Fallon Debbie
University of Salford, School of Nursing, Manchester, UK.
Nurs Inq. 2006 Sep;13(3):186-93. doi: 10.1111/j.1440-1800.2006.00328.x.
Critical discourse analysis (CDA) has been evident in disciplines such as sociology and cultural studies for many years, and is of increasing interest to nurse scholars internationally. This paper outlines what CDA is and how it might be used as an approach to analysing any health text, using an example from the UK--the teenage pregnancy strategy. Discourses and linguistic techniques used within this document are discussed, together with the potential impact they may have, both on health professionals as readers, and on pregnant teenagers as targets of the strategy. Teenage pregnancy itself is an international concern, prompting different responses from the various governing bodies. When approaches to a health matter are so diverse across the developing world, it is useful to consider how policy analysis using CDA can advance our understanding of the positions taken up by the authors of the policies that might not otherwise be made explicit.
批判性话语分析（CDA）在社会学和文化研究等学科中已存在多年，并且受到国际护理学者越来越多的关注。本文概述了CDA是什么，以及如何将其用作分析任何健康文本的一种方法，并以英国的青少年怀孕策略为例进行说明。文中讨论了该文件中使用的话语和语言技巧，以及它们可能对作为读者的健康专业人员和作为该策略目标对象的怀孕青少年产生的潜在影响。青少年怀孕本身是一个国际关注的问题，促使各个管理机构做出不同的反应。当发展中世界对一个健康问题的处理方法如此多样时，考虑使用CDA进行政策分析如何能增进我们对政策制定者所采取立场的理解是很有用的，否则这些立场可能不会明确显现。
