Christoffersen-Deb Astrid
Institute of Social and Cultural Anthropology, University of Oxford.
Med Anthropol Q. 2005 Dec;19(4):402-18. doi: 10.1525/maq.2005.19.4.402.
This article considers the question of female genital practices at the hands of health workers in western Kenya. Recent articles in Medical Anthropology Quarterly have critically engaged with the biomedical arguments condemning such practices. This article studies the case of medicalized circumcision in which biomedical concerns over health risks have become incorporated in their vernacular practice. Although some suggest that medicalization may provide a harm-reduction strategy to the abandonment of the practice, research in one region challenges this suggestion. It argues that changing and conflicting ideologies of gender and sexuality have led young women to seek their own meaning through medicalized practice. Moreover, attributing this practice to financial motivations of health workers overlooks the way in which these "moral agents" must be situated within their social and cultural universe. Together, these insights challenge the view that medicine can remain neutral in the mediation of tradition.
本文探讨了肯尼亚西部卫生工作者实施女性生殖器手术的问题。《医学人类学季刊》最近发表的文章对谴责此类手术的生物医学观点进行了批判性探讨。本文研究了医学化割礼的案例,其中生物医学对健康风险的担忧已融入当地习俗。尽管有人认为医学化可能为摒弃这种习俗提供一种减少伤害的策略,但一个地区的研究对这一观点提出了质疑。研究认为,不断变化且相互冲突的性别和性观念促使年轻女性通过医学化手术寻求自身意义。此外,将这种手术归因于卫生工作者的经济动机,忽视了这些“道德主体”必须置于其社会文化环境中的方式。这些见解共同挑战了医学在传统调解中可以保持中立的观点。