Mason Katherine A
Brown University, Department of Anthropology, Box 1921, Providence, RI 02912, USA.
Anthropol Humanism. 2022 Jun;47(1):117-132. doi: 10.1111/anhu.12379. Epub 2022 Mar 11.
"Intrusive thoughts" are common symptoms of perinatal mood and anxiety disorders such as postpartum obsessive-compulsive disorder. These thoughts can include horrific flashes of violence involving one's baby and frequently lead to shame and fear on the mother's part, but rarely result in real-world violence. Clinicians tend to downplay the importance of these images' content and calm women by reminding them that they will not act on their impulses. This article leans into the dark nature of intrusive thoughts. I intersperse theoretical and ethnographic reflections with vivid fragments of narratives about intrusive thoughts collected from several years of ethnographic research conducted with postpartum women in the United States. I explore the fear, rage, and repulsion that characterize the thoughts themselves and the racism, classism, and sexism involved in clinical, institutional, and interpersonal responses to them. I suggest that dwelling on the "unthinkable" images contained within intrusive thoughts may be important for understanding and accepting the realities of mother love.
“侵入性思维”是围产期情绪和焦虑障碍(如产后强迫症)的常见症状。这些思维可能包括涉及自己宝宝的可怕暴力画面,常常使母亲感到羞耻和恐惧,但很少导致现实世界中的暴力行为。临床医生往往淡化这些画面内容的重要性,并通过提醒女性她们不会按照冲动行事来使其平静下来。本文深入探讨侵入性思维的黑暗本质。我将理论和人种志反思与从对美国产后女性进行的数年人种志研究中收集到的关于侵入性思维的生动叙事片段穿插在一起。我探究了这些思维本身所具有的恐惧、愤怒和厌恶,以及临床、机构和人际对它们的反应中所涉及的种族主义、阶级主义和性别歧视。我认为,细究侵入性思维中包含的“难以想象”的画面,对于理解和接受母爱的现实可能很重要。