V. M. Skyrtach, R. S. Martynov, A. O. Karpenko


The purpose is to identify common and distinctive features of concepts and methodology of the problem of subject within different discourses, implicitly or explicitly relevant to the definition of "clinical" mode of human existence. The research methodology combines techniques of discourse analysis and basic principles of historical and philosophical studies. Originality of the research lies in definition of the clinical philosophical discourse as a special communicative process, where utterances not only focus on disease syndromes, and reveal phenomenology of inner experience of a pathological self, but also structure a certain type of sociality. Clinical discourse represents the space where the patient is treated not as a subject but as an object of disease. Ontology of clinical discourse prevails over ontology of disease, since its structures determine the notion of disease as such. Categorization of the disease, the idea of disease as a phenomenon subdued to professional authority leads to the idea of the need for patient’s isolation from the natural environment and removing him to special social institutions. The clinicist doctrines share the intention to reduce the patient’s self to its bodily dimension, while ignoring social determinants of psychological deviations. Conclusions of the study are summarized in the following positions: the current clinical discourse is based on the positivist-biological trend in humanitarian knowledge and it is the basis for the production and reproduction of medical and pharmaceutical repressive ideology; criticism of philosophical clinical discourse opens the possibility of overcoming the dominance of purely clinicist discourse; such a transformation is possible only after a paradigm shift in understanding the category of subject.


subject; clinical discourse; philosophical and clinical discourse; identity; care


Deyk T.A. van. Diskurs i vlast: Reprezentatsiya dominirovaniya v yazyke i kommunikatsii [Discourse and Power: Representation of dominance in language and communication].Moscow, LIBROKOM Publ., 2013. 344 p.

Yorgensen M.V., Fillips L.Dzh. Diskurs-analiz. Teoriya i metod [Discourse analysis. The theory and method]. Kharkiv, Izd-vo «Gumanitarnyy tsentr» Publ., 2008. 352 p.

Fuko M. Volya k istine: Po tu storonu znaniya, vlasti i seksualnosti [Will to truth: Beyond the knowledge, power and sexuality].Moscow, Kastal Publ., 1996. 448 p.

Apel K.-O. Diskurs und Verantwortung. Frankfurt-am-Mein, Suhrkamp Publ., 1988. 488p.

Attenborough F. Words, Contexts, Politics. Gender and Language, 2014, vol. 8, no. 2, pр. 137-145. doi: 10.1558/genl.v8i2.137

Dijk T. van. Sociocognitive Discourse Studies. Available at: (Accessed 15 September 2016).

Evans D. Language and identity. London, Bloomsbury Publ., 2015. 235 p.

Fairclough N. Discourse and social change. Cambridge, Polity Press Publ., 1992. 260 p.

Fairclough N. Critical discourse analysis: The critical study of language. London, Routledge Publ., 2013. 608 p.

Garfinkel H. Ethnomethodological studies of work. New York, Routledge Publ., 2010. 210 p. doi: 10.4324/9780203996867

Gee J. Social Linguistics and Literacies Ideology in Discourses. New York, Routledge Publ., 2015. 282 p.

Grue J. Disability and discourse analysis. Farnham, Ashgate Publ., 2015. 156 p.

Habermas J. Moralbewusstsein und kommunikatives Handeln. Frankfurt-am-Mein, Suhrkamp Publ., 1993. 207 p.

14. Hall S. Foucault: Power, knowledge and discourse. Discourse Theory and Practice: a Reader. London, Sage Publ., 2001, pp. 72-80.

Laclau E. Mouffe C. Hegemony and Socialist Strategy. Toward a Radical Democratic. London, Verso Publ., 2001. 197 р.

