Critical discourse analysis on the influence of media commentary on fatal fetal anomaly in Ireland

Abstract

Fatal Fetal Anomaly (FFA) has generated international media attention as termination of pregnancy (TOP) for FFA was legislated for, for the first time in Ireland. Media offers an insight into what health-related information is available to the public and how it is presented to them. The aim of this study was to examine how information related to FFA, TOP for FFA and perinatal palliative care (PPC) were framed in Irish published media. A critical discourse analysis, which examines the relations between discourse and social and cultural phenomena was implemented. Habermasian’s framework facilitated an objective analysis of the text, to facilitate interpretation and understanding of socially produced meanings. A broadsheet and journal were chosen. Dated from 2012 to 2017, 129 articles were identified. Themes of personification of the unborn, human rights and power and politics were embedded in the discourse, creating political influence to sway perceptions and views. Terminology were chosen by different ideological perspectives to create varying contexts and support arguments. PPC was suppressed within the published media. This study highlights misrepresentations in the information delivered to the public and suggests the need for healthcare professionals to expand their media literacy and develop these skills with their patients.

Keywords

maternity care discourse analysis gender and health death dying and bereavement

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References

Amnesty International (2017) UN highlights the shame of Ireland’s harsh abortion laws. Available at: https://www.amnesty.org/en/latest/news/2017/06/un-highlights-the-shame-of-irelands-harsh-abortion-laws/ (accessed 9 August 2018).

Aodha

(2018) Referendum day: The world’s media watches as Ireland goes to the polls, TheJournal.ie. Available at: http://www.thejournal.ie/international-coverage-referendum-4033554-May2018/ (accessed 10 December 2018).

Association for Children with Life-Threatening or Terminal Conditions and Their Families (ACT) and Royal College of Paediatrics and Child Health (RCPCH) (2018) A Guide to the development of children’s palliative care services, supporting babies, children and young people with life-limiting and life-threatening conditions and their families (4th ed.). Available at: https://www.togetherforshortlives.org.uk/wp-content/uploads/2018/03/TfSL-A-Guide-to-Children%E2%80%99s-Palliative-Care-Fourth-Edition-5.pdf (accessed 12 May 2019).

Browne

(2016) Bereavement Care Standards Development Group. National standards for Bereavement Care Following Pregnancy Loss and Perinatal Death. Dublin: Health Service Executive.

Centre for Family and Human Rights (2019) Once more Trump keeps Abortion out at UN Security Council. Available at: https://c-fam.org/friday_fax/once-more-trump-keeps-abortion-out-at-un-security-council/ (accessed 11 November 2019).

Center for Reproductive Rights (2013) New Legislation Introduced in Ireland Would Provide Needed Clarity on Legal Abortion For Women Suffering Life-Threatening Conditions.

Centre for Reproductive Rights (2016) Committee finds Ireland’s abortion laws are cruel, inhumane and degrading. Available at: https://reproductiverights.org/press-room/un-committee-finds-irelands-abortion-laws-are-cruel-inhumane-and-degrading?_ga (accessed 11 November).

Centre for Reproductive Rights (2017) Trump orders global gag rule, cuts off vital, safe abortion services for women. Available at: https://reproductiverights.org/press-room/trump-orders-global-gag-rule-cuts-off-vital-safe-abortion-services-for-women (accessed 11 November).

Courtwright

Laughon

Doron

(2011) Length of life and treatment intensity in infants diagnosed prenatally or postnatally with congenital anomalies considered to be lethal. Journal of Perinatology 31(6): 387–391.

10.

Cukier

Ngwenyama

Bauer

, et al. (2009) A critical analysis of media discourse on information technology: Preliminary results of a proposed method for critical discourse analysis. Journal Info Systems 19(2): 175–196.

11.

De Londras

(2015) Constitutionalizing fetal rights: A salutary tale from Ireland. Michigan Journal of Gender & Law 22(2): 243.

12.

Donoghue

Smyth

C-M

(2013) Abortion for foetal abnormalities in Ireland; The limited scope of the Irish Government’s response to the A, B and C judgment. European Journal of Health Law 20(2): 117–143.

13.

Duriau

Reger

Pfarrer

(2007) A content analysis of the content analysis literature in organization studies research themes, data sources, and methodological refinements. Organizational Research Methods 10(1): 5–34.

14.

Evans-Agnew

Johnson

Liu

, et al. 2016) Applying critical discourse analysis in health policy research: Case studies in regional, organizational, and global health. Policy, Politics, & Nursing Practice 17(3): 136–146.

15.

Erasmus (2017) Ireland and religion, the ebb and flow of diagnosis of religious power in the Irish republic. Available at: https://www.economist.com/erasmus/2017/06/05/the-ebb-and-flow-of-religious-power-in-the-irish-republic (accessed 11 November 2019).

16.

European Court of Human Rights (2010) A, B and C v. Ireland, No. 25579/05.

17.

Fairclough

(1993) Critical discourse analysis and the marketization of public discourse: The universities. Discourse and Society 4: 122–169.

18.

Fairclough

(1995) Critical Discourse Analysis: The Critical Study of Language. London and New York, NY: Longman.

19.

Fairclough

(2001) Language and Power. New York, NY: Longman.

20.

Fairclough

(2009) A dialectical-relational approach to critical discourse analysis in social research. In: Wodak

Meyer

(eds) Methods of Critical Discourse Analysis, 2nd edn. London: SAGE.

21.

Feltham-King

Macleod

(2016) How content analysis may complement and extend the insights of discourse analysis: An example of research on constructions of abortion in South African newspapers 1978–2005. International Journal of Qualitative Methods 15(1): 1–9.

22.

