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Diagnosis of autism in the UK is generally made within a multidisciplinary team setting and is primarily based on observation and clinical interview. We examined how clinicians diagnose autism in practice by observing post‐assessment meetings in specialist autism teams. Eighteen meetings across four teams based in the south of England and covering 88 cases were audio‐recorded, transcribed and analysed using thematic analysis. We drew out two themes, related to the way in which clinicians expressed their specialist disciplinary knowledge to come to diagnostic consensus: Feeling Autism in the Encounter; and Evaluating Testimonies of Non‐present Actors. We show how clinicians produce objective accounts through their situated practices and perform diagnosis as an act of interpretation, affect and evaluation to meet the institutional demands of the diagnostic setting. Our study contributes to our understanding of how diagnosis is accomplished in practice. [ABSTRACT FROM AUTHOR]

This essay aims to reflect on the historic role of the pro-breastfeeding discourses in the conformation of certain popular motherhood models in the contemporary Western world, a theme that has been provoking discussions in countries like England, the United States and Canada, among others. Its theoretical and methodological basis is comprised of two main fields: the first one is the Theory of Social Discourses or Semiology of Social Discourses, which, when applied to the empirical material by means of Discourse Analysis, understands the discourse as a constitutive/constituent element of social power relations; analyzes it based on its textual marks or clues; questions the privileged and naturalized meanings of said discourses, relating them to the pertaining ideologies, be they conscious or unconscious, in their conception and thinks communication as a process of negotiation of meanings between the producer and the receiver The other is Gender Studies, which questions the supposed sexual essence of the concepts of masculine and feminine, arguing that they are, in fact, immersed in the political sphere and act so as to legitimize the inequality in the distribution of power between the sexes in society. In accordance with the analysis of the official discourses that laid the foundation for this article, the contemporary pro-breastfeeding discourses corroborate, to a large extent, the conception of a mother's breasts, body and subjectivity as objects of external regulations, making the woman a means of providing the best food to the child. In this way, they compete for the conformation and conservation of certain motherhood models in force today, which establish a record of the social zeitgeist about what it means to be a "good mother". [ABSTRACT FROM AUTHOR]

The limited existing research on diabetes management and intellectual disabilities ( ID) highlights the need for further exploration of the concept of responsibility. This study explored repertoires of responsibility in accounts of managing diabetes for adults with ID. Fourteen semi-structured interviews were conducted in the UK with seven adults with mild/moderate ID and type 1 or 2 diabetes and seven people who they nominated as supporting their diabetes management. A discursive psychological analysis found that interpretative repertoires relating to competence, independence and accountability were drawn on to construct multiple and sometimes conflicting versions of responsibility. Within these repertoires people with ID were positioned in conflicting ways; as competent, personally responsible, and entitled to independence and choice, but as also lacking competence, dependent on others and incapable of overall accountability. People with ID often took up empowering positions defending against an incompetent identity. Supporters built accounts which negotiated dilemmatic repertoires on the dual responsibilities of empowering adults with ID to self-manage and managing risk to support good and safe care. The implications of available discursive resources and the ways in which they are mobilised are considered. [ABSTRACT FROM AUTHOR]