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Researching Tomorrow's Crisis: Methodological Innovations and Wider Implications
Researching Tomorrow's Crisis: Methodological Innovations and Wider Implications
The incidence and impact of crises, disasters and other extreme events appears to be
increasing, thus heightening the significance of crisis research. The nature of such
events – sudden, inconceivable, damaging, sensitive, unique – has encouraged un-
conventional methodological perspectives and practices. A review of these develop-
ments is timely. This article presents a bounded, temporally bracketed overview of the
literatures exploring extreme events, structured around an ‘ideal type’ event sequence
with six phases: incubation period, incident, crisis management, investigation, organ-
izational learning and implementation of ‘lessons learned’. While not a traditional
review, this approach serves to overcome problems associated with phenomena resist-
ant to precise definition, and maps the structure of a field characterized by fragmen-
tation, insular traditions and epistemological pluralism, generating a template against
which crises can be explored. Crisis research appears to have overcome the problems
associated with relying on retrospective research designs, accessing sensitive data,
addressing novel ethical concerns, developing multi-level explanations and using single
case studies to develop generalizable theory. The wider adoption of these approaches in
‘mainstream’ organization and management studies may prompt innovation and fresh
insights in other areas, particularly where the temporal structure of events, the role of
slow-moving causes, and conjunctural reasoning, play significant roles.
coloured the contemporary social, political and eco- reviewing the work of Starbuck and Farjoun (2005) on
nomic landscape by ensuring that the responses of lessons from NASA’s Columbia disaster, Neville
governments, regulators, other agencies and manage- (2008, p. 1486) also argues the case for ‘mainstream-
ment implicated in these events are scrutinized in ing workplace safety into organizational studies, a
detail by the media. field in which it presently receives relatively minimal
A comparatively new field, crisis research has attention’. James et al. (2011, p. 484) argue that ‘the
grown steadily since the 1980s, creating a significant study of crisis has not been as prevalent and impactful
published research base. Crisis research appears to in mainstream management journals as we would
have at least three properties that create methodologi- hope or expect’, and argue for ‘bridging’ strategies.
cal challenges for the field. First, crisis researchers One such bridging strategy would involve organ-
have been unable to agree definitions or typologies ization and management studies adopting the event
concerning the events that interest them. Attempts to sequence and temporal bracketing structure that
define categories of incident must sit with the obser- underpins this review, and which draws a coherent
vation that many events belong in that category due map of a fragmented multidisciplinary field, illustrat-
to interpretative social processes. Second, crisis ing the scope of different research perspectives and
research is fragmented by ‘a myriad of disciplinary their combined contributions to theory and practice.
approaches’; it appears in a cross section of general The event sequence structure can be used as a posi-
and ‘niche’ journals, and ‘this fragmentation has kept tioning tool, illustrating relationships between
crisis research on the periphery of “mainstream” man- research traditions, and indicating the potential for
agement theory’(James et al. 2011, p. 457). The result dialogue between disparate perspectives (Astley and
of this fragmentation is the lack of integrating frame- Van de Ven 1983; Tsoukas 2009a). A second bridging
works, core concepts, agreed typologies or coherent strategy would be for organization and management
models to bind different perspectives together. Third, studies to adopt the innovative methodological per-
researchers have been required to adopt designs and spectives and practices that have developed in crisis
methods considered unconventional in other areas, research. The field appears to have overcome the
and to use data from sources normally considered problems associated with retrospective designs, sen-
unreliable and biased. This is a field where a sitive data, ethical concerns, multi-level explana-
qualitative–processual paradigm is dominant, and tions, and using single case studies to develop theory.
theory-building is often based on idiosyncratic cases The wider adoption of these approaches in ‘main-
and small-n studies. stream’ organization and management studies may
While those three challenges can be regarded as prompt innovation and fresh insights in other areas,
weaknesses of this field, crisis research has made and in particular where the temporal structure of
significant contributions to management and organ- events, the role of slow-moving causes, and conjunc-
ization studies. Weick’s (1988) seminal work on crisis tural reasoning, are significant.
sense-making stimulated further work in that area This review has six stages. First, we describe our
(e.g. Dunbar and Garud 2009; Stein 2004) and in other methods. Second, we focus on terminology. Third, we
domains. The study of crises has been the subject of use the event sequence to map crisis research and its
several special journal issues in organization and methodological properties. Fourth, we discuss data
management studies, such as the issue edited by Paul collection and analysis, and the task of developing
Shrivastava focusing on industrial crises in Journal of multi-level, processually inspired, temporally sensi-
Management in 1988. Recent issues have focused on tive explanations. Fifth, we explore the current chal-
‘learning from rare events’ (Organization Science; lenges facing crisis research. Finally, we offer five
Lampel et al. 2009) and ‘leadership in extreme con- methodological suggestions for researching the next
texts’ (Leadership Quarterly; Hannah et al. 2009). – tomorrow’s – crisis.
