| Acknowledgments |
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xi | |
| Prologue Ordinary Disorder |
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3 | (6) |
| Endnotes |
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9 | (2) |
| Chapter One Diagnosing Organizational Dysfunction in Policing |
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11 | (14) |
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Discerning Management Failure |
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11 | (4) |
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15 | (1) |
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The Analysis of Failure: Searching for Suspects |
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16 | (2) |
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18 | (3) |
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21 | (1) |
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22 | (1) |
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22 | (3) |
| Chapter Two Normal Accidents in Law Enforcement: Making Sense of Things Gone Wrong |
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25 | (22) |
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26 | (2) |
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Congenital Error in Organization |
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28 | (1) |
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The "At Risk" Law Enforcement Organization |
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29 | (13) |
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Runaway Police Van at the Holiday Parade |
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30 | (2) |
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The Obscure Origins of Normal Accidents |
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31 | (1) |
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The Tragedy of Eleanor Bumpurs |
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32 | (7) |
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Criminal and Organizational Post-Mortems |
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35 | (1) |
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Identifying Normal Accident Characteristics |
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36 | (3) |
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Pursuit to the Death in Minnesota |
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39 | (12) |
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High Speed Pursuit of the Normal Accident |
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40 | (2) |
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"Normal Accident" as Residual Explanation for Failure |
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42 | (2) |
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44 | (3) |
| Chapter Three Structural Failure in Law Enforcement: Design Defects in Organization |
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47 | (42) |
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Basic Structures of Organization |
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47 | (1) |
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The Haphazard Design of Organization |
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48 | (2) |
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Viewing Organizations Realistically |
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50 | (1) |
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Cases of Structural Failure |
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51 | (32) |
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Battling Bureaucracies in Boulder |
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52 | (15) |
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Challenging Case; Challenged Agencies |
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57 | (1) |
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Resource Limitations of Smaller Departments |
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58 | (2) |
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Dealing with Hierarchical Dysfunction |
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60 | (4) |
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Understanding Inter-organizational Fracture |
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64 | (3) |
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Terrorist Welcome Wagon at the INS |
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67 | (5) |
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Managing Chronic Task Overload |
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67 | (1) |
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The Burden of Conflicting Mandates |
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68 | (1) |
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The Subordination of Law Enforcement |
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69 | (3) |
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The Philadelphia Police Assault on MOVE |
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72 | (17) |
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Miscommunication and Crisis |
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77 | (3) |
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The Impact of "Shadow Structure" on Organizations |
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80 | (3) |
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Leading the Structurally Challenged Agency |
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83 | (2) |
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85 | (4) |
| Chapter Four Oversight Failure in Law Enforcement: Marginalizing the Guardians |
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89 | (26) |
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The Challenge to Internal Control |
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89 | (22) |
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The Watcher: Internal Affairs and the Case of Michael Dowd |
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91 | (8) |
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When the Structure of Oversight Fails |
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94 | (2) |
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The "Independence" of Internal Affairs |
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96 | (3) |
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The Secret World of David Brame |
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99 | (9) |
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Identification with the Offender |
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102 | (2) |
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Addressing Domestic Abuse by Law Enforcement Officers |
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104 | (2) |
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Zero Tolerance and Measured Administrative Response |
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106 | (2) |
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In Residence at Philadelphia Internal Affairs |
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108 | (9) |
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Role Modeling in Internal Affairs |
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109 | (2) |
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Finding the Correct Vectors for Oversight |
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111 | (1) |
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111 | (4) |
| Chapter Five Cultural Deviation in Law Enforcement: Closed Worlds That Damage Agencies |
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115 | (32) |
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The Power of Culture in Policing |
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115 | (2) |
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The Concept of Cultural Deviation |
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117 | (27) |
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LAPD Blues: The Case of Rampart CRASH |
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118 | (7) |
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Unit Transformations from Supportive to Subversive |
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121 | (2) |
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The Dangers of Cultural Autonomy |
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123 | (2) |
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The Buddy Boys: Brooklyn's Bandits in Blue |
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125 | (12) |
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Concentrating Problem Employees |
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130 | (2) |
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The Power of Obstructionist Cultural Networks |
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132 | (2) |
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Institutional Racism as Management Policy |
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134 | (2) |
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Antidotes: Transparency and Performing with Integrity |
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136 | (1) |
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Sexual Predators in the Pennsylvania State Police |
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137 | (11) |
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Peer Privilege and Cultural Immunity |
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139 | (3) |
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Dealing with Deviant Employees and Supportive Cultures |
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142 | (2) |
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Summary: Leading Means Managing Culture |
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144 | (1) |
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144 | (3) |
| Chapter Six Institutionalization in Law Enforcement: Running Agencies for Those Within |
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147 | (34) |
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Introspective, Insulated and Institutionalized |
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148 | (27) |
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152 | (9) |
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Mismanaging the Interface of Image and Reality |
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155 | (1) |
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Self-Protection at the Institutionalized Agency |
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156 | (3) |
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The Historical Roots of Institutionalization |
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159 | (2) |
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Profiling on the New Jersey Turnpike |
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161 | (8) |
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Institutionalizing Problematic Practice |
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164 | (2) |
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Agency-Environment Disconnects and Institutionalization |
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166 | (3) |
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Separated at Birth? The CIA and FBI Spies |
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169 | (14) |
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Sheltering Marginal Employees in Institutionalized Organizations |
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174 | (1) |
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Curing Institutionalization |
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175 | (3) |
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178 | (3) |
| Chapter Seven Resource Diversion in Law Enforcement: Exploiting Organizational Systems |
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181 | (26) |
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Creative Expropriations and Compromised Agencies |
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181 | (2) |
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Organizational Commonalities and Legal Nuance |
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183 | (20) |
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Winning the "Disability Lottery" |
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184 | (6) |
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Profiling and Reinforcing Vulnerable Systems |
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187 | (3) |
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Getting a Good Deal on Home Improvements |
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190 | (7) |
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The Expansive Definition of "Mine" in the Executive Suite |
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191 | (2) |
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The Demoralizing Impact of Executive Resource Diversion |
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193 | (1) |
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Justice for Resource Diverting Executives |
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194 | (2) |
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Profiling Risk in the Rising Executive |
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196 | (1) |
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The Iron Men and Women of Labor, Law Enforcement Style |
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197 | (12) |
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The Negation of Management by Systems Abuse |
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199 | (2) |
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Organization as Territory |
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201 | (1) |
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Scanning for Systems Anomaly and Abuse |
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202 | (1) |
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The Bottom Line on Resource Diversion |
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203 | (1) |
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204 | (3) |
| Epilogue Managing Imperfection |
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207 | (10) |
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When Organizational Failures Have Multiple Causes |
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209 | (4) |
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The Needless Sacrifices of 9/11 |
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211 | (2) |
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Saving Tomorrow's Heroes: Why Agencies Must Get Better Faster |
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213 | (2) |
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215 | (2) |
| Bibliography |
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217 | (6) |
| Index |
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223 | |