医学与大规模监禁：把监禁视为医学与公共卫生议题

时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31

研究问题

The pathologizing of homosexuality even during this repressive era did not go unchallenged, however, as Kun- zel also highlights mid-twentieth century queer activists’ efforts to contest “the medical model of homosexuality” and the psychiatric authority that underpinned the medicalization of their nonconforming sexualities (2017, 237–240).；At the same time, however, a new set of medical and health-related issues would arise as the enactment of more draconian drug and sentencing laws starting in the 1970s meant that the U.S. prison population would balloon to unprecedented lev- els.；As might be expected, however, efficiency and lower costs sacrificed the quality of care incarcerated people received—or failed to receive.

方法

But while mid-twentieth century laws criminalizing homosexuality would eventually be repealed and the American Psychiatric Association removed homosexuality from the Diagnostic and Statistical Manual of Men- tal Disorders in 1973, Kunzel proposes that mid-twentieth century medical discourse on homosexuality offers a “preview and genealogy of the seemingly ever-expanding regime of sex offender surveillance and punishment” that would develop in the 1990s as the U.S. carceral state expanded (Kunzel 2017, 231).；While this topic has been explored in journalism and in a report by the Center for Justice at Columbia University, medical humanities scholars, especially those interested in aging, dying, and end-of-life care, might turn their attention to the experiences, technologies, and bioethics of these topics in carceral settings, and perhaps how they compare to non-incarcerated contexts (“Agi

核心结论

Medical humanities scholars might also consider the very phenomenon of mass incarceration a medical matter given that public health authori- ties have presented other social issues, such as loneliness and gun violence, as epidemics or public health crises.；Jails in particular, where people are held for shorter periods or to which they are deposited directly from the streets, also warehouse concentrated populations of people who often require care for mental health conditions and substance use disorders.；Crane and Kelsey Pascoe have noted, incarceration also comes with “significant health impacts that remain * Chin Jou cj62@rice.edu 1 Rice University, Houston, TX, United States Journal of Medical Humanities poorly documented and poorly addressed.”1 Lack of medical care for acute and chronic health conditions, years of poor nutrition and sleep deprivation, trauma from the violence endemic to many U.S. carceral institutions, and social isolation for those held in long-term solitary confinement, also mean that jails and prisons are places where people become ill— some fatally so—even if ‖ 结论：Conclusion Apart from the social and political significance of mass incarceration, carceral institutions should be on the radar of medical humanities scholars because they are constitutive ele- ments of America’s healthcare system.

局限

Crane and Kelsey Pascoe have noted, incarceration also comes with “significant health impacts that remain * Chin Jou cj62@rice.edu 1 Rice University, Houston, TX, United States Journal of Medical Humanities poorly documented and poorly addressed.”1 Lack of medical care for acute and chronic health conditions, years of poor nutrition and sleep deprivation, trauma from the violence endemic to many U.S. carceral institutions, and social isolation for those held in long-term solitary confinement, also mean that jails and prisons are places where people become ill— some fatally so—even if they were healthy before their incarceration.；This scholarship—and here I am referring to work on the early-t

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原文题录

• 英文标题：Medicine and Mass Incarceration.
• 期刊与标识：J Med Humanit · PMID 42961625 · DOI 10.1007/s10912-026-10071-0