Kavanagh K H
University of Maryland, Baltimore 21201.
Cult Med Psychiatry. 1991 Jun;15(2):245-74. doi: 10.1007/BF00119046.
This research-based article analyzes institutionalized inequity and discrimination in the forms of sexism and racism within a large, busy, contemporary medical center's Department of Psychiatry. Within that context, issues of control and mechanisms of avoidance served to perpetuate contradictions inherent in what professes to be a psychologically therapeutic and empowering milieu. Despite cognizance of the roles that culture and gender play in care and treatment of patients, psychiatric and mental health professionals at "Central" tended to avoid critical examination of their own and co-workers' ethnicity and gender as those characteristics influenced life experiences, occupational roles and statuses, and hierarchical relationships.
这篇基于研究的文章分析了一家大型、繁忙的当代医疗中心精神科内存在的性别歧视和种族主义形式的制度化不公平和歧视现象。在此背景下，控制问题和回避机制使一个自称具有心理治疗作用和赋权环境中固有的矛盾长期存在。尽管认识到文化和性别在患者护理和治疗中所起的作用，但“中心”的精神科和心理健康专业人员往往避免对自身及同事的种族和性别进行批判性审视，因为这些特征会影响生活经历、职业角色和地位以及等级关系。
