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Responsibilizing individuals, regulating health: debating public spots, risk, and neoliberal governmentality in contemporary Turkey

Published online by Cambridge University Press:  30 December 2015

Bahar Aykan  and
Sanem Güvenç-Salgırlı
Bahar Aykan
Affiliation:
Department of Sociology, Marmara University, Göztepe Kampüsü, 34722, Kadıköy, İstanbul, Turkey, [email protected].
Sanem Güvenç-Salgırlı
Affiliation:
Department of Sociology, Marmara University, Göztepe Kampüsü, 34722, Kadıköy, İstanbul, Turkey, [email protected].
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Abstract

Currently, a mass media campaign is underway in Turkey using a new communication means called the “public spot” (kamu spotu). This article concentrates on the public spots produced by Turkey’s Ministry of Health, and more specifically on those that advocate quitting smoking and preventing obesity. Drawing on interviews with Ministry of Health personnel and analyzing the content of these spots, we suggest that they operate as risk caveats. They caution individuals against smoking and obesity’s potential harms and guide her/him towards self-health governance by encouraging the maintenance of a particular lifestyle that embraces a balanced diet, regular activity, and no smoking. As such, we read these spots as a technique of neoliberal governmentality. This technique works primarily by responsibilizing individuals as health entrepreneurs investing in risk free lifestyles; that is, by conceptualizing health as a matter of self-conduct where personal responsibilities are emphasized.

Keywords

Neoliberal governmentalityresponsibilizationhealth governancepublic spotsTurkey.
Type
Articles
Information
New Perspectives on Turkey , Volume 53 , November 2015 , pp. 71 - 92
Copyright
© New Perspectives on Turkey and Cambridge University Press 2015 

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Footnotes

Authors’ Note: We would like to thank three anonymous referees for their constructive comments and critical review of the manuscript. The research for this article was funded by the Scientific Research Unit of Marmara University as part of the project with the code SOS-A-101013-0409 and entitled “Neoliberal Yönetimsellik Kavramı Işığında Kamu Spotlarına Sosyolojik bir Bakış.”

