry data to identify 35 US hospitals that achieved median door-to-balloon times of 90 minutes or less for their past 50 cases. These 35 hospitals were ranked according to improvements in this measure over the previous four years, and 11 positively deviant hospitals that demonstrated the greatest improvement were sampled. Researchers used in-depth visits (tours and open-ended interviews) at these 11 sites to explore multidisciplinary staff members’ perspectives and experiences of improving door-to-balloon times. From their qualitative analysis, the team identified contextual factors (e.g. senior management support, shared goals, physician leaders, and interdisciplinary teams) and specific clinical strategies (e.g. activation of the catheterisation laboratory by emergency medicine physicians instead of cardiologists) that they thought were related to top performance in the positively deviant hospitals. Reference Bradley, Roumanis and Radford 21

These qualitative findings were then used to develop a web-based survey, which 365 US hospitals completed. For each hospital, survey data were combined with data on door-to-balloon times, and regression modelling was used to identify six specific clinical strategies that predicted lower door-to-balloon times: Reference Bradley, Herrin and Wang 20

activation of the catheterisation laboratory by emergency medicine physicians instead of cardiologists

using a single call to activate the catheterisation team

activating the catheterisation team while the patient was still en route to hospital

expecting staff to arrive in the catheterisation laboratory within 20 minutes of being paged

always having an attending cardiologist on site

having real-time feedback for staff on door-to-balloon times.

The American College of Cardiology disseminated these findings to other US hospitals via the Door-to-Balloon Alliance – a public campaign supported by 38 professional associations and agencies. Around 70% of hospitals treating acute myocardial infarction signed up to the alliance and, by 2008, the number of patients receiving treatment within 90 minutes had increased by 25%. Reference Bradley, Curry and Ramanadhan 19

deviance theory case study

Figure 2 Bradley et al.’s four stages to implementing the positive deviance approach in healthcare organisations

The Bradley et al. framework is more data-driven than the 4Ds/6Ds framework, which rarely tests associations between the behaviours and practices identified and the outcomes of interest. It is also more often used at an organisational, regional, or national level (e.g. see studies by Bradley et al., Gabbay et al., and Klaiman et al. Reference Bradley, Byam and Alpern 24 – Reference Klaiman, O’Connell and Stoto 28 ). Perhaps as a function of this, the framework appears to be predominantly implemented from the top-down, marking a recognisable shift from the original bottom-up applications, where members of the community were integral to all stages of the approach.

Beyond these two frameworks, applications of positive deviance can also broadly be considered to sit on a continuum ranging from those that are ‘community driven’ to those that are ‘externally led’. Positive deviance studies at the community-driven end of the continuum tend to share similarities with those conducted in international public health. Members of the community (i.e. healthcare staff) are typically heavily involved in leading the studies and are central to identifying and creating their own solutions. These studies tend to involve more participatory methods (e.g. discovery and action dialogues or improvisational theatre – see stage 2 of the positive deviance approach in Section 2.2 ). Though quantitative data can be used, less emphasis is placed on statistically identifying positive deviants and assessing the extent to which their behaviours improve outcomes. Box 2 describes a rigorously conducted community-driven controlled trial in which healthcare staff were integral to identifying positive deviants and how they succeed. Reference Marra, Guastelli and de Araujo 31

Box 2 Using the positive deviance approach to address healthcare-associated infections

Healthcare-associated infections such as Methicillin-resistant Staphylococcus aureus (MRSA) are a common cause of ventilator-associated pneumonia, bloodstream infections, and surgical site infections. These infections result in protracted hospital stays and treatment, costing US hospital inpatient services up to $45 billion a year (as estimated in 2007). Reference Buscell, Singhal, Buscell and Lindberg 29, Reference Jain, Kralovic and Evans 30 Good hand hygiene effectively prevents healthcare-associated infections, yet behavioural interventions are rarely successful Reference Marra, Guastelli and de Araujo 31 and compliance rates remain relatively low, at around 50%. Reference Buscell, Singhal, Buscell and Lindberg 29

Marra et al. conducted a controlled trial to improve hand hygiene compliance in two comparable step-down units. Reference Marra, Guastelli and de Araujo 31 After a period of baseline data collection, positive deviance was implemented in one unit, while the other acted as a control. In the intervention unit, nurse managers initially identified positively deviant staff who displayed good hand hygiene compliance. Additional positive deviants were then identified over time. The approach was implemented via twice monthly meetings involving staff who worked across a variety of shifts. Meetings provided opportunities to discuss feelings about hand hygiene, what needed to improve, and examples of good practice. Staff created videos, shared healthcare-associated infection rates, and decided to assess individual performances across shifts to create comparison and competition within the team.

After implementing the positive deviance approach, there was a statistically significant, nearly twofold increase in hand hygiene episodes and a significantly lower infection rate between the intervention and control units. Reference Marra, Guastelli and de Araujo 31 The success of the interventions led to the extension of positive deviance to the control unit after three months of the trial. Throughout, hand hygiene compliance was evaluated using electronic handwashing counters and the incidence of healthcare-associated infections was monitored.

Following this, an observational study explored the sustainability of the positive deviance intervention. Reference Marra, Guastelli and de Araujo 32 For an additional year, staff continued to implement positive deviance on both units and to measure healthcare-associated infections and hand hygiene compliance. Amid concerns that the twice-monthly meetings would become tedious, staff employed motivational techniques (e.g. the parallel thinking process Six Thinking Hats), held interactive sessions to discuss controversial infection control issues, and retained competition among team members. Compared with baseline, each of the two units observed at least a twofold increase in hand hygiene episodes, as well as a significant reduction in the incidence of healthcare-associated infections, suggesting that the improvements gained were sustainable. Reference Marra, Guastelli and de Araujo 32

By contrast, at the other end of the continuum, externally led applications tend to be much more concerned with accurately identifying positive deviants using quantitative data. This means that these studies are often conducted by outsider experts (e.g. academics, clinical academics, or clinical/national leads), with perhaps less community or frontline participation. These externally led applications may also use rigorous research methods, such as interviews or observations, to understand what is contributing to positive deviance. Broadly, community-driven applications tend to steer more towards applying the 4Ds framework, while externally led applications favour the Bradley et al. framework. However, it is important to note that this is not a dichotomy. Some externally led applications have extensive clinical stakeholder involvement, while some community-driven applications are conducted rigorously and published in peer-reviewed journals.

Traditionally, healthcare has taken a deficit-based, find-and-fix approach to safety management, using methods such as incident reporting and root cause analysis, and producing guidelines and procedures to eliminate the risks identified. Reference Mannion and Braithwaite 33 This approach to managing safety, now commonly referred to as Safety I, seeks to identify the causes of error and harm to eliminate or contain them. The effectiveness of Safety I has been questioned in recent years, Reference Mannion and Braithwaite 33, Reference Dixon-Woods and Martin 34 resulting in the emergence of the so-called Safety II approach to managing safety. Reference Hollnagel, Wears and Braithwaite 35, Reference Hollnagel, Braithwaite and Wears 36 Rather than focusing on error and harm, Safety II seeks to understand everyday performance to ensure that as much as possible goes right – that safe care is delivered as frequently as possible under both expected and unexpected conditions. Reference Hollnagel, Wears and Braithwaite 35 Furthermore, asset-based approaches, such as Learning from Excellence 37 and appreciative inquiry, Reference People 38 are increasingly used to improve both the quality and safety of care. Safety II and asset-based approaches share elements in common with positive deviance: they focus on identifying and learning from what goes right rather than being dominated by what has gone wrong and, broadly speaking, they seek to understand ‘work as done’ rather than ‘work as imagined’.

The positive deviance approach is distinctive, however ( Table 1 ). For example, Safety II seeks to generate learning from everyday performance, rather than focusing on extreme performance outliers. Reference Hollnagel, Wears and Braithwaite 35, Reference Hollnagel, Braithwaite and Wears 36 Acknowledging the complexity of healthcare, Safety II assumes that good and bad outcomes occur in the same way and that safe care is created by people constantly adapting and adjusting to the variable conditions and situations that they face. Reference Hollnagel, Wears and Braithwaite 35, Reference Hollnagel, Braithwaite and Wears 36 By contrast, positive deviance takes a more linear approach assuming that it is possible to identify and then spread the causes of exceptional performance – the behaviours or processes that reliably lead to exceptional outcomes. Although positive deviance shifts our gaze to the opposite end of the performance spectrum, it could, in essence, be considered akin to a Safety I approach, albeit one that focuses on finding and fixing (i.e. spreading) the causes of sustained positive performances rather than one-off negative incidents or events.

Table 1 Key differences between Safety I, Safety II, and the positive deviance approach

Safety ISafety IIPositive deviance
Underpinning premiseTo ensure that as few things as possible go wrong. Focus on negative outliers.To ensure that as many things as possible go right. Focus on everyday performance.To learn from those who demonstrate exceptional performance on outcomes of interest. Focus on positive outliers.
Safety management principleReactive – respond when something happens or risk is deemed unacceptable.Proactive – continually try to anticipate developments and events.Either reactive or proactive – learn from those who overcome specific problems learn from those who achieve excellence.
View of human factorsHumans are predominantly seen as a liability or hazard. They are a problem to be fixed.Humans are seen as a resource for system flexibility and resilience. They provide flexible solutions to potential problems.Humans are seen as a source of exceptional performance – they have developed solutions to overcome problems as individuals or within groups.
InvestigationsAccidents are caused by failures and malfunctions. The purpose of an investigation is to identify the causes.Things go wrong for the same reasons that they go right. The purpose of an investigation is to understand how care usually goes right, as a basis for explaining how care occasionally goes wrong.Exceptional performance is caused by positively deviant behaviours. The purpose of an investigation is to identify these behaviours and learn from them.

Similar distinctions can be drawn between positive deviance and approaches such as Learning from Excellence and appreciative inquiry. Learning from Excellence aims to improve quality of care and staff morale through peer-reported episodes of success, which are shared and, in some instances, discussed or analysed in more depth to generate learning. Reference Kelly, Blake and Plunkett 39 Despite its name, Learning from Excellence typically focuses on discrete episodes of everyday success that arise through workarounds, improvisations, and the generosity of staff. 40 By contrast, positive deviance focuses on exceptional performance outliers who typically sustain exceptional performance over time.

Appreciative inquiry is a participatory approach that generates organisational change by reframing problems, building on positive ideas, and fostering learning. Reference People 38, Reference Richer, Ritchie and Marchionni 41 Although appreciative inquiry is used in some applications of positive deviance to uncover success (particularly those that are community-driven or conducted in international public health), it does not specifically seek to learn from those who demonstrate exceptional performance. Reference Trajkovski, Schmied, Vickers and Jackson 42

Positive deviance has been applied to healthcare improvement at different levels of the system and to address a variety of different problems. This section is structured around Bradley et al.’s framework, as it is thus far the only one that has been designed specifically for healthcare settings. Reference Bradley, Curry and Ramanadhan 19 We present cases that exemplify each stage, while also drawing on examples of community-driven applications. Cases are used to highlight some of the challenges and the opportunities of using the positive deviance approach.

Identifying positive deviants is fundamental to the positive deviance approach, regardless of which framework is followed. Bradley et al. suggest using routinely collected, accessible data to do so. Reference Bradley, Curry and Ramanadhan 19 Three major challenges must be overcome at this stage of the approach: measurement, which is notoriously difficult in healthcare; how to analyse the available data to identify exceptional performers; and making like-for-like comparisons to identify true positive deviants.

2.1.1 Measurement in Healthcare Is Notoriously Difficult

The quality and safety of patient care is measured via outcomes and processes. Outcomes relate to observed measures of morbidity and mortality and so are of greatest interest to patients, clinicians, improvers, and policy-makers. However, process measures, which measure performance based on adherence to established clinical standards, are often more sensitive to differences in the quality of care. Reference Lilford, Mohammed, Spiegelhalter and Thomson 43 When looking to apply the positive deviance approach to some improvement problems, routinely collected or accessible outcome data simply do not exist. Reference Dixon-Woods, Leslie, Bion and Tarrant 44 – Reference Woodcock, Liberati and Dixon-Woods 46 Where outcome data do exist, they may not be useful. This may be because clinical outcome data represent a measure that is too blunt (e.g. ‘all’ rather than ‘avoidable’ readmissions) or distal (e.g. mortality). In these situations, process measures may provide a more accurate measure. Reference Lilford, Mohammed, Spiegelhalter and Thomson 43, Reference Pronovost, Nolan, Zeger, Miller and Rubin 47 For example, if assessing the success of a public health campaign, bowel cancer screening rates could be measured rather than bowel cancer cases.