Fleming

Iljuschin

Pehlke-Milde

, et al. (2016) Dying at life’s beginning: Experiences of parents and health professionals in Switzerland when an ‘in utero’ diagnosis incompatible with life is made. Midwifery 34: 23–29.

23.

Fuller

(2005) Religion, politics and socio-cultural change in twentieth-century Ireland. The European Legacy 10(1): 41–54.

24.

Gee

(2010) An Introduction to Discourse Analysis: Theory and Method. New York, NY: Routledge, Taylor and Francis.

25.

Gillespie

Toynbee

(2006) Analysing Media Texts. England: Open University Press.

26.

Global Justice Centre (2018) United Sates of America, UPR mid-term submission to the UN Rights Council. Available at: https://www.ohchr.org/_layouts/15/WopiFrame.aspx?sourcedoc=/Documents/HRBodies/UPR/NGOsMidTermReports/GlobalJusticeCenter_USA.docx&action=default&DefaultItemOpen=1 (accessed 11 November 2019).

27.

Government of Ireland (1983) Eighth amendment of the constitution act, 1983.

28.

Gubrium

Holstein

(1998) Narrative practice and the coherence of personal stories. Sociological Quarterly 39(1): 163–187.

29.

Habermas

(2006) Political communication in media society: Does democracy still enjoy an epistemic dimension? The impact of normative theory on empirical research. Communication Theory 16(4): 411–426.

30.

Habermas

Fultner

(2003) On the Pragmatics of Social Interaction: Preliminary Studies in the Theory of Communicative Action. Cambridge: Polity Press.

31.

Health Service Executive (HES) (2016) National Standards for Bereavement Care following Pregnancy Loss and Perinatal Death. Bereavement Care Standards Development Group.

32.

Health Service Executive (HSE) (2017) Congenital Anomaly Registers in Ireland. HSE, Stationary Office Dublin.

33.

House of the Oireachtas (2017) Report of the Joint Committee on the Eighth Amendment of the Constitution. Stationary Office Dublin.

34.

Houses of the Oireachtas (2018) Thirty-sixth Amendment of the Constitution Bill 2018. Stationary Office Dublin.

35.

Hull

NEH

Hoffer

(2001) Roe v. Wade: The Abortion Rights Controversy in American History. University Press of Kansas.

36.

Irish Family Planning Association. Free post-abortion check-up. Available at: https://www.ifpa.ie/get-care/free-post-abortion-check-up/ (accessed 22 October 2018).

37.

Jorgensen

Philips

(2010) Discourse Analysis as Theory and Method. London, Thousand Oaks, CA and New Delhi: SAGE.

38.

Joye

(2010) News discourses on distant suffering: A critical discourse analysis of the 2003 SARS outbreak. Discourse & Society 21(5): 586–601.

39.

Kress

Van Leeuwen

(2006) Reading Images: The Grammar of Visual Design. London: Routledge.

40.

Ling

Payne

Connaire

, et al. (2015) Parental decision-making on utilisation of out-of-home respite in children’s palliative care: Findings of qualitative case study research - a proposed new model. Child: Care, Health and Development 42(1): 51–59.

41.

Mullet

(2018) A general critical discourse analysis framework for educational research. Journal of Advanced Academics 29(2): 116–142.

42.

Potter

(2012) Media Effects. Los Angeles, CA: Sage.

43.

Power

Meaney

O’Donoghue

(2018) An assessment of the general public’s knowledge of fatal fetal anomalies. Prenatal Diagnosis 38(11): 883–890.

44.

Rachul

Caulfield

(2015) The media and access issues: Content analysis of Canadian newspaper coverage of health policy decisions. Orphanet Journal of Rare Diseases 10: 102.

45.

Richardson

(2007) Analysing Newspapers: An Approach from Critical Discourse Analysis. New York, NY: Palgrave MacMillan.

46.

Robinson

(2013) Pregnancy loss. Best practice and research. Clinical Obstetrics and Gynaecology 28(1): 169–178.

47.

Sambaiga

Haukanes

Moland

, et al. (2019) Health, life and rights: A discourse analysis of a hybrid abortion regime in Tanzania. International Journal for Equity in Health 18: 1–12.

48.

Shirazi

(2013) Social media and the social movements in the Middle East and North Africa: A critical discourse analysis. Information Technology & people 26(1): 28–49.

49.

United Nations Human Rights (2018) States must act now to allow safe, legal abortions for women and girls, say UN rights experts. Available at: https://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=23646&LangID=E (accessed 11 November 2019).

50.

Vahdat

Hamzehgardeshi

Hessam

, et al. (2014) Patient involvement in health care decision making: A review. Iranian Red Crescent Medical Journal 16(1): 1–7.

51.

van Bekkum

Hilton

(2013) Primary care nurses’ experiences of how the mass media influence frontline healthcare in the UK. BMC Family Practice 14(1): 178.

52.

Van Dijk

(2001) Critical discourse analysis. In: Tannen

Schiffrin

Hamilton

(eds) Handbook of Discourse Analysis. Oxford: Blackwell.

53.

Van Dijk

(2009) Critical discourse studies. In: Wodak

Meyer

(eds) Methods of Critical Discourse Analysis. Thousand Oaks, CA: SAGE.

54.

Wettstein

Wirth

(2017) Media effects: How media influence voters. Swiss Political Science Review 23(3): 262–269.

55.

Wilkinson

DJC

Thiele

Watkins

, et al. (2012) Fatally flawed? A review and ethical analysis of lethal congenital malformations. BJOG: An International Journal of Obstetrics & Gynaecology 119(11): 1302–1308.

56.

Wodak

Meyer

(2009) Methods for Critical Discourse Analysis. London: Sage.

57.

Woodruff

(2019) Coverage of abortion in select U.S. Newspapers. Women’s Health Issues 29(1): 80–86.

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