My subject is not physical illness itself but the uses of illness as a figure or metaphor ... it is hardly possible to take up one's residence in the kingdom of the ill unprejudiced by the lurid metaphors with which it has been landscaped. It is toward an elucidation of those metaphors, and a liberation from them, that I dedicate this inquiry. -Susan Sontag, Illness As Metaphor As Susan Sontag argues, we need to move toward a greater understanding of the metaphors of illness in order to liberate ourselves from them. If, as she suggests, illness is a metaphor for larger social issues and political conditions, what are the metaphoric meanings of menopause? How did this natural aging process in women become defined as a serious illness? The purpose of this paper is to examine the metaphors and meanings associated with menopause and to examine how menopause has been socially constructed as an illness and medicalized.' Because menopause is a gendered subject associated with femininity, sexuality, and aging, we must analyze the physical, social, and ideological implications of defining menopause as illness. Feminist discourse analysis offers one way to examine lay and medical language of menopause and to explore its social implications. Prior to the 1980s little medical consideration was given to menopause. In fact, just twenty-five years ago, medical discussions of menopause were rare, as Sonya M. McKinlay and John B. McKinlay state in their review of the biomedical literature: Despite the possibilities of hormone therapy, the ubiquity of menopause as an event in the woman's life, and the apparently common occurrence of accompanying physiological symptoms, causing considerable discomfort, this subject has received relatively little attention in the medical literature.2 Yet, today, the psychological, physiological, and social aspects of menopause have become common subjects in both the popular and the academic press.3 Three circumstances have prompted the recent proliferation of mainstream, medical, and feminist
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