Organization and management studies have also con-
tributed to crisis research. For example, Perrow’s
(1999) pioneering study of the Three Mile Island Review approach
nuclear power plant failure (first published 1984)
brought an organizational perspective to what was This journal’s editors have encouraged the submis-
previously seen as an engineering problem (Ford et al. sion of non-traditional literature reviews, ‘grounded
2005). While the contribution of crisis research to in, and developed from, a synthesis of previous
management and organization studies is laudable, research in the area, or based on integrative reviews
that seek to merge findings from related areas’ nary field, to illustrate the structure of the varied
(Macpherson and Jones 2010, p. 109). However, a research perspectives and contributions, and to high-
non-traditional approach raises criticisms relating to light gaps.
the inclusion of relevant sources, and to selectivity This review is necessarily selective, focusing on
and bias. Macpherson and Jones (2010) also note the methodological perspectives and practices. Inclusion
lack of templates for unconventional reviews. criteria concern constructing a map of the field of
The field of crisis research is now extensive, and a crisis research, based on insightful and iconic contri-
comprehensive review would reach beyond this jour- butions, demonstrating how research has focused on
nal’s word limit. The field includes a variety of spe- different segments of the event sequence, identifying
cialist subjects such as crisis management, business areas where the focus has been more with practice
continuity, risk management, human factors and than with theory, and including studies that represent
safety science, as well as contributions from organ- a perspective, and/or highlight research design and
ization and management studies, engineering, psy- methods issues. As with geographical mapping, the
chology, sociology, political science, complexity and question of scale is a matter of judgement, based on
systems theory. The defining characteristic of frag- the purpose of the exercise. Our judgement is that a
mentation is the lack of interaction between research more detailed mapping of crisis research would not
groups, and the resulting limited use of one another’s materially alter the view that is developed here of
knowledge products (Tranfield and Starkey 1998). the structure of the field, or of its methodological
Researchers addressing related issues maintain their properties, or our overall conclusions.
traditions and tend to avoid productive dialogue with
others. This appears to be the case with researchers in
the fields of high-reliability organizations, resilience Crisis, what crisis?
engineering, safety cultures and normal accidents
(Shrivastava et al. 2009). When things go wrong, there is no shortage of
Fragmentation is seen by some as a weakness of a descriptors: accident, adverse event, catastrophe,
field of study. For example, Tranfield and Starkey crisis, critical event, deviance, disaster, error, failure,
(1998) in their exploration of the nature and social misconduct, mistake, near miss, never event, non-
organization of management research, quote Gould- conformity, sentinel event, serious incident, viola-
ner’s (1971) famous assessment (of sociology) that, tion. For the purposes of this review, we use the term
‘a fragmented field is a weak field’. However, as ‘extreme event’ as the overarching category label
noted above, crises are ambiguous, complex and (recognizing that some commentators use this term
socially constructed, and cannot necessarily be well differently; Hannah et al. 2009; James et al. 2011).
understood from a single perspective. If under- In other words, the accidental death of a hospital
standing, of both problems and solutions, is to guide patient, the loss of a space shuttle, the spillage of
actions to improve management practice, diversity toxic material, are all categorically extreme events.
and a plurality of perspectives can be regarded as a This category thus displays exceptional variety.
strength. Events such as ‘disasters’ are resistant to unambigu-
One approach to overcoming fragmentation is to ous prior definitions that distinguish ‘real’ crises
find ways in which dialogue can be established from over-reactions to merely unusual or extra-
between different perspectives (Tsoukas 2009a). ordinary events. Some incidents are labelled as crises
This review is structured by a temporally bracketed because they are judged as such by those who are
event sequence (Smith and Elliott 2007), detailed implicated, and by observers, particularly regulatory
below, from the pre-crisis or incubation period to authorities and the media. Some events, it appears,
post-event change implementation (noting that the can be converted into crises or disasters as long as
start and end points of this sequence will often be there is political will and/or journalistic desire to do
indeterminate; e.g. Leveson 2004). This approach is so. The press and 24-hour television news channels
analogous to the use of temporal bracketing for ana- appear ever ready to declare a crisis in the interests of
lysing process data (Langley 1999, 2009) and, as far a dramatic story (Davies 2009). Many constructs
as we can establish, has not previously been used in this field can thus be defined and used in
employed to structure a literature review. The devel- different ways. For example, Laws and Prideaux
opment of an ‘ideal type’ event sequence acts as a (2005, p. 6) distinguish between crisis, defined as
template for this review, to map this multidiscipli- ‘an unexpected problem seriously disrupting the
functioning of an organization’, and disaster, defined (Hannah et al. 2009, p. 898). The categories into
as ‘unpredictable catastrophic change that can nor- which events fall thus depend on the definitions and
mally only be responded to after the event’. Some interpretations of ‘massive’, ‘extensive’, ‘unbear-
definitions are based on the magnitude of the impact: able’ and ‘intolerable’ held by those involved.
