Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Thompson Writing Program, Duke University, Durham, North Carolina, USA.
Med Humanit. 2022 Jun;48(2):169-176. doi: 10.1136/medhum-2021-012244. Epub 2022 May 2.
This article puts critical disability studies and global health into conversation around the phenomenon of scarf injury in Bangladesh. Scarf injury occurs when a woman wearing a long, traditional scarf called an orna rides in a recently introduced autorickshaw with a design flaw that allows the orna to become entangled in the vehicle's driveshaft. Caught in the engine, the orna pulls the woman's neck into hyperextension, causing a debilitating high cervical spinal cord injury and quadriplegia. The circumstances of the scarf injury reveal the need for more critical cultural analysis than the fields of global health and rehabilitation typically offer. First, the fatal design flaw of the vehicle reflects different norms of gender and dress in China, where the vehicle is manufactured, versus Bangladesh, where the vehicle is purchased at a low price and assembled on-site-a situation that calls transnational capitalist modes of production and exchange into question. Second, the experiences of women with scarf injuries entail many challenges beyond the injury itself: the transition to life with disability following the rehabilitation period is made more difficult by negative perceptions of disability, lack of resources and accessible infrastructure, and cultural norms of gender and class in Bangladesh. Our cross-disciplinary conversation about women with scarf injuries, involving critical disability studies, global health and rehabilitation experts, exposes the shortcomings of each of these fields but also illustrates the urgent need for deeper and more purposeful collaborations. We, therefore, argue that the developing subfield of global health humanities should include purposeful integration of a humanities-based critical disability studies methodology.
本文将批判性残疾研究与全球健康结合起来，探讨了孟加拉国围巾伤害现象。围巾伤害发生在一名妇女乘坐一种新引入的人力车时，这种人力车的设计缺陷使她所戴的长传统围巾（称为orna）缠绕在车辆的传动轴上。orna 被发动机夹住，将妇女的颈部拉至过度伸展，导致严重的高颈椎脊髓损伤和四肢瘫痪。围巾伤害的情况揭示了需要进行更多的批判性文化分析，而不仅仅是全球健康和康复领域通常提供的分析。首先，车辆致命的设计缺陷反映了制造车辆的中国与购买和现场组装车辆的孟加拉国之间不同的性别和着装规范——这种情况使跨国资本主义生产和交换模式受到质疑。其次，围巾伤害妇女的经历带来了许多超越伤害本身的挑战：康复期后向残疾生活的过渡更加困难，因为残疾观念消极、资源和无障碍基础设施缺乏以及孟加拉国的性别和阶级文化规范都是如此。我们对围巾伤害妇女的跨学科对话，涉及批判性残疾研究、全球健康和康复专家，暴露了这些领域的不足之处，但也说明了更深入和更有针对性的合作的迫切需要。因此，我们认为，全球健康人文科学这一新兴领域应该包括基于人文的批判性残疾研究方法的有针对性的整合。
