Premenstrual dysphoric disorder, a menstrual mental illness or the performance of an abjected femininity?

2013年，美国精神病学协会出版了第五版精神疾病诊断和统计手册（DSM-5），被认为是最有影响力的精神疾病分类（Dorlin和Scott，2016; Greco，2016）。在那里，经前焦虑障碍（PMDD）被归类为抑郁症，经过女权主义者和精神病学家之间多年的争论（Zachar和Kendler，2014）。PMDD的定义是在经前期出现情感不稳定、愤怒、焦虑、抑郁、失控感和身体不适。目前的治疗包括抗抑郁药、激素替代疗法、药丸和直肠切除术（Epperson等人，2012年）。此外，经前抑郁症肯定会影响亲密关系。然而，关于经前抑郁症的病因学还没有达成共识;将其归类为与月经有关的精神障碍，这就引发了一些问题：为什么做出这样的选择，以及为什么创伤和暴力的社会因素在经前抑郁症的医学论述中缺席，而研究表明它在经前抑郁症患者的生活中更为普遍。为了探讨这一点，我们必须结合联合收割机的社会学调查和哲学的话语，主体性和体现，以了解PMDD对性别角色，暴力或愤怒的可能掩饰，病态妇女的刻板印象和他们的宪法作为卑或科目。

In 2013, the American Psychiatric Association published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), considered to be the most influential classifications of mental illnesses (Dorlin and Scott, 2016; Greco, 2016). There, premenstrual dysphoric disorder (PMDD) was classified as a depressive disorder, following years of debates between feminists and psychiatrists (Zachar and Kendler, 2014). PMDD is defined by the presence of affective lability, anger, anxiety, depression, feeling out of control and physical discomfort during the premenstrual phase. Current treatments include antidepressants, hormonal replacement therapies, the pill and hysterectomies (Epperson et al., 2012). Additionally, PMDD must impact close relationships.However, there is no consensus on PMDD's aetiology; classifying it as a mental disorder linked to menstruation thus raises questions about why this choice was made and why social factors of trauma and violence are absent from the medical discourse of PMDD, when research suggests it is more prevalent in the lives of PMDDers. To explore this, one must combine sociological investigation and philosophies of discourse, subjecthood and embodiment, to understand what PMDD does for gender roles, for the possible dissimulation of violence or anger, the stereotype of pathological women and their constitution as abject or subjects.