References

Akdağ, Recep. Health Transformation Program in Turkey and Primary Health Care Services – November 2002–2008. Ankara: Sağlık Bakanlığı, 2008.Google Scholar
Akdağ, Recep. Turkey Health Transformation Program Evaluation Report (2003–2010). Ankara: Sağlık Bakanlığı, 2011.Google Scholar
Amoore, Louise and de Goede, Marieke. “Introduction: Governing by Risk in the War on Terror.” In Risk and the War on Terror, edited by Louise Amoore, and Marieke de Goede, 5–19. London: Routledge, 2008.CrossRefGoogle Scholar
Aradau, Claudia and Munster, Rens Van. “Governing Terrorism through Risk: Taking Precautions, (un)Knowing the Future.” European Journal of International Relations 13 (2007): 89–115.CrossRefGoogle Scholar
Barnett, Clive, Cloke, Paul, Clarke, Nick, and Malpass, Alice. “The Elusive Subjects of Neo-liberalism.” Cultural Studies 22 (2008): 624–653.CrossRefGoogle Scholar
Beck, Ulrich. Risk Society: Towards a New Modernity. London: Sage Publications, 1992.Google Scholar
Binkley, Sam. “Governmentality and Lifestyle Studies.” Sociology Compass 1 (2007): 111–126.CrossRefGoogle Scholar
Briggs, Charles L. and Hallin, Daniel C.. “Biocommunicability: The Neoliberal Subject and its Contradictions in News Coverage of Health Issues.” Social Text 25 (2006): 43–66.CrossRefGoogle Scholar
Brown, Wendy. Edgework: Critical Essays on Knowledge and Politics. Princeton: Princeton University Press, 2005.Google Scholar
Burchell, Graham. “Liberal Government and Techniques of the Self.” In Foucault and Political Reason: Liberalism, Neo-liberalism and Rationalities of Government, edited by Andrew Barry, Thomas Osborne, and Nicholas Rose, 19–36. Chicago: University of Chicago Press, 1996.Google Scholar
Clarke, John. “Living With/in and Without Neo-liberalism.” Focaal 51 (2008): 135–147.CrossRefGoogle Scholar
Crawshaw, Paul. “Governing at a Distance: Social Marketing and the (Bio)politics of Responsibility.” Social Science and Medicine 75 (2012): 200–207.CrossRefGoogle Scholar
Danış, Mehmet Zafer, Karataş, Kasım, and Şahin, Mehmet Cem. “Reflections of Neoliberal Policies on Health-Care Field and Social Work Practices Directed Towards the Empowerment of Person with Chronic Illness and His/Her Family in the Globalization Process.” World Applied Sciences Journal 5 (2008): 224–235.Google Scholar
Dean, Mitchell. “Rethinking Neoliberalism.” Journal of Sociology 50 (2014): 150–163.CrossRefGoogle Scholar
Dean, Mitchell. Governmentality: Power and Rule in Modern Society. London: Sage, 2010.Google Scholar
Evans, Bethan. “Anticipating Fatness: Childhood, Affect and the Pre-emptive ‘War on Obesity’.” Transactions of the Institute of British Geographers 35 (2010): 21–38.CrossRefGoogle Scholar
Fletcher, Robert. “Neoliberal Environmentality: Towards a Poststructuralist Political Ecology of the Conservation Debate.” Conservation and Society 8 (2010): 171–181.CrossRefGoogle Scholar
Foucault, Michel. The Birth of Biopolitics: Lectures at the Collège de France 1978–1979. Translated by Graham Burchell. New York: Picador, 2008.Google Scholar
Fullagar, Steve. “Governing Healthy Family Lifestyles through Discourses of Risk and Responsibility.” In Biopolitics and the “Obesity Epidemic”: Governing Bodies, edited by J. Wright, and V. Harwood, 108–126. New York: Routledge, 2009.Google Scholar
Gilbert, Emilee. “The Art of Governing Smoking: Discourse Analysis of Australian Anti-Smoking Campaigns.” Social Theory and Health 6 (2008): 97–116.CrossRefGoogle Scholar
Glasgow, Sara M. “The Politics of Self-Craft: Expert Patients and the Public Health Management of Chronic Disease.” SAGE Open 2 (2012): 1–11.CrossRefGoogle Scholar
Goldstein, Daniel M. ““Flexible Justice: Neoliberal Violence and ‘Self-Help’ Security.” Critique of Anthropology 25 (2005): 389–411.CrossRefGoogle Scholar
Guthman, Julia and DuPuis, Melanie. “Embodying Neoliberalism: Economy, Culture, and the Politics of Fat..” Environment and Planning D: Society and Space 24 (2006): 427–448.CrossRefGoogle Scholar
Guthman, Julia. “Teaching the Politics of Obesity: Insights into Neoliberal Embodiment and Contemporary Biopolitics.” Antipode 41 (2009): 1110–1133.CrossRefGoogle Scholar
Güven-Uslu, Pınar and Yaşar, Gülbiye Yenimahalleli. “Performance Management Policies of Health Systems in Turkey and England: A Critical Comparative Review.” Accessed March 1, 2015. http://umdcipe.org/conferences/Moscow/moscow_papers.html.Google Scholar
Hamann, Trent H. “Neoliberalism, Governmentality, and Ethics.” Foucault Studies 6 (2009): 37–59.CrossRefGoogle Scholar
Harding, Jennifer. “Bodies at Risk: Sex, Surveillance and Hormone Replacement Therapy.” In Foucault, Health and Medicine, edited by Alan Petersen and Robin Bunton, 134–150. London: Routledge, 2002.Google Scholar