Furthermore, the expression ‘garbage in, garbage out’ is highly relevant to data issues in applications of positive deviance. Through our own work Reference O’Hara, Grasic and Gutacker 48 – to explore what routinely available data are available to compare the safety performance of wards, units, and services – we identified some of the pitfalls. They include problems with the measures used to collect data, such as a mandatory staff survey question that asks: ‘When errors, near misses or incidents are reported, my organisation takes action to ensure that they do not happen again.’ At first sight, this item seems reasonable. But, if the organisation’s action is to discipline everyone who makes a mistake, a positive value on this item does not necessarily indicate an organisation that demonstrates safety. Likewise, if reported incidents are used to measure safety, the motivations to report are likely to skew the outcome. People may not report incidents because they are fearful, while others might report incidents, including near misses, in an attempt to get something done about a problem they experience regularly (e.g. short-staffing). Self-reported data are subject to many influences that can make them unreliable for comparing organisations.

To be useful, data also need to be accessible. Data are not always publicly available or collected in a standardised way (e.g. clinical coding can vary across organisations), making it difficult to compare performances across organisations. Furthermore, data may not be available at a level that is relevant to the aims of the study. For example, hospital readmission data are published at speciality level, making it difficult to explore how ward teams achieve exceptionally safe hospital discharges. Though some data are available at team or individual level (e.g. for surgical outcomes 49 and national clinical audits 50 ), it is often sparse, unavailable, or very difficult or costly to obtain.

2.1.2 How to Analyse the Available Data to Identify Exceptional Performers

Many applications of positive deviance rank performance data and identify positive deviants as those who perform best. Reference Baxter, Taylor, Kellar and Lawton 14 However, rankings (e.g. in league tables) may not actually identify the best and worst performers. Reference Austin, Jha and Romano 51 – Reference Rothberg, Morsi, Benjamin, Pekow and Lindenauer 53 It is also important to consider the time frame over which positive deviants demonstrate exceptional performance. Some studies identify and learn from one-off successes, Reference Zaidi, Jaffery and Shahid 18 while in others positive deviants must sustain their performance over a period of time. Reference O’Hara, Grasic and Gutacker 48, Reference Baxter, Taylor and Kellar 54 Since a one-off outlying status may not be a reliable indicator of success, it may be preferable to learn from those who have demonstrated excellence over a longer period of time.

A variety of sophisticated statistical techniques can be used to identify high performers, but statistical process control methods are increasingly promoted as an accessible way of measuring variation within healthcare. Reference Pronovost, Nolan, Zeger, Miller and Rubin 47, Reference Benneyan, Lloyd and Plsek 55, Reference Mohammed, Worthington and Woodall 56 These methods combine statistical rigour with the ability to sensitively measure performance variation – they distinguish between variation that is to be expected (noise) and variation that may have an assignable cause (e.g. variation that may result from the presence of positive or negative deviants). The methods are sensitive to small sample sizes, can facilitate temporal analysis, and the visual rather than tabular presentation of data makes it easier to identify performance outliers. Reference Marshall, Mohammed and Rouse 57 For more information, see the Element on statistical process control. Reference Dixon-Woods, Brown and Marjanovic 58

2.1.3 Making Like-for-Like Comparisons to Identify True Positive Deviants

The third challenge relates to an underpinning assumption of the approach – that positive deviants succeed despite facing similar constraints as others. This is important, because, for example, some apparent high performers may succeed simply because they care for a less complex or acute patient population, or because the service is better funded. It is important that study samples are carefully selected to account, control for, or minimise confounding variables so that, as far as possible, like-for-like comparisons are made. Nevertheless, accurate case-mix adjustments are often extremely difficult and, depending on how they are made, different high and low performers may be identified. Some confounders will also always remain unmeasured and thus unaccounted for within the adjustments. For a more detailed discussion of this, see Lilford et al. Reference Lilford, Mohammed, Spiegelhalter and Thomson 43

2.1.4 Could a Non-Data-Driven Method Be a Solution?

If the positive deviance approach is to be distinguished from other asset-based improvement approaches, based on its premise of learning from exceptional performers, then positive deviants should represent an outlying population. To overcome the challenges above, several studies have identified positive deviants in non-data-driven ways, for example by selecting award nominees. 59, Reference Sheard, Jackson and Lawton 60 Marra et al. Reference Marra, Guastelli and de Araujo 31, 3 Reference Wishik 2 ,6 Reference Wray 1 identified positive deviants using tacit knowledge rather than data (see Box 2 for an overview of the study). Initially, nurse managers identified healthcare workers who they considered to be positively deviant and, over time, these individuals identified other positive deviants within their team. Positive deviants displayed good hand hygiene compliance, had a desire to change and develop ideas, and stimulated compliance across the team. 3 Reference Wray 1 Alternatively, some projects, predominantly those that are community-driven, do not identify positively deviant individuals or teams. Instead, discovery and action dialogues (see stage 2 in Section 2.2 ) are used to define and generate ownership of problems and to identify uncommon behaviours or practices. When positive deviants are identified in non-data-driven ways, it is not known whether they truly display exceptional performance. However, despite this, Marra et al. were able to demonstrate significant improvements in hand hygiene compliance and associated outcomes. Reference Marra, Guastelli and de Araujo 31, Reference Marra, Guastelli and de Araujo 32, Reference Marra, Noritomi and Westheimer Cavalcante 61

In this stage, qualitative methods are used to generate hypotheses about the positively deviant strategies that facilitate exceptional performance. Reference Bradley, Curry and Ramanadhan 19 In our own work, we have explored how positively deviant older people’s medical ward teams deliver exceptionally safe patient care, as measured by the UK’s National Health Service (NHS) Safety Thermometer data – a routinely collected measure of four commonly occurring harms. Reference Baxter, Taylor and Kellar 54, Reference Baxter, Taylor, Kellar and Lawton 62, Reference Baxter, Taylor, Kellar and Lawton 63 We conducted multidisciplinary focus groups and informal observations on four positively deviant and four above-average comparator wards to gather a wide range of perspectives and generate discussion about how teams successfully deliver safe patient care. We also made brief field notes following each focus group to capture factors such as team dynamics. In total, 14 positively deviant characteristics were identified, such as knowing one another well, working together, having integrated allied health professionals, and team stability. These characteristics were either present only on the positively deviant wards or enacted in a substantially different way on the positively deviant wards compared with the comparators. Reference Baxter, Taylor, Kellar and Lawton 63

This study illustrates some important considerations for undertaking stage 2 of the positive deviance approach: what lens should be applied and should a framework be used to guide data collection; do teams have the skills and capacity required; how might sampling and comparators influence the hypotheses generated; and are there other ways to create opportunities for discussion to generate learning?

2.2.1 Consider What Lens to Apply to Qualitative Data Collection

Many studies focus on specific processes and outcomes of care, such as providing weight loss advice Reference Kraschnewski, Sciamanna, Pollak, Stuckey and Sherwood 64 or anticoagulation control. Reference Rose, Petrakis and Callahan 65 Bounding the scope of studies may make it more feasible to generate an in-depth nuanced understanding of the behaviours or processes that facilitate success, particularly if time and resources are limited. However, in doing so, it is still important to apply a broad lens so as to explicate the wider contextual influences (e.g. policies, leadership, and culture) that facilitate success and to illuminate any unintended consequences (positive or negative) that may arise from the positively deviant strategies. If trying to improve narrow processes or outcomes of care, it is important to think broadly about the factors that may influence exceptional performance and direct the qualitative gaze appropriately.

Alternatively, studies may want to explore how positive deviants succeed on broad outcomes of care to deliver high-quality or safe care in the round. For example, rather than focusing on specific harms (e.g. falls or pressure ulcers), our study on medical wards for older people explored how teams deliver exceptionally safe care across a range of measures. Reference Baxter, Taylor, Kellar and Lawton 63 By looking at those who succeed across a bigger picture, it may be possible to uncover latent factors that facilitate their success – the upstream, system-level factors that are more difficult to observe, such as staffing and skill mix, leadership style, culture, and physical environment. In doing so, it may be possible to target these latent factors to generate improvement across a range of outcomes.

2.2.2 Consider Using a Framework to Guide the Collection of Qualitative Data

Regardless of which lens is taken, qualitative data collection and analysis in positive deviance studies may benefit from using a theoretical framework to help ensure that factors underpinning exceptional performance are comprehensively assessed. Reference Baxter, Taylor, Kellar and Lawton 14, Reference Davidoff, Dixon-Woods, Leviton and Michie 66, Reference Rose and McCullough 67 For example, Rose et al. structured their qualitative enquiry in anticoagulation clinics around nine key domains that were considered essential to establishing and maintaining a high-quality anticoagulation control. Reference Rose, Petrakis and Callahan 65 For patient safety research, the Yorkshire Contributory Factors Framework Reference Lawton, McEachan and Giles 68 or the Manchester Patient Safety Framework 69 might be useful.

Beyond safety, researchers or improvers could use frameworks such as the COM-B behaviour change wheel Reference Michie, van Stralen and West 70 or the PARIHS (Promoting Action on Research Implementation in Health Services) framework. Reference Rycroft-Malone, Harvey and Seers 71 Nonetheless, care must also be taken. Positive deviance is inherently an inductive (i.e. emergent) approach. Reference Stuckey, Boan and Kraschnewski 11 If applied rigidly, the use of a theory or framework might bias the data generated and blind the observer to those unusual, perhaps deviant practices or factors that might have been identified inductively or that fall outside the scope of the particular theory or framework used.

2.2.3 Tailor the Method to the Skills and Capacity of the Teams Involved

In choosing a method to generate hypotheses about how success is achieved, those conducting a positive deviance study should consider the skills and capacity within their teams. Particularly among externally led applications of positive deviance, a common approach to generate hypotheses about success has been to use ethnographic methods such as extensive observations and formal or informal interviews. These methods facilitate a robust in-depth inquiry and may be well suited to uncovering the beliefs, values, and assumptions that underpin success on broad outcomes of care. For example, Liberati et al. Reference Liberati, Tarrant and Willars 72 conducted an ethnography consisting of approximately 143 hours of observation, semi-structured interviews, and focus groups to explore how a maternity unit in England achieved and sustained exceptional safety outcomes.

Yet these methods are rarely accessible to frontline clinicians and improvement organisations (e.g. national audit teams, clinical commissioning groups) that may lack the capability and capacity required to conduct them. If positive deviance is to be used for healthcare improvement, as distinct from research, it may be necessary to challenge one of the underpinning assumptions of positive deviance: that success should be uncovered anthropologically. Our study on older people’s medical wards Reference Baxter, Taylor, Kellar and Lawton 63 tested pragmatic methods that were more (although not completely) accessible to an improvement community. We found that relationships across the multidisciplinary teams enabled people to know one another socially, as well as understand and value each other’s roles. The teams worked to extremely high standards and expectations, and staff could raise safety concerns or ask for emotional and technical help when needed. These findings share similarities with those produced by the more extended investigations undertaken by Liberati et al. Reference Liberati, Tarrant and Willars 72 and so, given this, it may be possible to develop a method that is both feasible within an improvement context and sufficient for generating robust hypotheses about how positive deviants succeed. Future research could usefully explore the extent to which different methods can generate robust hypotheses at stage 2, and what the resource implications of these different methods are.

2.2.4 Consider How Sampling and Comparators May Influence the Hypotheses that Are Generated

Having a comparator is a useful addition to a positive deviance study, not least because it is important to understand how positive deviants differ from the rest of a population. Many positive deviance studies do not sample comparators during stage 2 and, where they do, they tend to be negative deviants – the worst performers in a population. Reference Baxter, Taylor, Kellar and Lawton 14 The stark comparison provided by sampling positive and negative deviants may make it easier to identify very obvious differences between the two groups. However, this comparison does not necessarily help identify behaviours and strategies that distinguish positive deviants from those in a population who simply perform well – those with average performances. Sampling comparators that demonstrate good or average performances may help uncover how positive deviants differ from the majority of a population in order to achieve truly exceptional performance.

