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題名 | Transforming Public Health Discourses in Relation to Infectious Diseases and the Corresponding Ideas of Selfhood=傳染病防治之相關公衛論述的歷史演變及其相應之自我概念 |
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作者 | 林宛瑄; | 書刊名 | 新竹教育大學人文社會學報 |
卷期 | 2:2 2009.09[民98.09] |
頁次 | 頁147-201 |
分類號 | 412.4 |
關鍵詞 | 公衛政策; 自我概念; 隔離/環境衛生; 疫苗; 感染的能力; Public health measures; Selfhood; Quarantine/sanitation; Vaccination; Contagion as capacity; |
語文 | 英文(English) |
中文摘要 | 本文旨在追溯十九世紀至今與傳染病防治相關的醫學或公衛論述及所衍生的主體概念之歷史演變。相關科技的發展往往使傳染病論述產生重大變化,其防治史因此可粗分為三階段。每一階段皆有其主流的醫學論述,防治傳染病的公衛政策援引這些論述作為其理論依據,而醫學論述及公衛政策又呼應著,甚或是衍生出一種想像自我與他者的模式。大體而言,第一個階段是前疫苗時代,遵循分隔清潔與髒污的邏輯;第二階段起始於疫苗的問世,對多數人而言,疫苗及抗生素 的降臨宣示人類對傳染病的勝利,軍事隱喻為其代表性的思維;而抗生素失效的當代則顯示出抗病原戰爭之概念的無效,直指一開放連結的主體模式。 |
英文摘要 | This paper is devoted to sketching an account of historical transformations of the social or cultural responses to infectious diseases resulting from their biomedical management mainly from the nineteenth century to the new millennium. The moments of paradigmatic shifts which roughly divide the history of public health into three stages correspond to those of the introduction of prominent technoscientific innovations or developments. The ways in which biomedical ideas characteristic of each stage shape the logic through which health practices are organized and modes of self-other relationship are established will be explore separately. Roughly speaking, the first stage was characterized by logic of quarantine/sanitation which was backed up by the imperative to separate clean from dirty; the logic of contagion in vaccination featured the second stage and gave rise to both the possibilities of rethinking selfhood and the military metaphors which finally gain supremacy in cultural imagination; the most recent stage witnessed the inefficiency of biomedical efforts in eradicating infectious diseases and therefore especially call for a concept of contagion which acknowledges that instead of being certain closed-off entity, a living being is engaged in an ongoing process of relating and becoming. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。