University College Dublin, Dublin, Ireland.
Qual Health Res. 2010 Jun;20(6):805-15. doi: 10.1177/1049732310363126. Epub 2010 Feb 24.
Conventional approaches to menopause tend to contrast the biomedical position on menopause with women's actual experiences of it. Rather than focusing primarily on the tensions between these perspectives (biomedical vs. lay), our emphasis here is on the impact of biomedicine in shaping participants' perceptions of their status as menopausal. Based on interview data gathered from 39 women in Ireland, we argue that the cultural authority of biomedicine shaped participants' experiences of the body and how they constituted their health identity. We assert that, ironically, this was particularly the case among those who most strongly contested biomedical definitions of their situation. In addition, biomedical practitioners' definitions had a strong normalizing power in how the body was experienced. We conclude by noting that our analysis problematizes the notion of privileging "women's experiences" as advocated by some feminist perspectives. The heavy influence of biomedical discourses in shaping participants' embodied experiences demonstrates the pervasive impact of prevailing discourses on women's experiences.
传统的绝经方法倾向于将绝经的生物医学立场与女性的实际绝经体验进行对比。我们的重点不是主要放在这些观点(生物医学与外行)之间的紧张关系上,而是放在生物医学对参与者对自己绝经状态的看法的影响上。基于从爱尔兰的 39 名女性那里收集的访谈数据,我们认为生物医学的文化权威塑造了参与者对身体的体验以及他们如何构成自己的健康身份。我们断言,具有讽刺意味的是,在那些最强烈质疑他们的情况的生物医学定义的人中,情况更是如此。此外,生物医学从业者的定义在身体体验方面具有很强的规范化力量。最后我们注意到,我们的分析使一些女权主义观点所倡导的“女性经验”的概念受到质疑。生物医学话语在塑造参与者的身体体验方面的巨大影响表明,占主导地位的话语对女性经验有着普遍的影响。