It is also important to consider how many positive deviants and comparators to sample. Sampling multiple positive deviants and comparators (e.g. Baxter et al. Reference Baxter, Taylor, Kellar and Lawton 63 and Curry et al. Reference Curry, Spatz and Cherlin 73 ) may lead to more generalisable hypotheses, whereas sampling a single positive deviant (e.g. Liberati et al. Reference Liberati, Tarrant and Willars 72 and Hughes et al. Reference Hughes, Sheard, Pinkney and Lawton 74 ) may help generate an in-depth picture of exceptional performance within that particular context.

2.2.5 Create Opportunities for Discussion to Generate Learning

Many positive deviance studies do not necessarily use rigorous research methods to uncover positively deviant strategies. Particularly when following the 4Ds framework, some, as we noted above, use discovery and action dialogues. For these dialogues, interested people are brought together for facilitated discussions to uncover positively deviant practices (and positive deviants in some cases), to generate new solutions for improvement, and to identify ways of overcoming existing barriers. 75 For example, in trying to reduce bloodstream infections, Lindberg et al. Reference Lindberg, Downham and Buscell 76 used discovery and action dialogues to discuss infection causes, strategies and barriers to prevent infection, whether certain people frequently overcame these barriers, other improvement ideas, and how these ideas might be initiated. Other studies use improvisational theatre in which short dramas and scenarios are acted out, providing frontline staff with a social, sensory, and collaborative way to learn and discover together. Reference Hughes, Sheard, Pinkney and Lawton 77

In stage 3, the hypotheses generated during stage 2 can be tested in larger, more representative samples to explore their associations with improved outcomes. Reference Bradley, Curry and Ramanadhan 19 Few publications explicitly report this stage of the framework; we use Bradley et al.’s original research Reference Bradley, Herrin and Wang 20 to exemplify this stage.

2.3.1 Using a Survey to Test the Hypotheses

Box 1 outlines Bradley et al.’s use of national registry data to identify 11 positively deviant US hospitals that had consistently achieved and shown improvements in the 90-minute door-to-balloon time target. After identifying several processes and organisational contextual factors that were thought to facilitate exceptional performance, Reference Bradley, Roumanis and Radford 21 the researchers conducted stage 3 by creating a web-based survey to explore the extent to which hospitals within the wider community implemented the processes that had been identified. Reference Bradley, Herrin and Wang 20 The survey addressed 28 key hospital strategies that could be objectively and reliably measured using close-ended, multiple choice questions (e.g. the process for activating the catheterisation team). It was piloted for clarity and comprehensiveness, and then distributed to 500 hospitals across the USA.

Hierarchical generalised linear modelling was used to identify six hospital strategies that were associated with significantly faster door-to-balloon times (e.g. the emergency department activating the catheterisation laboratory while the patient is en route to hospital, and always having an attending cardiologist on site). Some of these associations were particularly strong and were estimated to save 10–15 minutes. Hospitals with faster door-to-balloon times had implemented more of the effective strategies.

2.3.2 How Useful Is Stage 3?

Bradley et al.’s study Reference Bradley, Herrin and Wang 20 highlights the benefits of conducting stage 3 of the positive deviance approach. By testing hypotheses in larger, more representative samples, they demonstrated which strategies were associated with improved outcomes and dismissed those that were not, allowing them to focus on the most important strategies. Stage 3 complements an evidence-based approach to medicine and enables resources to be directed in ways that are most likely to generate improvement. Quantitative evidence, such as this, can also provide a powerful motivator for change by convincing others that strategies are worth adopting. Reference Michie, Richardson and Johnston 78

Nonetheless, there are various challenges to conducting stage 3. First, cross-sectional surveys only demonstrate correlation – not causation – and so implementing strategies may not improve outcomes. Furthermore, the direction of the relationship between strategies and outcomes is not always clear. In some cases, exceptional performance may lead to the positively deviant factors observed, rather than the other way round; for example, exceptional performance may generate high levels of job satisfaction within positively deviant teams. Reference Baxter, Taylor, Kellar and Lawton 63

Second, positively deviant strategies are not always amenable to measurement. Routinely collected data are rarely available to adequately assess the hypotheses that are generated through stage 2. It can be difficult to simplify positively deviant strategies into discrete survey items, and to generate valid and reliable questions that sufficiently measure the hypotheses. Furthermore, asking people to rate themselves, their teams, or their organisations presents its own challenges. Survey questions are open to interpretation, especially if they have not been validated. These problems are most pertinent if the survey is assessing contextual or cultural factors, rather than whether specific processes, policies, or procedures are in place. In this case, the contribution of latent factors (e.g. leadership, psychological safety) in facilitating success may be downplayed.

Some community-driven applications of positive deviance collect data to continually monitor performance throughout the life cycle of improvement. This allows improvers to observe the effects of positive deviance strategies on performance, Reference Singhal, Greiner, Singhal, Buscell and Lindberg 79 although it is not always clear from the published research articles which changes in practice actually produced any improvements in performance (e.g. when bundles of interventions are implemented). In addition to measuring processes and outcomes, many community-driven applications use social network analysis to measure the impact of positive deviance. This does not provide a measure of the effectiveness of specific positively deviant practices, but can provide an indicator of culture change, which often accompanies the ability to overcome ‘wicked issues’: challenges that are complex and multifaceted, and are therefore beyond the ability of any one organisation to handle in isolation. Reference Lindberg, Downham and Buscell 76, Reference Singhal, Greiner, Singhal, Buscell and Lindberg 79, Reference Singhal, McCandless, Buscell and Lindberg 80

Given the difficulties of measurement and testing associations between positively deviant strategies and outcomes – particularly when these strategies represent latent or upstream factors (e.g. culture and leadership) rather than more concrete processes or strategies – further critical appraisal of the worth of this stage of the framework is needed. While it is important to develop improvement strategies and processes based on rigorous evidence, qualitative evidence may be sufficient when identifying cultural factors (e.g. trusting relationships, people who know one another) that serve to underpin good outcomes.

In stage 4, positively deviant strategies are disseminated to others in the wider population with the help of key stakeholders. Reference Bradley, Curry and Ramanadhan 19 There are very few published examples of this stage. One possible explanation is that articles simply do not refer to a positive deviance framework and so dissemination activities cannot be linked to applications of the approach, or it may represent a time lag between completing and publishing this final stage. Another interpretation is that the positive deviance studies may have failed to produce generalised improvement.

2.4.1 Different Approaches to Dissemination

Due to the dearth of literature on this stage, we refer again to the work of Bradley et al., who disseminated their positively deviant strategies with the support of a group of highly influential organisations. Reference Krumholz, Bradley and Nallamothu 81 The American College of Cardiology, in partnership with the American Heart Association and 37 other organisations, implemented a well-coordinated and highly promoted national campaign called the Door-to-Balloon Alliance. When healthcare organisations signed up to the alliance, they committed to treat at least 75% of patients within the 90-minute window, and benefitted from a toolkit and change programme based on the positive deviance evidence, individually tailored actions plans, educational initiatives (e.g. workshops, seminars, and an online community), and regional champions to help motivate and facilitate change. Contextually the alliance was set up at a time when national reporting and financial incentives were also being implemented. Evaluation of the alliance showed significant three-year improvements in door-to-balloon times, whereby 25% more patients received treatment within the 90-minute window than before. Reference Bradley, Curry and Ramanadhan 19

By contrast, Sreeramoju et al. Reference Sreeramoju, Dura and Fernandez 82 took a different approach to spread practices to reduce healthcare-associated infections. Researchers implemented a positive deviance intervention on three randomly selected wards. They conducted interviews and focus groups, collected data via graffiti boards and drop boxes, and identified 12 positively deviant individuals. To disseminate their findings and generate improvement (equivalent to stage 4), the positive deviants, along with the ward managers, infection preventionists, and a research team member, created an action planning group to help spread and implement some of the ideas. The group used the data that had been gathered to sort, prioritise, implement, and evaluate the improvement ideas that had been generated, often through plan-do-study-act (PDSA) cycles. Importantly, it was the healthcare staff, rather than the researchers, who owned these plans. Compared with three randomly selected control wards, the positive deviance intervention significantly impacted a trend in patient safety culture (prevented a decline), although no differences were found in social network maps or healthcare-associated infections.

2.4.2 Top-Down versus Bottom-Up Dissemination

These two examples highlight the different ways in which positively deviant strategies can be disseminated. Bradley et al. Reference Bradley, Curry and Ramanadhan 19, Reference Krumholz, Bradley and Nallamothu 81 took a top-down approach – national organisations created the alliance. By contrast, Sreeramoju et al.’s approach Reference Sreeramoju, Dura and Fernandez 82 was more bottom-up – although external researchers supported the earlier qualitative work, findings were acted upon and improvement projects were owned by members of the ward teams. There is limited evidence to say which approach is the most effective, and in what circumstances.

Top-down approaches may be better suited to organisation and system-level applications of positive deviance, where influence is required to instigate change at a regional or national level. A bottom-up approach to dissemination is more aligned with the original international public health and community-driven applications of positive deviance. They may suit individual or team level applications, where it is easier to promote the meaningful community involvement. A bottom-up approach may also be better suited to disseminating positively deviant strategies that are less concrete and tangible (e.g. cultural factors), as bringing communities together may enable them to gather a more nuanced understanding of how success is achieved, making it more likely that they will adopt the strategies and appreciate the relevance to their own context. When planning positive deviance studies, greater attention should be given to the role of communities (e.g. staff and patients) and how they can be effectively involved in the approach without it becoming too burdensome.

2.4.3 How Closely Should Others Replicate the Strategies?

A further unanswered question relating to stage 4 is whether other individuals, teams, organisations, and so on should seek to replicate and mimic positively deviant strategies, or instead adopt only their underlying premise. The importance of context in quality improvement is well recognised. Reference Bate, Robert, Fulop, Øvretveit and Dixon-Woods 83 Many successful interventions have failed to scale: they do not achieve the same impacts in wards or organisations that were not involved in the original improvement project (e.g. Bion et al. Reference Bion, Richardson and Hibbert 84 and Dixon-Woods et al. Reference Dixon-Woods, Leslie, Tarrant and Bion 85 ). Again, the extent to which positively deviant strategies should be mimicked or adapted (and in what ways) may depend on whether it is a procedural or cultural strategy that is being disseminated. In either situation though, it is important that the qualitative inquiries (stage 2) explore not just what positively deviants do to succeed, but also how they achieve these things, and the contextual factors that support or hinder them.

To summarise the four stages in this section, Table 2 outlines some of the key barriers to implementing the positive deviance approach and offers potential strategies to mitigate them.

Table 2 Barriers to implementing the positive deviance approach (as designed by Bradley et al. Reference Bradley, Curry and Ramanadhan 19 ) and potential strategies for mitigation

BarrierPotential mitigation
Routinely collected data are not available at the level required (e.g. hospital or individual level) to assess the outcome that I am interested in. and Awofeso et al. as examples).

I don’t have much confidence in the quality of the data. using data recorded over multiple time points

using multiple sources of data that measure the same thing, and look for similar patterns across different sources

identifying a site as a positive deviant only when it has demonstrated consistently high performance, sustained improvement, and/or high performance across multiple measures.