earthquakes, tsunamis, industrial explosions. For Vaughan’s (1999, p. 274) analysis of ‘the dark
example, the annual Sigma reports from the reinsur- side’ of organizational behaviour relies on the
ance company Swiss Re are based on minimum concept of ‘routine non-conformity’ or deviance,
threshold values for financial losses, and numbers of which is defined as ‘an event, activity, or circum-
dead, injured or homeless; events that do not meet the stance that deviates from both formal design goals
threshold values are not counted (Bevere et al. 2011). and normative standards or expectations, either in
Events with outcomes at or above the thresholds are the fact or its occurrence or its consequences, and
claimed categorically to be disasters. Yet such clas- produces a suboptimal outcome’ (Vaughan 1999,
sifications are problematic. For example, the total p. 273). She identifies three modes of deviance; mis-
number of people who die each year on the British takes, misconduct and disaster. Once again, despite
road network, the number of deaths annually from careful definition, those modes are also social
medical errors in the UK, and the number of people constructs:
who died in the 9/11 terrorist attacks are comparable
(around 3000), yet each of these ‘crises’ typically mistake, misconduct, and disaster are socially
invokes a different response, and they do not imme- defined in relation to the norms of some particular
diately appear to be categorically related. group. Whether an incident or activity producing
Along with other commentators, Weick (2010) an unexpected negative outcome is viewed as
uses the terms ‘Bhopal crisis’ and ‘Bhopal disaster’ conforming or deviant, whether it is defined as
synonymously throughout his re-analysis of that inci- mistake, misconduct, or disaster will vary by group.
dent. Gundel (2005), who also uses the terms crisis (Vaughan 1999, p. 283)
and disaster synonymously, discusses the problems
of developing a useful typology, arguing that classes Mistakes are characterized by acts of omission or
should be mutually exclusive, exhaustive, relevant to commission, whereas misconduct involves the viola-
practice and pragmatic, with a reasonable number of tion of rules and regulations; both can cause harm.
classifications. Based on degrees of predictability Disasters involve physical, cultural and emotional
and manageability, respectively, he develops a typol- events that incur social loss, ‘often possessing a dra-
ogy that identifies conventional, unexpected, intrac- matic quality that damages the fabric of social life.
table and fundamental crises. However, he concludes For an accident to be defined as a disaster, the acci-
that, ‘it is very difficult to allocate all types of pos- dent would need to be large-scale, unusually costly,
sible crises to a manageable number of mutually unusually public, unusually unexpected, or some
exclusive classes’ (Gundel 2005, p. 108), and the combination’ (Vaughan 1999, p. 292). ‘Unusually’ is
utility of his proposed typology is unclear. another term open to multiple interpretations.
Hannah et al. (2009, p. 899) distinguish between James et al. (2011) use the terms ‘crisis events’,
crises, extreme events and extreme contexts. They ‘business crises’, ‘extreme negative events’ and
note that ‘crisis’ is a term that ‘has been used to ‘extreme or deviant events’ synonymously, arguing
explain relatively mundane contexts’, referring to that it is necessary to differentiate ‘true crises’ from
‘events spanning from copyright infringement and mere ‘business problems’. Based on Hermann (1963),
malicious rumours to natural disasters’. To qualify as they define a business crisis as an event with three
‘extreme’, they argue, an event must have the poten- characteristics: significant threat, short decision time
tial to generate unbearable outcomes, and overwhelm and an element of surprise. But they then argue that
an organization’s resources. An ‘extreme context’ is surprise and short time horizon may have no effect on
defined as ‘an environment where one or more decision processes. They further define business crisis
extreme events are occurring or are likely to occur as ‘a strategic issue that will likely lead to a negative
that may exceed the organization’s capacity to outcome unless corrective action is taken’ (James
prevent and result in an extensive and intolerable et al. 2011, p. 461). However, they also emphasize the
magnitude of physical, psychological, or material role of perception in determining whether or not an
consequences to – or in close physical or psycho- incident is defined as a threat or a crisis, depending on
social proximity to – organization members’ perceived importance, immediacy, and uncertainty.
James et al. (2011) also review typologies based phases: signal detection, preparation and prevention,
on crisis origin, stakeholders affected, crisis resolu- containment and damage control, business recovery,
tion strategies, preventative measures and socio- and learning. The weight of research and commen-
technical complexity. However, it is difficult to see tary lies with the pre-crisis, event and crisis-
how these typologies can offer reference points and management phases, and to some extent learning.
decision guides, concerning how threats develop, ‘Cultural readjustment’ – implementing lessons
how stakeholders will be affected, and the develop- learned – has received less attention. It is thus appro-
ment of crisis-management responses. Their discus- priate to ‘unpack’ that phase, identifying the proc-
sion relies on positivist epistemology: esses of investigation, organizational learning, and
implementing inquiry recommendations. This sug-
[P]art of the utility of typologies is their ability to gests a six-phase event sequence:
use underlying variables to discover relationships.
