a Medicine , Health and Society, Vanderbilt University , Nashville , Tennessee , USA; Department of Global Health and Social Medicine, King's College London, London, UK; and The London School of Hygiene and Tropical Medicine, London, UK.
Med Anthropol. 2018 Jan;37(1):75-90. doi: 10.1080/01459740.2017.1313252. Epub 2017 May 4.
Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts' long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this project materialized through the co-production of epistemic struggles, remedial interventions, and ontological politics. In showing how this co-production became interwoven with incremental changes in young women's emotions, sexualities, relationships, and bodies, I describe how one particular "kind" of teen motherhood emerged and became entangled with both psychiatric knowledge-production and the angst of working-class political agency. In giving women a contested psychiatric language with which to rework their social-moral worlds, I argue that science did more than conceptualize teen childbearing in pathological terms; it contributed to its troubled transformation.
过去二十年里，将少女妈妈与心理神经发育的原因和病理联系起来的研究大量涌现。在巴西，尽管许多专家长期致力于精神分析精神病学和社会流行病学，但少女妈妈的心理发展项目还是引起了人们的关注，这引发了认知紧张，而非替代。本文通过考察知识斗争、补救干预和本体政治的共同产生，利用在巴西南部进行的历史民族志研究，探讨了该项目是如何实现的。通过展示这种共同产生如何与年轻女性的情感、性、关系和身体的渐进变化交织在一起，我描述了一种特定的“少女妈妈”是如何出现的，并与精神科知识生产和工人阶级政治机构的焦虑纠缠在一起的。我认为，科学不仅用病理术语来概念化少女生育，还为其陷入困境的转变做出了贡献，它为女性提供了一种有争议的精神科语言，使她们能够重新构建自己的社会道德世界。
