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首页> 外文期刊>Sociology of health & illness >'I've used the word cancer but it's actually good news': discursive performativity of cancer and the identity of urological cancer services
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'I've used the word cancer but it's actually good news': discursive performativity of cancer and the identity of urological cancer services

机译：“我用过癌症一词，但这实际上是个好消息”：癌症的话语表现力和泌尿科癌症服务的身份

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Drawing on the ethnographic study of urological cancer services, this article explores how a set of particular discourses embedded in the everyday clinical work in a large teaching hospital in the UK helps materialise particular configurations of cancer and related professional identities. Emerging on the intersection of specific socio-material arrangements (cancer survival rates, treatment regimens, cancer staging classifications, metaphors, clinical specialities) and operating across a number of differential relations (curable/incurable, treatable/untreatable, aggressiveonaggressive), these configurations help constitute the categories of good' and bad' cancers as separate and contrasting entities. These categories help materialise particular distributions of power and are thus implicated in the making of specific claims about the identity of urological cancer services as unique and privileged. Exploring these issues in view of feminist and material-semiotic approaches to studying science, technology and medicine, this article seeks to move away from the understanding of cancer discourses as primarily linguistic performances, proposing to see them instead as arrangements of practices and relations simultaneously material and semiotic through which particular categories, entities and phenomena acquire their determinate nature. In doing so, it seeks to contribute to sociology's broader concern with discursive performativity of cancer.
机译：本文利用对泌尿外科癌症服务的人种学研究，探讨了英国一家大型教学医院的日常临床工作中嵌入的一组特定话语如何帮助实现癌症的特殊结构和相关的专业身份。这些都是在特定的社会物质安排（癌症存活率，治疗方案，癌症分期分类，隐喻，临床专长）的交叉点上出现的，并且跨越了许多不同的关系（可治愈/无法治愈，可治愈/无法治愈，积极/非侵略性），构型有助于将“好”和“坏”癌症分为独立的和相对的实体。这些类别有助于实现特定的权力分配，因此牵涉到有关泌尿外科癌症服务的独特性和特权身份的特定主张。鉴于女性主义和物质符号学研究科学，技术和医学的方法探讨了这些问题，本文力图摆脱对癌症话语主要是语言表演的理解，建议将它们视为实践和关系的安排同时具有实质性以及通过符号学来确定特定类别，实体和现象的确定性。在此过程中，它旨在促进社会学对癌症话语性能的广泛关注。

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