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The University of Arizona Making Sides: Power-Knowledge/Space in the Lyme Wars Item Type text; Electronic Dissertation Authors Davis, Georgia Elizabeth Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 30/09/2021 04:58:47 Link to Item http://hdl.handle.net/10150/632974 MAKING SIDES: POWER-KNOWLEDGE/SPACE IN THE LYME WARS by Georgia Davis __________________________ Copyright © Georgia Davis 2019 A Dissertation Submitted to the Faculty of the SCHOOL OF GEOGRAPHY AND DEVELOPMENT In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF PHILOSOPHY WITH A MAJOR IN GEOGRAPHY In the Graduate College THE UNIVERSITY OF ARIZONA 2019 2 3 STATEMENT BY AUTHOR This dissertation has been submitted in partial fulfillment of the requirements for an advanced degree at the University of Arizona and is deposited in the University Library to be made available to borrowers under rules of the Library. Brief quotations from this dissertation are allowable without special permission, provided that an accurate acknowledgement of the source is made. Requests for permission for extended quotation from or reproduction of this manuscript in whole or in part may be granted by the copyright holder. SIGNED: Georgia Davis 4 ACKNOWLEDGEMENTS This project was not only a departure from my thesis work, but far removed from my previous professional life in journalism. I give many thanks to Dr. John Paul Jones, III, whose patience was a blessing as I drifted through countless literatures looking for the right fit. I also give my appreciation to Mark Nichter who encouraged my interest in Lyme disease, Chris Lukinbeal for trusting me to take on a BS-GIST program, and Vincent del Casino for help and intellectual support. I appreciate the benefit of your time, experience and wisdom. I also offer many thanks to Anne Ranek, Sunčana Laketa, Jacob Miller, Valente Soto, Mari Galup, Ian Shaw, Laura Sharp, Jeff Garmany, Jessica De La Ossa, and Vanessa Massaro for all your guidance and wonderful Friday morning critiques. There are many others who contributed along the way and deserve more thanks than I can give: Melinda K. Butterworth, for driving around in the early morning hours collecting mosquito traps and discussing vector borne disease. I count you as a mentor and a friend. Brittany Davis, you were the best office mate a new grad student could get. Kristina Bishop, our coffee conversations were great fun and almost always productive. The many faculty who, along the way, offered me encouragement, advice, and helpful anecdotes from their own experience, from Sidnar J. Larson, to Jeannine Relly, Eliane Rubinstein, Mary Pierce, and countless others. You all kept me going. My kin are far away, so I am going to use this space to acknowledge my surrogate family who stayed with me through the intellectual and emotional process of writing a dissertation. To my coterie of ladies, Cindy Blue, Mascha Gemein, Brooke Prim, and Stacey Wadsworth who helped me laugh, celebrate, and dance. To my colleagues at the OIA and on the D2L team: Mark Bryant, Garrett Flora, Ana Laura Gonzales, Kris McGinnis, Christina Kalel, and Loretta Peters, you are the best. To Brooke Anderson, Tama Anderson, Kathy Atkins, and Anna Augustowska who cheered me on as life threw me some unexpected curveballs. And finally, to Carl Brown, who was steadfastly there even when I was not always present. You all have been my rock. This dissertation would not happened without you. 5 CONTENTS LIST OF FIGURES AND TABLES ....................................................................................................................... 8 ABSTRACT ...................................................................................................................................................... 9 Chapter 1 Introduction ............................................................................................................................... 10 Background ............................................................................................................................................. 11 The Lyme Wars .................................................................................................................................... 11 The Mainstream Camp ........................................................................................................................ 17 Research Design ...................................................................................................................................... 20 Theoretical Framework ....................................................................................................................... 20 Methodological Framework ................................................................................................................ 21 Context ................................................................................................................................................ 22 Broader Impacts ...................................................................................................................................... 24 Dissertation Structure ............................................................................................................................. 26 Chapter 2 Context and Theoretical Framework ......................................................................................... 28 Context .................................................................................................................................................... 28 Health Geography ............................................................................................................................... 28 The Changing Character of Care under Neoliberalism ....................................................................... 32 Theoretical Framework ........................................................................................................................... 39 Power and Knowledge ........................................................................................................................ 39 Power and Language ........................................................................................................................... 41 Power and Space ................................................................................................................................. 43 Power-Knowledge/Space .................................................................................................................... 47 Conclusion ............................................................................................................................................... 51 Chapter 3 Methodological Framework ....................................................................................................... 53 Methodology ........................................................................................................................................... 53 Phase 1: Data and Coding Framework ................................................................................................ 53 Phase 2: Content Analysis ................................................................................................................... 57 Phase 3: Discourse Analysis ................................................................................................................ 58 A Note on Language ................................................................................................................................ 61 6 Coming Next ............................................................................................................................................ 62 Chapter 4 Scientific spaces ......................................................................................................................... 63 The Map .................................................................................................................................................. 63 Regularities ......................................................................................................................................... 63 P-K/S and the Map .............................................................................................................................. 66 Hospitals .................................................................................................................................................. 85 Regularities ......................................................................................................................................... 86 P-K/S and Hospitals ............................................................................................................................. 87 Clinics .................................................................................................................................................... 102 Regularities ....................................................................................................................................... 102 P-K/S and Clinics ................................................................................................................................ 104 Conclusion
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