Wolff Elise
Department of Sociology and Criminology, Pennsylvania State University, University Park, Pennsylvania, USA.
Sociol Health Illn. 2025 May;47(4):e70048. doi: 10.1111/1467-9566.70048.
This article considers how name change comes about by examining fieldwide debates among actors such as professionals and activists. Analysing a range of primary qualitative materials produced by leading US organisations over a 75-year period, it focuses on a case from the disability advocacy field in several shifts from older terms to more recent 'intellectual disability' (ID) language in the United States. As opposed to framing these changes solely as matters of identity politics or destigmatisation, I argue that these naming politics can be better historically contextualised as struggles fundamentally tied to organised lay/professional expertise and field position. Although many professionals resisted proposed changes as counterproductive, insurgent activists repeatedly marshalled their own claims to expertise surrounding the disability experience and eventually successfully pushed for the replacement of previously legitimate diagnostic terminology. This recognition of expertise, however, does not translate to equal footing among stakeholders but varies by timing and issue context. To highlight this, I differentiate between traditional and emergent 'expert identity' and extent of 'expert control'. I suggest such a perspective might be applied to a range of fields where similar disputes over language have come to occupy significant attention.
本文通过审视专业人士和活动家等行为主体在整个领域内的争论,来探讨名称变化是如何发生的。通过分析美国主要组织在75年时间里产生的一系列原始定性材料,本文聚焦于残疾权益倡导领域的一个案例,该案例呈现了美国从旧术语到更新的“智力残疾”(ID)语言的几次转变。与仅仅将这些变化归结为身份政治或去污名化问题不同,我认为这些命名政治从历史背景来看,更应被理解为与有组织的外行/专业知识及领域地位紧密相关的斗争。尽管许多专业人士抵制提议的变革,认为其适得其反,但反叛的活动家们反复利用他们自身围绕残疾经历的专业知识主张,最终成功推动了对先前合法诊断术语的替换。然而,这种对专业知识的认可并没有转化为利益相关者之间的平等地位,而是因时间和问题背景而异。为了突出这一点,我区分了传统的和新兴的“专家身份”以及“专家控制”的程度。我认为这种视角可能适用于一系列领域,在这些领域中,围绕语言的类似争议已引起了广泛关注。