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乳腺癌叙事中的“乳房话题”

Breast talk in breast cancer narratives.

作者信息

Langellier K M, Sullivan C F

机构信息

Department of Communication and Journalism, University of Maine, Orono 04469-5724, USA.

出版信息

Qual Health Res. 1998 Jan;8(1):76-94. doi: 10.1177/104973239800800106.

Abstract

Breast cancer often involves uniquely mutilating treatments and is frequently assumed to produce problems specifically associated with feminine identity: body image and sexuality. But empirical research to support this assumption is sometimes mixed and nearly always quantitative in method. This study examines breast talk--specific references to breasts and breast cancer in women's illness narratives--collected in 20 open-ended, in-depth interviews with 17 White, middle-class survivors in Maine. Participants varied in age, marital status, motherhood sexual orientation, family history of breast cancer, medical diagnoses, and treatments. Phenomenological analysis of the breast talk resulted in four interrelated clusters of meanings: the medicalized breast, the functional breast, the gendered breast, and the sexualized breast. The analysis suggests both greater and fewer problems with femininity, sexuality, and body image than presumed by much research, and it urges researchers not to reproduce the objectifications and stereotyping of sexist culture.

摘要

乳腺癌常常涉及极具破坏性的治疗方法,人们通常认为它会引发一些与女性身份特质密切相关的问题,比如身体形象和性方面的问题。但支持这一假设的实证研究结果有时并不一致,而且几乎都是采用定量研究方法。本研究考察了“乳房话题”——在对缅因州17名白人中产阶级乳腺癌幸存者进行的20次开放式深度访谈中收集到的女性疾病叙事中对乳房和乳腺癌的具体提及。参与者在年龄、婚姻状况、生育情况、性取向、乳腺癌家族病史、医学诊断及治疗方式等方面存在差异。对乳房话题的现象学分析得出了四个相互关联的意义类别:医学化的乳房、功能性的乳房、具有性别特征的乳房以及性化的乳房。该分析表明,与许多研究所推测的相比,女性气质、性和身体形象方面的问题更多也更少,它敦促研究人员不要重现性别歧视文化中的客观化和刻板印象。

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