Department of Sociology, 317 Isbister Building, University of Manitoba, Winnipeg, Manitoba R3T 2N2, Canada.
J Aging Stud. 2014 Jan;28:1-10. doi: 10.1016/j.jaging.2013.11.001. Epub 2013 Dec 11.
Taking its cue from Estes and Binney's (1989) assertion that individual and subjective views of aging often reflect a hegemony characteristic of biomedicalization, this study assesses the subjective views that a group of older adult users of CAM therapies have of aging, health, healing, and self care. Reflexive sociological interviews with 24 men and women over the age of 55 are used to show how participants use CAM as an embodied means to resist biomedicalization of aging. Four themes emerge as in part explaining the appeal of CAM therapies for older adults: "intergenerational angst"; "iatrogenesis"; "aging as deterioration"; and "optimistic alternatives". In a cultural context in which aging has been transformed into a medical matter, older adults who seek out CAM do so as part of an effort to gain individual control over their aging bodies and health. These findings provide further evidence that older adults have adopted discourses of individual responsibility for health through self care behavior and that the growing trend towards therapeutic pluralism entails both elements of medicalization and demedicalization.
受埃斯蒂斯和宾尼(1989 年)的观点启发,他们认为个人和主观的衰老观点通常反映了生物医学化的特征,本研究评估了一组使用补充替代医学(CAM)疗法的老年用户对衰老、健康、治疗和自我保健的主观看法。本研究使用 24 名 55 岁以上的男性和女性的反思性社会学访谈,展示了参与者如何将 CAM 作为一种体现手段来抵制衰老的生物医学化。四个主题的出现部分解释了 CAM 疗法对老年人的吸引力:“代际焦虑”;“医源性疾病”;“衰老就是恶化”;以及“乐观的替代方案”。在一个将衰老转化为医学问题的文化背景下,寻求 CAM 的老年人将其作为努力获得对衰老身体和健康的个体控制的一部分。这些发现进一步证明,老年人已经通过自我保健行为接受了健康的个人责任话语,并且治疗多元化的趋势既包含了医学化的元素,也包含了去医学化的元素。