I don’t have the specialist skills that are required to analyse the data.Although skills in statistical process control were rare a few years ago, now many data managers in healthcare and research organisations have these skills. Ask for help.
I am concerned that the organisation(s), units, or people identified as positive deviants might not be.With good data and analyses, and by controlling for factors that are known to lead to greater success (e.g. higher amounts of funding, a younger patient population, fewer comorbidities), you can largely avoid this risk. However, it is important to involve the community you are interested in. For example, you might identify five maternity units as positive deviants, but then the doctors and midwives in your community tell you that site four (of these five) is a specialist centre, with higher levels of funding that attracts all of the best junior doctors. Formally then, this site does not succeed despite facing similar constraints as others. It is useful to know this and to understand what resources impact performance, but it should not be included as a positively deviant site for further investigation.
I am worried that excellence might not actually be excellence (related to the barrier above).This is a trap that everyone working in this field needs to be aware of and is why working with the community is so important. Say, for example, you were conducting a study that focuses on injury during restraint in mental health settings. You identify three sites where injury from restraint is much lower. The problem here is a lack of denominator (i.e. the number of restraints), but more worrying is that without assessing the use of anti-psychotics you do not know whether lack of injury is simply a function of fewer restraints due to over-medication. So, always be aware of these balancing measures in your analysis.
I don’t have a theory to frame the qualitative work.
I don’t know which qualitative method to use.
I am not sure how to test the hypotheses that I have generated about factors leading to success.As part of a Safety I approach to safety management, it is rarely possible to test hypotheses about factors leading to failure before implementing interventions based on these ideas, so, at one level, you could argue that stage 3 is not essential. There is also little evidence about the importance of this stage or the rigour with which it can be conducted. In some cases, it is very simple to conduct, for example, if you have routinely collected data (e.g. audits) that assess outcomes relating to the specific hypotheses you have generated. However, this is not always possible. As a minimum, we recommend checking the face validity of the hypotheses with members of the population that you are working with – do clinicians and/or patients think the hypotheses are likely to be associated with improved outcomes?
Implementing or spreading the ideas is difficult. making culture change happen, and approaches to spread, scale-up, and sustainability. There is no magic bullet, sadly!

staff have engaged positively with an approach that asks them to reflect success and solutions rather than failure and problems.

We use ‘community’ to refer to the group of people who deliver (and receive) the care under investigation, and staff who deliver care, have patient contact, or administer the process of patient care.

The use of positive deviance as an improvement approach in healthcare is relatively new, with much of the research published in the past 10–15 years. It is also fair to say that most positive deviance studies in the field are reported in a largely uncritical way. As we have described elsewhere, Reference Baxter, Taylor, Kellar and Lawton 14 limitations include limited detail on how positively deviant individuals or teams were identified, under-use of comparisons and controls, and absent or poorly reported involvement of staff and patients. Despite the lack of critical reflection in the studies themselves, some opinion and thought pieces that espouse the value of positive deviance do acknowledge its limitations and the difficulties of applying it at scale. Reference Bradley, Curry and Ramanadhan 19, Reference Rose and McCullough 67, Reference Lawton, Taylor, Clay-Williams and Braithwaite 90 Here we describe the key issues to consider before choosing to adopt a positive deviance approach.

When embarking on a positive deviance project, it is vital that someone in the team understands data, and that all involved are encouraged to adopt a critical stance on the data, identifying only those measures that are reliable, valid, and meet a set of previously agreed criteria. These problems with poor quality data are not unique to positive deviance. Reference Woodcock, Liberati and Dixon-Woods 46 Many improvement approaches (e.g. see the Element on audit, feedback, and behaviour change Reference Ivers, Audit, Dixon-Woods, Brown and Marjanovic 91 ) rely on data either to drive the improvement or to evaluate its impact. Indeed, these same data are used to identify, and take action against, negative deviants.

Given the challenges of identifying positive deviants accurately, it is important to consider the extent to which we should prevent the perfect from being the enemy of the good. If we can improve by learning from those who perform well, rather than from those who perform exceptionally well, perhaps a more pragmatic approach should be embraced. It could be argued that the risk of promoting a practice that is not definitively associated with the highest performing teams or services may be lower than reconfiguring or closing down a service that has been identified to be a negative deviant. Nonetheless, caution should be applied: focusing on the wrong positive deviants may lead to learning that is actually counterproductive for improvement.

Using positive deviance in healthcare organisations in high-income countries is very different from its origins in international public health. The solutions identified in studies of healthcare are rarely exceptionally deviant . They are not, typically, like shrimps in the paddy fields, the unusual practices so often associated with early positive deviance work in Vietnam. Reference Sternin, Sternin, Marsh, Wollinka, Keeley, Burkhalter and Bashir 4, Reference Sternin, Sternin, Marsh and Marchione 5 Solutions identified in positively deviant healthcare teams and organisations are often things that are acceptable to others; they may be commonly known or evidence based, but perhaps just not uniformly adopted. For example, using alcohol gel in addition to soap and water rather than relying on just one or the other when ensuring hand hygiene prior to central line insertion. Reference Cohen, Gesser-Edelsburg, Singhal, Benenson and Moses 92 Alternatively, the hypotheses generated by qualitatively studying positive deviants in depth (stage 2 of the Bradley et al. framework) may be structural or cultural. They might be about psychological safety and trust in multidisciplinary teams, common goals, and transformational leadership. In fact, what these findings might suggest, and it is difficult with the current evidence to deny, is that positive deviance in healthcare may be synonymous with the ability to identify good practice and the contexts that facilitate their achievement.

Healthcare organisations are complex Reference Plsek and Greenhalgh 93 and, as such, systems often act in unpredictable ways to produce emergent outcomes. International public health and some of the more community-driven positive deviance studies have been cognisant of this complexity. They have, for example, used participatory methods that engage frontline staff, foster relationships/networks, encourage diverse participation and perspectives, and empower staff to make decisions (see Lindberg and Schneider Reference Lindberg and Schneider 94 for further discussion). Through this, the positive deviance approach is able to influence the parameters that shape self-organisation in complex adaptive systems – the natural and local emergence of order, innovation, and progress. Namely, it improves information flow, enhances the number and quality of connections, includes diverse perspectives, and shifts power differentials. Reference Lindberg and Schneider 94 However, it might be argued that positive deviance, particularly as conceptualised in Bradley et al.’s framework or by externally led applications, fails to recognise this complexity.

Limited community involvement risks a loss of engagement, connections, diversity, and empowerment, instead reducing the approach to simply finding specific solutions and spreading these to others to fix problems – a somewhat reductionist and linear approach to generating improvement. For positive deviance, key qualities are its asset-based character and its commitment to learning from the bottom up. It is important, then, that the underpinning principle that communities themselves hold the expertise and skill is not lost in a hierarchical healthcare system where policies, targets, and regulation are externally driven.

At the beginning of this Element, we outlined a set of underlying assumptions of positive deviance: solutions exist within communities; positive deviants succeed despite facing similar constraints; and this tacit knowledge can be generalised to others. In addition, Marsh et al. have proposed that the approach facilitates three important mechanisms of change: Reference Marsh, Schroeder, Dearden, Sternin and Sternin 95 social mobilisation, whereby communities are motivated to engage with the approach; information gathering , to identify behaviours that facilitate good outcomes; and behaviour change, whereby the wider community adopts these new behaviours. The way that positive deviance has been operationalised in healthcare, a sector where quantitative evidence is central to decision-making, may mean that the mechanisms of social mobilisation and behaviour change have been lost in translation. For example, social mobilisation (bottom-up community involvement) has a central role in many of the typically community-driven studies, but, in the externally led studies, particularly at organisational level, this aspect is typically missing almost completely. If improvers are to stay true to the origins of positive deviance, then it is important that studies clearly align with the underlying assumption of actively involving positive deviants in identifying solutions and spreading them to others. Without social mobilisation, behaviour change becomes something that has to be done at the end of the project to ensure the spread of practices, rather than being an integral part of the process of conducting positive deviance. As such, applications of positive deviance that lack community involvement may face the same implementation challenges, including behaviour change, of any other quality improvement approach.

The use of positive deviance in healthcare is very much in its infancy, meaning there are many questions about its use and effectiveness still to be answered. Much more needs to be understood about how positive deviance works and what the mechanisms of action are. For example, given our aforementioned comments, how critical are social mobilisation, information gathering, and behaviour change? In what ways is positive deviance distinctive or advantageous compared with other improvement approaches? For example, a comparative study that explores the processes and outcomes of audit and feedback versus, or perhaps combined with, positive deviance is one possible avenue for further research.

Future research also needs to test different ways of conducting the qualitative stage of positive deviance. It is important to identify what level of effort is sufficient for generating reliable hypotheses about the factors underpinning excellence. This is even more critical if these hypotheses will not be tested in larger samples before implementation. To what extent should we learn from those who truly outperform? What is the most appropriate comparator group? How important is the wider testing of hypotheses? What do we spread – specific practices, or contextual and relational factors, or both?

One other important but unanswered question is the extent to which the learning from one context can be applied to another. This applies both to specific practices and processes as well as to the structural and cultural features of organisations. In our work in two very different settings (elective hip and knee surgery Reference Hughes, Sheard, Pinkney and Lawton 74 and older people’s care Reference Baxter, Taylor and Kellar 54, Reference Baxter, Taylor, Kellar and Lawton 62, Reference Baxter, Taylor, Kellar and Lawton 63 ) we have found that while some of our findings were similar in both settings (strong multidisciplinary teams and psychological safety), other factors were entirely different, reflecting the nature of these two services. In the more predictable elective service, reliability and standardisation of process were key, whereas in the more unpredictable older people’s service, personalisation and adaptability were critical. Based on these and other findings, we would hypothesise that there will be some fundamental and transferable learning about cultural and structural factors that facilitate excellence across settings and that the growing evidence base will allow, through systematic review, identification of these. But, in addition, there will be other factors (practices, processes, and ways of working) that are not generalisable beyond the service, specialty, or client group.

Positive deviance offers a set of core ideas: expertise being held within communities, the importance of learning from communities that succeed, and mobilising communities to spread the learning. Positive deviance resonates with the changing landscape of quality and safety research and improvement, particularly in its growing attempt to understand ‘work as done’ rather than ‘work as imagined’ – a distinction that is at the fore of Safety II thinking. Adopting positive deviance enables learning from the experts doing the work rather than those who commission or regulate the work. This is attractive in conditions where the strain on healthcare resources is high and approaches to improvement based on what is imagined are likely to be increasingly removed from the reality of what is achievable.

Despite its challenges, positive deviance remains promising, particularly as the availability of good quality and cross-sector data grow. As with any relatively new approach, however, many questions remain to be answered about its optimal use and the extent to which findings in one domain are generalisable to another. We must also be prepared to be more critical in applying and evaluating this approach than we have been to date. Finally, it will be important to reflect on the way that positive deviance is being applied in healthcare, with its strong focus on rigorous research methods and data. This may mean losing some of the espoused benefits of community involvement and mobilisation. This tension between rigour and community engagement is likely to be enduring.

Several applications of the positive deviance approach have been presented as cases and/or referenced throughout this Element. The following further reading is for those who want to find out more about the approach.

Positive Deviance Collaborative 3 – a website containing tools, manuals, case studies, and publications, and that helps to connect people who are implementing the approach. It predominantly aligns with an international public health approach of positive deviance and covers applications from a variety of counties and settings, including nutrition, education, business, and healthcare.

Bradley et al. Reference Bradley, Curry and Ramanadhan 19 – a summary of the four-stage framework for applying the positive deviance approach in healthcare organisations, and work to improve door-to-balloon times for patients with acute myocardial infarction.

Lawton et al. Reference Lawton, Taylor, Clay-Williams and Braithwaite 90 – a critique of positive deviance as a new approach to improving patient safety within healthcare organisations.

Marsh et al. Reference Marsh, Schroeder, Dearden, Sternin and Sternin 95 – a commentary introducing the positive deviance approach and describing evidence for its effectiveness.

Rose and McCullough Reference Rose and McCullough 67 – a narrative review of the authors’ experiences of applying the positive deviance approach in healthcare organisations, including potential applications in healthcare and methodological guidance.

Baxter et al. Reference Baxter, Taylor, Kellar and Lawton 14 – a systematic review of healthcare applications of positive deviance, exploring how positive deviance is defined, the quality of existing applications, and the methods used within them.

Hibbert and Trubacik Reference Hibbert and Trubacik 96 – a report detailing how the National Audit for Intermediate Care has used positive deviance to identify and learn from home-based and bed-based intermediate care services in the UK.

Rebecca Lawton and Ruth Baxter conceptualised the outline for this Element together. Both authors contributed to the drafting and reviewing of the Element and have approved the final version.

We thank the peer reviewers for their insightful comments and recommendations to improve the Element. A list of peer reviewers is published at www.cambridge.org/IQ-peer-reviewers . We also thank all the staff and patients who have participated in our positive deviance studies.

