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Promotoras and the rhetorical economies of public health: Deterritorializations of medical discourse and practice.

机译:Promotoras和公共卫生的花言巧语的经济:医学话语和实践的域外化。

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摘要

In order to address the effects of unequal relations of power inherent in expert medical knowledge and practice that contribute to health inequities, this project defines and instantiates the concept of rhetorical economies in public health through a case study of promotora practices. As everyday experts, promotoras support medically underserved communities through health education and counseling. This project defines rhetorical economies of public health as those practices and processes which deterritorialize medical expertise in order to produce and distribute new knowledge economies related to bodies, health, and disease across everyday and expert communities.;This participatory research is shaped by a community partnership with a promotora at work in public health settings. Historical analysis of the emergence of biomedical perception provides the context for a feminist rhetorical, decolonial, and critical discourse analyses of public health messaging as well as of this promotora's work stories and pedagogies. This project draws from Chela Sandoval's (2000) articulation of "differential consciousness" to identify processes where everyday and embodied practice differentially engage dominant medical discourse in order to re/appropriate, subvert, and transform "spaces of power" in medical contexts. Rhetorical economies are the means through which these transformations are possible.;Narrative and rhetorical analysis of a promotora's work stories and pedagogies reveal how neoliberal and racialized medical discourse reproduce political and economic marginalizations while reinscribing medicalized understandings of the body, health and disease. Using the framework afforded by Gonzalez, Moll, & Amanti's (2005) "funds of knowledge" approach, this project illuminates how rhetorical economies function to recenter community ways of knowing in order to decolonize biomedical epistemologies and practices. This project provides the foundation for future research in how rhetorical economies act to re/appropriate dominant discourses and advance transformational change. Grounded in medical, feminist, and decolonial rhetorics, this project it will find application across the disciplines, including education, rhetorical studies, cultural studies, medical anthropology, medical humanities, community action research, disability studies, health communication studies, and public health.
机译:为了解决导致医学不平等的专家医学知识和实践中固有的不平等权力关系的影响,本项目通过案例研究对原运动进行了定义,并实例化了公共卫生中的修辞经济概念。作为日常专家,promotoras通过健康教育和咨询支持医疗欠佳的社区。该项目将公共卫生的花言巧语定义为对医学专业知识进行区分的做法和过程,以便在日常社区和专家社区中产生和分配与身体,健康和疾病相关的新知识经济。在公共卫生场所使用promotora。对生物医学知觉出现的历史分析为女权主义修辞,殖民主义和批判性话语分析提供了背景,这些话语分析包括对公共卫生信息以及该宣传作品的工作故事和教学方法的分析。该项目借鉴了切拉·桑多瓦尔(Chela Sandoval,2000)的“差异意识”的表述,以识别日常实践和具体实践有区别地介入占主导地位的医学话语的过程,以便在医学环境中重新/适应,颠覆和转变“权力空间”。修辞经济是实现这些转变的手段。;对promotora的工作故事和教学方法的叙事和修辞分析揭示了新自由主义和种族化的医学话语如何在政治和经济上被边缘化,同时又重新体现了对身体,健康和疾病的医学理解。该项目使用Gonzalez,Moll和Amanti(2005)的“知识基金”方法提供的框架,阐明了言辞经济如何作用于新近的社区知识,从而使生物医学认识论和实践非殖民化。该项目为未来研究修辞经济学如何行动以重新/运用主流话语和推进变革提供了基础。该项目立足于医学,女权主义和殖民主义修辞学,将在各个学科中得到应用,包括教育,修辞学,文化研究,医学人类学,医学人文,社区行动研究,残疾研究,健康传播研究和公共卫生。

著录项

  • 作者

    Hickman, Amy C.;

  • 作者单位

    The University of Arizona.;

  • 授予单位 The University of Arizona.;
  • 学科 Rhetoric.;Modern language.;Public health education.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 253 p.
  • 总页数 253
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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