The woman is the active agent: General practitioners and the agentive displacement of abortion in Ireland

IF 2 2区 社会学 Q1 ANTHROPOLOGY
Brenna McCaffrey
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引用次数: 0

Abstract

After the legalization of abortion in 2018, Ireland needed clinicians to become abortion providers and make this political win a medical reality. Yet Irish doctors had next-to-no training in abortion care, and barriers ranging from stigma to economic pressures in the healthcare system impacted doctors’ desire to volunteer. How did hundreds of Irish doctors make the shift from family doctor to abortion provider? Drawing on ethnographic research conducted between 2017 and 2020, this article explores the process by which Irish general practitioners became abortion providers, attending to the material impact of medical technologies on that journey. Drawing from medical anthropologists who have examined similar themes of agency, pharmaceuticals, and medico-legal frameworks within the topic of assisted dying, I build on Anita Hannig's idea of “agentive displacement” to frame the productive impact of abortion pills on this transition.

妇女是主动者:爱尔兰的全科医生和人工流产的代理权转移
2018 年堕胎合法化后,爱尔兰需要临床医生成为堕胎服务提供者,将这一政治胜利变为医疗现实。然而,爱尔兰医生几乎没有接受过堕胎护理方面的培训,医疗系统中从耻辱感到经济压力等各种障碍影响了医生志愿服务的意愿。数百名爱尔兰医生是如何实现从家庭医生到堕胎服务提供者的转变的呢?本文利用 2017 年至 2020 年间进行的人种学研究,探讨了爱尔兰全科医生成为堕胎服务提供者的过程,并关注了医疗技术对这一历程的物质影响。医学人类学家曾在协助死亡的主题中研究过代理、药品和医疗法律框架等类似主题,我借鉴了医学人类学家安妮塔-汉尼格(Anita Hannig)的 "代理位移"(agentive displacement)观点,来阐述堕胎药对这一转变的生产性影响。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
56
期刊介绍: Medical Anthropology Quarterly: International Journal for the Analysis of Health publishes research and theory in the field of medical anthropology. This broad field views all inquiries into health and disease in human individuals and populations from the holistic and cross-cultural perspective distinctive of anthropology as a discipline -- that is, with an awareness of species" biological, cultural, linguistic, and historical uniformity and variation. It encompasses studies of ethnomedicine, epidemiology, maternal and child health, population, nutrition, human development in relation to health and disease, health-care providers and services, public health, health policy, and the language and speech of health and health care.
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