Holmes Su
Department of Film, TV and Media, University of East Anglia, Norwich, UK.
Sociol Health Illn. 2018 May;40(4):670-686. doi: 10.1111/1467-9566.12676. Epub 2018 Feb 21.
Eating disorders (EDs) have often been discussed as a risk to reproductive health. But existing research is quantitative in nature, paying no attention to issues of patient experience. In discussing data from 24 semi-structured interviews, this article draws on sociological approaches to medical 'risk' and feminist approaches to EDs to explore how women with experience of an ED responded to fertility warnings within treatment contexts. In doing so, it is suggested that responses to fertility warnings offer unique insight into the potentially damaging limitations of biomedical approaches to eating problems and their focus on EDs as individual 'pathologies' (rather than culturally embedded expressions of gendered embodiment). At best warnings are seen as making problematic assumptions about the aspirations of female patients, which may curtail feelings of agency and choice. At worst, they may push women further into destructive bodily and eating practices, and silence the distress that may be articulated by an ED.
饮食失调（EDs）常被视为对生殖健康的一种风险。但现有研究本质上是定量研究，未关注患者体验问题。本文在讨论24次半结构化访谈的数据时，借鉴了医学“风险”的社会学方法以及饮食失调的女性主义方法，以探讨有饮食失调经历的女性在治疗环境中如何应对生育警告。在此过程中，有人认为，对生育警告的反应为生物医学方法在解决饮食问题方面潜在的有害局限性以及将饮食失调视为个体“病症”（而非性别化身体体现的文化嵌入表达）的关注重点提供了独特见解。充其量，警告被视为对女性患者愿望做出了有问题的假设，这可能会抑制自主感和选择权。最糟糕的是，它们可能会促使女性进一步陷入有害的身体和饮食行为，并使饮食失调可能表达出的痛苦沉默下来。
