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身体的完成:下肢截肢者的身体康复。

Bodies completed: on the physical rehabilitation of lower limb amputees.

机构信息

Hebrew University, Har Hatzofim, Jerusalem 91905, Israel.

出版信息

Health (London). 2013 May;17(3):229-45. doi: 10.1177/1363459312451177. Epub 2012 Jul 15.

Abstract

This ethnographic study, based on empirical work carried out in an Israeli rehabilitation hospital, discusses the physical rehabilitation of lower limb amputees, during which body normalcy is re-constructed. Throughout the process, physiotherapists serve as social agents who teach pragmatic and discursive practices to manage the body as well as the prosthesis in the re-cultivation of body techniques. The findings, portraying four spheres of meaning, show that the mere use of prosthesis is insufficient since it stigmatizes the body as absent a limb. To avoid such stigmatization, the staff teach compensatory and discursive skills which enable incorporation of the prosthesis in body techniques while referring to it as a biological leg. Constructed as a 'social organ', the device is gradually transformed from an extension to an integral part of the body. Disability and its remedies, thereby concealed, facilitate able-bodied performance. Paradoxically, the prosthesis, though meant to benefit patients, induces pain and discomfort, a fact that challenges the acceptance of its conventionality as a medical aid for amputees. Yet, physical rehabilitation by means of prosthetics remains one of the many medical practices in Israel that ensure a disability-free society, together with the promotion of rights to accessibility and anti-discrimination regulation. The study contributes to the theoretical debate regarding the relationship between the biological and the social in disability studies. The findings indicate the need to encompass the cultural and the corporeal when exploring disability. The ethnography of disability, I suggest, should be viewed as a juncture of socio-cultural perceptions of the body, embedded in its own corporeal constraints.

摘要

本民族志研究基于在以色列一家康复医院进行的实证工作,讨论了下肢截肢者的身体康复过程,在此过程中,身体的正常状态得以重建。在整个过程中,物理治疗师作为社会代理人,教授实用和话语实践,以管理身体以及在身体技术的再培养中管理假肢。研究结果描绘了四个意义领域,表明仅仅使用假肢是不够的,因为它会使身体因缺少肢体而受到污名化。为了避免这种污名化,工作人员教授补偿性和话语技能,使假肢能够融入身体技术中,同时将其视为生物腿。该设备被构建为一个“社会器官”,逐渐从身体的延伸物转变为身体的一个组成部分。残疾及其补救措施因此被掩盖,从而促进了身体健全的表现。矛盾的是,尽管假肢旨在使患者受益,但它会引起疼痛和不适,这一事实挑战了对其作为截肢者医疗辅助工具的传统性的接受。然而,通过假肢进行的物理康复仍然是以色列众多确保无残疾社会的医疗实践之一,同时还促进了无障碍和反歧视法规的权利。本研究为残疾研究中生物与社会之间关系的理论辩论做出了贡献。研究结果表明,在探索残疾时,需要包含文化和身体因素。我认为,残疾的民族志应该被视为身体的社会文化观念的交汇点,嵌入在其自身的身体限制中。

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