Loyola Maria Andréa
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, 20559-900, Brasil.
Cad Saude Publica. 2003 Jul-Aug;19(4):875-84. doi: 10.1590/s0102-311x2003000400002. Epub 2003 Sep 8.
This paper discusses the role of medicine, ranging from the normative and technological control of women's sexuality ad reproductive process (childbirth, breastfeeding, contraception, and treatment of infertility) through the construction of a new (biological and social) reproductive model, based on a radical change of identities, relations, and forms of union between the sexes (a break with the traditional concept of marriage, growth of open unions, serial monogamy, etc.). This model is sustained by a radical distinction between sexuality and reproduction, related to a unique and horizontal model of sexuality (in opposition to the hierarchical 19th-century two-sexes model); the new model focuses mainly on pleasure and moves progressively away from social ties and affection. In addition to the contribution of medicine (notably through assisted reproduction) and sexology (universalization of the orgasm imperative), the paper also discusses the contribution of epidemiology (through AIDS-related research) to the transformation of a moral sexual norm into an abstract and merely statistical standard
本文探讨了医学的作用，其范围涵盖对女性性行为和生殖过程（分娩、母乳喂养、避孕及不孕症治疗）的规范与技术控制，通过构建一种新的（生物学和社会层面的）生殖模式来实现，这种模式基于性别之间身份、关系和结合形式的彻底转变（与传统婚姻观念决裂、开放式结合增加、连续一夫一妻制等）。该模式由性与生殖的根本区分所维系，这与独特的、横向的性模式相关（与19世纪等级制的两性模式相对）；新模型主要关注愉悦，并逐渐脱离社会纽带和情感。除了医学（尤其是通过辅助生殖）和性学（性高潮必要性的普遍化）的贡献外，本文还讨论了流行病学（通过与艾滋病相关的研究）对将道德性规范转变为抽象的、仅仅是统计性标准的贡献。
