Center for Bioethics-JJS-60, Cleveland Clinic, Cleveland, OH, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241255646. doi: 10.1177/17455057241255646.
Science and society typically respond to dysmenorrhea-or painful menstrual cramps-as a normal, natural, and inevitable part of menstruation. This normalization has greatly contributed to the systemic dismissal of painful menstrual cramps. Stigma, secrecy, and the expectation to "cope" fuel the normalization of menstrual pain. In this article, I argue that the normalization of menstrual pain restricts the ability to share an excruciating menstrual pain in a way that would otherwise elicit alarm or concern. This can cause clinicians to downgrade menstrual pain, and even menstruating persons to downgrade their own pain. I refer to the dismissal of menstrual pain as an example of a A pain-related motivational deficit describes instances in which an utterance fails to motivate due to societal practices and ideas that make it difficult to recognize the import of the embodied experience being shared.
科学和社会通常将痛经（即月经期间的疼痛性痉挛）视为月经的正常、自然和不可避免的一部分。这种正常化极大地促成了对疼痛性月经痉挛的系统性忽视。污名化、保密和“应对”的期望助长了月经疼痛的正常化。在本文中，我认为月经疼痛的正常化限制了分享极度疼痛的能力，否则这种疼痛会引起警觉或关注。这可能导致临床医生低估月经疼痛，甚至使经期女性低估自己的疼痛。我将月经疼痛的忽视视为一种疼痛相关的动机缺陷的例子，这种缺陷描述了由于社会习俗和观念使得难以认识到所分享的身体体验的重要性，从而导致话语无法产生动机的情况。
