Anthropology Department, Washington University in St. Louis, Campus Box 1114, McMillan Hall, Room 112, One Brookings Drive. St. Louis, MO 63130, USA; Department of Sociology, Universiteit van Amsterdam, Nieuwe Achtergracht 166, 1018 WV, Amsterdam, The Netherlands.
Soc Sci Med. 2017 Mar;177:61-68. doi: 10.1016/j.socscimed.2017.01.016. Epub 2017 Jan 22.
This paper provides new perspectives on the scholarship on medicalization and demedicalization, building on an ethnography of hymenoplasty consultations in the Netherlands. By examining how doctors can play an active role in demedicalization, this paper presents novel insights into Dutch physicians' attempt to demedicalize the "broken" hymen. In their consultations, Dutch doctors persuade hymenoplasty patients to abandon the assumed medical definition of the "broken" hymen and offer nonmedical solutions to patients' problems. Drawing from unique ethnographical access from 2012 to 2015 to 70 hymenoplasty consultations in the Netherlands, this paper's original contribution comes from closely examining how demedicalization can be achieved through the process of medicalization. It investigates how Dutch physicians go even further in their efforts to demedicalize by medicalizing "cultural" solutions as an alternative course of action to surgery.
本文以荷兰处女膜修复咨询的民族志为基础，为医学化和去医学化研究提供了新的视角。通过考察医生如何在去医学化过程中发挥积极作用，本文为荷兰医生试图使“破裂”的处女膜去医学化提供了新的见解。在咨询中，荷兰医生说服处女膜修复患者放弃对“破裂”处女膜的医学定义，并为患者的问题提供非医学解决方案。本文从 2012 年至 2015 年对荷兰 70 次处女膜修复咨询的独特民族志访问中获得了独特的见解，其原创性贡献在于仔细研究了如何通过医学化过程实现去医学化。本文调查了荷兰医生如何通过将“文化”解决方案医学化作为手术替代方案，进一步努力去医学化。
