Constructing a regime of truth to support palliative care at risk

IF 2 Q2 POLITICAL SCIENCE European Journal of Politics and Gender Pub Date : 2023-04-04 DOI:10.1332/251510823x16783539965894
M. Zechner
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引用次数: 3

Abstract

For decades, Finland, along with many other European countries, has applied austerity politics in which especially the female-dominated spheres of life, such as long-term care, have been the targets of savings. In this societal context, a hospice focusing on particularly demanding palliative care was at risk of redundancies. The article illustrates how a local regime of truth about the hospice was discursively constructed, supported and contested in an influential Finnish newspaper. A regime of truth is formed when a certain discourse becomes dominant, in this case, the good work done in the hospice and the need for its continuity. The data consist of newspaper articles covering the topic of the redundancies that the hospice was facing. The discourse analysis reveals three main gendered discourses: professionalism, de-medicalisation and de-institutionalisation. Professionalism stems from the masculine field of medicine, and the two latter discourses align with female-dominated long-term care, which are located lower in hierarchies of care.
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建立真相制度,支持处于危险中的姑息治疗
几十年来,芬兰和许多其他欧洲国家一样,实行了紧缩政策,特别是在长期护理等女性主导的生活领域,一直是储蓄的目标。在这种社会背景下,专注于特别苛刻的姑息治疗的临终关怀面临着裁员的风险。这篇文章说明了当地关于临终关怀的真相是如何在一家有影响力的芬兰报纸上被话语建构、支持和争论的。当某种话语成为主导时,真理的政权就形成了,在这种情况下,在临终关怀中所做的良好工作及其连续性的需要。数据包括报纸上的文章,涵盖了临终关怀所面临的裁员问题。话语分析揭示了三种主要的性别话语:专业主义、去医学化和去机构化。专业主义源于男性医学领域,后两种话语与女性主导的长期护理相一致,后者位于护理层次较低的位置。
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来源期刊
European Journal of Politics and Gender
European Journal of Politics and Gender Social Sciences-Political Science and International Relations
CiteScore
3.90
自引率
9.50%
发文量
38
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