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观念转变:更年期的医学化

Changing ideas: the medicalization of menopause.

作者信息

Bell S E

出版信息

Soc Sci Med. 1987;24(6):535-42. doi: 10.1016/0277-9536(87)90343-1.

Abstract

This paper examines the intellectual roots of the medicalization of menopause in the 1930s and 1940s. An analysis of published papers written by prominent American medical specialists reveals three models that were developed to understand menopause--biological, psychological and environmental--and shows how each contributed to its medicalization. This transformation was made possible by the paradigm of sex endocrinology and the availability of a new drug (DES), which was produced in 1938. Exploring the medicalization of menopause illuminates some of the special and complicated ways that women's experiences are vulnerable to medical control.

摘要

本文探讨了20世纪30年代和40年代更年期医学化的知识根源。对美国著名医学专家发表的论文进行分析后发现,为理解更年期而形成了三种模式——生物学模式、心理学模式和环境模式——并展示了每种模式如何促成了更年期的医学化。这种转变因性内分泌学范式以及一种新药(己烯雌酚)的问世而成为可能,该药于1938年生产。探究更年期的医学化揭示了女性经历易受医学控制的一些特殊而复杂的方式。

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