Department of Anthropology, University of British Columbia, 6303 NW Marine Drive, Vancouver, BC V6T 1Z3, Canada.
Soc Sci Med. 2014 Jun;110:56-63. doi: 10.1016/j.socscimed.2014.03.031. Epub 2014 Mar 28.
Numerous observers have commented on the cultural prominence of breast cancer in North America. However, although popular and biomedical conceptions of cancer survivorship have been influenced to an inordinate degree by breast cancer, few researchers have examined the impact of dominant discourses on people diagnosed with other forms of cancer. Drawing on interviews with 32 Canadian men and women with a history of cancer conducted between 2010 and 2013, I demonstrate that breast cancer became central to their own experiences of cancer, providing an important lens through which to understand the effects of the disease. The effects of these comparisons were diverse, leading some participants to want to differentiate themselves from this implicit norm, leading others to downplay the seriousness of their own forms of suffering, and amplifying a sense of shame and stigma in yet others.
许多观察家都评论过乳腺癌在北美的文化重要性。然而,尽管流行的和生物医学的癌症生存观念在很大程度上受到乳腺癌的影响,但很少有研究人员研究主导话语对被诊断患有其他形式癌症的人的影响。本研究利用 2010 年至 2013 年间对 32 名加拿大癌症患者的访谈,我证明乳腺癌成为他们自身癌症经历的核心,为理解疾病的影响提供了一个重要的视角。这些比较的影响是多种多样的,导致一些参与者想要将自己与这种隐含的规范区分开来,而另一些参与者则淡化自己所遭受的痛苦的严重性,并在其他人中放大了羞耻和耻辱感。