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妇科癌症女性如何应对治疗:可见性与不可见性问题

How women with gynaecological cancer deal with treatment: issues of visibility and invisibility.

作者信息

Giacomoni C, Venturini E, Hoarau H, Guyon F, Conri V

机构信息

ADESS-CNRS UMR 5185, Bordeaux 2, Maison-des-Suds, 12, Esplanade-des-Antilles, 33607 Pessac cedex, France; Service de gynécologie chirurgicale-médicale et médecine de la reproduction, Bureau O. Delorme, CHU Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.

ADESS-CNRS UMR 5185, Bordeaux 2, Maison-des-Suds, 12, Esplanade-des-Antilles, 33607 Pessac cedex, France; Laboratoire de psychologie clinique et de psychopathologie, université Paris Descartes, Paris, France.

出版信息

Gynecol Obstet Fertil. 2014 Nov;42(11):795-9. doi: 10.1016/j.gyobfe.2014.09.013. Epub 2014 Oct 19.

Abstract

Through the psycho-anthropological approach study of the experiences of women affected by pelvic gynaecological cancer who undergo surgical treatment, this paper explores how these women perceive their bodily aesthetic and the impact this has on their sexuality and their relationship with their partner. Gynaecological cancers impact women in several ways, including having an effect on the way that they feel their femininity and appearance are perceived by others. Indeed, gynaecological cancer affects a part of the body intimately associated with representations of desirability that are linked to sexuality. Surgical procedures can cause scarring which can result in having a visible, physical impact on the patient, whilst also affecting their sense of body image and sexual identity. Healing treatments are too often associated with the visible, aesthetic appearance and the physicality of body, and neglect to treat questions of subjectivity. As such, women are compelled to feel like they have an integral body image, and that they are obliged to have a perfect body and need to be physically attractive to their partner.

摘要

通过对接受手术治疗的盆腔妇科癌症女性患者经历的心理人类学方法研究,本文探讨了这些女性如何看待自己的身体美感,以及这对她们的性取向和与伴侣关系的影响。妇科癌症在多个方面影响着女性,包括影响她们对自己女性气质和外表在他人眼中的认知方式。事实上,妇科癌症影响着身体中与欲望表现密切相关的部分,而欲望表现又与性取向相关。手术过程会导致疤痕形成,这不仅会对患者产生明显的身体影响,还会影响她们的身体形象和性身份认同。康复治疗往往过于关注身体的可见的美学外观和物理层面,而忽略了对主观性问题的处理。因此,女性被迫觉得她们必须拥有完整的身体形象,并且有义务拥有完美的身体,需要在身体上对伴侣有吸引力。

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