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具体的责任:日本妇产科医生眼中的怀孕

Embodied responsibilities: pregnancy in the eyes of Japanese ob-gyns.

作者信息

Ivry Tsipy

机构信息

Department of Sociology and Anthropology, University of Haifa, Israel.

出版信息

Sociol Health Illn. 2007 Mar;29(2):251-74. doi: 10.1111/j.1467-9566.2007.00475.x.

Abstract

This article explores the correlation between the social, cultural and political setting in which Japanese women gestate their babies and the kind of maternal responsibilities they are expected to exercise. By focusing on prenatal care, I look at ways in which Japanese gynaecologists formulate ideas about women's accountability for pregnancy outcomes and show how these ideas shape the practical strategies through which pregnancy is managed in medical institutions. While interrogating the perspectives these professionals bring into play, I am interested in the relationships between biomedicine, culture and the embodiment of women's roles. My findings reveal a broad range of physiological phenomena for which women are held accountable and a host of instructions they are expected to follow once they engage in prenatal care. Medical narratives render the pregnant body as the physical and mental environment that creates the foetus and highlights women's behaviour and health (rather than genes and chromosomes) as the major factors of foetal health. I show how the embodied mode of maternal responsibilities expected of women is mutually constituted by four interconnected realms of discourse and practice: the medical realm, cultural conceptions of self, national reproductive politics and the gendered division of labour.

摘要

本文探讨了日本女性孕育婴儿的社会、文化和政治背景与她们应履行的母亲责任之间的关联。通过聚焦产前护理,我审视了日本妇科医生如何形成关于女性对妊娠结果负责的观念,并展示了这些观念如何塑造医疗机构中管理妊娠的实际策略。在审视这些专业人士所采用的观点时,我关注生物医学、文化与女性角色体现之间的关系。我的研究结果揭示了女性需为之负责的一系列广泛的生理现象,以及她们一旦开始接受产前护理就应遵循的诸多指示。医学叙述将孕妇身体描绘成孕育胎儿的身心环境,并强调女性的行为和健康(而非基因和染色体)是胎儿健康的主要因素。我展示了期望女性承担的母亲责任的体现模式是如何由四个相互关联的话语和实践领域共同构成的:医学领域、自我的文化观念、国家生殖政策和性别分工。

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