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规训死亡:高血压管理与死亡主体的生成

Disciplining death: hypertension management and the production of mortal subjectivities.

作者信息

Banerjee Albert

机构信息

Department of Sociology, York University, Canada.

出版信息

Health (London). 2008 Jan;12(1):25-42. doi: 10.1177/1363459307083696.

Abstract

Medicine powerfully mediates the relationship between life and death. This article argues that in the name of health, modern medicine constitutes a pathological mortal subjectivity, encouraging individuals to experience death as disease, to understand mortality as morbidity, and to approach living instrumentally as a means to longevity. This article uses the example of hypertension management to illustrate how this vision of death is transformed into a form of life. Through the analysis of a number of disciplinary technologies--from technical definitions of health to blood pressure monitoring--it illustrates how individuals are incited to relate to death in an antagonistic, impersonal, and technical fashion. While contemporary forms of capital accumulation in the health field require an intensification of such relations, this article suggests that there much to be gained from exploring visions of health that are not at odds with death.

摘要

医学有力地调节着生与死之间的关系。本文认为,现代医学以健康之名构建了一种病态的死亡主体性,鼓励个体将死亡体验为疾病,将必死性理解为发病率,并将生存作为长寿的手段而工具化地对待。本文以高血压管理为例,来说明这种死亡观念是如何转化为一种生活方式的。通过对一系列学科技术的分析——从健康的技术定义到血压监测——它说明了个体是如何被煽动以一种对抗性、非个人化和技术性的方式与死亡建立联系的。虽然健康领域当代形式的资本积累需要强化这种关系,但本文认为,探索与死亡不相冲突的健康观念会有很多收获。

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