The Open University, UK.
J Health Psychol. 2002 May;7(3):253-67. doi: 10.1177/1359105302007003220.
This study used a discursive approach to analysing doctors' and nurses' accounts of men's health in the context of general practice. The analysis worked intensively with interview material from a small sample of general practitioners and their nursing colleagues. We examine the contradictory discursive framework through which this sample made sense of their male patients. The 'interpretative repertoires' through which doctors and nurses constructed their representations of male patients and the 'subject positions' these afforded men are outlined in detail. We describe how hegemonic masculinity is both critiqued for its detrimental consequences for health and paradoxically also indulged and protected. These constructions reflect a series of ideological dilemmas for men and health professionals between the maintenance of hegemonic masculine identities and negotiating adequate health care. Men who step outside 'typical' gender constructions tended to be marked as deviant or rendered invisible as a consequence.
本研究采用话语分析方法，分析了医生和护士在全科医学背景下对男性健康的描述。该分析深入研究了从一小部分全科医生及其护理同事那里获得的访谈材料。我们通过这个样本理解他们的男性患者的矛盾话语框架。详细概述了医生和护士构建男性患者代表性的“解释性剧目”以及这些剧目赋予男性的“主体地位”。我们描述了霸权男性气质如何一方面因其对健康的不利影响而受到批判，另一方面又被纵容和保护。这些构建反映了男性和卫生专业人员在维护霸权男性身份和协商适当医疗保健之间的一系列意识形态困境。那些超越“典型”性别构建的男性往往被标记为异常，或者因此而变得不可见。
