人工生殖療程中的女性行動邏輯：非典型就醫位置下的信任與能動性

Action Logics of Women in Assisted Reproduc-tive Treatment: Trust and Agency in Atypical Patient Positions

本文以三位接受人工生殖女性之深度訪談為材料，從患者敘事視角出發，探討女性如何在醫療專業、科技數據、身體介入與生育期待之間理解自身位置，並形成行動邏輯。不同於既有醫病關係模型多預設「疾病—診斷—治療」框架，本文將人工生殖視為非典型醫療情境。研究採結構詮釋學與序列分析。研究發現，受訪者呈現「專業委託型」、「理解導向型」與「積極推進型」三種行動邏輯。本文進一步提出「條件式信任」與「條件化能動性」：前者指專業信任在醫師解釋、技術展現與穩定互動中被反覆確認；後者指女性能動性在療程流程、身體承受、婚姻家庭條件與生育時間壓力中被節點化實踐。本文認為，人工生殖療程中的醫病互動是制度、科技與性別規範交織下持續重組女性行動可能性的結構性過程。

This article draws on in-depth interviews with three women undergoing assisted reproduction to examine, from the perspective of patients' own narra-tives, how women understand their positions amid medical expertise, techno-logical data, bodily intervention, and reproductive expectations, and how they develop action logics accordingly. Unlike existing doctor–patient relationship models, which largely presuppose a ''disease–diagnosis–treatment'' framework, this study conceptualizes assisted reproduction as a non-typical medical con-text. Using objective hermeneutics and sequential analysis, the findings identify three action logics: professional delegation, understanding-oriented participa-tion, and active advancement. The article further proposes two concepts: ''con-ditional trust'' and ''conditioned agency.'' Conditional trust refers to professional trust that is repeatedly confirmed through physicians' explanatory capacity, technological competence, and stable interactional style. Conditioned agency describes women's agency as practiced at specific procedural nodes within treat-ment routines, bodily endurance, marital and familial conditions, and reproductive time pressure. The article argues that doctor–patient interaction in assisted reproductive treatment should be understood as a structural process in which institution, technology, and gender norms intersect to continuously reor-ganize women's possibilities for action.