Wall David, Kristjanson Linda
School of Nursing and Public Health, Edith Cowan University, Perth, Western Australia.
Nurs Inq. 2005 Jun;12(2):87-97. doi: 10.1111/j.1440-1800.2005.00258.x.
Following a diagnosis of, and treatment for prostate cancer, there is an expectation that men will cope with, adjust to and accept the psychosocial impact on their lives and relationships. Yet, there is a limited qualitative world literature investigating the psychosocial experience of prostate cancer, and almost no literature exploring how masculinity mediates in such an experience. This paper will suggest that the experience of prostate cancer, the process by which it is investigated, and the way in which it is understood has been shaped by an essentialist interpretation of gender, exemplified by hegemonic masculinity as the archetypal mechanism of male adaptation. In response to this static and limiting view of masculinity, this paper will offer a reframe of hegemonic masculinity. This reframe, being more aligned with common experience, will portray masculinity as a dynamic and contextual construct, better understood as one of a number of cultural reference points around which each man organises and adopts behaviour. It will be suggested that the extant literature, in being organised around hegemonic masculinity, obfuscates the experience of prostate cancer and acts to render covert any collateral masculinities, public or private, that may also be operating.
在被诊断出患有前列腺癌并接受治疗后,人们期望男性能够应对、适应并接受前列腺癌对其生活和人际关系产生的心理社会影响。然而,定性的世界文献中对前列腺癌心理社会经历的研究有限,几乎没有文献探讨男性气质在这种经历中是如何起中介作用的。本文将指出,前列腺癌的经历、其被调查的过程以及被理解的方式,都受到了本质主义性别解释的影响,以霸权男性气质作为男性适应的典型机制为例证。针对这种对男性气质的静态且局限的观点,本文将对霸权男性气质提出一种重新阐释。这种重新阐释更符合普遍经验,将男性气质描绘为一种动态的、与情境相关的建构,更好地理解为每个男性围绕其组织和采取行为的众多文化参照点之一。本文将表明,现有文献围绕霸权男性气质展开,模糊了前列腺癌的经历,并使任何可能存在的、公开或私下的附带男性气质变得隐蔽。