The questions addressed in the book revolve around the public nature of health as an asset and the rights associated with it, by drawing attention to sociology’s role in shedding light on current dynamics and understanding how they may change in the future. In the field of public health, significant empirical evidence points not only to the outcomes, clinical and otherwise, that extensive information can produce but also to the urgent need to rethink the far from straightforward relationship between having this information and the ability to put it to effective use in tackling the problems it relates to. The book is intended for a broad audience of university researchers and students, particularly those involved in upper-level sociology and social policy programs. It will also be of interest to healthcare and social work policy-makers and practitioners who wish to gain a more detailed grasp of the dynamics of healthcare in order to approach its processes critically and improve their outcomes.
This book examines the discourse of a "post-AIDS" culture, and the medical-discursive shift from crisis and death to survival and living. Contributions from a diverse group of international scholars interrogate and engage with the cultural, social, political, scientific, historical, global, and local consumptions of the term "post-AIDS" from the perspective of meaning-making on health, illness, and well-being. The chapters critique and connect meanings of "post-AIDS" to topics such as neoliberalism; race, gender, and advocacy; disclosure; relationships and intimacy; stigma and structural violence; family and community; migration; work; survival; normativity; NGOs, transnational organizations; aging and end-of-life care; the politics of ART and PrEP; mental illness; campaigns; social media; and religion. Using a range of methodological tools, the scholarship herein asks how "post-AIDS" or the "End of the Epidemic" is communicated and made sense of in everyday discourse, what current meanings are circulated and consumed on and around HIV and AIDS, and provides thorough commentary and critique of a "post-AIDS" time. This book will be an essential read for scholars and students of health communication, sociology of health and illness, medical humanities, political science, and medical anthropology, as well as for policy makers and activists.
A thought-provoking and evocative account that considers both the policies we think of as "health policyand those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.
This book provides a series of contemporary and international policy case studies analysed through discursive methodological approaches in the traditions of critical discourse analysis, social semiotics and discourse theory. This is the first volume that connects this discursive methodology systematically to the field of critical policy analysis and will therefore be an essential book for researchers who wish to include a discursive analysis in their critical policy research.
A distinguished group of scholars and prominent figures here offers thoughtful new perspectives on the tenor and conduct of public life in contemporary America. Originating in a shared concern that our civic culture was becoming coarser and more polarized, Public Discourse in America provides a critical corrective to this widespread misperception about declining civility in public culture and the ways we as citizens negotiate our differences. Together these essays explore the current condition and centrality of public discourse in our democracy, investigating how it has changed through our history and whether it fails to approach our widely held, but often unarticulated, ideal of "reasoned and reasonable" public deliberation. Contributors consider whether rationality is really the best standard for public discussion and argument, and isolate the features and principles that would characterize a truly exemplary, more productive public discourse at the beginning of the twenty-first century. They investigate why public conversations work when they work well, and why they often fail when we need them the most, as in our nation's so often aborted "national conversation" on race. Taking a comprehensive look at institutional and leadership practices in recent public debates over a variety of "hot button" public policy issues, Public Discourse in America outlines how such conversations can be used to reintegrate our fragmented communities and bridge barriers of difference and hostility among communities and individuals. These essays speak to urgent and perennial questions about the nature of American society, the responsibilities of leaders, the rules of democracy, and the role of public culture in times of crisis, conflict, and rapid change. Public Discourse in America originated in the work of the Penn National Commission on Society, Culture, and Community, convened in 1996 by Judith Rodin, President of the University of Pennsylvania. Distinguished members of the Commission, leading experts, commissioned researchers, and leaders in America's nascent public discourse movement offer unexpected insights and an optimistic vision of the health of our politics and culture. Readers—of all political persuasions—from the halls of political power to the streets of urban neighborhoods, from newsrooms and studios to think tanks and universities, will find these essays opening up new paths to robust public discussion, more engaged citizenship, and stronger communities. Contributors include: Joyce Appleby, Thomas Bender, Derek Bok, Alex Boraine, Graham G. Dodds, Christopher Edley, Jr., Drew Gilpin Faust, Neal Gabler, Richard Lapchick, Don M. Randel, Richard Rodriguez, Jay Rosen, David M. Ryfe, Michael Schudson, Neil Smelser, and Robert H. Wiebe.