This Element was funded by THIS Institute (The Healthcare Improvement Studies Institute, www.thisinstitute.cam.ac.uk ). THIS Institute is strengthening the evidence base for improving the quality and safety of healthcare. THIS Institute is supported by a grant to the University of Cambridge from the Health Foundation – an independent charity committed to bringing about better health and healthcare for people in the UK. Our positive deviance studies were funded by the Health Foundation (via a PhD for Improvement Science) and by the NIHR Yorkshire and Humber Collaboration for Leadership in Applied Health Research and Care (CLAHRC – under the Evidence-Based Transformation Theme).

Ruth Baxter is a THIS Institute post-doctoral fellow in the Yorkshire Quality and Safety Research Group. Her research interests include the positive deviance approach, adopting a resilient healthcare and Safety II approach to improving healthcare, and involving patients to improve the quality and safety of healthcare services.

Rebecca Lawton is a health psychologist with two main research interests: patient safety and behaviour change. She is Professor, Psychology of Healthcare, at the University of Leeds, founder member of the Yorkshire Quality and Safety Research Group, and Director of NIHR Yorkshire and Humber Patient Safety Translational Research Centre, with a focus on delivering research that makes healthcare safer.

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Table 2 Barriers to implementing the positive deviance approach (as designed by Bradley et al. 19 ) and potential strategies for mitigation

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Merton’s Strain Theory of Deviance and Anomie in Sociology

Charlotte Nickerson

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Charlotte Nickerson is a student at Harvard University obsessed with the intersection of mental health, productivity, and design.

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Saul Mcleod, PhD., is a qualified psychology teacher with over 18 years of experience in further and higher education. He has been published in peer-reviewed journals, including the Journal of Clinical Psychology.

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Key takeaways

  • Social inequality can create situations where people experience tension (or strain) between the goals society says they should be working toward (like financial success) and the legitimate means they have available to meet those goals.
  • According to Merton’s strain theory, societal structures can pressure individuals into committing crimes. Classic Strain Theory predicts that deviance is likely to happen when there is a misalignment between the “cultural goals” of a society (such as monetary wealth) and the opportunities people have to obtain them.
  • Responding to heavy criticism of Classic Strain Theory, sociologists Robert Agnew, Steven Messner, and Richard Rosenfeld developed the General Strain Theory. This predicts that various strains (such as violence and discrimination) create negative feelings which, when there are no other viable options for coping, lead to deviance.
  • Modern strain theories evolved from studies of “anomie,” or normlessness. The French sociologist Emile Durkheim was the first to write about anomie. In his works, The Division of Labor in Society (1893) and Suicide (1897), Durkheim hypothesized that groups and social organizations are primary drivers of misconduct.
  • Principally, Durkheim claimed that a breakdown in societal norms — a result of rapid social change — made it so that societal institutions could no longer regulate individuals well.
  • For example, in a society where economic norms become unclear — there are weak or non-existent authorities to tell workers what they can or cannot do — aspirations become limitless, and anomie and deviant behavior (such as crime) result.

An image of the flag of the USA with a portion torn off at the bottom where the words 'American Dream' are found

Merton’s Theory of Deviance

Building off of Durkheim’s work on anomie , Merton (1957) was the first person to write about what sociologists call strain theory. To Merton, anomie was a condition that existed in the discrepancy between societal goals and the means that individuals have to achieve them.

Merton noticed that American society had high rates of crime and proposed that this was because the achievement of the American Dream — wealth attainment — was deeply ingrained by Americans, even those for whom factors such as race and class had made it highly improbable that they would ever achieve large monetary success.

Holding this cultural value in high regard, they turn to illegitimate means of obtaining wealth, becoming criminals in the process. The discrepancy or strain between the aspirations and the means of achieving them became known as “strain theory.”

Implicit in Robert Merton’s approach is that the factors that lead to order and disorder in a society (such as crime versus the order of social norms) are not mutually exclusive and that cultural values that have desirable functions often contain or produce undesirable consequences (Hagen & Daigle, 2018).

Five Responses to Strain

“The extreme emphasis on the accumulation of wealth as a symbol of success in our own society militates against the completely effective control of institutionally regulated modes of acquiring a fortune. Fraud, corruption, vice, crime, in short the entire catalogue of proscribed behavior becomes increasingly common…” (Merton, 1938, p.59).

Society’s emphasis on financial success and materialism through the mythology of the “American Dream” can be stressful for those whose chances of realizing that dreams are limited (Messner & Rosenfeld, 2012).

The rewards of conformity are available only to those who can pursue approved goals through approved means. Any other combination of means and goals is deviant in one way or another.

Merton argued that individuals at the bottom of society could respond to this strain in a number of ways. Different orientations toward society’s goals and differential access to the means to achieve those goals combine to create different categories of deviance.

Merton’s Typology of Deviance

Conformity : individuals are following a societal goal through legitimate means. Although a conformist may not necessarily achieve the societal goal, he has enough faith in society to follow legitimate means.

For example, a student who is going to school to advance a professional career is conforming, as he is following the American cultural value of success through an approved means (Inderbitzen, Bates, & Gainey 2016).

Innovation : the individual shares the cultural goal of the society but reaches this goal through illegitimate means. Thieves – who share the cultural goal of wealth obtainment but do so through breaking the law (such as drug dealing or embezzlement), are innovators.

Ritualists : individuals who have given up hope of achieving society’s approved goals but still operate according to society’s approved means. A member of middle management, for example, who accepts that they will never progress but stays in their position is a ritualist.

Retreatists (like dropouts or hermits): individuals who have rejected both a society’s goals and the legitimate means of obtaining them and live outside conventional norms altogether.

Drug addicts and figures such as Chris McCandleless — an Emory University graduate found dead in Alaska after attempting to reject capitalism, hitchhike north, and live off the land — a retreat from both societal rule and societally-approved means (Krakauer 2018).

Rebellion exists outside of Merton’s system altogether. Rebels aim to replace societal goals with those of their own and devise their own means of achieving them.

The most obvious examples of rebellion are terrorist organizations, which attempt to advance a goal, typically political, through means such as violence (Inderbitzen, Bates, & Gainey 2016)

Criticism of Merton’s Strain Theory

Merton’s strain theory became the basis of much criminal sociology in the 1950s and 1960s but received substantial and damaging criticism.

Writers such as Hirschi (1969), Johnson (1979), and Kornhauser (1978) have argued that Merton’s theory is not supported empirically; however, others (such as Farnworth and Lieber, 1989) argue that it does.

Direct evidence for Merton’s strain theory, though sparse, is conflicting. Some research finds that there are not particularly high delinquency rates between those with the greatest gap between aspirations and expectations — those with low aspirations and low expectations had the highest offense rates.

However, others have shown support for this hypothesis (Agnew et al. 1996; Cullen & Agnew 2003).

Outside of empirical measurement, criticisms of Merton’s strain theory emphasize Merton’s assumption that the U.S. uniformly commits to materialistic goals when, in reality, the U.S. has highly pluralistic and heterogeneous cultural values (people tend to set themselves a variety of goals).

For example, people might prioritize helping others less fortunate than themselves (such as teachers or nurses) or striving for a healthy work-life balance over material success (Valier, 2001).

Sociologists have also criticized Merton’s emphasis on criminality in lower classes, failing to examine why elites break laws, such as corporate and white-collar criminals (Taylor et al., 1973).

Lastly, the theory emphasizes monetary and not violent crimes and brings up the question: If Merton is correct, why does the U.S. have lower property crime rates than many other developed countries? (Hagen & Daigle, 2018).

Some have attempted to revise Merton’s strain theory. One such revision introduces the concept of “relative deprivation” — those who have less in comparison to those around them have higher rates of criminality.

Others have argued that adolescents pursue a variety of non-monetary goals, such as popularity, grades, athletic prowess, and positive relationships with parents (Agnew et al., 1996; Cullen & Agnew, 2003; Hagen & Daigle, 2018).

Agnew’s General Strain Theory

General Strain Theory’s core is that individuals who experience stress or stressors often become upset and sometimes cope with crime (Agnew & Brezina, 2019).

According to General Strain Theory, strain increases crime because it leads to negative emotions such as anger, frustration, depression, and fear.

Individuals want to do something to correct these emotions, and their circumstances may make it so that committing a crime is an individual’s most accessible option for coping (Agnew & Brezina, 2019).

These negative emotions may also lower the barriers to crime. For example, angry people often have a strong desire for revenge (Agnew 2006).

Agnew (1985) argues that delinquency is most common among those experiencing negative life events , such as divorce or financial problems (Hagen & Daigle, 2018).

He also argues that delinquency comes from an inability to avoid painful environments – such as a school environment where there are interaction problems with teachers.

This creates negative affect, and delinquency becomes a means of obtaining what one has been prevented from obtaining (instrumental), retaliation, or escapism (Hagen & Daigle 2018).

Consequently, there are three types of strain, according to Agnew (Agnew & Brezina, 2019):

  • Strain from people losing something they value. For example, their money could be stolen, a friend may die, or a romantic partner may leave them.
  • Strain from being treated in an adverse or negative way, such as being verbally or physically abused.
  • Strain from people being unable to achieve their goals: for example, being unable to obtain the money or respect that they want.

General Strain Theory differentiates between strains on two different axes: objective vs. subjective strain and experienced, vicarious, and anticipated strains.

Objective strain happens because of events and conditions that most people in a given group dislike, while subjective strain results from events and conditions disliked by one particular person or the particular persons being studied. This is an important distinction because the negativity of an experience can differ radically between individuals.

For example, one person may call divorce the worst experience of their life, while another may consider it a cause for celebration (Agnew & Brezina, 2019; Agnew, 2006).

Most researchers ask about objective levels of strain — whether or not individuals have experienced events that researchers assume are negative — however, it is important to consider that some so-called negative events can be positive to certain individuals and vice-versa (Agnew & Brezina, 2019).

Agnew (2002) also differentiates between experienced, vicarious, and anticipated strain. Experienced strains are strains directly experienced by someone. Vicarious strains are strains experienced by others, often those that the individual feels protective toward.

Finally, anticipated strains are strains that individuals expect to experience, especially in the near future.

Examples of Strain

However, General Strain Theory does not consider negative emotions to be the only factor that increases crime in trained individuals.

Strain can reduce levels of social control, such as how much someone values conformity and the belief that crime is wrong.

When strain comes from negative treatment from those in authority — such as parents, teachers, employers, and the police — this can decrease the individual’s stake in conformity and conventional society.

Rather than conforming to traditional ideas of social controls , strained individuals tend to adopt a values system that minimizes concern for others and prioritizes self-interest (Agnew & Brezina 2019; Brezina & Agnew 2017; Konty, 2005).

Strain can also encourage the social learning of crime. A student who is bullied can be regularly exposed to models of aggression, and chronically employed individuals living in communities where there is little room for economic opportunity may belong to groups that believe theft and drug dealing are acceptable.

The strains most likely to result in crime are those that are high in magnitude, that are seen as unjust, strains associated with low social control — such as parental rejection — and strains that create a pressure or incentive to cope criminally — such as a desperate need for money (Agnew & Brezina, 2019).

Many sociologists have researched which strains are the most likely to cause crime (such as Arter, 2008, Baron & Hartnagel, 1997, and Ellwanger, 2007), and Agnew (2002) compiles a list of these strains:
  • Familial : parental rejection, child abuse and neglect, marital problems, use of humiliation, threats, screaming, and physical punishments.
  • School : low grades, negative student-teacher relationships, bullying, and otherwise abusive peer relationships.
  • Economic : Work that involves unpleasant tasks, little autonomy, low pay, low prestige, and limited opportunities for advancement; unemployment; homelessness (which combines a desperate need for money with frequent conflicts and criminal victimization); residence in poor urban areas.
  • Being the victim of a crime
  • Discrimination based on factors such as race, gender, and religion

Some sociologists, such as De Coster and Kort Butler (2006) have found that strains in certain life domains — such as family, school, and peer groups — are especially related to delinquency in that domain (Agnew & Brezina, 2019).

Langton (2007) found that general strain theory is able to explain certain types of upper-class “white-collar crimes” (such as tax fraud) but that Agnew’s theory cannot generalize to all corporate crimes.

