Patient activism in an era of disinformation: charting the struggle between legitimised and stigmatised voices in media discourses about type 2 diabet

糖尿病经常被认为是一种“全球性疾病”，它导致“全球死亡人数超过艾滋病和乳腺癌的总和”（Moran-Thomas：2019：8）。然而，尽管与结构性问题有关，2型糖尿病 * 仍被主流媒体污名化为“生活方式疾病”，因为它与过度消费有关（Gollust和Lantz，2009; Moran-Thomas，2019）。通过我的BA（一等）和MA（区别）研究，很明显，糖尿病患者拒绝这样的话语，而是推动反叙事，打击耻辱和创造社会变革的可能性。这个拟议的博士项目将建立在我以前的工作，通过探索如何患者的反叙事糖尿病可以通知媒体话语。它将确定患者活动家在当代媒体领域面临的可能性和障碍，特别是在“假新闻”恐惧盛行和在线/社交媒体平台允许替代叙事增长的时候。该项目将记录“后真相”叙事如何挑战媒体，专家和公众之间的关系动态。该项目提出了一种混合方法论的方法，将福柯的话语分析与利益相关者访谈相结合，并得到基尔和曼彻斯特监督团队的跨学科专业知识的支持

Diabetes is frequently framed as a 'global epidemic', which kills 'more people worldwide than HIV/AIDS and breast cancer combined' (Moran-Thomas: 2019: 8). Yet despite its relationship with structural problems, type 2 diabetes* has been stigmatised as a 'lifestyle disease' by the mainstream media for its links to excessive consumption (Gollust and Lantz, 2009; Moran-Thomas, 2019). Identified by my BA (1st class) and MA (Distinction) research, it is evident that diabetics are rejecting such discourses, and are instead pushing counter-narratives that combat stigma and create possibilities for social change.This proposed PhD project will build on my previous work by exploring how patient counter-narratives about diabetes can inform media discourses. It will identify the possibilities and barriers patient activists face in a contemporary media sphere, particularly at a time when both 'fake news' fears are rife and online/social media platforms allow for the growth of alternative narratives. The project will document how 'post-truth' narratives challenge the relationship dynamics between the media, experts and public. The project proposes a mixed-methodological approach that combines a Foucauldian discourse analysis with stakeholder interviews and is supported by interdisciplinary expertise from a supervisory team across Keele and Manchester