‘Making Strange’: Discourse Analysis Tools for Teaching Critical Development Studies

Gasper, Des

doi:10.1177/14649934221080828

Cited by 2 publications

(3 citation statements)

References 44 publications

(50 reference statements)

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“…Several studies conducted across contexts also found that care-seeking individuals lack adequate knowledge and awareness on patient rights. These studies, like ours demonstrated that care-seeking individuals relied upon the health care professionals to know about patient rights [45][46][47][48][49]. Even if care-seeking individuals and their families had knowledge about patient rights, most often they preferred not to claim their rights partly owing to the fear of reprisal from care-providers.…”

Section: Discussionmentioning

confidence: 74%

“…Critical theorists such as Fairclough (2015) [42] & Van Dijk (1988) [43] contend that a critical analysis of language provides deeper insights into ideas, practices and power relations that are often not explicit. Furthermore, Gasper (2022) [45] argues that the purpose of CDA is to challenge the power structures that embody "systems of social exclusion and injustices in the linguistic systems". Van Dijk (2017) [46] indicates that by examining the choice of words, sequences, patterns, omissions, additions, metaphors, euphemisms, conspicuous, inconspicuous communicative actions, utterances, silences, and expressions, we will be able to understand how socialpolitical practices (on patient rights) are discursively constructed.…”

Section: Introductionmentioning

confidence: 99%

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“It’s like asking for a necktie when you don’t have underwear”: Discourses on patient rights in southern Karnataka, India

Putturaj

Belle

Krumeich

et al. 2023

Int J Equity Health

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Background Ensuring patient rights is an extension of applying human rights principles to health care. A critical examination of how the notion of patient rights is perceived and enacted by various actors through critical discourse analysis (CDA) can help understand the impediments to its realization in practice. Methods We studied the discourses and discursive practices on patient rights in subnational policies and in ten health facilities in southern Karnataka, India. We conducted interviews (78), focus group discussions (3) with care-seeking individuals, care-providers, health care administrators and public health officials. We also conducted participant observation in selected health facilities and examined subnational policy documents of Karnataka pertaining to patient rights. We analyzed the qualitative data for major and minor themes. Results Patient rights discourses were not based upon human rights notions. In the context of neoliberalism, they were predominantly embedded within the logic of quality of care, economic, and consumerist perspectives. Relatively powerful actors such as care-providers and health facility administrators used a panoply of discursive strategies such as emphasizing alternate discourses and controlling discursive resources to suppress the promotion of patient rights among care-seeking individuals in health facilities. As a result, the capacity of care-seeking individuals to know and claim patient rights was restricted. With neoliberal health policies promoting austerity measures on public health care system and weak implementation of health care regulations, patient rights discourses remained subdued in health facilities in Karnataka, India. Conclusions The empirical findings on the local expression of patient rights in the discourses allowed for theoretical insights on the translation of conceptual understandings of patient rights to practice in the everyday lives of health system actors and care-seeking individuals. The CDA approach was helpful to identify the problematic aspects of discourses and discursive practices on patient rights where health facility administrators and care-providers wielded power to oppress care-seeking individuals. From the practical point of view, the study demonstrated the limitations of care-seeking individuals in the discursive realms to assert their agency as practitioners of (patient) rights in health facilities.

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

“It’s like asking for a necktie when you don’t have underwear”: Discourses on patient rights in southern Karnataka, India

Putturaj

Belle

Krumeich

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…These techniques may help in resisting temptations to buy into some social constructions of target populations in nudging some target populations more than others Howlett 2018). More research is needed to understand such skill sets and mindsets and how to foster them (see Gasper 2022).…”

Section: Summary and Ways Forward 81 Lessons Learnedmentioning

confidence: 99%

Combining behavioural and reflective policy tools for the environment: a scoping review of behavioural public policy literature

Mukhtarov

2022

Journal of Environmental Planning and Management

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Recent advances in behavioural and communication sciences generated enthusiasm in public policy for new ways of 'framing' messages and 'nudging' individual behaviour. Wide research and practice of behavioural interventions that have since ensued triggered the rise of a new sub-field called Behavioural Public Policy (BPP). At the same time, nudgesa part and parcel of BPP, have received criticism for being paternalistic, non-democratic and lacking evidence of long-term effectiveness. More recently, the whole project of BPP has come under criticism as construed too narrowly. Critics have argued for a new approach to BPP that is pluralistic, multi-disciplinary and multi-method. One key pillar of it is a 'policy mix'a combined application of behavioural and non-behavioural policy tools. Little is known, however, about 'policy mixes' in practice. This paper conducts a scoping non-exhaustive review of the academic and policy literature published between 2008 and 2020 that discusses policy mixes of behavioural policy tools (defined in this paper as 'nudges' and 'frames') and reflective policy tools (defined in this paper as 'deliberative' events and incentives for individuals to 'think') employed within environmental policy. Two questions guide this review: (a) what are the characteristics of policy mixes in terms of their types, geography, sectors of application, and empirical detail of exposition?; (b) to what extent do existing policy mixes include broader governance aspects of politics, awareness of contextuality and flexibility? By taking stock of experiences of empirical placebased policy mixes of behavioural and reflective tools, we provide insights into a fast-developing body of scholarship and point to ways forward with policy mixes. The paper is also relevant to policy studies beyond the domain of the environment.

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‘Making Strange’: Discourse Analysis Tools for Teaching Critical Development Studies

Cited by 2 publications

References 44 publications

“It’s like asking for a necktie when you don’t have underwear”: Discourses on patient rights in southern Karnataka, India

“It’s like asking for a necktie when you don’t have underwear”: Discourses on patient rights in southern Karnataka, India

Combining behavioural and reflective policy tools for the environment: a scoping review of behavioural public policy literature

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