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创伤与毁容:医学中美化归一的社会心理影响及伦理思考

Trauma and Disfigurement: Psychosocial Impact and Ethical Reflections on esthetic Normalization in Medicine.

作者信息

Calcini Gaia

机构信息

Law, Università degli Studi di Milano-Bicocca, Milano, Italy.

出版信息

Linacre Q. 2025 May 21:00243639251334426. doi: 10.1177/00243639251334426.

Abstract

The present article examines the psychological repercussions and ethical challenges associated with the medical treatment of disfigurement, highlighting how such interventions, while essential for physical recovery, can have significant impacts on personal identity and the psychosocial wellbeing of patients. In particular, it discusses the psychological trauma stemming from the condition of disfigurement and the complex dynamics of stigmatization and discrimination that follow. The analysis also focuses on the tendency of modern medicine to promote esthetic normalization, emphasizing how such medical treatments, although often necessary for physical recovery, raise profound questions about self-determination, individual freedom, and respect for human diversity. Through a critical examination of contemporary medical practices, the text discusses how the pressure toward esthetic normalization can negatively influence personal identity and the social perception of individuals affected by disfigurement. It argues that the prevailing medical approach, focused on physical correction, may not only limit esthetic diversity but also perpetuate stereotypes and discrimination. It highlights how academic literature and artistic practices offer alternative paradigms that value the uniqueness and authenticity of the human body, proposing a more inclusive and less conformist vision of physical and psychological wellbeing. The work of artists like Laura Ferguson and Mark Gilbert, along with theorizations by philosophers like Michel Foucault, provides a critical perspective on dominant cultural norms and suggests new ways of thinking about and treating disfigurement, emphasizing the importance of an approach that respects individual freedom and celebrates bodily diversity.

摘要

本文探讨了与毁容治疗相关的心理影响和伦理挑战,强调了此类干预措施虽然对身体康复至关重要,但可能会对患者的个人身份和心理社会福祉产生重大影响。特别是,它讨论了毁容状况所带来的心理创伤以及随之而来的污名化和歧视的复杂动态。分析还聚焦于现代医学促进审美正常化的趋势,强调此类医学治疗虽然通常对身体康复是必要的,但引发了关于自决、个人自由以及对人类多样性尊重的深刻问题。通过对当代医疗实践的批判性审视,本文讨论了审美正常化的压力如何对受毁容影响的个人身份和社会认知产生负面影响。它认为,当前专注于身体矫正的医学方法不仅可能限制审美多样性,还可能使刻板印象和歧视长期存在。它强调学术文献和艺术实践如何提供了重视人体独特性和真实性的替代范式,提出了一种更具包容性、更少墨守成规的身心健康观。像劳拉·弗格森和马克·吉尔伯特这样的艺术家的作品,以及像米歇尔·福柯这样的哲学家的理论阐述,提供了对主流文化规范的批判性视角,并提出了思考和治疗毁容的新方法,强调了尊重个人自由和颂扬身体多样性的方法的重要性。

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