This article argues in favor of a sociological perspective on health and illness, drawing on recognized positions from the philosophy of health and illness about how to demarcate disorder from non-disorder. The argument specifies that a normative context in which bodies or behaviors are disvalued is a necessary component for identifying what constitutes a disorder, as this normative context allows material differences to be understood as dysfunctional and pathological. Descriptions of material states in themselves are insufficient to distinguish what is legitimately a disorder; some evaluative stance toward those states is also required. This article applies the argument to disorders of inattention and hyperactivity, currently best known as Attention-Deficit Hyperactivity Disorder. These disorders have been controversial since their formalization in the 1970s, the same time that they began receiving sociological attention. Sociological analyses have consistently expressed ambivalence toward recognizing claims about the biological status of such disorders. This ambivalence has at times committed to a problematic relationship between sociological explanation and medical explanation, implicitly allocating sociological explanation to an auxiliary position. This article argues that this is not necessary, as sociological perspectives address disorders on a fundamental, rather than secondary, register. Disorders are only intelligible due to the normative and social context in which they are found, and so medical sociology can recognize the validity of biological claims about disorders, such as Attention-Deficit Hyperactivity Disorder, while still asserting the essential social nature of disorder.
Ernesto Laclau argues that Saussurean structural linguistics is one framework necessary for a post-Marxist understanding of political identities and new social movements. Disrupting the distinction between the discursive and the political, he provides insight into the formal properties of identity, difference, universality and particularity. However, this disruption means that his work is relevant not only to political theory per se but has retroactive value for understanding semiotics and signification. By considering methodological problems encountered during an analysis of an anti-war poster genre, this essay suggests that Laclau's concept of empty signifiers enables a novel understanding of genre. His schema complements approaches that emphasize the analysis of content and the analysis of audience reception, broadly conceived. Between the poles of content and reception, there are structural or relational properties enabling the contingent stability and meaningfulness of genre. These properties include the differential nature of a genre's identity, and a genre's discursive reliance on a radical exclusion.
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