Potter J. Representing reality: discourse, rhetoric and social construction. London, Sage Publ., 1996. 254 p. doi: 10.4135/9781446222119

Potter J. Re-reading discourse and social psychology: transforming social psychology. British Journal of Social Psychology, 2012, no. 51 (3), pp. 436-455. doi: 10.1111/j.2044-8309.2011.02085.x

Searle J.R. Making the Social World: The Structure of Human Civilization. Oxford, Oxford University Press Publ., 2010. 208 p.

Seriot P. Analyse du discours politique soviétique. Paris, IMSECO Publ., 1985. 362 p.

GOST Style Citations

  1. Дейк, Т. А. ван. Дискурс и власть: Репрезентация доминирования в языке и коммуникации / Т. А. ван Дейк. – Москва : Книжный дом «ЛИБРОКОМ», 2013. – 344 с.
  2. Йоргенсен, М. В. Дискурс-анализ. Теория и метод / М. В. Йоргенсен, Л. Дж. Филлипс. – 2-е изд., испр. – Харьков : Изд-во «Гуманитарный центр», 2008. – 352 с.
  3. Фуко, М. Воля к истине: По ту сторону знания, власти и сексуальности / М. Фуко [пер. с фр. С. Табачниковой]. – Москва : Касталь, 1996. – 448 с.
  4. Apel, K.-O. Diskurs und Verantwortung / K.-O. Apel. – Frankfurt-am-Mein : Suhrkamp, 1988. – 488 p.
  5. Attenborough, F. Words, Contexts, Politics / F. Attenborough // Gender and Language. – 2014. – Vol 8, Iss. 2. – P. 137–145. doi: 10.1558/genl.v8i2.137
  6. Dijk, T. van. Sociocognitive Discourse Studies [Електронний ресурс] / T. van Dijk. – Режим доступу: – Назва з екрана. – Перевірено : 06.12.2016.
  7. Evans, D. Language and identity / D. Evans. – London : Bloomsbury, 2015. – 235 p.
  8. Fairclough, N. Discourse and social change / N. Fairclough. – Cambridge : Polity Press, 1992. – 260 p.
  9. Fairclough, N. Critical discourse analysis: The critical study of language. / N. Fairclough. – New York : Routledge, 2013. – 608 p.
  10. Garfinkel, H. Ethnomethodological studies of work / H. Garfinkel. – New York : Routledge, 2010. – 210 p. doi: 10.4324/9780203996867
  11. Gee, J. Social Linguistics and Literacies Ideology in Discourses / J. Gee. – New York : Routledge, 2015 – 282 p.
  12. Grue, J. Disability and discourse anslysis / J. Grue. – Farnham : Ashgate, 2015. – 156 p.
  13. Habermas, J. Moralbewusstsein und kommunikatives Handeln / J. Habermas – Frankfurt-am-Mein : Suhrkamp, 1993. – 207 p.
  14. Hall, S. Foucault: Power, knowledge and discourse / S. Hall // Discourse Theory and Practice: a reader. – London : Sage, 2001. – P 72–80.
  15. Laclau, E. Hegemony and Socialist Strategy. Toward a Radical Democratic Politics / E. Laclau, C. Mouffe. – London : Verso, 2001. – 197 р.
  16. Potter, J. Representing reality: discourse, rhetoric and social construction / J. Potter. – London : Sage, 1996. – 254 p. doi: 10.4135/9781446222119
  17. Potter, J. Re-reading discourse and social psychology: transforming social psychology/ J. Potter // British Journal of Social Psychology. – 2012. – Vol. 51, Iss. 3. – P. 436-455. doi: 10.1111/j.2044-8309.2011.02085.x
  18. Searle, J. R. Making the Social World: The Structure of Human Civilization / J. R. Searle. – Oxford : Oxford University Press, 2010. – 208 p.
  19. Seriot, P. Analyse du discours politique soviétique / P. Seriot. – Paris : IMSECO, 1985. – 362 p.



V. M. Skyrtach
Anthropological Measurements of Philosophical Research  Issue: 13  First page: 7  Year: 2018  
doi: 10.15802/ampr.v0i13.131770

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