Discourses of disease, discourses of disadvantage: a critical analysis of National Pandemic Influenza Preparedness Plans
Discourses of disease, discourses of disadvantage: a critical analysis of National Pandemic Influenza Preparedness Plans
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DOI：
10.1016/j.socscimed.2008.06.020
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发表时间：
2008-10-01
影响因子：
5.4
通讯作者：
Duggan, Patrick S.
中科院分区：
文献类型：
--
作者：
Garoon, Joshua P.;Duggan, Patrick S.
人们日益认识到大流行性流感对全球健康的威胁，导致人们更加重视大流行性流感防备规划。此前对国家大流行防范计划的分析表明，这些计划很少关注弱势群体的需求和利益。本文通过对相同计划以及世界卫生组织指导文件的批判性话语分析来调查这些发现。分析表明，这些文本是在有序的话语世界中运作的，并且是有序的话语世界的一部分。在分析得出的六种话语中，科学、政治和法律主导着社会、文化和伦理。这种话语秩序描绘了一种特定的真理体系，在这种体系中，弱势群体的生活、需求和利益被掩盖或忽视。除非这些计划承认其话语结构，否则它们规定的政策和做法的实施将面临进一步损害那些最有可能需要保护的人群的风险。 (C) 2008 Elsevier Ltd. 保留所有权利。
Growing recognition of the threat of pandemic influenza to global health has led to increased emphasis on pandemic influenza preparedness planning. Previous analysis of national pandemic preparedness plans has revealed that those plans paid scant attention to the needs and interests of the disadvantaged. This paper investigates those findings via critical discourse analysis of the same plans as well as World Health Organization guidance documents. The analysis reveals that the texts operate within and as parts of an ordered universe of discourse. Among the six discourses which emerge from the analysis the scientific, political, and legal dominate the social, cultural, and ethical. This order of discourse delineates a specific regime of truths within which the lives, needs, and interests of the disadvantaged are masked or neglected. Unless the plans recognize their discursive construction, implementation of the policies and practices they prescribe runs the risk of further disadvantaging those very populations most likely to require protection. (C) 2008 Elsevier Ltd. All rights reserved.