The Chronic Responsibility

A Critical Discourse Analysis of Danish Chronic Care Policies

Dados Bibliográficos

ID4636040
AutoresIben Munksgaard Ravn (VIA University College), Kirsten Frederiksen (0000-0002-2082-7094, Aarhus University, Aarhus, Denmark), Kirsten Beedholm (0000-0001-5952-9062, Aarhus University, Aarhus, Denmark, autor correspondente)
Ano2016
Volume26
Fascículo4
Páginas545-554
Data de publicação2016-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoQualitative Health Research (JOURNAL)
Identificadores do periódicoISSN: 1049-7323 • E-ISSN: 1552-7557
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732315570133
PMID25662943
OpenAlexW2099059325
IdiomaEN
Citações recebidas10
Referências citadas14

This article reports on the results of a Fairclough-inspired critical discourse analysis aiming to clarify how chronically ill patients are presented in contemporary Danish chronic care policies. Drawing on Fairclough's three-dimensional framework for analyzing discourse, and using Dean's concepts of governmentality as an interpretative lens, we analyzed and explained six policies published by the Danish Health and Medicines Authority between 2005 and 2013. The analysis revealed that discourses within the policy vision of chronic care consider chronically ill patients' active role, lifestyle, and health behavior to be the main factors influencing susceptibility to chronic diseases. We argue that this discursive construction naturalizes a division between people who can actively manage responsible self-care and those who cannot. Such discourses may serve the interests of those patients who are already activated, while others remain subjugated to certain roles. For example, they may be labeled as "vulnerable

Hannah Arendt's Political Philosophy · Medicine · Political Philosophy and Ethics · Psychology