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Work in the public health sector in Denmark (as well as in other European countries) has in the last 15-20 years been undergoing great changes due to on-going rationalization under headings such as New Public Management, LEAN and Evidence Based Medicine. In this paper we focus on standardization as the heart of this process, and we scrutinize the complex ways that different forms of standardization affect work in a specific field, the psychiatry, asking questions such as: What counts as work? How do social relations and hierarchies change? What are the implications for emotional work?