Indeed, Langton suggests, the types of strain and negative emotions experienced by white-collar workers may differ from those of other populations.

Not all individuals respond to stress with crimes.

For example, someone can cope with living in a poor urban area by moving away, a lack of financial resources by borrowing money, or low grades by studying more effectively.

Nonetheless, General Strain Theory outlines a few factors that make criminal coping more likely (Agnew & Brezina 2019):
  • Poor conventional coping skills.
  • Resources to commit crimes, such as physical strength and fighting ability
  • Low financial and emotional support and direct help in coping.
  • Low control by society, holding little belief in conformity.
  • Criminal peers. Beliefs that favor criminal coping.
  • Negative emotions and low constraint.
  • Situations where the costs of crime are low and the benefits high.

Institutional Anomie Theory

Steven Messner and Richard Rosenfeld, in their book Crime and the American Dream (2012), extend Agnew’s General Strain Theory into “Institutional Anomie Theory.”

In this view, society is made up of social institutions (such as family, religion, and economic structure), and greater rates of crime result when one institution — the institution of economic structure — trumps all others.

People in this society begin to try to accumulate material wealth at the cost of all else, and a lack of control and authority by noneconomic institutions institutionalized anomie.

Bullying and Self-Harm in Adolescents

Hay & Meldrum (2010) examined self-harm in 426 adolescents in the rural United States from the perspective of Agnew’s General Strain Theory.

They emphasized two seldom spoken-about areas of strain and deviance: self-harm as deviance and bullying as strain. Self-harm, according to Hay & Meldrum, is an internalized deviant act (as it usually only affects oneself) and can result from strainful relationships with peers (such as bullying).

Hay & Meldrum hypothesized three things. Firstly, bullying is significantly and positively associated with self-harm. Secondly, this self-harm is mediated by the negative emotional experiences of those who are bullied — such as anxiety, depression, and low self-worth.

Thirdly, prosocial, authoritative parenting and high levels of self-control would be associated with lower levels of self-harm. Hay & Meldrum considered authoritative parenting to be a “moderating variable” because it indicates high access to family support.

Ultimately, the researchers found that General Strain Theory did align with the behavior they observed. Adolescents who experienced bullying, in-person or over the internet, had more negative emotions.

These negative emotions were especially high among females, people of color, those living in immigrant or non-intact households, and those low in self-control.

And those who had more negative emotions but few avenues to “mediate them” (such as through strong, prosocial family support) had higher levels of self-harm (Hay & Meldrum, 2010).

Many researchers have attempted to create theories of terrorism by accounting for particular types of strain — such as poverty — but they consider all of the factors that could lead to terrorism (Inderbitzen, Bates, & Gainey, 2016).

Terrorism is likely to result from a group or collective experiencing “collective strains” (Inderbitzen, Bates, & Gainey 2016). These strains can be because of several factors, such as race and ethnicity, religion, class, politics, or territorial groups.

However, the strains mostly resulting in terrorism are high in magnitude with civilian victims, unjust, or caused by more powerful others (Agnew 1992).

For example, case studies of terrorist organizations such as the Tamil Tigers, Basque Homeland and Liberty, Kurdistan Workers Party, and the Irish Republican Army reveal that the strains faced by these groups involved serious violence — such as death and rape — threats to livelihood, large scale imprisonment and detention, and attempts to eradicate ethnic identity (Inderbitzen, Bates, & Gainey, 2016).

These strains happened over long periods and affected many people, largely civilians (Callaway and Harrelson-Stephens 2006, Inderbitzen, Bates, & Gainey 2016).

Members of terrorist groups that do not seem to have experienced high-magnitude strains still report experiencing high-magnitude strains (Hoffman 2006).

For example, some right-wing terrorists in the United States believe in a “Zionist Occupation Government,” which threatens their values (Blazak, 2001; Inderbitzen, Bates, & Gainey, 2016).

These strains must be seen as unjust — for example, if they violate strongly held social norms or values or if they differ substantially from how members of the collective have been treated in the past.

These strains lead to strong negative emotions — such as anger, humiliation, and hopelessness, and make it difficult to cope legally and militarily, leaving terrorism as one of the few viable coping options (Inderbitzen, Bates, & Gainey 2016).

They also reduce social control and provide models for and foster beliefs favorable to terrorism (Inderbitzen, Bates, & Gainey 2016).

As a result, following General Strain Theory, terrorist groups resort to deviance in the form of collective violence.

Agnew, R. (1985). A revised strain theory of delinquency. Social Forces, 64 (1), 151-167.

Agnew, R. (2002). Experienced, vicarious, and anticipated strain: An exploratory study on physical victimization and delinquency. Justice Quarterly, 19(4), 603-632.

Agnew, R., & Brezina, T. (2019). General Strain Theory. In M. D. Krohn, N. Hendrix, G. Penly Hall, & A. J. Lizotte (Eds.), Handbook on Crime and Deviance (pp. 145-160). Cham: Springer International Publishing.

Agnew, R., & Brezina, T. (2019). General strain theory. In Handbook on crime and deviance (pp. 145-160): Springer.

Agnew, R., Cullen, F. T., Burton Jr, V. S., Evans, T. D., & Dunaway, R. G. (1996). A new test of classic strain theory. Justice Quarterly, 13 (4), 681-704.

Baron, S. W., & Hartnagel, T. F. (1997). ATTRIBUTIONS, AFFECT, AND CRIME: STREET YOUTHS”REACTIONS TO UNEMPLOYMENT. Criminology, 35 (3), 409-434.

Blazak, R. (2001). White boys to terrorist men: Target recruitment of Nazi skinheads. American Behavioral Scientist, 44 (6), 982-1000.

Brezina, T., & Agnew, R. (2017). Juvenile delinquency and subterranean values revisited. Delinquency and Drift Revisited, 73-97.

Callaway, R. L., & Harrelson-Stephens, J. (2006). Toward a theory of terrorism: Human security as a determinant of terrorism. Studies in conflict & terrorism, 29(8), 773-796.

Cullen, F. T., & Agnew, R. (2003). Criminological theory. Past to present.

De Coster, S., & Kort-Butler, L. (2006). How general is general strain theory? Assessing determinacy and indeterminacy across life domains. Journal of Research in Crime and Delinquency, 43 (4), 297-325.

Durkheim, E. (2000). The division of labor in society (1893): Blackwell.

Durkheim, E. (2005). Suicide: A study in sociology : Routledge.

Ellwanger, S. J. (2007). Strain, attribution, and traffic delinquency among young drivers: Measuring and testing general strain theory in the context of driving. Crime & Delinquency, 53(4), 523-551.

Farnworth, M., & Leiber, M. J. (1989). Strain theory revisited: Economic goals, educational means, and delinquency. American Sociological Review , 263-274.

Hagan, F. E., & Daigle, L. E. (2018). Introduction to criminology: Theories, methods, and criminal behavior: Sage Publications.

Hay, C., & Meldrum, R. (2010). Bullying Victimization and Adolescent Self-Harm: Testing Hypotheses from General Strain Theory. Journal of Youth and Adolescence, 39 (5), 446-459. doi:10.1007/s10964-009-9502-0

Hirschi, T., & Stark, R. (1969). Hellfire and delinquency. Social Problems, 17 (2), 202-213.

Hoffman, B. (2006). Insurgency and counterinsurgency in Iraq. Studies in conflict & terrorism, 29(2), 103-121.

Inderbitzin, M., Bates, K. A., & Gainey, R. R. (2018). Perspectives on deviance and social control: Sage Publications.

Johnson, R. E., & Johnson, E. E. (1979). Juvenile delinquency and its origins: An integrated theoretical approach: CUP Archive.

Konty, M. (2005). Microanomie: The cognitive foundations of the relationship between anomie and deviance. Criminology, 43 (1), 107-132.

Kornhauser, R. R. (1978). Social sources of delinquency: An appraisal of analytic models.

Krakauer, J. (2018). Into the wild (Vol. 78): Pan Macmillan.

Langton, L., & Piquero, N. L. (2007). Can general strain theory explain white-collar crime? A preliminary investigation of the relationship between strain and select white-collar offenses. Journal of Criminal Justice, 35(1), 1-15. doi:https://doi.org/10.1016/j.jcrimjus.2006.11.011

Ménard, K. S., & Arter, M. L. (2013). Police officer alcohol use and trauma symptoms: Associations with critical incidents, coping, and social stressors. International journal of stress management, 20(1), 37.

Merton, R.K. (1938). Social structure and anomie . American Sociological Review 3(5) , 672–682.

Merton, R.K. (1949). Social structure and anomie: revisions and extensions. In: Anshen, R.N. (Ed.), The Family: Its Functions and Destiny . Harper, New York, pp. 226–257.

Merton, R.K. (1957). Social structure and anomie. In: Merton, R.K. (Ed.), Social Theory and Social Structure . The Free Press, New York, pp. 185–214.

Merton, R.K. (1957). Continuities in the theory of social structure and anomie. In: Merton, R.K. (Ed.), Social Theory and Social Structure . The Free Press, New York, pp. 215–248.

Messner, S. F., & Rosenfeld, R. (2012). Crime and the American dream: Cengage Learning.

Messner, S. F., Thome, H., & Rosenfeld, R. (2008). Institutions, anomie, and violent crime: Clarifying and elaborating institutional-anomie theory. International Journal of Conflict and Violence (IJCV), 2 (2), 163-181.

Valier, C. (2001). Criminal detection and the weight of the past: critical notes on Foucault, subjectivity and preventative control. Theoretical Criminology, 5(4), 425-443.

Further Reading

Sociological theory and criminological research: Views from Europe and the United States

Featherstone, R., & Deflem, M. (2003). Anomie and strain: Context and consequences of Merton’s two theories. Sociological inquiry, 73(4), 471-489.

Messner, S. F. (1988). Merton’s “social structure and anomie”: The road not taken. Deviant Behavior, 9(1), 33-53.

Agnew’s General Strain Theory: Context, Synopsis, and Application

Jang, S. J., & Rhodes, J. R. (2012). General strain and non-strain theories: A study of crime in emerging adulthood. Journal of Criminal Justice, 40, 176-186.

Chamlin, M. B., & Cochran, J. K. (2007). An evaluation of the assumptions that underlie institutional anomie theory.  Theoretical Criminology ,  11 (1), 39-61.

What is the difference between Merton’s Strain Theory and role strain?

Merton’s Strain Theory deals with broader societal structures and the consequent deviance, while role strain focuses on difficulties experienced in meeting multiple expectations of a single societal role. For example, a working mother might experience role strain in balancing job responsibilities with parental duties.

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Tertiary Deviance: Definition & Examples

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Explaining Deviance

Learning objective.

  • State the major arguments and assumptions of the various sociological explanations of deviance.

If we want to reduce violent crime and other serious deviance, we must first understand why it occurs. Many sociological theories of deviance exist, and together they offer a more complete understanding of deviance than any one theory offers by itself. Together they help answer the questions posed earlier: why rates of deviance differ within social categories and across locations, why some behaviors are more likely than others to be considered deviant, and why some kinds of people are more likely than others to be considered deviant and to be punished for deviant behavior. As a whole, sociological explanations highlight the importance of the social environment and of social interaction for deviance and the commision of crime. As such, they have important implications for how to reduce these behaviors. Consistent with this book’s public sociology theme, a discussion of several such crime-reduction strategies concludes this chapter.

We now turn to the major sociological explanations of crime and deviance. A summary of these explanations appears in Table 7.1 “Theory Snapshot: Summary of Sociological Explanations of Deviance and Crime” .