By combining variables considered theoretically 1. pre-crisis or incubation
interesting, the resultant typology provides schol- 2. event
ars with an opportunity to make general state- 3. crisis response management
ments about classes of social phenomena. [. . .] 4. investigation
Moreover, the ability to understand the underlying
variables related to crisis, and whether or how
5. organizational learning
those variables are related, is especially important 6. implementation.
as the nature of business and the reality of the
global organizational context diversifies. Unfortu- This is an ‘ideal type’ event sequence. These are ‘not
nately, this contextual reality makes creating sus- “phases” in the sense of a predictable sequential
tainable crisis typologies difficult. (James et al. process but, simply, a way of structuring the descrip-
2011, p. 469) tion of events’ (Langley 1999, p. 703). Not all inci-
dents unfold at the same pace; James and Wooten
The possibility of laboratory experimental research (2005) distinguish between sudden and smouldering
is also discussed. While not capturing the intensity of crises. Some events do not trigger an investigation;
crises, and accepting constraints on inflicting pain, the Mount Everest climbing disaster in 1996 led to
anxiety and other emotions, laboratory studies ‘do no hearings or inquiries (Kayes 2004). This sequence
offer the potential benefit of being able to establish is thus a benchmark with which events can be com-
the causal relationships of the phenomena’ (James pared. Departures from this ideal sequence may be
et al. 2011, p. 481). The assumption that crises are interesting and challenging to explain. Why, for
amenable to positivist variance-based research and example, are some incidents subject to multiple
theoretical understanding is debatable (Mohr 1982). investigations, while others invite none? Why are the
Constructs derived from crisis research tend to be findings from inquiries sometimes implemented
relational in as much as they focus on events that without problems, and in other cases ignored? The
are multidimensional, temporally and contextually structure of this sequence also has methodological
embedded and spanning multiple levels of ana- implications. As the following account shows, most
lysis (Langley 1999; Suddaby; 2012; Van de Ven researchers focus on a ‘slice’ of the timeline, with
1992). few studies adopting an ‘incubation to implementa-
tion’ perspective.
The ‘ideal type’ event sequence Pre-crisis, emergency planning, risk management,
resilience, safety (Table 1)
An alternative approach to characterizing this cat-
egory of phenomenon lies with the event sequence Research has identified the ‘incubation period’
that crises and other similar incidents typically (Turner and Pidgeon 1997) during which combina-
follow. Research suggests that many extreme events tions of ‘slow moving causes’, including cumulative
proceed through broadly comparable phases (e.g. and threshold effects, and outcomes from past events
Pearson and Mitroff 1993): warning signs, incuba- contribute to the next incident and outcomes (Pierson
tion period, precipitating event, rescue and salvage, 2003). Reason (1997) notes the ‘resident pathogens’
and ‘cultural readjustment’ (Turner 1976, p. 378). that lie dormant, becoming problematic only when
James and Wooten (2005) identify five similar conditions give them a role in events. From an
Table 1. Pre-crisis, emergency planning, risk management, Table 2. Extreme event studies
resilience, and safety
Illustrative sources Concepts, issues, findings
Illustrative sources Concepts, issues, findings
Weick (1993) Sense-making
Pre-crisis research Vaughan (1996) Routine nonconformity,
Turner and Pidgeon (1997) Antecedents, incubation period organizational deviance
Reason (1997, 2008) Resident pathogens Perrow (1999) Normal accidents, interactive
Pierson (2003) Slow-moving causes, cumulative and complexity
threshold effects Snook (2000) Practical drift
Collinson (1999) Antecedents, contributing factors, Stein (2004) Critical period, realistic anxiety,
defensive practices decision-making
Vaughan (1999) Routine nonconformity, deviance, Chikudate (2009) Safety culture can contribute to
the dark side accidents
Risk and emergency management Madsen and Desai (2010) Experience, failure, success,
Herzog (2007) Mitigation, planning, management, performance
response, recovery Edmondson (2011) Spectrum of reasons for failure
Sementelli (2007) Atheoretical heuristics, ad hoc
classifications
Gardner (2008) Public perceptions of risk
Hubbard (2009) Quantitative risk assessment
McGraw et al. (2011) Actual risk, anticipation of blame
et al. 2010). However, these perspectives demand
Resilience, reliability, safety culture sustained and potentially costly organization-wide
Hollnagel et al. (2006) Resilience engineering
Weick and Sutcliffe (2007) High-reliability organization
programmes (Weick and Sutcliffe 2007), which may
Donaldson (2000) Safety culture not be appropriate, attractive or financially viable for
Leveson et al. (2009) Systems approach many organizations.
