The glass ceiling is a popular metaphor for explaining the inability of many women to advance past a certain point in their occupations and professions, regardless of their qualifications or achievements. In this article, we review sociological research on glass ceiling effects at work. We discuss the current state of the glass ceiling, methodological and theoretical concerns with research in this area, and a number of the key factors that contribute to the creation and maintenance of glass ceiling effects, including selection effects, cultural capital, homophily, networking, gender stereotypes, gender discrimination and occupational segregation, and characteristics of organizations. We conclude with a discussion of research that is aimed at lessening gendered glass ceiling disparities in the workplace.

This paper explores the sociological relevance of demanding encounters between doctors and patients. Borrowing from Potter and McKinlay's (2005) reconceptualization of the doctor-patient relationship, we suggest an analytic shift away from `demanding patients' toward `demanding encounters'. Such a shift places provider-patient conflict within a broader sociocultural context, emphasizing constraints facing both doctor and patient as they interact in a clinical setting. Specifically, through an ethnographic study of doctor-patient interactions at the oncology clinic of a US University Hospital, we examine the respective influences of new information technologies and patient consumerism in the production of demanding encounters in oncology. Findings suggest that these interconnected socio-cultural realities, in tandem with patient tendencies to challenge physician judgment or expertise, play a role in demanding encounters. We conclude by considering the implications of demanding encounters for doctors, patients and healthcare organizations.

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