Table 7.1 Theory Snapshot: Summary of Sociological Explanations of Deviance and Crime

Major theory Related explanation Summary of explanation
Functionalist Durkheim’s views Deviance has several functions: (a) it clarifies norms and increases conformity, (b) it strengthens social bonds among the people reacting to the deviant, and (c) it can help lead to positive social change.
Social ecology Certain social and physical characteristics of urban neighborhoods contribute to high crime rates. These characteristics include poverty, dilapidation, population density, and population turnover.
Strain theory According to Robert Merton, deviance among the poor results from a gap between the cultural emphasis on economic success and the inability to achieve such success through the legitimate means of working. According to Richard Cloward and Lloyd Ohlin, differential access to illegitimate means affects the type of deviance in which individuals experiencing strain engage.
Deviant subcultures Poverty and other community conditions give rise to certain subcultures through which adolescents acquire values that promote deviant behavior. Albert Cohen wrote that lack of success in school leads lower-class boys to join gangs whose value system promotes and rewards delinquency. Walter Miller wrote that delinquency stems from focal concerns, a taste for trouble, toughness, cleverness, and excitement. Marvin Wolfgang and Franco Ferracuti argued that a subculture of violence in inner-city areas promotes a violent response to insults and other problems.
Social control theory Travis Hirschi wrote that delinquency results from weak bonds to conventional social institutions such as families and schools. These bonds include attachment, commitment, involvement, and belief.
Conflict Conflict Theory People with power pass laws and otherwise use the legal system to secure their position at the top of society and to keep the powerless on the bottom. The poor and minorities are more likely because of their poverty and race to be arrested, convicted, and imprisoned.
Feminist perspectives Inequality against women and antiquated views about relations between the sexes underlie rape, sexual assault, intimate partner violence, and other crimes against women. Sexual abuse prompts many girls and women to turn to drugs and alcohol use and other antisocial behavior. Gender socialization is a key reason for large gender differences in crime rates.
Symbolic interactionism Differential association theory Edwin H. Sutherland argued that criminal behavior is learned by interacting with close friends and family members who teach us how to commit various crimes and also about the values, motives, and rationalizations we need to adopt in order to justify breaking the law.
Labeling theory Deviance results from being labeled a deviant; nonlegal factors such as appearance, race, and social class affect how often labeling occurs.

Functionalist Explanations

Several explanations may be grouped under the functionalist perspective in sociology, as they all share this perspective’s central view on the importance of various aspects of society for social stability and other social needs.

Émile Durkheim: The Functions of Deviance

As noted earlier, Émile Durkheim said deviance is normal, but he did not stop there. In a surprising and still controversial twist, he also argued that deviance serves several important functions for society.

First, Durkheim said, deviance clarifies social norms and increases conformity. This happens because the discovery and punishment of deviance reminds people of the norms and reinforces the consequences of violating them. If your class were taking an exam and a student was caught cheating, the rest of the class would be instantly reminded of the rules about cheating and the punishment for it, and as a result they would be less likely to cheat.

A second function of deviance is that it strengthens social bonds among the people reacting to the deviant. An example comes from the classic story The Ox-Bow Incident (Clark, 1940), in which three innocent men are accused of cattle rustling and are eventually lynched. The mob that does the lynching is very united in its frenzy against the men, and, at least at that moment, the bonds among the individuals in the mob are extremely strong.

A final function of deviance, said Durkheim, is that it can help lead to positive social change. Although some of the greatest figures in history—Socrates, Jesus, Joan of Arc, Mahatma Gandhi, and Martin Luther King Jr. to name just a few—were considered the worst kind of deviants in their time, we now honor them for their commitment and sacrifice.

Dr. Martin Luther King Jr.

Émile Durkheim wrote that deviance can lead to positive social change. Many Southerners had strong negative feelings about Dr. Martin Luther King Jr. during the civil rights movement, but history now honors him for his commitment and sacrifice.

U.S. Library of Congress – public domain.

Sociologist Herbert Gans (1996) pointed to an additional function of deviance: deviance creates jobs for the segments of society—police, prison guards, criminology professors, and so forth—whose main focus is to deal with deviants in some manner. If deviance and crime did not exist, hundreds of thousands of law-abiding people in the United States would be out of work!

Although deviance can have all of these functions, many forms of it can certainly be quite harmful, as the story of the mugged voter that began this chapter reminds us. Violent crime and property crime in the United States victimize millions of people and households each year, while crime by corporations has effects that are even more harmful, as we discuss later. Drug use, prostitution, and other “victimless” crimes may involve willing participants, but these participants often cause themselves and others much harm. Although deviance according to Durkheim is inevitable and normal and serves important functions, that certainly does not mean the United States and other nations should be happy to have high rates of serious deviance. The sociological theories we discuss point to certain aspects of the social environment, broadly defined, that contribute to deviance and crime and that should be the focus of efforts to reduce these behaviors.

Social Ecology: Neighborhood and Community Characteristics

An important sociological approach, begun in the late 1800s and early 1900s by sociologists at the University of Chicago, stresses that certain social and physical characteristics of urban neighborhoods raise the odds that people growing up and living in these neighborhoods will commit deviance and crime. This line of thought is now called the social ecology approach (Mears, Wang, Hay, & Bales, 2008). Many criminogenic (crime-causing) neighborhood characteristics have been identified, including high rates of poverty, population density, dilapidated housing, residential mobility, and single-parent households. All of these problems are thought to contribute to social disorganization , or weakened social bonds and social institutions, that make it difficult to socialize children properly and to monitor suspicious behavior (Mears, Wang, Hay, & Bales, 2008; Sampson, 2006).

Sociology Making a Difference

Improving Neighborhood Conditions Helps Reduce Crime Rates

One of the sociological theories of crime discussed in the text is the social ecology approach. To review, this approach attributes high rates of deviance and crime to the neighborhood’s social and physical characteristics, including poverty, high population density, dilapidated housing, and high population turnover. These problems create social disorganization that weakens the neighborhood’s social institutions and impairs effective child socialization.

Much empirical evidence supports social ecology’s view about negative neighborhood conditions and crime rates and suggests that efforts to improve these conditions will lower crime rates. Some of the most persuasive evidence comes from the Project on Human Development in Chicago Neighborhoods (directed by sociologist Robert J. Sampson), in which more than 6,000 children, ranging in age from birth to 18, and their parents and other caretakers were studied over a 7-year period. The social and physical characteristics of the dozens of neighborhoods in which the subjects lived were measured to permit assessment of these characteristics’ effects on the probability of delinquency. A number of studies using data from this project confirm the general assumptions of the social ecology approach. In particular, delinquency is higher in neighborhoods with lower levels of “collective efficacy,” that is, in neighborhoods with lower levels of community supervision of adolescent behavior.

The many studies from the Chicago project and data in several other cities show that neighborhood conditions greatly affect the extent of delinquency in urban neighborhoods. This body of research in turn suggests that strategies and programs that improve the social and physical conditions of urban neighborhoods may well help decrease the high rates of crime and delinquency that are so often found there. (Bellair & McNulty, 2009; Sampson, 2006)

Strain Theory

Failure to achieve the American dream lies at the heart of Robert Merton’s (1938) famous strain theory (also called anomie theory). Recall from Chapter 1 “Sociology and the Sociological Perspective” that Durkheim attributed high rates of suicide to anomie, or normlessness, that occurs in times when social norms are unclear or weak. Adapting this concept, Merton wanted to explain why poor people have higher deviance rates than the nonpoor. He reasoned that the United States values economic success above all else and also has norms that specify the approved means, working, for achieving economic success. Because the poor often cannot achieve the American dream of success through the conventional means of working, they experience a gap between the goal of economic success and the means of working. This gap, which Merton likened to Durkheim’s anomie because of the resulting lack of clarity over norms, leads to strain or frustration. To reduce their frustration, some poor people resort to several adaptations, including deviance, depending on whether they accept or reject the goal of economic success and the means of working. Table 7.2 “Merton’s Anomie Theory” presents the logical adaptations of the poor to the strain they experience. Let’s review these briefly.

Table 7.2 Merton’s Anomie Theory

Adaptation Goal of economic success Means of working
I. Conformity + +
II. Innovation +
III. Ritualism +
IV. Retreatism
V. Rebellion ± ±
+ means accept, − means reject, ± means reject and work for a new society

Merton defined five ways people respond to this gap between having a socially accepted goal and having no socially accepted way to pursue it.

  • Conformity : Those who conform choose not to deviate. They pursue their goals to the extent that they can through socially accepted means.
  • Innovation : Those who innovate pursue goals they cannot reach through legitimate means by instead using criminal or deviant means.
  • Ritualism : People who ritualize lower their goals until they can reach them through socially acceptable ways. These members of society focus on conformity rather than attaining a distant dream.
  • Retreatism : Others retreat and reject society’s goals and means. Some beggars and street people have withdrawn from society’s goal of financial success.
  • Rebellion : A handful of people rebel and replace a society’s goals and means with their own. Terrorists or freedom fighters look to overthrow a society’s goals through socially unacceptable means.

Despite their strain, most poor people continue to accept the goal of economic success and continue to believe they should work to make money. In other words, they continue to be good, law-abiding citizens. They conform to society’s norms and values, and, not surprisingly, Merton calls their adaptation conformity .

Faced with strain, some poor people continue to value economic success but come up with new means of achieving it. They rob people or banks, commit fraud, or use other illegal means of acquiring money or property. Merton calls this adaptation innovation .

Other poor people continue to work at a job without much hope of greatly improving their lot in life. They go to work day after day as a habit. Merton calls this third adaptation ritualism . This adaptation does not involve deviant behavior but is a logical response to the strain poor people experience.

A homeless woman with dogs

Franco Folini – Homeless woman with dogs – CC BY-SA 2.0.

In Merton’s fourth adaptation, retreatism , some poor people withdraw from society by becoming hobos or vagrants or by becoming addicted to alcohol, heroin, or other drugs. Their response to the strain they feel is to reject both the goal of economic success and the means of working.

Merton’s fifth and final adaptation is rebellion . Here poor people not only reject the goal of success and the means of working but work actively to bring about a new society with a new value system. These people are the radicals and revolutionaries of their time. Because Merton developed his strain theory in the aftermath of the Great Depression, in which the labor and socialist movements had been quite active, it is not surprising that he thought of rebellion as a logical adaptation of the poor to their lack of economic success.

Although Merton’s theory has been popular over the years, it has some limitations. Perhaps most important, it overlooks deviance such as fraud by the middle and upper classes and also fails to explain murder, rape, and other crimes that usually are not done for economic reasons. It also does not explain why some poor people choose one adaptation over another.

Merton’s strain theory stimulated other explanations of deviance that built on his concept of strain. Differential opportunity theory , developed by Richard Cloward and Lloyd Ohlin (1960), tried to explain why the poor choose one or the other of Merton’s adaptations. Whereas Merton stressed that the poor have differential access to legitimate means (working), Cloward and Ohlin stressed that they have differential access to illegitimate means . For example, some live in neighborhoods where organized crime is dominant and will get involved in such crime; others live in neighborhoods rampant with drug use and will start using drugs themselves.

In a more recent formulation, two sociologists, Steven F. Messner and Richard Rosenfeld (2007), expanded Merton’s view by arguing that in the United States crime arises from several of our most important values, including an overemphasis on economic success, individualism, and competition. These values produce crime by making many Americans, rich or poor, feel they never have enough money and by prompting them to help themselves even at other people’s expense. Crime in the United States, then, arises ironically from the country’s most basic values.

In yet another extension of Merton’s theory, Robert Agnew (2007) reasoned that adolescents experience various kinds of strain in addition to the economic type addressed by Merton. A romantic relationship may end, a family member may die, or students may be taunted or bullied at school. Repeated strain-inducing incidents such as these produce anger, frustration, and other negative emotions, and these emotions in turn prompt delinquency and drug use.

Deviant Subcultures

Some sociologists stress that poverty and other community conditions give rise to certain subcultures through which adolescents acquire values that promote deviant behavior. One of the first to make this point was Albert K. Cohen (1955), whose status frustration theory says that lower-class boys do poorly in school because schools emphasize middle-class values. School failure reduces their status and self-esteem, which the boys try to counter by joining juvenile gangs. In these groups, a different value system prevails, and boys can regain status and self-esteem by engaging in delinquency. Cohen had nothing to say about girls, as he assumed they cared little about how well they did in school, placing more importance on marriage and family instead, and hence would remain nondelinquent even if they did not do well. Scholars later criticized his disregard for girls and assumptions about them.

Another sociologist, Walter Miller (1958), said poor boys become delinquent because they live amid a lower-class subculture that includes several focal concerns , or values, that help lead to delinquency. These focal concerns include a taste for trouble, toughness, cleverness, and excitement. If boys grow up in a subculture with these values, they are more likely to break the law. Their deviance is a result of their socialization. Critics said Miller exaggerated the differences between the value systems in poor inner-city neighborhoods and wealthier, middle-class communities (Akers & Sellers, 2008).