Vogus et al. (2010) Enabling, enacting, elaborating Research at this stage in the event sequence thus
safety culture highlights the extended timeframes over which
extreme events can unfold. Crisis researchers have
thus been sensitive to the temporal structure of
extreme events, and to less obvious ‘slow moving
analysis of the collapse of Enron, concluding that causes’. These requirements are methodologically
leaders’ personal histories, and relationships with challenging; information about past events may be
authority, contribute to disastrous decisions, Stein lost, and research must rely on partial or distorted
(2007) suggests that such studies must cover lengthy memories, or on selective documentary sources.
timelines. Planning for an anticipated future event raises issues
Emergency planning has generated its own termi- similar to those arising when implementing change
nology; Blanchard (2008) provides a 1300 page glos- after an event, but there seems to be little com-
sary. The emphasis here is with practice, and with the mentary on these issues. The parallels between
mitigation, planning, management, response and emergency pre-planning and post-event change thus
recovery sequence. A key criticism of this preoccu- deserve closer investigation, with regard to the
pation with practice concerns the comparative lack drivers of, and barriers to action in these paradoxi-
of theory development, which, in turn, inhibits cally comparable situations.
experience-based learning and the development of
new strategies (Herzog 2007; Sementelli 2007). Risk
Extreme event studies (Table 2)
management is also an action-oriented field, focused
on techniques (Hubbard 2009) and on perceptions of Table 2 includes typical examples of studies of
risk (Gardner 2008; McGraw et al. 2011; Petts et al. extreme events, their nature, causes and conse-
2001). quences. The roots of disaster in routine noncon-
Can extreme events be avoided, or detected and formity and organizational deviance are explored in
addressed more promptly? This is the stance of resil- Vaughan’s (1996) analysis of NASA’s decision to
ience engineering (Hollnagel et al. 2006), high- launch the shuttle Challenger. Perrow’s (1999) study
reliability organization (Weick and Roberts 2003; of ‘normal accidents’ involving nuclear power,
Weick and Sutcliffe 2007) and safety culture advo- petrochemicals, air and marine transport, and dams
cates (Donaldson 2000; Leveson et al. 2009; Vogus led to the concept of interactive complexity. The
2007), since flexibility (Turner 1994), intuition, rec- research, collating information with which to explain
ognition (Zsambok and Klein 1997), improvisation the conditions contributing to particular incidents. As
and bricolage (Weick 1993) can be critical in effec- such, these reports have methodological significance,
tive emergency response. This debate has been as primary and secondary data. In addition, they have
further developed by researchers exploring the roles three features that can affect subsequent phases of the
of leaders in crisis situations (Flin and Yule 2004; event sequence. The first is length. Following the loss
Hannah et al. 2009; Probert and Turnbull James of NASA’s shuttle Columbia in February 2003, the
2011). investigation report ran in six volumes to over 2500
Empirical research in this area has thus relied on pages (CAIB 2003). The two reports into the Deep-
case studies, and commentary has focused on con- water Horizon oil spill disaster in the Gulf of Mexico
ceptual development and debates around best prac- run to just under 1000 pages (National Commission
tice. One key criticism concerns the observation that on the BP Deepwater Horizon Oil Spill 2011a,b).
this area is ‘replete with speculation and prescrip- With the tendency towards greater transparency,
tion’ (Pearson and Clair 1998, p. 73). The developing driven in part by the media, a considerable amount of
focus on crisis leadership should thus be informative. further information about this disaster, including
witness statements, is available from the Com-
mission’s website (http://www.oilspillcommission.
Investigation and inquiry (Table 4) gov), making this an even more valuable research
Investigations into extreme events can be pivotal to resource. Long and detailed reports take time to read
understanding what happened and why, to ‘learning and to understand.
lessons’ and to identifying recommendations for A second feature is timing. The CAIB report was
change. Commentary falls into three categories: first, exceptional, published in August 2003, just six
investigation and inquiry reports; second, technical months after the loss of space shuttle Columbia.
accounts of accident investigation methods and cri- More typically, the report into the death of Victoria
tiques of their underpinning assumptions; and third, Climbié in London in 2000 took three years to
studies of the nature, purposes and outcomes of produce (Laming 2003). Delays in producing reports
public inquiries. are again likely to create delays in learning and
implementation.
Investigation reports. Investigation and inquiry A third feature concerns responsibility for
reports may be ‘grey literature’, but they are relevant implementation, which rarely falls to inquiry team
to this review, as they can also be seen as proxy members. Typically, others have to absorb inquiry
conclusions, interpret the implications for practice,
then implement them. Inquiry reports often pro-
vide little guidance concerning the resources and
Table 4. Investigation and inquiry
processes required for implementation. A study of
Illustrative sources Observations the implications of one of Laming’s (2009) recom-
Columbia Accident Loss of NASA shuttle, six volumes, mendations after the death of another child found
Investigation Board (2003) 2500 pages that the referral and assessment processes that he
Price (2002–2005) Murderer Harold Shipman, six advocated would need 2000 extra social workers,
volumes, 2500 pages at a time of recruitment difficulties, and addi-
Laming (2003) Death of eight-year old girl, 400
pages
tional annual costs of £75 million (Holmes et al.
Royal Academy of Ideal approach, avoid ‘scene of 2010).
