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不生病:自由、跨性别和残疾女权主义对医学化的批判。

Not Sick: Liberal, Trans, and Crip Feminist Critiques of Medicalization.

机构信息

Department of Bioethics and Interdisciplinary Studies, Brody School of Medicine, East Carolina University, 600 Moye Boulevard, Greenville, NC, 27834, USA.

出版信息

J Bioeth Inq. 2019 Sep;16(3):375-387. doi: 10.1007/s11673-019-09922-4. Epub 2019 Jun 29.

Abstract

Medicalization occurs when an aspect of embodied humanity is scrutinized by the medical industry, claimed as pathological, and subsumed under medical intervention. Numerous critiques of medicalization appear in academic literature, often put forth by bioethicists who use a variety of "lenses" to make their case. Feminist critiques of medicalization raise the concerns of the politically disenfranchised, thus seeking to protect women-particularly natal sex women-from medical exploitation. This article will focus on three feminist critiques of medicalization, which offer an alternative narrative of sickness and health. I will first briefly describe the philosophical origins of medicalization. Then, I will present three feminist critiques of medicalization. Liberal feminism, trans feminism, and crip feminism tend to regard Western medicine with a hermeneutics of suspicion and draw out potential harms of medicalization of reproductive sexuality, gender, and disability, respectively. While neither these branches of feminism-nor their critiques-are homogenous, they provide much-needed commentaries on phallocentric medicine. I will conclude the paper by arguing for the continual need for feminist critiques of medicalization, using uterus transplantation as a relevant case study.

摘要

当人体的某个方面受到医疗行业的仔细审查、被认为是病态的,并被纳入医疗干预范围时,就会发生医学化现象。学术文献中出现了大量对医学化的批判,这些批判通常是由生物伦理学家提出的,他们使用各种“镜头”来提出自己的观点。女性主义对医学化的批判引起了政治上被剥夺权利的人的关注,因此试图保护女性——特别是女性出生性别——免受医学剥削。本文将重点介绍对医学化的三种女性主义批判,它们提供了一种关于疾病和健康的替代叙事。我将首先简要描述医学化的哲学起源。然后,我将提出对医学化的三种女性主义批判。自由女性主义、跨性别女性主义和残疾女性主义倾向于对西方医学持解释学怀疑态度,并分别揭示生殖性行为、性别和残疾的医学化的潜在危害。虽然这些女性主义分支——以及它们的批判——并不完全一致,但它们为以男性为中心的医学提供了急需的评论。我将通过使用子宫移植作为相关案例研究来论证对医学化的持续需要进行女性主义批判。

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