From "reducing" to "coping with" uncertainty: reconceptualizing the central challenge in breast self-exams
From "reducing" to "coping with" uncertainty: reconceptualizing the central challenge in breast self-exams
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DOI：
10.1016/s0277-9536(00)00112-x
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发表时间：
2000-12-01
影响因子：
5.4
通讯作者：
Kline, KN
中科院分区：
文献类型：
--
作者：
Babrow, AS;Kline, KN
一种减少不确定性的意识形态弥漫在关于乳房自我检查（BSE）的学术和流行话语中，鼓励妇女将BSE理解为一种减少对其健康不确定性的活动。此外，程序本身的不确定性被认为是患疯牛病的障碍。反过来，减少这些不确定性被视为促进疯牛病的关键。我们认为，减少不确定性的意识形态在描述性和规范性上都是不充分的，并且可能对妇女的健康构成威胁。我们进一步认为，这种意识形态应该被一种阐明应对不确定性过程的框架所取代。这种框架的几个主要特征，以及对医疗实践的影响，在疯牛病的背景下进行了讨论和说明，(C) 2000爱思唯尔科学有限公司，版权所有。
An ideology of uncertainty reduction pervades scholarly and popular discourse on breast self-exams (BSE), Women are encouraged to understand BSE as an activity that reduces uncertainty about their health. Moreover, uncertainties about the procedure itself are conceived as barriers to BSE. In turn, reducing these uncertainties is seen as the key to promoting BSE. We argue that the ideology of uncertainty reduction is both descriptively and prescriptively inadequate and potentially a threat to women's health. We further contend the ideology should be replaced by a framework that illuminates processes of coping with uncertainty. Several major characteristics of such a framework, as well as implications for medical practice, are discussed and illustrated within the context of BSE, (C) 2000 Elsevier Science Ltd, All rights reserved.