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The Condom as “Permission slip”: Synecdoche and Contestation in New York City HIV/AIDS Education Policy Discourse

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Abstract

This article examines the role of the condom in policy discourse about HIV/AIDS education in New York City in the early 1990s. Analysis of formal statements of policymakers and other actors engaged in this formative debate shows that abstinence advocates used the discursive mechanism of synecdoche to capture the terms of argumentation and advance their policy agenda. They viewed condoms as inappropriately granted “permission slips” for sexual activity and focused their argumentation on one aspect of HIV/AIDS preventive measures, a plan to make condoms available to the city’s high school students. Proponents of comprehensive HIV/AIDS education attempted to counter the condom synecdoche by reasserting the larger curriculum and falsifying the synecdoche’s logical basis. This analysis illuminates the dynamics of New York City’s HIV/AIDS education policy discourse, showing how it not only made the resolution of underlying value differences difficult but also reduced the effectiveness of HIV prevention and sex education policy making. The case study also provides insights to achieve greater discursive parity and the development of a more durable policy consensus.

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Notes

  1. The relationship between metonymy and synecdoche has been the subject of disagreement: some view synecdoche as distinct from metonymy while others view it as a particular type of metonymy, and nearly all suggest that the two can “shade into one another” and make distinction difficult (Burke 1969: 503; Nerlich and Clarke 1999). Following Lakoff and Johnson, I view synecdoche as a “special case” of metonymy because metonymy can be more generally thought of as exhibiting a referential relationship that “allows us to use one entity to stand for another” but utilize the term synecdoche to refer precisely to that type which associates the part with the whole (2003: 36).

  2. For an example of contestation of synecdoche, see Moore 2009. However, Moore examined the use of irony as a mode of contesting synecdoche, rather than a more direct example as this article provides.

  3. Among new HIV diagnoses in the USA, those 13–29 years of age make up approximately one in five; in New York City, this rate is approximately one in three. Numbers calculated using 2009 data from United States Centers for Disease Control (2010) and New York City Department of Health and Mental Hygiene (2010).

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Acknowledgments

The author would like to thank the staff of the New York City Municipal Archive and the City Hall Library, in particular David Ment and Tobi Adler, who kindly facilitated access to documents. Final revision of this article was supported by the National Institute on Minority Health and Health Disparities (award number P20MD003942). The content is solely the responsibility of the author and does not necessarily represent the official views of the National Institute on Minority Health and Health Disparities or the National Institutes of Health.

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Correspondence to Amy Cabrera Rasmussen.

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Rasmussen, A.C. The Condom as “Permission slip”: Synecdoche and Contestation in New York City HIV/AIDS Education Policy Discourse. Sex Res Soc Policy 9, 293–305 (2012). https://doi.org/10.1007/s13178-012-0079-0

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