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健康男性的故事:从“生命之源”到精子库的生育生物学医学中的男性生殖体。

Tales of healthy men: male reproductive bodies in biomedicine from 'Lebensborn' to sperm banks.

机构信息

School of Medicine, Johannes Gutenberg-University Mainz, Am Pulverturm 13, Mainz, 55131, Germany.

出版信息

Health (London). 2013 Jan;17(1):20-36. doi: 10.1177/1363459312447251. Epub 2012 Jun 6.

Abstract

Using the example of 'sperm tales', borne out of the biomedical technologies that went hand in hand with the establishment of the 'science of man' (andrology), the article engages with the epistemic evolution of interrelated biomedical theories and concepts of what constitutes a 'healthy' reproductive male body. The article asks: how has the normative ideal male body been either perpetuated or interrogated through these tales of male reproduction at the interface between scientific and medical technologies? And how were changes to the normalization of male bodies central to clinical practices and cultural understandings of health and illness? With many aspects of the medical history of male reproduction in the 20th century still unexplored, this article will focus on the growing intervention of biomedicine to 'treat' male infertility by way of the classification, standardization and normalization of male corporeality, focusing in particular on the representation and construction of men and the male body, as reflected in medical science and practice from the second half of the 20th century onwards in Germany. The article analyses the rise in importance of sperm in biomedical investigation, including a consideration of the construction of infertility as the defining force behind concepts of 'healthy men', and examines the related conceptualization of male reproductive bodies at the crossroad between 'healthy' and 'normal'. It is argued that the ideal of male reproduction as being inherently healthy has lost ground. By the late 20th century, male bodies have become vulnerable, at least as represented in medical science and technology.

摘要

本文以“精子故事”为例,这些故事源于与“人类科学”(男性学)同时发展的生物医学技术,探讨了相关的生物医学理论和概念的认识演变,这些理论和概念涉及构成“健康”生殖男性身体的内容。本文提出了以下问题:在科学和医疗技术的交汇点上,这些男性生殖故事是如何通过对规范的理想男性身体进行维护或质疑,来延续或改变这种身体的?男性身体的正常化变化如何成为临床实践和对健康与疾病的文化理解的核心?由于 20 世纪男性生殖的许多医学史方面仍未被探索,本文将重点关注生物医学对男性不育症的干预日益增加,即通过对男性肉体的分类、标准化和规范化来“治疗”男性不育症,特别关注男性和男性身体的代表性和构建,这些代表性和构建体现在 20 世纪后半叶以来德国的医学科学和实践中。本文分析了精子在生物医学研究中的重要性上升,包括考虑将不育症构建为“健康男性”概念的决定性力量,并探讨了男性生殖身体在“健康”和“正常”之间的交叉点的相关概念化。本文认为,男性生殖的理想状态是天生健康的这一观念已经站不住脚了。到 20 世纪后期,男性身体已经变得脆弱,至少在医学科学和技术中是这样的。

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