Potts Annie, Grace Victoria M, Vares Tiina, Gavey Nicola
School of Culture, Literature and Society, University of Canterbury, New Zealand.
Sociol Health Illn. 2006 Apr;28(3):306-29. doi: 10.1111/j.1467-9566.2006.00494.x.
Discourse on male sexuality in mid-to-later life has exploded in recent years (Gullette 1998). Attention to this topic has been spurred by the advent of (highly profitable) sexuopharmaceutical 'solutions' to erectile changes affecting older men. 'Success' stories abound in the media and in medical literature related to the restoration of faulty erections and ailing sex lives through drugs such as Viagra (sildenafil citrate), Uprima (apomorphine) and Cialis (tadalafil). In this paper we explore some of the ways in which notions about ageing and male sexuality are changing in popular cultural and medical texts in response to the advent of Viagra and the increasing authority of biomedicine in this area. We also demonstrate how the recent biomedical endorsement of 'sex for life' (the imperative to maintain an active youthful masculine [hetero]sexuality - defined in terms of male orgasm through penetrative sex) may be challenged by the very accounts of older men who are, or have been, affected by erectile difficulties and have used drugs like Viagra themselves. We present the perspectives of mid-to-late life heterosexual men in New Zealand whose stories question the contemporary biomedical privileging of erections and intercourse 'at any cost and at any age'. We argue that the current push to identify and treat so-called erectile dysfunction (and restore erections and penetrative sex to relationships) neglects some men's own experiences of alternative modes of relating sexually that they identify as 'normal', 'healthy', 'enjoyable' and 'satisfying' for them and their partners; and undermines their understanding of such changes as positive outcomes of ageing, experience and maturity.
近年来,关于中年及老年男性性行为的讨论激增(古莱特,1998年)。对这一话题的关注因针对影响老年男性勃起变化的(利润丰厚的)性药“解决方案”的出现而受到推动。在媒体和医学文献中,充斥着大量关于通过伟哥(西地那非)、优必利(阿扑吗啡)和希爱力(他达拉非)等药物恢复勃起功能障碍和改善糟糕性生活的“成功”故事。在本文中,我们探讨了随着伟哥的出现以及生物医学在这一领域日益增强的权威性,大众文化和医学文本中有关衰老与男性性行为的观念正在发生变化的一些方式。我们还展示了近期生物医学对“终身性行为”(即保持积极、年轻的男性(异性)性行为的必要性——通过插入式性行为实现男性性高潮来定义)的支持,可能会受到那些曾经或正在遭受勃起困难并使用过伟哥等药物的老年男性自身经历的挑战。我们呈现了新西兰中年及老年异性恋男性的观点,他们的故事对当代生物医学不惜任何代价、在任何年龄对勃起和性交的优先重视提出了质疑。我们认为,当前识别和治疗所谓勃起功能障碍(以及恢复勃起功能和在性关系中进行插入式性行为)的努力,忽视了一些男性自身对他们认为对自己和伴侣“正常”“健康”“愉快”和“满足”的替代性性行为方式的体验;并且破坏了他们将此类变化视为衰老、经验和成熟的积极成果的理解。