Asian Studies Programme, Kansai Gaidai University, 16-1 Nakamiya Higashino-Cho, Hirakata City, Osaka, 573-1195, Japan.
Soc Sci Med. 2023 Apr;323:115860. doi: 10.1016/j.socscimed.2023.115860. Epub 2023 Mar 22.
Cancer has the highest mortality and morbidity rates, and kills more men than women in Japan. Culturally and medically constructed as a 'lifestyle-related disease', prostate cancer incidence is directly proportional to the 'Westernisation of eating habits', and societal ageing. Nevertheless, campaigns to advocate routine testing for prostate cancer remain non-existent. Based on an adaptation of the 'sexual scripts' theorising (Gagnon and Simon, 2005), 21 Japanese urologists from Osaka, Kobe and Tokyo, recruited through snowball sampling, were interviewed from 2021 to 2022, to explore how banal nationalisms in medicine-daily medical practice grounded in cultural scripts concerning the Japanese ethnic-self, rather than in medical 'biological causation to explain illness' (Barry and Yuill, 2008, 20), influence their onco-practice. 'Systemic networks' (Bliss et al., 1983) underpinned the analysis of interviews, which indicates that the physicians tend to (re)produce banal nationalisms in medicine through an understanding of an onco-self, who embodies an 'essentialised' version of the Japanese-self concerning rational-thinking, medical-compliancy, and a dependency on familialism and the feminisation of care to cope with cancer. In grappling with prostate cancer, onco-biopedagogy built on the consumption of traditional Japanese food comprehends banal nationalisms in medicine entrenched in prostate onco-practice. Lastly, endorsing and subsidising Traditional Japanese Medicine encompass an element of onco-economics that involves banal nationalisms in medicine. Nonetheless, emotionality underneath decision-making processes, and an onco-self demanding a robotic surgery challenge the validity of banal nationalisms in medicine when grasping onco-practice.
癌症的死亡率和发病率最高，在日本，男性因癌症死亡的人数多于女性。从文化和医学角度来看，前列腺癌被构造成一种“与生活方式相关的疾病”，其发病率与“饮食习惯的西化”以及社会老龄化直接相关。然而，倡导常规前列腺癌检测的活动仍然不存在。基于对“性脚本”理论的改编（Gagnon 和 Simon，2005），我们采访了来自大阪、神户和东京的 21 位日本泌尿科医生，他们通过滚雪球抽样的方式招募，于 2021 年至 2022 年进行了访谈，以探讨医学中的平凡民族主义如何影响他们的肿瘤实践——日常医疗实践根植于关于日本民族自我的文化脚本，而不是医学“用生物学因果关系来解释疾病”（Barry 和 Yuill，2008，20）。“系统网络”（Bliss 等人，1983）为访谈的分析提供了基础，分析表明，这些医生倾向于通过对肿瘤自我的理解来（重新）产生医学中的平凡民族主义，肿瘤自我体现了一种关于理性思维、医学顺从性以及对家族主义和女性化护理的依赖的“本质化”的日本自我版本，以应对癌症。在与前列腺癌作斗争时，基于对传统日本食品消费的肿瘤生物教育学包含了根植于前列腺肿瘤实践中的医学中的平凡民族主义。最后，对传统日本医学的认可和补贴包含了医学中的平凡民族主义的一个要素，涉及肿瘤经济学。然而，在把握肿瘤实践时，决策过程中的情感和要求机器人手术的肿瘤自我挑战了医学中的平凡民族主义的有效性。
