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陷入困境:脊骨神经医学中的身份认同与文化权威

Caught in the crosshairs: identity and cultural authority within chiropractic.

机构信息

Dept. of Sociology, Texas A&M University-Commerce, Sociology & Criminal Justice, TX 75429-3011, USA.

出版信息

Soc Sci Med. 2011 Jun;72(11):1826-37. doi: 10.1016/j.socscimed.2011.03.038. Epub 2011 Apr 13.

DOI:10.1016/j.socscimed.2011.03.038
PMID:21531061
Abstract

In this paper the discourse over identity and cultural authority within the profession of chiropractic in the United States has been analyzed using critical discourse analysis. As the profession struggles to construct one singular image, versions of self must be internally debated and also shaped in consideration of larger, external forces. The dilemma of remaining tied to a marginal professional status must be balanced against considerations of integration. Written texts from chiropractic journals and newspapers are analyzed in a multidimensional approach that considers the rhetorical devices and thematic issues of identity construction; the representation of various voices within the discourse (both heard and unheard); and the extent to which external pressures affect the projection of cultural authority for the profession. A heterogeneous discourse characterized by conflict was found, with discrepancies between everyday chiropractors in actual practice versus academic chiropractors and leaders particularly over the idea, practice and significance of science for the profession.

摘要

本文运用批评话语分析,探讨了美国整脊行业内部的身份认同和文化权威问题。随着该行业努力塑造出单一的形象,自我的各种版本必须在内部进行辩论,并考虑到更大的外部力量进行塑造。与考虑整合相比,维持边缘专业地位的困境必须加以平衡。本文采用多维分析方法,对整脊期刊和报纸上的文字进行分析,考虑了身份建构的修辞手段和主题问题;话语中各种声音的表现(包括听到的和未听到的);以及外部压力对该行业文化权威投射的影响程度。研究发现,这是一个充满冲突的异质话语,实际行医的整脊医生与学术整脊医生和领导者之间存在差异,尤其是在科学对于该行业的理念、实践和意义方面。

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