被当作“正常”的结构性暴力:谁在定义女性的痛感?The Structural Violence of 'Normal': Who Defines Female Pain?
一个影响全球近半数人口的生理现象,在学术数据库里竟然如此贫瘠,以至于一名研究者在搜索关键词时发现几乎只有自己的名字。这绝不是什么“研究滞后”,而是一次典型的 structural violence。当女性的子宫与肠道在每月一次的 prostaglandin 风暴中共同抽搐时,医疗系统给出的标准答案通常是“这很正常”。
在元暴力的逻辑里,“正常” (normal) 是一个极其危险的词。它被用来将女性的痛苦去政治化,将其从“需要被解决的医疗问题”降格为“女性必须忍受的生物属性”。当痛经、腹泻被定义为“正常”时,研究经费的流向就有了天然的优先级:男性中心叙事下的医疗研究更倾向于关注那些被定义为“病理”的症状,而将女性的整体生理周期视为一种背景噪音。这种对解释权的垄断,导致了一个荒诞的闭环:因为没研究,所以没方案;因为没方案,所以临床医生告诉患者这很正常;因为被告知正常,患者便停止发声,从而进一步证明该领域“不需要”更多研究。
这种共谋不仅存在于学术界,更内化在女性自身。许多女性在被告知“大家都这样”后,选择了自我规训,将生活质量的剧烈下降视为一种必然的代价。但这正是生物墙被武器化后的结果:生理事实被转化为一种控制手段,让女性在面对这种 monthly scourge 时,除了尝试增加纤维摄入或服用可能伤害肠胃的布洛芬,几乎没有任何真正的 systemic solution。
人权即女权,而医疗权的分配就是最直观的人权博弈。如果一个症状在男性身上出现会被立刻视为异常并启动研究,而在女性身上却被冠以“正常”之名而无人问津,那么这种“正常”本身就是一种暴力。
A physiological phenomenon affecting nearly half the global population is so neglected in academic databases that a researcher finds almost nothing but her own name. This is not mere 'research lag'; it is a textbook case of structural violence. While women's uteri and guts convulse in a monthly storm of prostaglandins, the medical system's standard response is often: "It's normal."
In the logic of meta-violence, 'normal' is a dangerous term. It is used to depoliticize female suffering, downgrading it from a 'medical issue requiring a solution' to a 'biological attribute to be endured.' When menstrual cramps and diarrhea are labeled as normal, the allocation of research funding follows a natural priority: masculine-centric medical research focuses on what is defined as 'pathological,' while treating the female physiological cycle as background noise. This monopoly on interpretation creates an absurd loop: no research leads to no solutions; no solutions lead clinicians to tell patients it's normal; and being told it's normal causes patients to stop speaking up, further 'proving' the field requires no more research.
This complicity exists not only in academia but is internalized by women themselves. Many, told that 'everyone goes through this,' succumb to self-regulation, accepting a drastic decrease in quality of life as an inevitable cost. This is the result of the biological wall being weaponized: biological facts are converted into a tool of control, leaving women with no systemic solution other than increasing fiber intake or taking ibuprofen that might irritate their gut lining.
Human rights are women's rights, and the distribution of medical power is the most direct gamble of those rights. If a symptom in a man is immediately flagged as an anomaly and triggers research, while the same symptom in a woman is dismissed as 'normal,' then that 'normalcy' is itself a form of violence.