The Discourse of Consumer Choice in the Pathways Housing First Model

The Discourse of Consumer Choice in the Pathways Housing First Model
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住房优先模式中消费者选择的话语

DOI:
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发表时间:
2012
期刊:
影响因子:
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通讯作者:
Kirsi Juhila
Kirsi Juhila
中科院分区:
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文献类型:
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作者:
C. Löfstrand;Kirsi Juhila

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本文的重点是在路径住房优先(PHF)模型手册中产生的消费者选择的话语。依靠福柯式的话语分析,话语被视为嵌入在更广泛的社会话语形态中——一种先进的自由主义统治主体的方式。话语由七个相互关联的语句组成:1)强调客户自己的选择是传统专业护理的替代方案,2)客户有能力做出自己的选择,3)选择加强了客户的自决和个人掌握,4)更多的选择机会增加了客户的动机和承诺,并导致康复,5)选择不意味着绝对的选择-存在一定的限制,6)努力减少与选择相关的风险,但反复失败减少了客户的选择。7)“永无止境”的失败可能意味着PHF项目的客户身份的终结。这种话语呼应了先进自由主义的精神;管理对象使他们成为负责任的决策者,主要目标是实现“恢复”的人。如果客户的选择一再被认为是错误的,其恢复过程也因此被认为是不成功的,那么他们就有可能被排除在初级保健计划之外,并被迫处于无法再进行个人选择的境地。
This article focuses on the discourse of consumer choice produced in the Pathways Housing First (PHF) model manual. Relying on Foucauldian discourse analysis, the discourse is examined as embedded in a wider societal discursive formation – an advanced liberal way of governing subjects. The discourse is formed from seven statements organized in relation to each other: 1) emphasizing clients’ own choices is an alternative to traditional professional care, 2) clients are capable of making their own choices, 3) choice-making strengthens clients’ self-determination and individual mastery, 4) more choice oppor tunities increase clients’ motivation and commitment and lead to recovery, 5) choice does not mean absolute choice – certain limits exist, 6) efforts are made to reduce risks related to choices, but repeated failures diminish client choices, and 7) ‘never-ending’ failures might mean the end of clienthood in the PHF programme. The discourse echoes the ethos of advanced liberalism; subjects are governed to make them responsible choicemakers with the main aim being the achievement of ‘recovered’ people. Clients whose choices are repeatedly regarded as wrong, and whose recovery processes are accordingly considered unsuccessful, risk being excluded from the PHF programmes and forced into a position where individual choicemaking is no longer possible.
DOI: 10.1016/j.socscimed.2007.02.011
发表时间: 2007-05-01
影响因子: 5.4
作者:
Padgett, Deborah K.
通讯作者: Padgett, Deborah K.