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The role of governmentality in the establishment, maintenance and demise of professional jurisdictions: the case of geriatric medicine.

机译:政府在专业管辖区的建立,维护和消亡中的作用:老年医学案例。

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This paper examines the professionalising of geriatric medicine in the UK roughly between the 1940s and the 1970s and locates it in terms of the broader context of the relationship between the professions and the state. It looks at how this relationship shaped geriatric medicine's professional jurisdiction, including the discourses of expertise on the one hand and the constituting of the 'subjects' of such expertise on the other. In contrast to other sociological approaches to the professions, which highlight the negative impact of state encroachment on professional territory, this paper contends that without the backing of the Ministry of Health the specialty may never have established itself in the face of prolonged opposition from rival specialists. However, such support was predicated on the specialty's highlighting particular legitimating discourses and practices at the expense of others, and in framing this in terms of specific policy concerns around an ageing population. Whilst this imprinted the profession with the stamp of governmentality, it also contributed to the broader problematising of old age in the twentieth century. The paper concludes by considering the legacy of this context of professionalisation for the profession today.
机译:本文研究了大约在1940年代至1970年代之间英国的老年医学专业化,并根据专业与国家之间关系的更广泛背景对其进行了定位。它着眼于这种关系如何塑造老年医学的专业管辖权,一方面包括专门知识的话语,另一方面包括此类专门知识的“主体”的构成。与其他强调社会职业的社会学方法相反,该方法强调了国家侵占职业领域的负面影响,本文认为,如果没有卫生部的支持,该专业就可能在面对竞争对手长期反对的情况下从未建立自己的位置。 。但是,此类支持的前提是该专业强调以牺牲他人为代价的特定合法话语和实践,并根据围绕人口老龄化的特定政策关注来确定这一点。虽然这给政府留下了印记,但它也导致了20世纪更广泛的老年问题。本文的结论是考虑当今专业的这种专业化背景下的遗产。

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