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作为社会秩序维护手段的精神病学:神经性厌食症,一个范例。

Psychiatry as social ordering: anorexia nervosa, a paradigm.

作者信息

Gremillion H

机构信息

Department of Anthropology, Stanford University, CA 94305-2145.

出版信息

Soc Sci Med. 1992 Jul;35(1):57-71. doi: 10.1016/0277-9536(92)90119-b.

Abstract

From a psychiatric perspective, anorexia nervosa (hereafter referred to as 'anorexia') is an enigmatic illness. This paper attempts to explain why this is so, describing anorexia as a western cultural phenomenon whose psychiatric explanations and treatments actually participate in the sociocultural processes that inform this syndrome. Anorexia reveals a form of contemporary control over the female body, and psychiatry, as a western discipline, institutionalizes a mind-over-body (objective) ideology that is part of this project. Various psychiatric theories of anorectic etiology and their corresponding methods of treatment are analyzed in this light, and a general framework for understanding the discipline of psychiatry as a mode of social control is offered.

摘要

从精神病学的角度来看,神经性厌食症(以下简称“厌食症”)是一种神秘的疾病。本文试图解释为何如此,将厌食症描述为一种西方文化现象,其精神病学解释和治疗实际上参与了构成这一综合征的社会文化过程。厌食症揭示了当代对女性身体的一种控制形式,而精神病学作为一门西方学科,将身心(客观)二元论制度化,这是该项目的一部分。本文据此分析了各种关于厌食症病因的精神病学理论及其相应的治疗方法,并提供了一个将精神病学学科理解为一种社会控制模式的总体框架。

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