Wilbush J
Department of Anthropology, University of Alberta, Edmonton, Canada.
J R Soc Med. 1994 Jun;87(6):342-7. doi: 10.1177/014107689408700614.
Why is an increasing number of women dissatisfied with their doctors' help in their climacteric? Why do so many object to hormone replacement therapy (HRT)? Why do they generally feel it is not 'natural'? Though many object to getting old, want to continue flaunting their 'eternal youth', many more, women and men, embrace retirement, wish to rest and slow down. There is no mistaking these extremes, for while the first grasp at every possible treatment, the last are but seldom medically seen. It is the middle majority, their demands, censure, disapproval, even open confrontation with those who try to help them which is difficult to understand. This paper briefly reviews the manner in which Western climacteric women have, during two hundred, but mainly last fifty, years confronted their world: their protests at societal attitudes, their private marital conflicts, their demands of doctors and, finally, their present criticism of them. It also pays detailed attention to the key concept of 'natural' treatment. Finally it suggests that much of present climacteric confrontation is a displacement activity, born of concurrent conflicting desires for both youth and retirement, rather than aimed specifically at doctors.
为什么越来越多的女性对医生在她们更年期时提供的帮助感到不满？为什么这么多人反对激素替代疗法（HRT）？为什么她们普遍觉得这不是“自然的”？尽管许多人抗拒变老，想要继续炫耀自己的“青春永驻”，但更多的女性和男性欣然接受退休，希望休息并放慢生活节奏。这两种极端态度一目了然，因为前者会抓住每一种可能的治疗方法，而后者却很少去看医生。难以理解的是处于中间的大多数人，他们的需求、指责、不满，甚至与试图帮助他们的人公开对抗。本文简要回顾了西方更年期女性在两百年间，主要是过去五十年里，面对她们的世界的方式：她们对社会态度的抗议、她们的私人婚姻冲突、她们对医生的要求，以及最终她们目前对医生的批评。它还详细关注了“自然”治疗的关键概念。最后它表明，目前许多更年期的对抗是一种替代行为，源于对青春和退休同时存在的相互冲突的渴望，而不是专门针对医生的。
