Division of Social and Transcultural Psychiatry, McGill University, and Douglas Hospital Research Centre, Montreal, Quebec, Canada.
Med Anthropol. 2011 Sep-Oct;30(5):496-517. doi: 10.1080/01459740.2011.579586.
Illegal immigration in Canada is characterized mainly by non-status immigrants who legally enter Canada and stay after their legal status expires and by failed refugee claimants. For these persons, immigration status or its absence plays an important role in determining the degree of access to Canadian health care. This article situates the clinical setting as a site of contention and negotiation of citizenship and care in social networks as well as pragmatic and discursive strategies. Drawing on the case of a patient who faced imminent deportation and became suicidal, in this article I depict how psychiatrists and other health practitioners embrace "bearing witness" as an ethical practice, which intersects the medical and legal spheres.
加拿大的非法移民主要表现为在合法身份过期后仍留在加拿大的无身份移民和难民申请失败者。对于这些人来说，移民身份或其缺失在决定其获得加拿大医疗保健的程度方面起着重要作用。本文将临床环境置于社会网络中的公民身份和护理的争议和协商的位置，以及实用和话语策略。本文通过一个面临被驱逐出境并自杀的病人的案例，描述了精神科医生和其他医疗从业者如何将“见证”作为一种伦理实践，这种实践与医疗和法律领域相交织。