A very popular subcultural explanation is the so-called subculture of violence thesis, first advanced by Marvin Wolfgang and Franco Ferracuti (1967). In some inner-city areas, they said, a subculture of violence promotes a violent response to insults and other problems, which people in middle-class areas would probably ignore. The subculture of violence, they continued, arises partly from the need of lower-class males to “prove” their masculinity in view of their economic failure. Quantitative research to test their theory has failed to show that the urban poor are more likely than other groups to approve of violence (Cao, Adams, & Jensen, 1997). On the other hand, recent ethnographic (qualitative) research suggests that large segments of the urban poor do adopt a “code” of toughness and violence to promote respect (Anderson, 1999). As this conflicting evidence illustrates, the subculture of violence view remains controversial and merits further scrutiny.

Social Control Theory

Travis Hirschi (1969) argued that human nature is basically selfish and thus wondered why people do not commit deviance. His answer, which is now called social control theory (also known as social bonding theory ), was that their bonds to conventional social institutions such as the family and the school keep them from violating social norms. Hirschi’s basic perspective reflects Durkheim’s view that strong social norms reduce deviance such as suicide.

Hirschi outlined four types of bonds to conventional social institutions: attachment, commitment, involvement, and belief.

  • Attachment refers to how much we feel loyal to these institutions and care about the opinions of people in them, such as our parents and teachers. The more attached we are to our families and schools, the less likely we are to be deviant.
  • Commitment refers to how much we value our participation in conventional activities such as getting a good education. The more committed we are to these activities and the more time and energy we have invested in them, the less deviant we will be.
  • Involvement refers to the amount of time we spend in conventional activities. The more time we spend, the less opportunity we have to be deviant.
  • Belief refers to our acceptance of society’s norms. The more we believe in these norms, the less we deviate.

A gamily sharing some watermelon outside

More Good Foundation – Mormon Family Dinner – CC BY-NC 2.0.

Hirschi’s theory has been very popular. Many studies find that youths with weaker bonds to their parents and schools are more likely to be deviant. But the theory has its critics (Akers & Sellers, 2008). One problem centers on the chicken-and-egg question of causal order. For example, many studies support social control theory by finding that delinquent youths often have worse relationships with their parents than do nondelinquent youths. Is that because the bad relationships prompt the youths to be delinquent, as Hirschi thought? Or is it because the youths’ delinquency worsens their relationship with their parents? Despite these questions, Hirschi’s social control theory continues to influence our understanding of deviance. To the extent it is correct, it suggests several strategies for preventing crime, including programs designed to improve parenting and relations between parents and children (Welsh & Farrington, 2007).

Conflict and Feminist Explanations

Example of conflict theory: crime and social class.

While crime is often associated with the underprivileged, crimes committed by the wealthy and powerful remain an under-punished and costly problem within society. The FBI reported that victims of burglary, larceny, and motor vehicle theft lost a total of $15.3 billion dollars in 2009 (FB1 2010). In comparison, when former advisor and financier Bernie Madoff was arrested in 2008, the U.S. Securities and Exchange Commission reported that the estimated losses of his financial Ponzi scheme fraud were close to $50 billion (SEC 2009).

This imbalance based on class power is also found within U.S. criminal law. In the 1980s, the use of crack cocaine (cocaine in its purest form) quickly became an epidemic that swept the country’s poorest urban communities. Its pricier counterpart, cocaine, was associated with upscale users and was a drug of choice for the wealthy. The legal implications of being caught by authorities with crack versus cocaine were starkly different. In 1986, federal law mandated that being caught in possession of 50 grams of crack was punishable by a ten-year prison sentence. An equivalent prison sentence for cocaine possession, however, required possession of 5,000 grams. In other words, the sentencing disparity was 1 to 100 (New York Times Editorial Staff 2011). This inequality in the severity of punishment for crack versus cocaine paralleled the unequal social class of respective users. A conflict theorist would note that those in society who hold the power are also the ones who make the laws concerning crime. In doing so, they make laws that will benefit them, while the powerless classes who lack the resources to make such decisions suffer the consequences. The crack-cocaine punishment disparity remained until 2010, when President Obama signed the Fair Sentencing Act, which decreased the disparity to 1 to 18 (The Sentencing Project 2010).

A small pile of confiscated cocaine is shown here.

Not surprisingly, conflict explanations have sparked much controversy (Akers & Sellers, 2008). Many scholars dismiss them for painting an overly critical picture of the United States and ignoring the excesses of noncapitalistic nations, while others say the theories overstate the degree of inequality in the legal system. In assessing the debate over conflict explanations, a fair conclusion is that their view on discrimination by the legal system applies more to victimless crime (discussed in a later section) than to conventional crime, where it is difficult to argue that laws against such things as murder and robbery reflect the needs of the powerful. However, much evidence supports the conflict assertion that the poor and minorities face disadvantages in the legal system (Reiman & Leighton, 2010). Simply put, the poor cannot afford good attorneys, private investigators, and the other advantages that money brings in court. As just one example, if someone much poorer than O. J. Simpson, the former football player and media celebrity, had been arrested, as he was in 1994, for viciously murdering two people, the defendant would almost certainly have been found guilty. Simpson was able to afford a defense costing hundreds of thousands of dollars and won a jury acquittal in his criminal trial (Barkan, 1996). Also in accordance with conflict theory’s views, corporate executives, among the most powerful members of society, often break the law without fear of imprisonment, as we shall see in our discussion of white-collar crime later in this chapter. Finally, many studies support conflict theory’s view that the roots of crimes by poor people lie in social inequality and economic deprivation (Barkan, 2009).

Feminist Perspectives

Feminist perspectives on crime and criminal justice also fall into the broad rubric of conflict explanations and have burgeoned in the last two decades. Much of this work concerns rape and sexual assault, intimate partner violence, and other crimes against women that were largely neglected until feminists began writing about them in the 1970s (Griffin, 1971). Their views have since influenced public and official attitudes about rape and domestic violence, which used to be thought as something that girls and women brought on themselves. The feminist approach instead places the blame for these crimes squarely on society’s inequality against women and antiquated views about relations between the sexes (Renzetti, 2011).

Another focus of feminist work is gender and legal processing. Are women better or worse off than men when it comes to the chances of being arrested and punished? After many studies in the last two decades, the best answer is that we are not sure (Belknap, 2007). Women are treated a little more harshly than men for minor crimes and a little less harshly for serious crimes, but the gender effect in general is weak.

A third focus concerns the gender difference in serious crime, as women and girls are much less likely than men and boys to engage in violence and to commit serious property crimes such as burglary and motor vehicle theft. Most sociologists attribute this difference to gender socialization. Simply put, socialization into the male gender role, or masculinity, leads to values such as competitiveness and behavioral patterns such as spending more time away from home that all promote deviance. Conversely, despite whatever disadvantages it may have, socialization into the female gender role, or femininity, promotes values such as gentleness and behavior patterns such as spending more time at home that help limit deviance (Chesney-Lind & Pasko, 2004). Noting that males commit so much crime, Kathleen Daly and Meda Chesney-Lind (1988, p. 527) wrote, A large price is paid for structures of male domination and for the very qualities that drive men to be successful, to control others, and to wield uncompromising power.…Gender differences in crime suggest that crime may not be so normal after all. Such differences challenge us to see that in the lives of women, men have a great deal more to learn.

A young boy posed with his fists up, ready to fight

Philippe Put – Fight – CC BY 2.0.

Two decades later, that challenge still remains.

Symbolic Interactionist Explanations

Because symbolic interactionism focuses on the means people gain from their social interaction, symbolic interactionist explanations attribute deviance to various aspects of the social interaction and social processes that normal individuals experience. These explanations help us understand why some people are more likely than others living in the same kinds of social environments. Several such explanations exist.

Differential Association Theory

One popular set of explanations, often called learning theories , emphasizes that deviance is learned from interacting with other people who believe it is OK to commit deviance and who often commit deviance themselves. Deviance, then, arises from normal socialization processes. The most influential such explanation is Edwin H. Sutherland’s (1947) differential association theory , which says that criminal behavior is learned by interacting with close friends and family members. These individuals teach us not only how to commit various crimes but also the values, motives, and rationalizations that we need to adopt in order to justify breaking the law. The earlier in our life that we associate with deviant individuals and the more often we do so, the more likely we become deviant ourselves. In this way, a normal social process, socialization, can lead normal people to commit deviance.

Sutherland’s theory of differential association was one of the most influential sociological theories ever. Over the years much research has documented the importance of adolescents’ peer relationships for their entrance into the world of drugs and delinquency (Akers & Sellers, 2008). However, some critics say that not all deviance results from the influences of deviant peers. Still, differential association theory and the larger category of learning theories it represents remain a valuable approach to understanding deviance and crime.

Labeling Theory

If we arrest and imprison someone, we hope they will be “scared straight,” or deterred from committing a crime again. Labeling theory assumes precisely the opposite: it says that labeling someone deviant increases the chances that the labeled person will continue to commit deviance. According to labeling theory, this happens because the labeled person ends up with a deviant self-image that leads to even more deviance. Deviance is the result of being labeled (Bohm & Vogel, 2011).

This effect is reinforced by how society treats someone who has been labeled. Research shows that job applicants with a criminal record are much less likely than those without a record to be hired (Pager, 2009). Suppose you had a criminal record and had seen the error of your ways but were rejected by several potential employers. Do you think you might be just a little frustrated? If your unemployment continues, might you think about committing a crime again? Meanwhile, you want to meet some law-abiding friends, so you go to a singles bar. You start talking with someone who interests you, and in response to this person’s question, you say you are between jobs. When your companion asks about your last job, you reply that you were in prison for armed robbery. How do you think your companion will react after hearing this? As this scenario suggests, being labeled deviant can make it difficult to avoid a continued life of deviance.

Labeling theory also asks whether some people and behaviors are indeed more likely than others to acquire a deviant label. In particular, it asserts that nonlegal factors such as appearance, race, and social class affect how often official labeling occurs.

Handcuffed hands

Victor – Handcuffs – CC BY 2.0.

William Chambliss’s (1973) classic analysis of the “Saints” and the “Roughnecks” is an excellent example of this argument. The Saints were eight male high-school students from middle-class backgrounds who were very delinquent, while the Roughnecks were six male students in the same high school who were also very delinquent but who came from poor, working-class families. Although the Saints’ behavior was arguably more harmful than the Roughnecks’, their actions were considered harmless pranks, and they were never arrested. After graduating from high school, they went on to college and graduate and professional school and ended up in respectable careers. In contrast, the Roughnecks were widely viewed as troublemakers and often got into trouble for their behavior. As adults they either ended up in low-paying jobs or went to prison.

Labeling theory’s views on the effects of being labeled and on the importance of nonlegal factors for official labeling remain controversial. Nonetheless, the theory has greatly influenced the study of deviance and crime in the last few decades and promises to do so for many years to come.

Key Takeaways

  • Both biological and psychological explanations assume that deviance stems from problems arising inside the individual.
  • Sociological explanations attribute deviance to various aspects of the social environment.
  • Several functionalist explanations exist. Durkheim highlighted the functions that deviance serves for society. Merton’s strain theory assumed that deviance among the poor results from their inability to achieve the economic success so valued in American society. Other explanations highlight the role played by the social and physical characteristics of urban neighborhoods, of deviant subcultures, and of weak bonds to social institutions.
  • Conflict explanations assume that the wealthy and powerful use the legal system to protect their own interests and to keep the poor and racial minorities subservient. Feminist perspectives highlight the importance of gender inequality for crimes against women and of male socialization for the gender difference in criminality.
  • Interactionist explanations highlight the importance of social interaction in the commitment of deviance and in reactions to deviance. Labeling theory assumes that the labeling process helps ensure that someone will continue to commit deviance, and it also assumes that some people are more likely than others to be labeled deviant because of their appearance, race, social class, and other characteristics.

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Belknap, J. (2007). The invisible woman: Gender, crime, and justice. Belmont, CA: Wadsworth.

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Using contemporary examples to evaluate the sociology of crime and deviance

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