Engineering (2005) crime’ investigations
Carroll (1998) Root cause seduction, distal and Accident investigation techniques. The use of tech-
proximate factors, fixing versus niques such as root cause and failure modes effects
learning, ‘fixes that fail’
Brown (2000, 2003, 2005) Political and impression
analyses, is beyond the scope of this review.
management roles of public However, while root cause analysis is a powerful and
inquiries widely used tool, it faces criticism (Leveson 2004;
National Commission on the Organization and management Nicolini et al. 2011; Rasmussen 1997). From work in
BP Deepwater Horizon Oil failures; technical errors due to nuclear power and chemicals processing, Carroll
Spill and Offshore Drilling management errors
2011a,b)
(1998) explores the logics driving incident review
teams. He concludes that root cause analysis, by
perspectives to guide the learning process. Lampel mentary change management perspective is required.
et al. (2009) note the lack of frameworks to inform Perrow (2007) is critical of the narrow focus on
research into processes of learning from rare events. ‘rescue and rebuild’, which does not consider how to
From studies of coal mining disasters in America, reduce vulnerabilities. He also notes that the agen-
Madsen (2009) concludes that organizations learn to cies responsible for ‘rescue and rebuild’ after crises
prevent future disasters through both direct and typically have no remit to go further and to recom-
vicarious experience. As mentioned earlier, Madsen mend – never mind implement – the types of changes
and Desai (2010) argue that learning from large fail- that would prevent or limit the damage from future
ures can be more significant than learning from small events. In their analysis of the recommendations
successes. They also note that learning from failure is from public inquiries, Toft and Reynolds (2005)
problematic. As failures are often stigmatized, those identify a recurring pattern, with over 80 per cent of
involved may refuse to acknowledge failure, fear of recommendations concerned with organizational,
punishment may prevent openness, and ignoring fail- managerial and process factors, and with the other
ures may be an organizational norm. In their analysis 20 per cent addressing technical improvements.
of the Challenger and Columbia shuttle losses, However, they also note that the lessons learned and
Mahler and Casamayou (2009) focus on learning, actions advised in one setting are often disregarded
failure to learn, and unlearning in NASA (see also by other organizations that claim to be different. Toft
Starbuck and Farjoun 2005). They use a three-stage and Reynolds (2005) argue that lessons and actions
information processing model of learning – problem relevant in one setting can be relevant to settings that
awareness, causal analysis, institutionalization – are similar, or isomorphic. Opportunities for isomor-
concluding (p. 15) that ‘the public sector is a particu- phic learning, they observe, are typically ignored.
larly harsh learning environment’, owing to financial Elliott (2009) argues that the processes leading
and political pressures. from knowledge acquisition, to assimilation, to
The organizational learning perspective has thus translation into new operating norms and practices
exposed the lack of learning from extreme events. are often poorly integrated. He also notes that the
However, it is striking that few researchers have change process is not automatically triggered, but has
brought a change management perspective to this to be proactively managed. Elliott (2009, p. 159) thus
problem; this is a potentially rewarding avenue for recommends, ‘the inclusion of organizational and
future investigation. change management specialists on inquiry panels as
a means of ensuring that issues around implementa-
tion are considered alongside policy development’.
Implementing inquiry recommendations (Table 6) Another barrier is the combination of ‘slow unlearn-
Active learning (Toft and Reynolds 2005) involves ing’, or the resilience of existing norms and prac-
implementing change after an event. In other words, tices, and the need for a sustained approach to
a learning perspective alone is inadequate; a comple- change management (Elliott 2009, p. 162). It is
perhaps not surprising that Lampel et al. (2009)
recommend further research in this area.
Conventional guides to change management
Table 6. Implementing inquiry recommendations
advise communicating openly with those to be
Illustrative sources Concepts, issues, findings affected, and involving them in design and imple-
Toft and Reynolds (2005) Passive learning does not always
mentation (Kotter 2008). Following an extreme
trigger active learning; event, those involved are more likely to be called
isomorphic learning opportunities before an investigation as witnesses, with changes
missed to be decided by a neutral external panel. The
Perrow (2007) Rescue and rebuild rather than agenda is invariably defensive, designed to prevent
reduce vulnerabilities
Elliott (2009) Policy–practice gap, slow unlearning
further incidents, rather than progressive, focused
Elliott and Macpherson Multiple explanations for failure to on innovation and growth. Receptiveness to such
(2010) learn, learning ‘from’ not the change may therefore be low. The sense of urgency
same as learning ‘for’ crisis, more that Kotter emphasizes may be necessary, but it
research needed is clearly not always sufficient to drive change in
Lampel et al. (2009) The learning challenge; more
research needed
extreme contexts. Approaches to the implemen-
tation of change following extreme events thus
figures (senior managers, inquiry chairs) may be and traumatized. Interview schedules may encourage
inaccessible (for research purposes) until long after participants to disclose sensitive personal informa-
the event. Relevant documents are likely to include tion, and responses may be emotionally charged
witness statements, incident reports and investiga- (guilt, anger, sorrow, anxiety). Participant observa-
tion findings, which may also include photographs tion may encompass those who were not involved in
and drawings. These documents may be cautiously an event, and/or who do not wish to be observed.
