Scholars have shown how speakers are inclined to discursively position themselves as ‘ordinary’ in order to claim and benefit from membership in a socially unmarked category, and that the effect of ‘being ordinary’ is an effortful communicative achievement (e.g. Sacks 1984). This study re-examines and extends such insight by focusing on socially marked individuals—people with disabilities—and considers the effect of inhabiting a nonnormative body has on the semiotic production of self as ordinary. The multimodal self-presentation of Nikki Lilly, a popular disabled YouTuber, showcases the tension between inhabiting a physically anomalous body and projecting ‘an average teenager’ persona. The analysis of the vlogger's YouTube and Instagram posts shows that resignifying the nonnormative body and self as symbolically unmarked hinges on recruiting hypernormative gendered resources. I argue that by exaggerating normality, Nikki Lilly's recognized ‘ordinary’ self-presentation enunciates normalcy as an illusory imperative and materializes as subversive the performance of disability. (Nikki Lilly, embodiment, multimodality, presentational media, disability, ordinariness, normativity)*
Objective: To understand how methylphenidate (MPH) is used in youth with traumatic brain injury (TBI) during inpatient pediatric rehabilitation.
Setting: Inpatient pediatric rehabilitation.
Participants: In total, 234 children with TBI; 62 of whom received MPH and 172 who did not. Patients were on average 11.6 years of age (range, 2 months to 21 years); 88 of 234 were female; the most common mechanism of injury was motor vehicle collision (49%); median (IQR) acute hospital length of stay (LOS) and inpatient rehabilitation LOS were 16 (10-29) and 23 (14-39), respectively; 51 of 234 were in a disorder of consciousness cognitive state at time of inpatient rehabilitation admission.
Design: Multicenter, retrospective medical record review.
Main measures: Patient demographic data, time to inpatient pediatric rehabilitation admission (TTA), cognitive state, MPH dosing (mg/kg/day).
Results: Patients who received MPH were older (P = .011); TTA was significantly longer in patients who received MPH than those who did not (P =.002). The lowest recorded dose range by weight was 0.05 to 0.89 mg/kg/d, representing an 18-fold difference; the weight-based range for the maximum dose was 0.11 to 0.97 mg/kg/d, a 9-fold difference. Patients in lower cognitive states at admission (P = .001) and at discharge (P = .030) were more likely to receive MPH. Five patients had side effects known to be associated with MPH; no serious adverse events were reported.
Conclusion: This multicenter study indicates that there is variable use of MPH during acute inpatient rehabilitation for children with TBI. Children who receive MPH tend to be older with lower cognitive states. Dosing practices are likely consistent with underdosing. Clinical indications for MPH use during inpatient pediatric rehabilitation should be better defined. The use of MPH, as well as its combination with other medications and treatments, during inpatient rehabilitation needs to be further explored.
This article asks why the Occitan language revitalization movement, which began in the 1850s, failed to convince the vast majority of Occitan speakers. Traditional explanations focus on social conflict, alienation, and diglossic ideologies. While essential elements, they may not provide a full account. Challenging the idea that patois is just a derogatory term pinned on what is in fact a language, this article proposes to take seriously the claim by traditional speakers that a patois is not a language. Drawing on fieldwork in Provence and historical data, I propose that the divergence is fundamentally ontological, revealing sharp differences that suggest that patois and language are indeed two separate things. The language movement's reduction of the patois/language issue to one of labels helps explain why traditional speakers and language advocates have been talking past each other for 150 years, raising practical questions for language movements worldwide. (Patois, occitan, ontologies of language, language revitalization, linguistic natures)*
This article is a rejoinder to Lee (2023) who makes certain claims about the enregisterment of Singlish via a case study of Spiaking Singlish. In challenging Lee's key claim that Spiaking Singlish deploys a form of elitist language, I argue that the Singlish features in the book need not demand a solely ludic reading and actually draw from everyday practices. Accordingly, enregisterment ought to be understood as a diachronic and evolving process in the vein of Butler's (1999) notion of sedimentation. Moreover, Lee's characterization of the ‘monolectal Singlish user’ is classist and reductionist, unsupported by recent research and census data. Consequently, Spiaking Singlish need not be seen as an elitist work, but as contributing to ever-changing attitudes towards Singlish in the public sphere. This article is an alternative iteration to Lee's (2023) that has implications for the way we understand enregisterment in Singapore and choose to represent it as a process. (Enregisterment, Singlish, Singapore, sociolinguistics, language ideological debates)*
This article explores the characterological metadiscourses through which characters, or figures of personhood, become modeled, evaluated, and enacted during a multi-ethnic, community-inclusive theater project that aims to make the group's ‘joint voice’ heard on stage and in society. Based on ethnographic data and discourse-analytical methods, the article examines two modes of characterological metadiscourse that contribute to the construction of an ‘alternative’ discursive space that allows the group to reflect on and to experiment with everyday social interactions. First, the article analyzes writing and conversation tasks that deal with experiences of ethnicization and inequality. Second, the article analyzes exercises in acting techniques, in which the focus turns to universal characterological dimensions, enabling each participant to participate in the joint voice as an equal performer. The analyses illuminate a local strategy of managing multi-ethnic relations and committing to ideals of solidarity and egalitarianism with the purpose of collective social action. (Voice, entextualization, interdiscursivity, ethnicity, raciolinguistics, theater)*