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“为前列腺发声”:19世纪末20世纪初加拿大的医生、前列腺功能障碍与男性性行为

"A plea for the prostate": doctors, prostate dysfunction, and male sexuality in late 19th- and early 20th-century Canada.

作者信息

O'Shea Christopher D

机构信息

Wilfrid Laurier University.

出版信息

Can Bull Med Hist. 2012;29(1):7-27. doi: 10.3138/cbmh.29.1.7.

Abstract

Historical examinations of medical discourse concerning male sexuality have focused on the perceived linkage between masturbation and sexual neurasthenia. However, more tangible conditions such as prostatic hypertrophy were also linked to the sexual misconduct of young and old men. This paper examines both the medical discourse concerning prostatic hypertrophy and how the development of treatment was influenced by contemporary concerns with both sexuality and masculinity. It argues that mainstream doctors moved away from the Victorian preoccupation with the dangers of illicit sexuality and increasingly regarded the restoration of sexual function as being in the best interests of their patients. This view was particularly evident in their quest for an operative method that would cure prostatic hypertrophy while preserving potency.

摘要

对有关男性性行为的医学论述的历史考察,一直聚焦于手淫与性神经衰弱之间被察觉到的联系。然而,诸如前列腺肥大等更切实的病症,也与年轻及年长男性的性行为不检点联系在一起。本文既考察了有关前列腺肥大的医学论述,也探讨了当代对性与男性气质的关切如何影响了治疗方法的发展。本文认为,主流医生摒弃了维多利亚时代对非法性行为危险的过度关注,越来越将性功能的恢复视为对患者最有利的事情。这种观点在他们寻求一种既能治愈前列腺肥大又能保留性功能的手术方法的过程中尤为明显。

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