crafted in the context of possible disciplinary or legal Confidentiality and anonymity will be jeopardized if
action, as well as to establish causality, identify an incident has attracted media publicity, making it
lessons and frame recommendations. Official docu- impossible to disguise in subsequent publications the
ments may be confidential, or have limited circula- organizations and individuals involved. Researchers
tion, or become available in redacted form after long are often likely to meet inconsistencies in accounts,
delay. even among those closely involved in an extreme
Researchers must also rely on non-traditional data event, and may find themselves considering the pub-
sources. Perrow’s (1999) accounts rely mainly on lication of material which contradicts the findings of
documentary evidence. Snook (2000) lists the independent investigations and the views of indivi-
sources for his ‘friendly fire’ case as follows: duals who have been interviewed.
The difficulties in addressing these issues may
[O]fficial government documents, archival records, explain why many studies of ‘high-profile’ incidents
interviews, physical artefacts, gun target footage, have relied on published sources. Nevertheless, strat-
videotapes, audio tapes, training records, mainte- egies can be developed for handling these concerns.
nance records, technical reports, trial transcripts, First, the boundaries of the context in which a
AWACS data tapes, internal Department of Defence researcher is embedded can be drawn such that most if
(DOD) memoranda, press releases, newspaper clip- not all probable participants can be identified and
pings, congressional hearings, criminal investiga-
tions, conference briefings, flight records, mishap
consented prior to fieldwork, and in a manner that
reports, personnel records, military flight plans, allows objections to be raised openly. Second, deals
oil analyses, medical evaluations, psychological concerning the feedback of conclusions should
evaluations, human factors reports, optics reports, include all organizational members, and not just
crash site analyses, equipment teardowns, weather senior management. Third, the rights to privacy of
observations, accident site photographs, witness participants must be respected, and refusals to engage
statements, regulations, directives, maps, communi- with research must not be pursued. Our own experi-
cations logs, intelligence briefings, task force air- ence is that most participants welcome the opportu-
space control orders, pre-mission briefs, flight logs, nity openly to share and to discuss their views of an
lists of corrective actions taken, and DOD fact extreme event with neutral researchers. This can be
sheets. (Snook 2000, pp. 15–16) cathartic, and allows participants to reflect on, struc-
ture and codify their experience in a manner rarely
Snook also analysed two commercial videos, one
possible through internal organizational forums.
from an Iraqi news team on the scene, and one from
Fourth, contrasting perspectives can be reported in
ABC news Prime Time Live. He obtained a copy of
a non-evaluative manner, avoiding attributions of
the F-15 gun-sight video footage of the shootdown,
accuracy and inaccuracy, and allowing silenced
with an audio record from the cockpit of the trail
voices and alternative versions of events to speak.
F-15, and a copy of the video taken by a commercial
Locke and Velamuri (2009) offer guidelines for
camcorder inside the AWACS aircraft supervising
feeding research findings back to participating
the area at the time (Snook 2000, p. 17). Non-
individuals and organizations. Fifth, if an incident is
traditional sources do not just provide colourful,
already in the public domain, the presence of
descriptive accounts, these are also part of the causal
researchers asking further questions may be unwel-
fabric of the sequence of events under investigation.
come, and perhaps offensive, and reliance on pub-
The incident that Snook studied lasted eight minutes.
lished material may be the only way in which to
proceed. In cases where none of these strategies are
Ethical considerations
appropriate or acceptable, the remaining alternatives
The study of extreme events raises potentially chal- are to abandon the study, or to allow an appropriate
lenging ethical issues. Researchers may find them- period of time to elapse before attempting to estab-
selves facing participants who have been shocked lish research access.
and fascination’ can be a catalyst for theory-building model. Tsoukas (2009b) refers to this process as ana-
(Weick 1992, p. 173). However, theory in this field is lytical refinement. This relies on the case study being
based almost exclusively on idiosyncratic cases, and an example of the phenomenon under investigation.
on small numbers of similar incidents in the same This does not involve proving or disproving theories,
sector (such as the NASA shuttle losses). The study but broadening our understanding with the accumu-
by Madsen and Desai (2010) is an exception. lation of fresh observations.
Acknowledging that the details of each event are
different, theory development relies on the epistemo- Isomorphic learning. The unique circumstances of
logical assumption that comparative analysis can extreme events may explain why ‘lessons learned’
identify common issues, themes and patterns. It is from one incident are not applied in comparable set-
possible to build theory and to generalize from single tings. As we have seen, however, investigations reveal
cases and small-n studies (Buchanan 2012). Statisti- similar patterns, technical factors typically out-
cal generalization, extrapolating findings from a weighed by organizational and management issues.
