PDF(Pubmed)
Abstract：
BACKGROUND: The global burden of alcohol harm has increased and is forecast to grow further without effective policy implementation. Public-private partnerships aiming to address global health, and other societal challenges, are a burgeoning feature of neoliberal governance. Rhetorically distancing themselves from tobacco, the major alcohol companies are committed to tackling \'harmful drinking\' and have created a distinct type of public relations organization for this purpose. The activities of such organizations are increasingly recognized as an impediment to the implementation of policies to reduce alcohol harm, including in low- and middle-income countries where markets are expanding.
METHODS: The approach of critical discourse analysis is used to examine the discursive tactics and strategies used in Working Together; a \'toolkit\' published by the key global level alcohol industry public relations organization, the International Alliance for Responsible Drinking (IARD). This study considers how it works discursively to set the terms of, and overcome skepticism about partnerships, to define aims and position various actors by constructing their roles. The construction of prospective partners provides insights into the alcohol industry itself.
RESULTS: The toolkit operates as an ideological resource for forming public-private partnerships across the world based on the accumulated know-how of the major companies through IARD. This allows the largest alcohol companies to exercise leadership of the industry, while remaining off-stage. The toolkit relies on a form of rhetorical work which creates distance from obvious corporate interests and the harms caused to population health and society. This is accomplished by working against evidence-informed population level approaches, and thus avoiding policies that will make any significant difference to overall alcohol harm. Unspecific \"complexity\" affords opportunity for preferred types of \"actions\", and \"partnership\" provides opportunity to gain credibility by association, further minimizing the likelihood of any material harm being reduced.
CONCLUSIONS: The toolkit is designed to not only legitimate the inclusion of alcohol industry actors as initiating \'partners\', but also assigns them roles as managers of a set of carefully constructed relationships. This vision of public-private partnership reproduces the hegemonic narrative that has successfully blocked policy advances for decades and led to growing alcohol harm globally.
METHODS: The approach of critical discourse analysis is used to examine the discursive tactics and strategies used in Working Together; a \'toolkit\' published by the key global level alcohol industry public relations organization, the International Alliance for Responsible Drinking (IARD). This study considers how it works discursively to set the terms of, and overcome skepticism about partnerships, to define aims and position various actors by constructing their roles. The construction of prospective partners provides insights into the alcohol industry itself.
RESULTS: The toolkit operates as an ideological resource for forming public-private partnerships across the world based on the accumulated know-how of the major companies through IARD. This allows the largest alcohol companies to exercise leadership of the industry, while remaining off-stage. The toolkit relies on a form of rhetorical work which creates distance from obvious corporate interests and the harms caused to population health and society. This is accomplished by working against evidence-informed population level approaches, and thus avoiding policies that will make any significant difference to overall alcohol harm. Unspecific \"complexity\" affords opportunity for preferred types of \"actions\", and \"partnership\" provides opportunity to gain credibility by association, further minimizing the likelihood of any material harm being reduced.
CONCLUSIONS: The toolkit is designed to not only legitimate the inclusion of alcohol industry actors as initiating \'partners\', but also assigns them roles as managers of a set of carefully constructed relationships. This vision of public-private partnership reproduces the hegemonic narrative that has successfully blocked policy advances for decades and led to growing alcohol harm globally.
摘要：
背景：酒精危害的全球负担有所增加，并且预计在没有有效政策实施的情况下将进一步增加。旨在解决全球卫生问题的公私伙伴关系，和其他社会挑战，是新自由主义治理的新兴特征。修辞地远离烟草，主要的酒精公司致力于解决“有害饮酒”，并为此创建了一种独特的公共关系组织。这些组织的活动越来越被认为是实施减少酒精危害政策的障碍，包括市场不断扩大的低收入和中等收入国家。
方法：批判性语篇分析的方法用于检查在“共同工作”中使用的话语策略和策略；由全球主要酒精行业公共关系组织发布的“工具包”，国际负责任饮酒联盟（IARD）。这项研究考虑了如何在话语上设置以下术语，克服对伙伴关系的怀疑，通过构建角色来定义目标和定位各种参与者。潜在合作伙伴的建设提供了对酒精行业本身的见解。
结果：该工具包是一种意识形态资源，可根据通过IARD积累的主要公司的专业知识，在全球范围内建立公私伙伴关系。这使得最大的酒类公司能够发挥行业领导作用，同时保持舞台外。该工具包依赖于一种修辞工作形式，这种修辞工作与明显的公司利益以及对人口健康和社会造成的危害产生了距离。这是通过反对以证据为基础的人口水平方法来实现的，从而避免对整体酒精危害产生重大影响的政策。不特定的“复杂性”为首选类型的“操作”提供了机会，和“伙伴关系”提供了通过协会获得信誉的机会，进一步减少任何物质损害的可能性。
结论：该工具包不仅旨在合法地将酒精行业参与者纳入发起“合作伙伴”，而且还为他们分配了一系列精心构建的关系的经理角色。这种公私伙伴关系的愿景再现了霸权叙事，几十年来成功阻止了政策进展，并导致全球范围内日益严重的酒精危害。
方法：批判性语篇分析的方法用于检查在“共同工作”中使用的话语策略和策略；由全球主要酒精行业公共关系组织发布的“工具包”，国际负责任饮酒联盟（IARD）。这项研究考虑了如何在话语上设置以下术语，克服对伙伴关系的怀疑，通过构建角色来定义目标和定位各种参与者。潜在合作伙伴的建设提供了对酒精行业本身的见解。
结果：该工具包是一种意识形态资源，可根据通过IARD积累的主要公司的专业知识，在全球范围内建立公私伙伴关系。这使得最大的酒类公司能够发挥行业领导作用，同时保持舞台外。该工具包依赖于一种修辞工作形式，这种修辞工作与明显的公司利益以及对人口健康和社会造成的危害产生了距离。这是通过反对以证据为基础的人口水平方法来实现的，从而避免对整体酒精危害产生重大影响的政策。不特定的“复杂性”为首选类型的“操作”提供了机会，和“伙伴关系”提供了通过协会获得信誉的机会，进一步减少任何物质损害的可能性。
结论：该工具包不仅旨在合法地将酒精行业参与者纳入发起“合作伙伴”，而且还为他们分配了一系列精心构建的关系的经理角色。这种公私伙伴关系的愿景再现了霸权叙事，几十年来成功阻止了政策进展，并导致全球范围内日益严重的酒精危害。
