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Rehabilitation, language, and power: interdiscursive relationships between policy strategies and professional practices in Norway

ABSTRACT The Norwegian government implemented a comprehensive welfare reform in 2012 to better manage an increasingly care-demanding patient demography while meeting budgetary constraints. This article discusses interdiscursive relationships between policy strategies and language use among rehabilitation professionals. It is based on a synthesis of textual analyses of policy documents and of transcribed interviews to produce complex insights into current rehabilitation discourse. The synthetic product is expressed in the form of two nodal discourses which subsume and articulate in particular ways the constituent discourses of the policies and interviews. One nodal discourse approaches rehabilitation as a clinical practice; the other concerns rehabilitation as a management practice. These discourses serve different purposes. One is based in traditional medical science as a means for political action and relates to the body as an object of government policies and practices. The other relies on the individual as a subject of life regulation governance. The management perspective of rehabilitation has gained force in the constraint in service availability instituted by the reform, including shorter stays with rapid discharge from hospitals to municipalities or home. The article argues that the policy strategies are fundamental to understanding the logic of current rehabilitation discourses.