如何治疗绝对不孕症?北欧医学期刊中代孕和子宫移植的生物医学化和常规化

IF 1.3 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL
Lise Eriksson
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引用次数: 0

摘要

本文研究了20年来北欧医学期刊围绕芬兰和瑞典妊娠代孕和子宫移植的合法化和常规化进程所展开的话语斗争。通过批判性话语分析进行的比较分析表明,有影响力的医疗保健专业人士在不同程度上促进了这些方法在法律和文化上的适应性,在芬兰优先考虑非商业性妊娠代孕,在瑞典优先考虑子宫移植。文章根据所分析的二十年间芬兰和瑞典的医疗和政策发展背景,对医学期刊讨论中的核心话语转折点进行了解读。代孕和子宫移植的合法化和常规化是通过生物医学化发展起来的,将其表现为不孕不育治疗方法,并强调捐赠者和接受者之间的关系动态--在北欧,这种关系通常建立在亲属或亲密关系的基础上。绝对子宫因素不孕症的诊断是代表妇女处于可育与不育界限的核心,因为她们可能有功能正常的卵巢。通过生物医学化的 "生儿育女机会均等 "的说辞,被诊断妇女模糊的生殖状况被用来使这两种方法合法化,作为绝对不孕症的治疗方法,从而强化了霸权的家庭和亲属关系规范。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What is the cure for absolute infertility? Biomedicalisation and routinisation of surrogacy and uterus transplantation in Nordic medical journals

This article investigates 20 years of discursive struggles in Nordic medical journals around the process of legitimating and routinising gestational surrogacy and uterus transplantation in Finland and Sweden. The comparative analysis through critical discourse analysis suggests that influential health care professionals have contributed to different levels of legal and cultural adaptation of the methods, prioritising non-commercial gestational surrogacy in Finland and uterus transplantation in Sweden. The article identifies central discursive turning points in the medical journal discussions by interpreting them against the background of medical and policy developments in Finland and Sweden during the analysed twenty-year period. Legitimation and routinisation of surrogacy and uterus transplantation were developed through biomedicalisation by representing them as infertility treatments and emphasising the relational dynamics between donors and recipients—a connection that in the Nordic context is often based on kinship or close relationships. The diagnosis of absolute uterine factor infertility was central to representing women as on the boundary between fertile and infertile, as they may have functioning ovaries. Through the biomedicalised rhetoric of equal opportunities for biogenetic motherhood, the diagnosed women’s ambiguous reproductive status was used to legitimise the two methods as cures for absolute infertility, thereby reinforcing hegemonic family and kinship norms.

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来源期刊
Biosocieties
Biosocieties SOCIAL SCIENCES, BIOMEDICAL-
CiteScore
3.40
自引率
6.20%
发文量
23
期刊介绍: BioSocieties is committed to the scholarly exploration of the crucial social, ethical and policy implications of developments in the life sciences and biomedicine. These developments are increasing our ability to control our own biology; enabling us to create novel life forms; changing our ideas of ‘normality’ and ‘abnormality’; transforming our understanding of personal identity, family relations, ancestry and ‘race’; altering our social and personal expectations and responsibilities; reshaping global economic opportunities and inequalities; creating new global security challenges; and generating new social, ethical, legal and regulatory dilemmas. To address these dilemmas requires us to break out from narrow disciplinary boundaries within the social sciences and humanities, and between these disciplines and the natural sciences, and to develop new ways of thinking about the relations between biology and sociality and between the life sciences and society. BioSocieties provides a crucial forum where the most rigorous social research and critical analysis of these issues can intersect with the work of leading scientists, social researchers, clinicians, regulators and other stakeholders. BioSocieties defines the key intellectual issues at the science-society interface, and offers pathways to the resolution of the critical local, national and global socio-political challenges that arise from scientific and biomedical advances. As the first journal of its kind, BioSocieties publishes scholarship across the social science disciplines, and represents a lively and balanced array of perspectives on controversial issues. In its inaugural year BioSocieties demonstrated the constructive potential of interdisciplinary dialogue and debate across the social and natural sciences. We are becoming the journal of choice not only for social scientists, but also for life scientists interested in the larger social, ethical and policy implications of their work. The journal is international in scope, spanning research and developments in all corners of the globe. BioSocieties is published quarterly, with occasional themed issues that highlight some of the critical questions and problematics of modern biotechnologies. Articles, response pieces, review essays, and self-standing editorial pieces by social and life scientists form a regular part of the journal.
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