Crowley-Matoka Megan, Hamdy Sherine F
a Medical Humanities and Bioethics Program and the Department of Anthropology , Northwestern University , Chicago , Illinois, USA.
b Department of Anthropology , Brown University , Providence , Rhode Island , USA.
Med Anthropol. 2016;35(1):31-44. doi: 10.1080/01459740.2015.1051181. Epub 2015 Jun 17.
In this article, we demonstrate how living kidney donation is a particularly gendered experience. We draw on anthropologists' contributions to understanding the globalization of reproductive technologies to argue that kidney donation similarly endangers and preserves fertility, thereby unsettling and reifying gendered familial labor. Based on fieldwork in two ethnographic sites--Egypt and Mexico--we examine how kidney donation is figured as a form of social reproduction. In both settings, kidney recipients rely almost exclusively on organs from living donors. We focus on how particular gender ideologies--as evident, for example, in the trope of the "self-sacrificing mother"--can serve as a cultural technology to generate donations in an otherwise organ-scarce medical setting. Alternatively, transplantation can disrupt gender norms and reproductive viability. In demonstrating the pervasiveness of gendered tropes in the realm of transplantation, we unsettle assumptions about the "family" as the locus of pure, altruistic donation.
在本文中,我们展示了活体肾捐赠是一种极具性别色彩的经历。我们借鉴人类学家在理解生殖技术全球化方面的贡献,认为肾捐赠同样危及并维系着生育能力,从而动摇并固化了具有性别特征的家庭劳动。基于在埃及和墨西哥这两个人种志研究地点的田野调查,我们考察了肾捐赠如何被视为一种社会再生产形式。在这两种情况下,肾接受者几乎完全依赖活体捐赠者的器官。我们关注特定的性别意识形态——例如在“自我牺牲的母亲”这一比喻中所体现的——如何能够作为一种文化手段,在原本器官稀缺的医疗环境中促使捐赠行为的产生。另外,移植也可能扰乱性别规范和生殖能力。在证明性别比喻在移植领域的普遍性时,我们动摇了将“家庭”视为纯粹利他捐赠场所的假设。