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临床医学中的交叉性问题:对概念框架的需求。

Intersectionality in Clinical Medicine: The Need for a Conceptual Framework.

机构信息

a Howard University.

b UNC Chapel Hill.

出版信息

Am J Bioeth. 2019 Feb;19(2):8-19. doi: 10.1080/15265161.2018.1557275.

Abstract

Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient-clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.

摘要

交叉性已成为一种重要的知识方法,适用于思考种族、性别和其他社会身份如何汇聚,以形成独特形式的压迫的人。尽管最初的交叉性研究主要关注黑人女性相对于黑人男性和白人女性的独特地位,但这一概念后来已经扩展到涵盖一系列社会身份。在这里,我们考虑如何将交叉性提供的一些理论工具应用于临床环境。我们首先简要讨论了交叉性以及它在临床环境中可能有用的方式。然后,我们讨论了两个临床场景,强调了我们认为考虑交叉性如何能够导致更成功的医患互动。最后,我们推断了将交叉性应用于临床环境的一般策略,然后考虑了反对意见和回复。

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