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[巴西三所女子监狱中的精神科医学化:对刑事定罪、病理化和药物治疗化历程的人种志研究方法]

[Psychiatric medicalization in three Brazilian women's prisons: an ethnographic approach to the itineraries of criminalization, pathologization and pharmaceuticalization].

作者信息

Ordoñez-Vargas Laura, Cortés-García Claudia Margarita

机构信息

Doctora en Antropología Social. Docente e investigadora, Escuela de Ciencias Humanas, Universidad del Rosario, Bogotá, Colombia.

出版信息

Salud Colect. 2020 Aug 20;16:e2507. doi: 10.18294/sc.2020.2507.

DOI:10.18294/sc.2020.2507
PMID:33147392
Abstract

This article analyzes the psychiatric medicalization of women in three Brazilian women's prisons, from the fields of mental health, the anthropology of confinement, and gender studies. A qualitative study employing ethnographic methods was carried out from October 2006 to February 2007, which included participant observation, informal conversations, semi-structured interviews, and life histories. Understood as a state device of power, psychiatric medicalization processes are marked by three itineraries: the mass criminalization of women, pathologization of women's crimes, and psychiatric pharmaceuticalization (especially through the administration of psychoactive drugs). These processes thus establish a vicious cycle that perpetuates or produces the disorders that psychiatry seeks to heal and enables the continuity of drug use (illicit-licit-illicit) and its ties to the illegal drug market, while highlighting how gender - in its intersections with other categories of differentiation - influences the production of mental illnesses, which must be treated as a public health problem that extends beyond the walls of women's prisons.

摘要

本文从心理健康、监禁人类学和性别研究领域,分析了巴西三所女子监狱中女性的精神病医学化现象。2006年10月至2007年2月开展了一项采用人种志方法的定性研究,包括参与观察、非正式交谈、半结构化访谈和生活史研究。精神病医学化过程被视为一种国家权力手段,其特点有三个路径:女性的大规模刑事定罪、女性犯罪的病理化,以及精神病药物治疗(特别是通过使用精神活性药物)。这些过程因此形成了一个恶性循环,使精神病学试图治愈的疾病永久存在或产生,并使药物使用(非法-合法-非法)得以持续及其与非法毒品市场的联系得以维系,同时凸显了性别——在其与其他差异类别交叉时——如何影响精神疾病的产生,而精神疾病必须被视为一个超出女子监狱范围的公共卫生问题。

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