{"title":"疾病宣传、过度诊断与媒体实践:对认知节奏迟缓(SCT)和动机缺乏症(MoDeD)恶搞的批判性话语分析","authors":"Dermot Heaney, Giorgia Riboni","doi":"10.1515/text-2022-0197","DOIUrl":null,"url":null,"abstract":"This paper explores ways in which the strategic use of discursive and generic conventions has the potential to create a non-existent pathology and mislead the public. This case study compares and examines datasets of different genres (newspaper issue reports, online videos, and Wikipedia pages) dealing with a condition considered as an actual illness (Sluggish Cognitive Tempo, SCT), and another (Motivational Deficiency Disorder, MoDeD), invented as a spoof to raise awareness about disease mongering, overdiagnosis, and medicalization. We evince common language strategies that, irrespective of the genre, can be employed in media discourse, both in the name of genuine medical information and in pursuit of more ethically questionable ends. The methodological tools provided by Critical Discourse Analysis are applied to both the authentic and the hoax texts in order to investigate the media representations of SCT and MoDeD, juxtaposing the ways in which both are framed conceptually, defined linguistically, and popularized to lay audiences. The findings indicate the existence of a common repertoire of lexical-phraseological, rhetorical and discursive patterns that typify the popularization of medicalized statuses and combine to increase the persuasiveness and authority of overdiagnosis, ultimately advancing the case for medicalization with the public at large.","PeriodicalId":46455,"journal":{"name":"Text & Talk","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disease mongering, overdiagnosis, and media practices: a critical discourse analysis of sluggish cognitive tempo (SCT) and the motivational deficiency disorder (MoDeD) spoof\",\"authors\":\"Dermot Heaney, Giorgia Riboni\",\"doi\":\"10.1515/text-2022-0197\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This paper explores ways in which the strategic use of discursive and generic conventions has the potential to create a non-existent pathology and mislead the public. This case study compares and examines datasets of different genres (newspaper issue reports, online videos, and Wikipedia pages) dealing with a condition considered as an actual illness (Sluggish Cognitive Tempo, SCT), and another (Motivational Deficiency Disorder, MoDeD), invented as a spoof to raise awareness about disease mongering, overdiagnosis, and medicalization. We evince common language strategies that, irrespective of the genre, can be employed in media discourse, both in the name of genuine medical information and in pursuit of more ethically questionable ends. The methodological tools provided by Critical Discourse Analysis are applied to both the authentic and the hoax texts in order to investigate the media representations of SCT and MoDeD, juxtaposing the ways in which both are framed conceptually, defined linguistically, and popularized to lay audiences. The findings indicate the existence of a common repertoire of lexical-phraseological, rhetorical and discursive patterns that typify the popularization of medicalized statuses and combine to increase the persuasiveness and authority of overdiagnosis, ultimately advancing the case for medicalization with the public at large.\",\"PeriodicalId\":46455,\"journal\":{\"name\":\"Text & Talk\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Text & Talk\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1515/text-2022-0197\",\"RegionNum\":3,\"RegionCategory\":\"文学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"COMMUNICATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Text & Talk","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1515/text-2022-0197","RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMMUNICATION","Score":null,"Total":0}
Disease mongering, overdiagnosis, and media practices: a critical discourse analysis of sluggish cognitive tempo (SCT) and the motivational deficiency disorder (MoDeD) spoof
This paper explores ways in which the strategic use of discursive and generic conventions has the potential to create a non-existent pathology and mislead the public. This case study compares and examines datasets of different genres (newspaper issue reports, online videos, and Wikipedia pages) dealing with a condition considered as an actual illness (Sluggish Cognitive Tempo, SCT), and another (Motivational Deficiency Disorder, MoDeD), invented as a spoof to raise awareness about disease mongering, overdiagnosis, and medicalization. We evince common language strategies that, irrespective of the genre, can be employed in media discourse, both in the name of genuine medical information and in pursuit of more ethically questionable ends. The methodological tools provided by Critical Discourse Analysis are applied to both the authentic and the hoax texts in order to investigate the media representations of SCT and MoDeD, juxtaposing the ways in which both are framed conceptually, defined linguistically, and popularized to lay audiences. The findings indicate the existence of a common repertoire of lexical-phraseological, rhetorical and discursive patterns that typify the popularization of medicalized statuses and combine to increase the persuasiveness and authority of overdiagnosis, ultimately advancing the case for medicalization with the public at large.
期刊介绍:
Text & Talk (founded as TEXT in 1981) is an internationally recognized forum for interdisciplinary research in language, discourse, and communication studies, focusing, among other things, on the situational and historical nature of text/talk production; the cognitive and sociocultural processes of language practice/action; and participant-based structures of meaning negotiation and multimodal alignment. Text & Talk encourages critical debates on these and other relevant issues, spanning not only the theoretical and methodological dimensions of discourse but also their practical and socially relevant outcomes.