This book discusses the use of communication campaigns to promote road safety, arguing that they need to elicit public discourse on issues pertaining to culture, equity, gender, workplace norms, environmental issues, and social solidarity. Increasingly, new media channels and formats are employed in the dissemination process, making road safety-related messages ubiquitous, and often controversial. Policy makers, educators, researchers, and the public continue to debate the utility and morality of some of the influence tactics employed in these messages, such as the use of graphic images of injury or death, stigmatization (or "blame and shame"), and the use of "black humor." Guttman argues that influencing road safety requires making changes in normative and cultural conceptions of broader issues in society, yet the typical discourse on road safety tends to focus on individual attitudes and practices. The book highlights the importance of social and behavioral theory in communication campaigns on road safety, and critiques the tendency to focus on individual cognition, affect, and risk conceptions rather than on normative, structural, and cultural factors. The volume positions the discourse on road safety as a social issue, and treats road safety behavior as a social activity that directly relates to other public issues, social values, and social policy, while discussing potential uses of social media and participatory approaches. The discussion turns to the role of road safety communication campaigns as part of a democratic process of eliciting public discourse, including how contemporary society could address broader issues of risk and safety.
The COVID-19 pandemic has led to a host of critical reflections about discourse practises dealing with public health issues. Situating crisis communication at the centre of societal and political debates about responses to the pandemic, this volume analyses the discursive strategies used in a variety of settings. Exploring how crisis discourse has become a part of managing the public health crisis itself, this book focuses on the communicative tasks and challenges for both speakers and their public audiences in seven areas: - establishment of discursive and political authority - official governmental and expert communication to the public - public understanding of government communication - legitimation of public health management as a 'war' - judging and blaming a collective other - cross-national comparison and rivalry - empathy and encouragement Covering global discourses from Asia, Europe, the Middle East, North and South America, and New Zealand, chapters use corpus-based data to cast light on these issues from a variety of languages. With crisis discourse already the object of fierce national and international debates about the appropriateness of specific communicative styles, information management and 'verbal hygiene', Pandemic and Crisis Discourse offers an authoritative intervention from language experts.
This book critically explores from a comparative international perspective the role medicine plays in constructing and managing natural and social risks, including those belonging to modern medical technology and expertise. Drawing together chapters written by professional practitioners and social scientists from the UK, South America, Australia and Europe, the book offers readers an insightful and thought-provoking analysis of how modern medicine has transformed our understanding of both ourselves and the world around us, but in so doing has arguably failed to fully recognize and account for, its unintended and negative effects. This is an essential read for social scientists, practitioners and policymakers who want to better understand how they can develop new ways of thinking about how modern medicine can promote social goods and enhance public health.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Breakthroughs in biomedicine often lead to new life-giving treatments but may also raise troubling, even life-and-death, quandaries. Society's Choices discusses ways for people to handle today's bioethics issues in the context of America's unique history and cultureâ€"and from the perspectives of various interest groups. The book explores how Americans have grappled with specific aspects of bioethics through commission deliberations, programs by organizations, and other mechanisms and identifies criteria for evaluating the outcomes of these efforts. The committee offers recommendations on the role of government and professional societies, the function of commissions and institutional review boards, and bioethics in health professional education and research. The volume includes a series of 12 superb background papers on public moral discourse, mechanisms for handling social and ethical dilemmas, and other specific areas of controversy by well-known experts Ronald Bayer, Martin Benjamin, Dan W. Brock, Baruch A. Brody, H. Alta Charo, Lawrence Gostin, Bradford H. Gray, Kathi E. Hanna, Elizabeth Heitman, Thomas Nagel, Steven Shapin, and Charles M. Swezey.
