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“它不会造成任何伤害”:替代医学中对身体的维护和修饰被认为是非风险的健康养生法。

'It can do no harm': Body maintenance and modification in alternative medicine acknowledged as a non risk health regimen.

机构信息

Department of Sociology, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, DK-1014 Copenhagen K, Denmark.

出版信息

Soc Sci Med. 2013 Aug;90:56-62. doi: 10.1016/j.socscimed.2013.05.002. Epub 2013 May 10.

Abstract

This article proposes the notion of a non-risk health regimen as a mode of recognising more dynamic aspects of risk-awareness in health care, in this case alternative medicine in Denmark. Danish users of alternative medicine are in an ambivalent position. They are responsible citizens who care about their own health. On the other hand, they are doing this by paying out of their own pockets for attending non-authorised treatments with very limited scientific evidence for their effects. This article draws on 138 qualitative in-depth interviews conducted in 2006-07 with 46 Danish users of different forms of session-based alternative medicine. A recurring theme throughout users' accounts is found to be that the treatments 'at least can do no harm'. Many of the users regard pharmaceuticals or surgery as an artificial impediment and a threat to overall health, whereas the energy-stimulating processes initiated by the alternative practitioner are not considered risky. The no harm discourse constitutes a sophisticated lay-explanation that brings together a wide range of explanations within which three themes are identified: responsibility; optimization; desperation. By informing these findings with the concept of reflexive body techniques, it is shown that use of alternative medicine is a process of working on the self and body in a spectrum between transition (i.e., pain relief or self-development) and continuity (i.e. well-being or prevention of illness) and not only a quest for cure. In this process 'non-risk' emerges as a lay explanation in the efforts of users to construct coherent self-narratives as agents in a risk-aware environment. The development of the notion of a non-risk health regimen invites and facilitates further studies on various lay motives within health care in general and contributes to explaining the popularity of alternative medicine in particular.

摘要

本文提出了非风险健康养生法的概念,以认识到医疗保健中风险意识更具活力的方面,在这种情况下是以丹麦的替代医学为例。丹麦的替代医学使用者处于一种矛盾的地位。他们是负责任的公民,关心自己的健康。另一方面,他们通过自费接受未经授权的治疗来实现这一目标,这些治疗方法的效果只有非常有限的科学证据支持。本文借鉴了 2006-07 年间对 46 名不同形式的基于疗程的替代医学丹麦使用者进行的 138 次深入定性访谈。在使用者的叙述中反复出现的一个主题是,这些治疗“至少不会造成伤害”。许多使用者认为药物或手术是一种人为的障碍和对整体健康的威胁,而替代从业者启动的能量刺激过程则不被认为是有风险的。无伤害话语构成了一种复杂的非专业解释,它将广泛的解释结合在一起,其中确定了三个主题:责任、优化、绝望。通过将反身身体技术的概念告知这些发现,可以表明使用替代医学是一种在自我和身体之间进行工作的过程,这种工作处于转变(即缓解疼痛或自我发展)和连续性(即健康或预防疾病)之间的光谱中,而不仅仅是对治愈的追求。在这个过程中,“非风险”作为一种非专业解释出现,使用者试图构建连贯的自我叙述,作为风险意识环境中的主体。非风险健康养生法概念的发展邀请并促进了对一般医疗保健中各种非专业动机的进一步研究,并有助于解释替代医学的普及。

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