Banal nationalisms in medicine and prostate onco-practice in Japan: A urological viewpoint
Banal nationalisms in medicine and prostate onco-practice in Japan: A urological viewpoint
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DOI：
10.1016/j.socscimed.2023.115860
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发表时间：
2023-03-27
影响因子：
5.4
通讯作者：
Castro-Vazquez，Genaro
中科院分区：
文献类型：
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作者：
Castro-Vazquez，Genaro
癌症的死亡率和发病率最高，在日本，男性死亡人数多于女性。在文化和医学上，前列腺癌被认为是一种“与生活方式有关的疾病”，其发病率与“饮食习惯西方化”和社会老龄化成正比。然而，倡导前列腺癌常规检测的运动仍然不存在。基于对“性脚本”理论的改编（Gagnon和Simon，2005年），2021年至2022年，通过滚雪球抽样招募了来自大坂、科比和东京的21名日本泌尿科医生，以探讨基于日本民族自我的文化脚本的医学日常医疗实践中的平庸民族主义，而不是在医学上"解释疾病的生物学因果关系“（巴里和Yuill，2008年，20），影响他们的肿瘤实践。“系统网络”（布利斯等人，1983年）支持的采访分析，这表明医生倾向于（重新）生产平庸的民族主义在医学上通过对anonc-self的理解，谁体现了一个“本质化”版本的日本自我有关的理性思维，医疗依从性，并依赖于家庭主义和女性化的护理，以科普癌症。在与前列腺癌的斗争中，建立在传统日本食品消费基础上的肿瘤生物教育学，打破了在前列腺癌治疗中根深蒂固的医学民族主义。最后，支持和资助日本传统医学包含了一个致癌经济学的元素，涉及医学中的平庸民族主义。尽管如此，决策过程下的情感，以及要求机器人手术的肿瘤自我，在把握肿瘤实践时，挑战了医学中平庸的民族主义的有效性。
Cancer has the highest mortality and morbidity rates, and kills more men than women in Japan. Culturally and medically constructed as a ‘lifestyle-related disease’, prostate cancer incidence is directly proportional to the ‘Westernisation of eating habits’, and societal ageing. Nevertheless, campaigns to advocate routine testing for prostate cancer remain non-existent. Based on an adaptation of the ‘sexual scripts’ theorising (Gagnon and Simon, 2005), 21 Japanese urologists from Osaka, Kobe and Tokyo, recruited through snowball sampling, were interviewed from 2021 to 2022, to explore howbanal nationalisms in medicine—daily medical practice grounded in cultural scripts concerning the Japanese ethnic-self, rather than in medical ‘biological causation to explain illness’ (Barry and Yuill, 2008, 20), influence theironco-practice. ‘Systemic networks’ (Bliss et al., 1983) underpinned the analysis of interviews, which indicates that the physicians tend to (re)produce banal nationalisms in medicine through an understanding of anonco-self, who embodies an ‘essentialised’ version of the Japanese-self concerning rational-thinking, medical-compliancy, and a dependency on familialism and the feminisation of care to cope with cancer. In grappling with prostate cancer,onco-biopedagogybuilt on the consumption of traditional Japanese food comprehends banal nationalisms in medicine entrenched in prostate onco-practice. Lastly, endorsing and subsidising Traditional Japanese Medicine encompass an element ofonco-economicsthat involves banal nationalisms in medicine. Nonetheless, emotionality underneath decision-making processes, and an onco-self demanding a robotic surgery challenge the validity of banal nationalisms in medicine when grasping onco-practice.