Colonization of later life? Laypersons' and users' agency regarding anti-aging medicine in Germany.

Colonization of later life? Laypersons' and users' agency regarding anti-aging medicine in Germany.
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晚年生活的殖民化?

DOI:
10.1016/j.socscimed.2014.07.064
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发表时间:
2014
影响因子:
5.4
通讯作者:
Larissa
Larissa
中科院分区:
医学2区
文献类型:
--
作者:
Schweda; Pfaller;Larissa

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抗衰老药物被认为是当代西方社会的一个重要趋势。福柯老年学在社会和文化理论中为这一趋势提供了一些主要的理论观点。从医学化和老龄化责任方面对抗衰老的解释和批评出发,我们通过定性社会实证研究的方式探索了德国背景下感兴趣的外行人和非专业用户如何实际感知和处理围绕抗衰老医学的医学主张和道德要求。该研究基于12个焦点小组和20个叙述性访谈(包括96名参与者)。研究于2011年至2012年在德国进行,采用定性内容分析和比较序列分析进行分析。实证结果表明,在日常生活中,感兴趣的外行人和非专业用户对抗衰老产品和服务采用不同的处理策略,对应不同程度的肯定和排斥。可以确定四种策略:(a)医学乐观主义,(b)预防最大化,(c)仪式化的幸福,(d)体贴的拒绝。此外,每种类型都有问题,并表达了反对它的论点。总的来说,这些发现显示了我们的参与者如何制定可行的策略,将医学知识和道德要求与他们自己的生活联系起来。这揭示了外行人和使用者的能动性——即他们在吸收、适应和将抗衰老融入个人生活中的积极作用和审议空间。这些实证研究结果有助于丰富具体国家和社会文化背景下抗衰老实际实践的图景。这可以帮助区分评估,从而使其批评更加上下文敏感、充分和有针对性。
Anti-aging medicine is regarded as a significant trend in contemporary Western societies. Foucauldian gerontology provides some of the dominant theoretical perspectives on this trend in social and cultural theory. Proceeding from its interpretation and critique of anti-aging in terms of medicalization and responsibilization of aging, we explore by means of qualitative socio-empirical research how interested laypersons as well as non-professional users in the German context actually perceive of and deal with the medical claims and moral imperatives surrounding anti-aging medicine. The study is based on 12 focus groups and 20 narrative interviews (96 participants all included). They were conducted in Germany between 2011 and 2012, and analyzed by qualitative content analysis as well as comparative sequence analysis. The empirical findings indicate that in everyday life, interested laypersons and non-professional users employ different strategies for dealing with anti-aging products and services, corresponding to different degrees of affirmation and rejection. Four strategies could be identified: (a) medical optimism, (b) preventive maximalism, (c) ritualized well-being, and (d) considerate rejection. Also, each type was problematized and arguments against it were expressed. Overall, these findings show how our participants develop viable strategies to put the relevance of medical knowledge and moral imperatives for their own lives into perspective. This sheds light on laypersons' and users' agency—that is, their active role and deliberative space in the uptake, adaptation, and integration of anti-aging into their personal life. These empirical findings contribute to an enriched picture of the actual practice of anti-aging in concrete national and socio-cultural settings. This can help to differentiate the evaluation and thus make its critique more context sensitive, adequate, and targeted.
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