头部和颈部的癌症是一个面临的条件,因为这种疾病及其治疗改变了与身体外观和身份相关的身体器官的外观和功能。许多头颈癌的危险因素,包括烟草,酒精,和人乳头瘤病毒,也可能有显著的负面社会和道德排列。语言和行动(话语)在构建疾病和疾病以及塑造其管理方式中起着重要作用,在制度上和社会上。这项研究使用了一个关键的建构主义镜头来研究如何在医疗保健背景下构建围绕头颈癌的常见话语,以及这如何影响患者和医疗保健专业人员对疾病的反应。数据是通过半结构化访谈收集的,字段注释,日记和文献评论。分析是由三维方法指导的批判性语篇分析,调查文本,话语的做法,和社会背景。最重要的发现是,偏差主导了常见的话语,并塑造了头颈癌及其反应。偏差是通过隐喻传递的,形容词,描述符,和集体名词,并通过标签公开,回避,责备,羞耻,和分类。话语是通过一种社会文化理解来语境化的,即当某人偏离被认为正常的事物时,他们贬值了。关于头颈部癌症的公开对话和反思可以更好地了解人们如何体验他们的病情,并提供更多的支持性反应。
Cancer of the head and neck is a confronting condition, as the disease and its treatments alter the appearance and function of body organs associated with physical appearance and identity. Many of the risk factors for head and neck cancers, including tobacco, alcohol, and human papilloma virus, can also have significant negative social and moral permutations. Language and action (discourse) plays an important role in constructing disease and illness and shape the way it is managed, both institutionally and socially. This research used a critical constructionist lens to investigate how the common discourses surrounding head and neck cancer are constructed within the healthcare context and how this influences patients and healthcare professionals\' responses to the illness. Data were collected through semi-structured interviews, field noting, journaling and literature reviews. Analysis was guided by a three-dimensional approach to critical discourse analysis that investigated text, discursive practices, and social context. The overarching finding was that deviance dominates the common discourse and shapes head and neck cancer and responses to it. Deviance is channelled through metaphors, adjectives, descriptors, and collective nouns and is made overt through labelling, avoidance, blaming, shame, and categorization. Discourse is contextualized by a sociocultural understanding that when someone deviates from what is perceived as normal, they are devalued. Open dialogue and reflection on head and neck cancer discourse could enable better understanding of how people experience their condition and inform more supportive responses.