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Embodying gender through cancer: Medical interactions and the production of appropriately gendered bodies.

机译:通过癌症体现性别:医学互动和适当性别的身体的产生。

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摘要

In this dissertation I examine the regulation of appropriately gendered bodies within the cycle of care for "female" cancers. In both the cultural imagination and in medical care, activism and treatment of gynecological and breast cancers assume an alignment between individual identity, physical body, and normative ideologies of gender. Throughout, I argue that patients with the "wrong body" for female cancers illustrate the ways in which normative gender expectations are continually (re)produced within medical interactions and contribute to inequality in health care. My analysis draws on the experiences of patients whose bodies and gender identities don't match the medical and social expectations for gynecological and breast cancer care: transgender men who seek out gynecological care, cisgender men diagnosed with breast cancer, and cisgender women with breast cancer and/or BRCA mutations who choose prophylactic bilateral mastectomies. These patients create "gender trouble" for medical professionals. That is, they challenge associations between femininity/ female bodies and masculinity/ male bodies that are taken for granted in social life generally and are naturalized through medical care more specifically. I connect the stories of these patients to show that medical care turns on whether and how an individual "counts" as a man or woman in the context of these interactions and that patient treatment options hinge on their embodied choices. Building on contemporary theories of biopolitics and ethnomethodological theories of gender, I argue that medical interactions are critical to understanding the perpetuation of gender when bodies are under scrutiny. The interview data discussed in this dissertation shows that medical interactions reproduce and legitimate cultural ideologies of gender through patient bodies. Patients both resist and rely on gender ideologies to make sense of their treatment decisions and medical care.
机译:在这篇论文中,我研究了在“女性”癌症的护理周期内适当性别的身体的调节。在文化想象力和医疗保健中,妇科和乳腺癌的行动主义和治疗都假定个人身份,身体和性别规范意识形态之间保持一致。贯穿整个过程,我认为女性癌症“身材不对劲”的患者说明了在医疗互动中不断(重新)产生规范的性别期望并导致医疗保健不平等的方式。我的分析借鉴了那些身体和性别特征与妇科和乳腺癌治疗的医学和社会期望不符的患者的经历:寻求妇科护理的跨性别男人,被诊断患有乳腺癌的顺性别男人以及患有乳腺癌的顺性别女人和/或选择预防性双侧乳房切除术的BRCA突变。这些患者给医疗专业人员造成了“性别困扰”。也就是说,它们挑战了女性气质/女性身体与男性气质/男性身体之间的联系,而这种联系在社会生活中通常是理所当然的,并且更具体地通过医疗而自然化。我将这些患者的故事联系起来,以表明医疗保健取决于个体在这些交互作用下是否以及如何“算作”男人或女人,并且患者的治疗选择取决于他们具体的选择。在当代生物政治学理论和性别民族方法学理论的基础上,我认为,在对人体进行仔细审查时,医学互动对于理解性别永存至关重要。本文所讨论的访谈数据表明,医疗互动通过患者的身体再现了性别的合法文化思想。患者既抗拒又依靠性别意识形态来理解他们的治疗决策和医疗护理。

著录项

  • 作者单位

    The University of Chicago.;

  • 授予单位 The University of Chicago.;
  • 学科 Sociology.;Gender studies.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 235 p.
  • 总页数 235
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 宗教;
  • 关键词

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