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首頁 / 雜誌 / 社會分析 / 201108 (3期) / 醫療化、醫權政治與治療型國家:一個策略-關係取向的批判
  • 出版單位:東吳大學社會系;輔仁大學社會系;世新大學社會心理學系
中文篇名

醫療化、醫權政治與治療型國家:一個策略-關係取向的批判

英文篇名

Medicalization, Pharmacracy, and the Therapeutic State: A Strategic-Relational Critique

作者

許甘霖

中文摘要

在醫療化作為社會控制形式的文獻中,國家的角色很少獲得恰當的重視,少數的例外是將國家當成醫療化主要行動者的治療型國家理論。作者認為,Szasz 的理論除了提供以社會為中心的取向外,亦提出以國家為切入點來探索醫療、國家與當代資本主義關係的可能性。然而,由於對醫療化採取過於狹隘的概念定位、忽略醫療市場的特殊性,並無視醫療產業複合體對醫療照護體系的支配,Szasz 的理論完全脫離資本主義社會的現實脈絡。本文從策略-關係取向出發,藉由醫權政治即國家形式、治療型國家即政治策略,以及醫療化即社會成型這三個層次的脈絡化,檢視Szasz的治療型國家與醫權政治。

英文摘要

In literatures of medicalization as social control, the role of the state either is ignored or is an uncritical imitation of imported theoretical model, with few exceptions such as theories of the therapeutic state. In perspective of the strategic-relational approach, this paper examines the potential and limitation of Thomas Szasz's theory of the therapeutic state. Szasz's theory inspires a state-centred approach alternative to society-centred approach in understanding the relationships among the modern State, medicine, and capitalism. However, Szasz's theory has been seriously decontextualized from modern capitalist society to the extent that he adopts a narrow conceptualizing of medicalization, ignores the distinctiveness of medical care market, and disregards the dominance of the medical-industrial complex in the medical care system. Writing from a strategic-relational approach, this paper tries to reformulates Szasz's theory by recontextualizing therapeutic state and pharmacracy in capitalist society with pharmacracy as state form, therapeutic state as political strategy, and medicalization as societalization.

關鍵詞

公共衛生治療型國家社會控制策略-關係取向醫療化public healththerapeutic statesocial controlstrategicrelational approachmedicalization

刊名

社會分析

期數

201108 (3期)

起訖頁

119-140

出版單位

東吳大學社會系;輔仁大學社會系;世新大學社會心理學系

上一篇

台灣新國家的難題與民主化:由施密特「決斷敵人」概念出發的考察