祖先创伤如何影响患者的健康决策。

How Ancestral Trauma Informs Patients' Health Decision Making.

机构信息

Assistant professor at the University of California, Berkeley School of Social Welfare.

Doctoral candidate at the University of California, Berkeley School of Social Welfare and an assistant clinical professor in the social work program at the University of the Pacific.

出版信息

AMA J Ethics. 2021 Feb 1;23(2):E183-188. doi: 10.1001/amajethics.2021.183.

DOI:10.1001/amajethics.2021.183

PMID:33635199

Abstract

This article considers intergenerational trauma by drawing on the experience of a 37-year-old Black woman whose great-grandfather died as a result of involuntary involvement in the US Public Health Service Syphilis Study at Tuskegee. Although she never met her great-grandfather, the abuse, exploitation, and human rights violations he suffered at the hands of the US government profoundly influenced her health experiences. This article contextualizes her experiences in light of past medical abuse and microethics.

摘要

本文通过一位 37 岁的黑人女性的经历来探讨代际创伤，她的曾祖父因被卷入美国公共卫生服务梅毒研究（塔斯基吉研究）而被迫参与其中，最终死亡。尽管她从未见过曾祖父，但他在美国政府手中遭受的虐待、剥削和侵犯人权的行为对她的健康经历产生了深远的影响。本文从过去的医疗虐待和微观伦理学的角度来阐述她的经历。