Harvey, David. A Brief History of Neoliberalism. Oxford: Oxford University Press, 2005.CrossRefGoogle Scholar
Hsieh, Chee-Ruey, Yen, Lee-Lan, Liu, Jin-Tan, and Jeng Lin, Chyongchiou. “Smoking, Health Knowledge, and Anti-Smoking Campaigns: An Empirical Study in Taiwan.” Journal of Health Economics 15 (1996): 87–104.CrossRefGoogle ScholarPubMed
Joseph, Jonathan. “The Limits of Governmentality: Social Theory and the International.” European Journal of International Relations 16 (2010): 223–246.CrossRefGoogle Scholar
Joseph, Jonathan. The Social in the Global: Social Theory, Governmentality and Global Politics. Cambridge: Cambridge University Press, 2012.CrossRefGoogle Scholar
Kavanagh, Anne M. and Broom, Dorothy. “Embodied Risk: My Body, Myself?.” Social Science and Medicine 46 (1998): 437–444.CrossRefGoogle ScholarPubMed
Koçak, Orhan and Tiryaki, Davut. “Sosyal Devlet Anlayışında Sağlık Politikalarının Önemi ve Sağlıkta Dönüşüm Programının Değerlendirilmesi: Yalova Örneği.” İstanbul Ticaret Üniversitesi Sosyal Bilimler Dergisi 10 (2011): 55–88.Google Scholar
LeBesco, Kathleen. “Neoliberalism, Public Health, and the Moral Perils of Fatness.” Critical Public Health 21 (2011): 153–164.CrossRefGoogle Scholar
Lemke, Thomas. ‘“The Birth of Bio-politics’: Michel Foucault’s Lecture at the Collège de France on Neo-liberal Governmentality.” Economy and Society 30 (2001): 190–207.CrossRefGoogle Scholar
Lemke, Thomas. “Foucault, Governmentality, and Critique.” Rethinking Marxism: A Journal of Economics, Culture and Society 14 (2002): 49–64.CrossRefGoogle Scholar
Lindsay, Jo. “Healthy Living Guidelines and the Disconnect with Everyday Life.” Critical Public Health 20 (2010): 475–487.CrossRefGoogle Scholar
Lupton, Deborah. “Sociology and Risk.” In Beyond the Risk Society: Critical Reflections on Risk and Human Security, edited by G. Mythen and Sandra Walklate, 11–24. Berkshire: Open University Press, 2006.Google Scholar
Manzenreiter, Wolfram. “Monitoring Health and the Body: Anthropometry, Lifestyle Risks, and the Japanese Obesity Crisis.” The Journal of Japanese Studies 38 (2012): 55–84.CrossRefGoogle Scholar
Miller, Peter and Nicholas, Rose. “Mobilizing the Consumer: Assembling the Object of Consumption.” Theory, Culture and Society 14 (1997): 1–36.CrossRefGoogle Scholar
Ministry of Health of Turkey General Directorate of Primary Health Care. Obesity Prevention and Control Program of Turkey 2010–2014. Ankara: Kuban, 2010.Google Scholar
Ministry of Health. National Tobacco Control Programme and Action Plan of Turkey 2008–2012. Ankara: Sağlık Bakanlığı, 2008.Google Scholar
Mitchell, Kim. “Neoliberal Governmentality in the European Union: Education, Training, and Technologies of Citizenship.” Environment and Planning D: Society and Space 24 (2006): 389–407.CrossRefGoogle Scholar
Mythen, Gabe and Walklate, Sandra. “Criminology and Terrorism: Which Thesis? Risk Society or Governmentality?” British Journal of Criminology 46 (2006): 379–398.CrossRefGoogle Scholar
O’Malley, Pat. “Risk and Responsibility.” In Foucault and Political Reason: Liberalism, Neo-liberalism and Rationalities of Government, edited by Andrew Barry, Thomas Osborne, and Nicholas Rose, 189–208. Chicago: University of Chicago Press, 1996.Google Scholar
OECD. OECD Reviews of Health Systems – Turkey. Paris: OECD Publications, 2008.Google Scholar
Read, Jason. “A Genealogy of Homo-Economicus: Neoliberalism and the Production of Subjectivity.” Foucault Studies 6 (2009): 25–36.CrossRefGoogle Scholar
Rose, Nicholas. Powers of Freedom: Reframing Political Thought. Cambridge: Cambridge University Press, 1999.CrossRefGoogle Scholar
Rutherford, Stephanie. “Green Governmentality: Insights and Opportunities in the Study of Nature’s Rule.” Progress in Human Geography 31 (2009): 291–307.CrossRefGoogle Scholar
Schinkel, Willen and van Houdt, Friso. “The double helix of cultural assimilationism and neo-liberalism: citizenship in contemporary governmentality.” The British Journal of Sociology 61 (2010): 696–715.CrossRefGoogle ScholarPubMed
Sulku, Nur S. and Bernard, Minbay D.. “Financial Burden of Health Care Expenditures: Turkey.” Iranian Journal of Public Health 41 (2012): 48–64.Google ScholarPubMed
Tatar, Mehtap and Kanavos, Panos. “Health Care Reform in Turkey.” Eurohealth 12 (2006): 20–22.Google Scholar
Thompson, L.E., Barnett, J.R., and Pearce, J.R.. “Scared Straight? Fear-appeal, Anti-smoking Campaigns, Risk, Self-efficacy and Addiction.” Health, Risk, and Society 11 (2009): 181–196.CrossRefGoogle Scholar
Yaşar, Yavuz. “Turkey’s Environment and Public Health in the Neo-liberal Age: An Inconvenient Truth.” The Arab World Geographer 15 (2012): 22–44.Google Scholar