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“只有我丈夫和我的医生知道。还有你们,女孩们”:俄罗斯代孕母亲应对污名化策略的在线讨论。

"Only My Husband and My Doctor Know. And You, Girls": Online Discussions of Stigma Coping Strategies for Russian Surrogate Mothers.

机构信息

Department of Communication Studies, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel.

出版信息

Int J Environ Res Public Health. 2021 Oct 28;18(21):11325. doi: 10.3390/ijerph182111325.

Abstract

(1) Background: Gestational surrogacy is the most common type of surrogacy today. Although technologically well-developed and legal in many countries, it challenges and even contradicts the basic traditional concepts of family, motherhood, and gender roles. In the present study, we examined the types of stigma coping strategies surrogate mothers discussed in an online support group in post-Soviet Russia. (2) Method: We conducted a qualitative thematic analysis of 15,602 posts on a Russian-language online support group for surrogate mothers. (3) Findings: group members discussed four types of coping strategies: stigma internalization, stigma avoidance, group identification, and stigma challenging. Nevertheless, these strategies varied across the surrogate motherhood stages. Group members advised each other on specific strategies to use to cope with the state of discreditable (invisible) stigma (i.e., during the first few months of their pregnancies), with different strategies for when the pregnancies became visible and they risked becoming discredited people. Furthermore, group members disclosed that they used these strategies even when they returned to their previous family and work routines. Theoretically, our findings challenge Goffman's classic theoretical dichotomy and coping research concerning discreditable (invisible) and discredited (visible) stigma. (4) Conclusion: Our findings indicate that surrogate mothers anticipate experiencing stigma and therefore plan for it by discussing potential coping strategies in the online group. Moreover, any intervention designed to cater to the needs of surrogate mothers must, therefore, take into consideration the social needs of their entire family.

摘要

(1) 背景:代孕是当今最常见的代孕类型。尽管在许多国家技术发达且合法,但它挑战甚至违背了家庭、母性和性别角色的基本传统观念。在本研究中,我们研究了后苏联俄罗斯一个在线支持小组中的代孕母亲讨论的污名应对策略类型。

(2) 方法:我们对俄语在线代孕母亲支持小组的 15602 个帖子进行了定性主题分析。

(3) 发现:小组成员讨论了四种应对策略:污名内化、污名回避、群体认同和污名挑战。然而,这些策略在代孕母亲的不同阶段有所不同。小组成员相互建议使用特定的策略来应对耻辱(无形)污名的状态(即在怀孕的头几个月),并在怀孕变得可见且她们有成为耻辱之人的风险时使用不同的策略。此外,小组成员透露,即使在她们返回以前的家庭和工作常规时,也会使用这些策略。从理论上讲,我们的发现挑战了戈夫曼的经典理论二分法和关于耻辱(无形)和耻辱(可见)污名的应对研究。

(4) 结论:我们的发现表明,代孕母亲预计会遇到污名,因此通过在在线小组中讨论潜在的应对策略来为其做准备。此外,任何旨在满足代孕母亲需求的干预措施都必须考虑到其整个家庭的社会需求。

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