Abstract
Buzzwords and acronyms are ubiquitous throughout public service provision worldwide. Additionally, such terms are subject to frequent change, and public servants are expected to use the most up-to-date language in their work in order to reflect current policy, mirror institutional norms, and for purposes of equality or public value. This chapter provides two examples of language use in health and social care services in the UK, focusing on the terms “intellectual disability” and “frailty.” Both are relatively recent clinical terms adopted in health and social care public service provision. The chapter draws on empirical findings from a discourse analysis of interviews with public servants to explore their perceptions of these terms and how they have come to use them in their practice. The discourse analysis reveals a number of tensions, benefits, and challenges associated with changing terminology and the expectations that come with this. In conclusion, changes to terminology are generally made to benefit public value and service experience; however, such changes can give rise to personal dilemmas for the public servant in practice.
References
Age UK. 2015. Frailty Language and Perceptions (online). Britain Thinks. Available from https://www.ageuk.org.uk/documents/en-gb/for-professionals/policy/health-and-wellbeing/report_bgs_frailty_language_and_perceptions.pdf?dtrk=true
Becker, H. 1963. Outsiders, New York: Free Press.
Billig, M. 1988. Ideological dilemmas: A social psychology of everyday thinking. London: SAGE.
British Medical Association. 2014. Recognising the importance of physical health in mental health and intellectual disability: Achieving parity of outcomes. London: BMA Publications Unit.
Bozeman, B. 2007. Public value and public interest: Counterbalancing economic individualism. Washington, DC, Georgetown University Press.
Cluley, R. 2013. What makes a management buzzword buzz? Organization Studies 34 (1): 33–43.
Cluley, V. 2018. From “Learning disability to intellectual disability”—Perceptions of the increasing use of the term “intellectual disability” in learning disability policy, research and practice. British Journal of Learning Disabilities 46 (1): 24–32.
Cluley, V., and Radnor, Z., 2019. Progressing the Conceptualization of Value Co-creation in Public Service Organizations. Perspectives on Public Management and Governance (online). Available at https://academic.oup.com/ppmg/advance-article/doi/10.1093/ppmgov/gvz024/5628190. Accessed December 2019.
Cluley, V. Martin, G. Radnor, Z and Banerjee, J. forthcoming. Talking about frailty: healthcare professional perspectives and an ideological dilemma. Ageing & Society.
Cumella, S. 2008. New public management and public services for people with and intellectual disability: A review of the implementation of valuing people in England. Journal of Policy and Practice in Intellectual Disabilities 5 (3): 178–186.
Department of Health 2001. Valuing people, London: HMSO.
Gibson, M. 2018. A pragmatic investigation into the emotions of pride, shame, guilt, humiliation, and embarrassment: Lived experience and the challenge to established theory. Social Science Information 57 (4): 616–643.
Gibson, M. 2019. The role of pride, shame, guilt, and humiliation in social service organizations: A conceptual framework from a qualitative case study. Journal of Social Service Research 45 (1): 112–128.
Goffman, E. 1963. Stigma. Englewood Cliffs: Spectrum.
Green, S., C. Davis, E. Karshmer, P. Marsh, and B. Straight. 2005. Living stigma: The impact of labeling, stereotyping, separation, status loss, and discrimination in the lives of individuals with disabilities and their families. Sociological Inquiry 75 (2): 197–215. https://doi.org/10.1111/soin.2005.75.issue-2.
Grenier, A., L. Lloyd, and C. Phillipson. 2017. Precarity in late life: Rethinking dementia as a ‘frailed’ old age. Sociology of Health & Illness 39 (2): 318–330.
Harwood, R. 2019. Editors review. Age and Ageing 48: 465.
Higgins, A. 2014. Intellectual disability or learning disability? Lets talk some more. Research and Practice in Intellectual and Developmental Disabilities 1 (2): 142–147. https://doi.org/10.1080/23297018.2014.961527.
Kernaghan, K., and J. Langford. 2014. The responsible public servant. Cork: BookBaby.
Mansell, J. 2010. Raising our sights: Services for adults with profound intellectual and multiple disabilities. London: Royal Society for Mentally Handicapped Children and Adults.
McLaughlin, H. 2009. What’s in a name: ‘client’, ‘patient’, ‘customer’, ‘consumer’, ‘expert by experience’, ‘service user’ – what’s next? The British Journal of Social Work 39 (6): 1101–1117.
Meynhardt, T. 2009. Public value inside: What is public value creation? Intl Journal of Public Administration 32 (3–4): 192–219.
Osborne, S.P. 2017. From public service dominant logic to public service logic: Are public service organisations capable of co-production and value co-creation? Public Management Review 1–7.
Osborne, S.P., Z.J. Radnor, and K. Strokosch. 2016. Co-production and the co-creation of value in public services: A suitable case for treatment? Public Management Review 18 (5): 639–653.
Petelin, R. 2010. Considering plain language: Issues and initiatives. Corporate Communications: An International Journal 15 (2): 205–216.
Potter, J., Wetherell, M. 1987. Discourse and social psychology: Beyond attitudes and behaviour, London: Sage.
Radnor, Z., S.P. Osborne, T. Kinder, and J. Mutton. 2014. Operationalizing co-production in public services delivery: The contribution of service blueprinting. Public Management Review 16 (3): 402–423.
Rahman, S. 2018. Living with frailty: From assets and deficits to resilience. London: Routledge.
Richards, M. 2016. ‘You’ve got autism because you like order and you do not look into my eyes’: Some reflections on understanding the label of ‘autism spectrum disorder’ from a dishuman perspective. Disability & Society 31 (9): 1301–1305.
Ritt, M., J.I. Ritt, C.C. Sieber, and K.G. Gassmann. 2017. Comparing the predictive accuracy of frailty, comorbidity, and disability for mortality: A 1-year follow-up in patients hospitalized in geriatric wards. Clinical Interventions in Aging 12: 293.
Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D.B., McDowell, I. and Mitnitski, A. 2005. A global clinical measure of fitness and frailty in elderly people. Cmaj 173 (5): 489–495.
Schalock, R.L. 2007. The renaming of mental retardation: Understanding the change to the term intellectual disability. Intellectual and Developmental Disabilities 45 (2): 116–124. https://doi.org/10.1352/1934-9556(2007)45[116:TROMRU]2.0.CO;2.
Scott, W.R. 2013. Institutions and organizations: Ideas, interests, and identities. Los Angeles: Sage.
Van Maanen, J. 1978. The asshole. In Policing: A view from the street, 221–238. Santa Monica: Goodyear Publishing Company.
Warmoth, K., I.A. Lang, C. Phoenix, C. Abraham, M.K. Andrew, R.E. Hubbard, and M. Tarrant. 2016. ‘Thinking you’re old and frail’: A qualitative study of frailty in older adults. Ageing and Society 36 (7): 1483–1500.
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Cluley, V., Radnor, Z. (2020). “Considered Language” in Public Service: Changing Discourses and Their Implementation in Practice. In: Sullivan, H., Dickinson, H., Henderson, H. (eds) The Palgrave Handbook of the Public Servant. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-03008-7_82-1
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