Local and Selective Appropriation: Circulation of New Diagnostic Categories in Speech Therapy in Quebec's Clinical Practice, 1985-2002.

This essay is about the development, transmission, and use of new categories of diagnosis among speech therapists in Quebec's hospitals and rehabilitation centres. From the viewpoint of the history of professions, the author emphasizes the driving role of clinicians' local initiatives and profession...

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Published in:Journal of Canadian Studies Vol. 41; no. 3; pp. 150 - 166
Main Author: Prud'homme, Julien
Format: Essay
Published: University of Toronto Press Fall2007
Subjects:
Online Access:View this record in EBSCOhost
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        Essays
        Speech therapy education
        Clinical medicine
        Speech therapists
        Professions
        Hospitals
        Rehabilitation centers
        Medical protocols
        Allied health personnel
        History
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          Québec (Province)
          Essays
          Speech therapy education
          Clinical medicine
          Speech therapists
          Professions
          Hospitals
          Rehabilitation centers
          Medical protocols
          Allied health personnel
          History
      ab:
        This essay is about the development, transmission, and use of new categories of diagnosis among speech therapists in Quebec's hospitals and rehabilitation centres. From the viewpoint of the history of professions, the author emphasizes the driving role of clinicians' local initiatives and professional aspirations in this process. The author starts with a brief overview of speech therapists' professional situation in the early 1980s, then describes the emergence of a new category of neurological troubles, and, finally, analyzes the characteristics of its spread in clinical practice after 1986. By doing this, the author hopes to raise awareness about the study of the circulation of concepts in clinical settings.
        Cet article traite de l'émergence et de la diffusion de nouvelles catégories diagnostiques parmi les orthophonistes québécoises. En s'appuyant sur les concepts propres à l'histoire des professions, je mettrai l'accent sur le rôle des initiatives locales et des aspirations professionnelles. Après un bref survol de la situation professionnelle des orthophonistes au debut des années 1980, je décrirai l'émergence d'une nouvelle catégorie de troubles attribués à des causes neurologiques et je tâcherai d'analyser sa diffusion en clinique après 1986. Cette démarche devrait suggérer des pistes de réflexion sur l'étude de la circulation des concepts dans les milieux de santé.
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