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战后英国关于自杀的医学论述——使自杀及自杀未遂合法化。

Medical Discourse on Suicide in Post-War Britain - To Decriminalize Suicide and Attempted Suicide.

作者信息

Hwang Hye Jean

机构信息

Assistant Professor, Yeungnam University, College of Humanities, Department of History.

出版信息

Uisahak. 2024 Dec;33(3):733-767. doi: 10.13081/kjmh.2024.33.733.

DOI:10.13081/kjmh.2024.33.733
PMID:39973055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11855047/
Abstract

This study aims to reconstruct the medical discourse on suicide in the late 1940s and 1950s and identify the strategies employed by medical professionals to decriminalize suicide. Despite the emergence of suicide as an important social issue in post-war Britain, the subject remained largely outside the purview of the public, policy makers and various specialist groups. However, the medical community approached the topic from a professional perspective, formed collective opinions as a specialist group, and sought to change the status quo and existing laws related to suicide. As a result, they became the only group actively engaged in the movement for suicide law reform. The strategies devised by medical professionals proved effective. They distanced themselves from moral and religious debates, framing suicide as a practical and value-neutral issue. They also adhered to a deterministic paradigm, defining suicide as the result of uncontrollable and, therefore, excusable circumstances. Factors such as mental illness, social isolation, and specific familial background were identified as major contributors to self-destruction. By focusing on cases of attempted suicide, rather than completed suicides, they shifted the debate in their favor. Finally, they argued that decriminalizing suicide would not weaken social control but instead provide a solid foundation for more efficient and powerful regulation. This discourse produced by medical professionals ultimately culminated in the passage of the Suicide Act 1961.

摘要

本研究旨在重构20世纪40年代末和50年代关于自杀的医学论述,并确定医学专业人员为使自杀非罪化所采用的策略。尽管自杀在战后英国已成为一个重要的社会问题,但该主题在很大程度上仍处于公众、政策制定者和各类专家群体的视野之外。然而,医学界从专业角度探讨这一话题,作为一个专家群体形成集体意见,并试图改变与自杀相关的现状和现有法律。结果,他们成为唯一积极参与自杀法改革运动的群体。医学专业人员设计的策略被证明是有效的。他们避开道德和宗教辩论,将自杀界定为一个实际的、价值中立的问题。他们还坚持一种决定论范式,将自杀定义为不可控、因此可原谅的情况所导致的结果。精神疾病、社会孤立和特定的家庭背景等因素被确定为自我毁灭的主要促成因素。通过关注自杀未遂案例而非自杀既遂案例,他们将辩论转向对自己有利的方向。最后,他们认为将自杀非罪化不会削弱社会控制,反而会为更有效、更有力的监管提供坚实基础。医学专业人员产生的这种论述最终促成了1961年《自杀法案》的通过。

相似文献

1
Medical Discourse on Suicide in Post-War Britain - To Decriminalize Suicide and Attempted Suicide.战后英国关于自杀的医学论述——使自杀及自杀未遂合法化。
Uisahak. 2024 Dec;33(3):733-767. doi: 10.13081/kjmh.2024.33.733.
2
The medicalization of suicide in England: laymen, physicians, and cultural change, 1500-1870.
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Med Hist. 2002 Apr;46(2):175-96. doi: 10.1017/s0025727300000053.
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[Morbidity-mortality review in psychiatry: suicide or suicide attempts].[精神病学中的发病率-死亡率回顾:自杀或自杀未遂]
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本文引用的文献

1
Conceptualizations of suicide through time and socio-economic factors: a historical mini-review.自杀观念随时间及社会经济因素的演变:一项历史综述
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Suicide: Threatened and Attempted.自杀:受到威胁与未遂
Ment Health (Lond). 1958 Spring;17(2):44-49.
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Suicide and Attempted Suicide.自杀与自杀未遂
Br Med J. 1956 Oct 6;2(4996):813-5.
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Suicide in Peace and War.
Br Med J. 1947 Dec 20;2(4537):1004-5.
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Recent developments in the reform of English law on assisted suicide.英国协助自杀法律改革的最新进展。
Eur J Health Law. 2009 Dec;16(4):333-49. doi: 10.1163/092902709x12506817652810.
6
ATTEMPTED suicide.
Lancet. 1952 May 24;1(6717):1059.
7
POTENTIAL suicide.
Lancet. 1951 Dec 1;2(6692):1026.
8
Some suicide statistics.一些自杀统计数据。
Br Med J. 1951 Jun 23;1(4720):1417-23. doi: 10.1136/bmj.1.4720.1417.
9
Cases of attempted suicide admitted to a general hospital.综合医院收治的自杀未遂病例。
Br Med J. 1959 Sep 19;2(5150):463-7. doi: 10.1136/bmj.2.5150.463.
10
Attempted suicide and the law.
Med Leg J. 1959;27:114-20. doi: 10.1177/002581725902700303.