Hvas Lotte, Gannik Dorte Effersøe
Department of General Practice, Centre of Health and Society, University of Copenhagen, Øster Farimagsgade 5, Copenhagen K, Denmark.
Health (London). 2008 Apr;12(2):157-75. doi: 10.1177/1363459307086842.
To understand Danish women's very different ways of interpreting menopausal experiences and the way they construct meaning relating to menopause, it is necessary to include the context in which meaning is constructed as well as the background of cultural attitudes to menopause existing in the Danish society. Using documentary material, the aim of this article was to describe different discourses on menopause in Denmark that present themselves to menopausal women, and to discuss how these discourses may affect women's identity and constitute their scope of action. One hundred and thirty-two pieces of text under the heading or subject of 'menopause' or 'becoming a middle-aged woman', published from 1996 to 2004, were included. All material was addressed to Danish women, and consisted of booklets and informational material, articles from newspapers and magazines and popular science books. Seven different discourses on menopause were identified: the biomedical discourse; the 'eternal youth' discourse; the health-promotion discourse; the consumer discourse; the alternative discourse; the feminist/critical discourse; and the existential discourse. The biomedical discourse on menopause was found to be dominant, but was expanded or challenged by other discourses by offering different scopes of action and/or resting on different fundamental values. The discourses constructed and positioned individual women differently; thus, the women's position varied noticeably from one discourse to another. Depending on the discourse drawn upon, the woman's position could be that of a passive patient or that of an empowered woman, capable of making her own choices in relation to her health.
为了理解丹麦女性阐释更年期经历的截然不同的方式以及她们构建与更年期相关意义的方式,有必要纳入意义构建的背景以及丹麦社会中存在的对更年期的文化态度背景。本文利用文献资料,旨在描述丹麦呈现给更年期女性的关于更年期的不同话语,并探讨这些话语如何可能影响女性的身份认同并构成她们的行动范围。纳入了1996年至2004年发表的132篇标题或主题为“更年期”或“成为中年女性”的文本。所有资料都是面向丹麦女性的,包括小册子和信息资料、报纸和杂志上的文章以及科普书籍。识别出了七种关于更年期的不同话语:生物医学话语;“永恒青春”话语;健康促进话语;消费话语;替代话语;女权主义/批判性话语;以及存在主义话语。发现关于更年期的生物医学话语占主导地位,但通过提供不同的行动范围和/或基于不同的基本价值观,受到了其他话语的扩展或挑战。这些话语以不同方式构建并定位个体女性;因此,女性在不同话语中的地位差异显著。根据所采用的话语,女性的地位可能是被动患者的地位,也可能是有能力就自身健康做出选择的 empowered 女性的地位。 (注:原文中“empowered”有误,应该是“empowered”,意为“有权力的、有能力的” )