sample to a population, may be problematic; when Toft and Reynolds (2005, pp. 66, 72–75) argue that
sampling extreme event cases, it is not clear what the lessons from one extreme event can be applied in
wider population is composed of. However, there are other settings, through isomorphic learning; event
four other modes in which case study findings can be isomorphism (separate incidents, identical hazards),
generalizable. cross-organizational isomorphism (different organ-
izations, same sector), common mode isomor-
Moderatum generalizations. Williams (2000, p. phism (different sectors, similar processes) and
138) describes speculative associations as ‘modera- self-isomorphism (sub-units operate in similar ways).
tum generalizations’: ‘If characteristics point to These modes of generalization are neither discrete
particular structures in one situation, then one can nor mutually exclusive. Isomorphic learning is a
hypothesize that the existence of such structures in a form of naturalistic generalization. Analytical refine-
further situation will lead to at least some similar ment and naturalistic generalization probably apply
characteristics [. . .] the complexity of these struc- to most organization case studies. As crisis research
tures and the possibility of agency to transform them, has demonstrated, these other modes of generaliza-
means that generalizations can be only moderate tion are potentially more powerful, in terms of con-
ones’. Eisenhardt (1989) and Langley (1999) claim tributing both to knowledge and to practice, than
that it is possible to identify low-level patterns and traditional statistical generalization.
develop generalizations with eight to ten cases. It appears that qualitative-processual approaches
have been successful in generating fresh insights,
Naturalistic generalization. Stake (1994, p. 240) and it would be damaging if the field were to be
notes that, ‘The reader comes to know some things drawn into accepting a positivist epistemology (as
told, as if he or she had experienced them. Enduring James et al. 2011, seem to imply). Crisis researchers
meanings come from encounter, and are modified must continue to promote case study methods as
and reinforced by repeated encounter’. The process mainstream. An alternative strategy is the prospec-
through which we learn from case accounts, and tive case study design (Bitektine 2008). This involves
apply them to our own context, Stake defines as first developing theory-based hypotheses concerning
naturalistic generalization (Lincoln and Guba 1985, an organizational process – an extreme event – to be
discuss transferability). Readers of advice to prevent compared at a point in future with observed out-
extreme events in one setting may ask: Would those comes. This review has not identified applications of
methods work in my organization, and can I adopt this design in this field. However, there are sectors
those behaviours? (e.g. health care, fire and rescue services) where the
high numbers of extreme events make the prospec-
Analytical refinement. The findings from case tive case study design a possibility.
research often generalize from experience and obser- Researchers should continue to adopt innovative
vation to theory. Suppose we have a model which combinations of conventional and non-traditional
says that, to be successful, change must be imple- data sources in constructing event sequence narra-
mented in a certain manner. Now we have a case of tives. In understanding extreme events, a combina-
an organization that departed from that model, but tion of traditional and non-traditional data can be
was nevertheless successful. We need to revise the crucial. Those data sources may be too readily
dismissed by researchers with different interests, but tion and management journals, as well as in the more
rapidly available press, media and internet informa- specialist crisis and risk management outlets. This
tion not only report events, but also shape their future shift in strategy would increase the visibility of crisis
direction and the manner in which they are perceived research, expose ‘mainstream’ researchers to the
and assessed. range of perspectives and methods that have been
Other areas of organization and management developed in this field, and encourage researchers in
studies may benefit from adopting and adapting the other areas to adopt and adapt those non-traditional
methodological perspectives and practices that have approaches. This would also serve as a bridging
been developed, by necessity, in this field. We suggest mechanism, to strengthen links and facilitate
that this applies to case methods, researcher position- exchange across the organization and management
ing, non-traditional data sources, handling pro- studies research community, thus facilitating the
blematic ethical issues, sensitivity to the temporal development of more transdiciplinary work.
structures of organizational phenomena, multi-level
explanations and modes of linking evidence to prac-
tice. Plowman et al. (2007) offer a rare illustration of Advocacy of non-traditional approaches
the possibilities. Their study began following an invi-
Crisis research is not alone in seeking to develop
tation to one of the researchers, from church pastors,
theory from single idiosyncratic cases and small-n
to observe their organization’s decision-making proc-
studies. The major advances that have been made in
esses. The embedded researcher then developed a
this field, however, confirm the value of those
wider case study of this single organization, generat-
research designs and offer supportive illustrations
ing fresh insights into strategy and slow-moving
and powerful arguments for their use in other
radical change processes, based on traditional and
domains. Crisis researchers are in a position to dem-
unconventional information sources (interviews,
onstrate in a compelling manner the contribution of
documents, newspaper articles, observation in a res-
those designs and accompanying non-traditional
taurant), using content, timeline and narrative anal-
methods, and in so doing strengthen their claims to
yses to identify combinations (conjunctures) of
knowledge, while supporting researchers who may
organizational characteristics influencing the out-
lack the experience and confidence to adapt these
comes of interest. Crisis studies have been informed
methodological tools to their own work. Case
by ‘mainstream’ organization and management
research is also perceived to sit outside the ‘main-
studies. The latter could, with considerable potential
stream’ (Eisenhardt and Graebner 2007), and crisis
benefit, exploit the innovations that the former have
researchers hold convincing evidence with which to
developed.
correct that misunderstanding.
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