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我们认为这是避孕失败': 苏格兰生殖保健服务中包含避孕和堕胎的“多样性”。

'We view that as contraceptive failure': containing the 'multiplicity' of contraception and abortion within Scottish reproductive healthcare.

机构信息

Science and Technology Studies Unit (SATSU), Department of Sociology, University of York, York, YO10 5DD, UK.

出版信息

Soc Sci Med. 2013 Mar;80:105-12. doi: 10.1016/j.socscimed.2012.12.004. Epub 2012 Dec 10.

Abstract

Within contemporary Scottish policy guidance, abortion is routinely configured as evidence of a resolvable problem with the healthcare provision of contraception. This article draws on 42 semi-structured interviews with Scottish health professionals conducted during 2007-2008, in order to explore how, and in what form, realities of contraception/abortion are sustained within abortion practice. In addition to providing empirical insights concerning this sociologically neglected aspect of reproductive healthcare, it demonstrates how a novel conceptual approach could be used to develop existing social scientific analyses of the provision of techniques of fertility prevention. Science and Technology Studies (STS) has highlighted the importance of studying the complex socio-material practices through which realities are enacted (or 'performed'). Mobilising this insight, my analysis illustrates the complex socio-material work required to enact abortion as evidence of a 'problem' with contraception that is resolvable within the healthcare consultation. This work, I argue, renders visible the ontologically 'multiple' (Mol, 2002) nature of contraception/abortion, with important implications for both social science and policy approaches to these techniques of fertility prevention.

摘要

在当代苏格兰政策指导中,堕胎通常被视为避孕医疗服务中可解决问题的证据。本文通过对 2007 年至 2008 年间接受的 42 名苏格兰卫生专业人员进行的半结构化访谈,探讨了在堕胎实践中如何以及以何种形式维持避孕/堕胎的现实。除了提供有关生殖保健中被社会忽视的这一方面的经验见解外,它还展示了如何使用新的概念方法来发展对生育预防技术提供的现有社会科学分析。科学技术研究(STS)强调了研究通过复杂的社会物质实践来实施现实(或“表现”)的重要性。利用这一见解,我的分析说明了实施堕胎作为避孕“问题”证据的复杂社会物质工作的重要性,而这种“问题”是可以在医疗咨询中解决的。我认为,这项工作使避孕/堕胎的本体论“多元性”(Mol,2002)变得可见,这对这些生育预防技术的社会科学和政策方法都具有重要意义。

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