Blomberg Karin, Forss Anette, Ternestedt Britt-Marie, Tishelman Carol
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Soc Sci Med. 2009 Feb;68(3):479-86. doi: 10.1016/j.socscimed.2008.11.007. Epub 2008 Dec 10.
While there is a large body of research on cervical cancer screening, fewer studies address the experiences of women receiving abnormal Pap smear results after routine screening. Those studies highlighting such experiences tend to concentrate on resulting psychosocial distress, with an absence in the literature about women's experiences of their bodies during medical follow-up for dysplasia, and no studies were found that explore such experiences over time. In this article, we focus on bodily experiences over time during medical follow-up of an abnormal Pap smear among a group of women in Sweden. This qualitative analysis is based on interview data from a total of 30 women, and with in-depth analysis of the content of 34 transcribed interviews with nine women who were followed longitudinally. We found that medical follow-up involved an experience of both "having" and "being" a body, which changed over time. Women described a process that ranged from having a cervix that was neither felt, 'heard', nor seen, to having a body that became known to them first indirectly through professional mediation and later through direct experience after professional manipulation. The conceptualization of bodily boundaries appeared to change, e.g. through visualization of the previously unfamiliar cervix, pain, vaginal discharge, and bleeding, as well as linkages to the bodies of women in their extended families through the generations. Thus, bodily experiences appear to be an intrinsic part of medical follow-up of an abnormal Pap smear through which health, disease, and risks in the past, present, and future were reconceptualised.
虽然有大量关于宫颈癌筛查的研究，但较少有研究涉及女性在常规筛查后收到异常巴氏涂片结果的经历。那些强调此类经历的研究往往集中在由此产生的心理社会困扰上，文献中缺乏关于女性在发育异常的医学随访期间对自身身体体验的内容，并且未发现有研究探讨此类经历随时间的变化情况。在本文中，我们聚焦于瑞典一组女性在异常巴氏涂片医学随访期间随时间推移的身体体验。这项定性分析基于对总共30名女性的访谈数据，并对9名接受纵向随访的女性的34份访谈转录内容进行了深入分析。我们发现医学随访涉及“拥有”身体和“成为”身体的体验，且这种体验会随时间而变化。女性描述了一个过程，从拥有一个既感觉不到、“听不到”也看不到的子宫颈，到通过专业调解首先间接了解自己的身体，再到经过专业操作后通过直接体验逐渐熟悉自己的身体。身体边界的概念似乎发生了变化，例如通过可视化之前不熟悉的子宫颈、疼痛、阴道分泌物和出血，以及通过几代人与她们大家庭中女性身体的联系。因此，身体体验似乎是异常巴氏涂片医学随访的一个内在组成部分，通过这一过程，过去、现在和未来的健康、疾病及风险被重新概念化。
