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女性、“疯狂”与运动。

Women, 'madness' and exercise.

作者信息

Hardes Jennifer Jane

机构信息

Department of Sociology, Canterbury Christ Church University, Kent CT1 1QU, UK.

出版信息

Med Humanit. 2018 Sep;44(3):181-192. doi: 10.1136/medhum-2017-011379. Epub 2018 Mar 21.

Abstract

The positive relationship between exercise and mental health is often taken for granted in today's society, despite the lack of academic literature evidencing this symbiosis. Gender is considered a significant determinant in a number of mental health diagnoses. Indeed, women are considered twice as likely as men to experience the most pervasive mental health condition, depression. Exercise for women's mental health is promoted through various macrolevel charity, as well as microlevel, campaigns that influence government healthcare policy and National Health Service guidelines. Indeed, 'exercise prescriptions' in the treatment of depression is not uncommon. Yet, this link between exercise as a treatment for women's mental health has not always been so pervasive. In fact, an examination of asylum reports and medical journals from the late 19th century highlights a significant shift in attitude towards the role of exercise in the treatment of women's emotional states and mental health. This paper specifically examines how this treatment of women's mental health through exercise has moved from what might be regarded as a focus on exercise as a 'cause' of women's mental ailments to exercise promoted as a 'cure'. Unpacking the changing medical attitudes towards exercise for women in line with larger sociopolitical and historic contexts reveals that while this shift towards exercise promotion might prima facie appear as a less essentialist view of women and their mental and physical states, it inevitably remains tied to larger policy and governance agendas. New modes of exercise 'treatment' for women's mental health are not politically neutral and, thus, what appear to emerge as forms of liberation are, in actuality, subtler forms of regulation.

摘要

在当今社会,运动与心理健康之间的积极关系常常被视为理所当然,尽管缺乏学术文献来证明这种共生关系。在许多心理健康诊断中,性别被认为是一个重要的决定因素。事实上,女性被认为患最普遍的心理健康问题——抑郁症的可能性是男性的两倍。通过各种宏观层面的慈善活动以及微观层面影响政府医疗政策和国民医疗服务体系指南的运动,来促进运动对女性心理健康的作用。的确,在治疗抑郁症时开具“运动处方”并不罕见。然而,运动作为治疗女性心理健康的这种联系并非一直如此普遍。事实上,对19世纪末的庇护报告和医学期刊的研究表明,人们对运动在治疗女性情绪状态和心理健康方面的作用的态度发生了重大转变。本文具体探讨了通过运动治疗女性心理健康是如何从可能被视为将运动视为女性精神疾病的“病因”,转变为将运动作为一种“治疗方法”来推广的。结合更大的社会政治和历史背景来剖析对女性运动的不断变化的医学态度表明,虽然这种向运动推广的转变表面上可能看起来是对女性及其身心状态的一种不那么本质主义的观点,但它不可避免地仍然与更大的政策和治理议程相关联。针对女性心理健康的新的运动“治疗”模式并非政治中立,因此,看似以解放形式出现的东西,实际上是更微妙的监管形式。

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