Résumé :
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[BDSP. Notice produite par INIST FYBbR0xU. Diffusion soumise à autorisation]. A quantitative content (CA) and qualitative discourse analysis (DA) was made of all 67 articles in the February 1995 ("Tet) issue of Suc Khoe (" Health "). a bi-weekly newspaper issued by Ministry of Health, Hanoi, Vietnam. The aim was to uncover discursive strategies used in the construction of health-related meaning during a period of rapid economic transition and latent ideological struggle in Vietnam. The DA was based on the work of i.a. Foucault, Fairclough, Thompson, and Fowler. The CA showed a strong domination of Western sources. There were four themes : prevention, cure, the Tet festival, and crime and punishment. In the two first, health-related groups, prevention (n=31) dominated over cure (n=22), modern (n=19) over traditional (n=13) medicine, and overall, the theme of continuity (prevention and crime/punishment) over change (cure and Tet), reflecting Vietnam's programmatic pluralism in the health field and its ideological struggle against outside influences. The DA revealed three mixed but unintegrated discourses in the material ;" popular " (simplistic, authoritarian, and sentimentalizing)," expert " (technical, egalitarian, and uncritical), and" nationalist " (administrative, impersonal and propagandistic). Prevention was mainly expressed via the popular discourse, whereas cure was represented, prospectively, by the expert discourse, and retrospectively, by the nationalist discourse. (...)
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