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残障躯体中的人:来自边缘群体的文化与人格视角

The person in the disabled body: a perspective on culture and personhood from the margins.

作者信息

Agmon Maayan, Sa'ar Amalia, Araten-Bergman Tal

机构信息

The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, 199 Aba Khoushy Ave, Mount Carmel, Haifa, 3498838, Israel.

Department of Anthropology, University of Haifa, 199 Aba Khoushy Ave, Mount Carmel, Haifa, 3498838, Israel.

出版信息

Int J Equity Health. 2016 Sep 15;15(1):147. doi: 10.1186/s12939-016-0437-2.

Abstract

BACKGROUND

Persons with disabilities (PWD) are one of the most marginalized groups in Western societies. These inequalities are manifested through various disadvantages in the psychosocial, cultural, and economic domains. Inspired by the World Health Organization's holistic conceptualization of disability, the present study examines the relation between the body and personhood in Israeli culture, through cases of newly diagnosed adults with disability.

METHOD

Participant observation at a rehabilitation daycare center was carried out for a period of two years. The analysis is based on field notes recorded during these observations, including interviews with individuals with disabilities, their family members, and service providers.

RESULTS

The analysis reveals the agonizing experience of individuals who have become disabled in adulthood, who undergo symbolic diminution and social exclusion after their former acceptance as whole and normative persons. This ongoing multifaceted process includes infantilization, denial of their sexuality/sensuality, transgression of gender boundaries, and their construction as categorically different from the "healthy" people around them. At the same time, the analysis also demonstrates the ways in which daily routine at the daycare center also complicates the normative healthy-disabled binary, indicating a continuum on which attendees may attempt to reposition themselves.

CONCLUSIONS

This paper aims to make a dual contribution. We draw on anthropological understandings of"person" as a holistic category to resurrect the personhood of individuals with disabilities, as a correction tothe overwhelming tendency to reduce their humanity to their physical injury. We likewise reverse theanalytical gaze by using these individuals' experiences to understand the normative, culture-bound perception of "healthy" persons. We thus highlight Israeli culture's conditioning of normative personhood on having a perfect body, and its concomitant construction of individuals with physical disabilities as lesser persons. By opting to bring back the person into the disabled body, we aim to facilitate a less stigmatized outlook on disability and to create an opportunity for caregivers, researchers, and healthcare professionals to view disabled persons as whole and complex human beings.

摘要

背景

残疾人是西方社会中最边缘化的群体之一。这些不平等现象通过心理社会、文化和经济领域的各种不利因素表现出来。受世界卫生组织对残疾的整体概念化启发,本研究通过新诊断的成年残疾人案例,考察以色列文化中身体与人格之间的关系。

方法

在一家康复日托中心进行了为期两年的参与观察。分析基于观察期间记录的实地笔记,包括对残疾人、他们的家庭成员和服务提供者的访谈。

结果

分析揭示了成年后致残者的痛苦经历,他们在以前被视为完整和正常的人之后,经历了象征性的贬低和社会排斥。这个持续的多方面过程包括婴儿化、对其性取向/性感的否认、性别界限的跨越,以及将他们构建为与周围“健康”人截然不同的人。同时,分析还表明日托中心的日常活动也使正常与残疾的二元划分变得复杂,表明参与者可能试图在一个连续体上重新定位自己。

结论

本文旨在做出双重贡献。我们借鉴人类学对“人”作为一个整体范畴的理解,以恢复残疾人的人格,作为对将他们的人性简化为身体损伤这一压倒性倾向的纠正。我们同样通过利用这些人的经历来理解对“健康”人的规范的、受文化束缚的认知,从而扭转分析视角。因此,我们强调以色列文化将规范人格建立在拥有完美身体的基础上,以及随之而来的将身体残疾者构建为低等人的观念。通过选择将人带回残疾身体,我们旨在促进对残疾的较少污名化的看法,并为护理人员、研究人员和医疗保健专业人员创造一个将残疾人视为完整和复杂的人的机会。

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