Patton Karissa, Wood Whitney
University of Edinburgh, Edinburgh, Scotland.
Vancouver Island University, Nanaimo, British Columbia, Canada.
Can Hist Rev. 2023 Jun;104(2):169-197. doi: 10.3138/chr-2022-0032.
This article explores the impact of self-examination as a tool of feminist resistance, an act of preventive health care, and a site where mainstream and alternative health models were debated in late twentieth-century Canada. In the early 1970s, a range of women's health groups increasingly turned their liberationist critiques towards the structures of mainstream medicine, and the self-exam became a vehicle that allowed women to push back against what they cast as the systemic power imbalances involved with the traditional doctor-patient relationship. Both breast and pelvic self-exams became staples of the women's health movement as feminists encouraged women to take health care into their own hands, both figuratively and literally. As the decade progressed, breast self-examination transformed from a niche feminist technique to a relatively commonplace preventative health practice, increasingly discussed within popular women's magazines across North America. Pelvic self-examination remained more controversial as the practice was denounced by a small but vocal group of Canadian physicians, resentful of lay incursions into medical practice. Drawing on women's magazines and feminist newsletters, archival files from Canadian women's health centres, and debates about self-examination in national newspapers, we reveal how shifting narratives about women's liberation, responsibility for preventative health practices, and medical authority intersected in the feminist practice of self-examination.
本文探讨了自我检查作为女性主义抵抗工具、预防性医疗保健行为以及20世纪后期加拿大主流与替代健康模式辩论场所的影响。20世纪70年代初,一系列女性健康团体越来越多地将其解放主义批判转向主流医学结构,自我检查成为一种手段,使女性能够抵制她们所认为的传统医患关系中存在的系统性权力失衡。随着女权主义者鼓励女性在 figuratively 和 literally 两方面都将医疗保健掌握在自己手中,乳房自我检查和盆腔自我检查都成为了女性健康运动的主要内容。随着这十年的推进,乳房自我检查从一种小众的女权主义技术转变为一种相对常见的预防性健康做法,在北美各地的大众女性杂志中越来越多地被讨论。盆腔自我检查仍然更具争议性,因为一小部分但声音很大的加拿大医生谴责这种做法,他们不满外行侵入医疗实践领域。通过借鉴女性杂志和女权主义时事通讯、加拿大女性健康中心的档案文件以及全国性报纸上关于自我检查的辩论,我们揭示了关于女性解放、预防性健康实践责任和医疗权威的不断变化的叙述是如何在自我检查的女权主义实践中相互交织的。