What’s Best for Them: Teaching Disability Studies to Science Majors

A. Duane
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引用次数: 1

Abstract

In one of Seinfeld’s more controversial episodes, Jerry tells his friends that he finds Asian women particularly attractive. When someone else points out that fetishizing Asian women could be considered racist, Jerry is aghast. “If I like their race,” he demands, “how can that be racist?” Many of the students who walk into my class on disability in American literature and culture could relate to Jerry’s astonishment. Overwhelmingly, they sign up for that class because they like people with disabilities. Although the class is offered through the English department, the majority of students who enroll are science majors. Many are pre-med, often specializing in molecular biology and genetic science. Other students are majoring in fields like special education and physical therapy. They are all deeply steeped in the medical model of disability, and the attendant narrative of heroic doctors who rescue, cure, and otherwise fix their patients. They are deeply invested in being the good guys in the battle between sickness and health. A central task of my class on disability studies is to expose and interrogate the paternalism that often permeates the medical model. It is tempting—but I would argue, dangerous—to create a syllabus that simply swaps the doctor out of a heroic role into a villainous one. Much disability theory was created in explicit opposition to the assumptions that science and medicine have produced as truths about how bodies should work. One constructed “truth” that has proven particularly devastating is the assumption that medical professionals are the most valid authority on what’s best for the patient. As Nancy Mairs writes, this paternalism further diminishes the experience and agency of people with disabilities, rendering them still more marginalized. “To some extent,” Mairs argues, “paternalism infects [medical professionals’] relations with all their patients—a word that doesn’t share its root with “passive” by accident—because [physicians’] apparent (and often real) power over life and death reduces us all to a childlike dependency on their superior knowledge. We reinforce their dominance through our docility” (161). But for my students, the role of parent-doctor is an enticing one indeed, one that allows them to ease suffering, rescue the lost, and cure the sick. As young adults eager to escape their own childhood dependence, medical expertise offers tantalizing authority. My goal is not to shame them for their rescue fantasies, but rather to prompt them to ask how they might disentangle the desire to help from the need to control the unwieldiness of difference and suffering.
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什么对他们最好:向理科生教授残疾研究
在《宋飞正传》一集中,杰瑞告诉他的朋友,他觉得亚洲女人特别有魅力。当别人指出,迷恋亚洲女性可能被视为种族歧视时,杰里惊呆了。“如果我喜欢他们的种族,”他质问道,“那怎么可能是种族歧视呢?”许多走进我的美国文学和文化中的残疾课的学生都能体会到杰瑞的惊讶。绝大多数人报名参加这门课是因为他们喜欢残疾人。虽然这门课是通过英语系开设的,但大多数报名的学生都是理科生。许多学生都是医学预科生,通常专攻分子生物学和基因科学。其他学生则主修特殊教育和物理治疗等专业。他们都深深沉浸在残疾的医学模式中,以及随之而来的英雄医生拯救、治愈和治疗病人的故事中。在疾病与健康的斗争中,他们全心全意地做着好人。我的残疾研究课程的一个中心任务是揭露和质疑经常渗透到医疗模式中的家长式作风。创建一个简单地将医生从英雄角色变成反派角色的教学大纲是诱人的,但我认为是危险的。许多残疾理论都是在明确反对科学和医学所提出的关于身体应该如何运作的真理的假设的情况下建立起来的。事实证明,一个被建构的“真相”尤其具有毁灭性,那就是认为医疗专业人员是最有效的权威,知道什么对病人最好。正如南希·梅尔斯(Nancy Mairs)所写,这种家长式作风进一步削弱了残疾人的经验和能动性,使他们更加边缘化。“在某种程度上,”梅尔斯认为,“家长式作风影响了(医疗专业人员)与所有病人的关系——这个词与‘被动’这个词无意中没有共同的词根——因为(医生)对生死的明显(通常是真实的)权力使我们所有人都像孩子一样依赖于他们的卓越知识。”我们通过我们的温顺来加强他们的统治”(161)。但对我的学生来说,父母医生的角色确实很诱人,可以让他们减轻痛苦,拯救迷失的人,治愈病人。对于渴望摆脱童年依赖的年轻人来说,医学专业知识提供了诱人的权威。我的目标不是让他们为自己的救援幻想感到羞耻,而是促使他们思考,如何才能将帮助他人的愿望与控制差异和痛苦的需要区分开来。
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