University of Pittsburgh, PA, USA.
Violence Against Women. 2021 Jun;27(8):1019-1027. doi: 10.1177/1077801221996443. Epub 2021 Mar 5.
This response article addresses the questions raised in "How Gentle Must Violence Against Women be in Order to not be Violent? Rethinking the Word 'Violence; in Obstetric Settings" and concludes that naming violence is critical for describing people's experiences of such violence and for addressing the structures and contexts that create and fuel such violence, not for judgment but for accountability and change. Impact, outcome, and, at times, processes-rather than intention-should underpin applications of the term violence; naming violence does not disempower women, but rather naming structural, systemic, and institutional violence demands acknowledgment, accountability, and responsibility for its effects on both patients and clinicians; and, finally, while the unintended consequences of using such a term may present challenges, they do not outweigh the importance of naming structural violence in health-related systems to identify practices and processes that discriminate, disempower, harm, and oppress.
这篇回应文章解决了“为了不构成暴力，针对妇女的暴力行为必须有多温和？重新思考产科环境中的‘暴力’一词”一文中提出的问题，并得出结论，对暴力行为进行命名对于描述人们对此类暴力行为的体验以及解决造成和助长此类暴力行为的结构和背景至关重要，这样做不是为了评判，而是为了问责和改变。应该以影响、结果，有时甚至是过程（而不是意图）为基础来应用“暴力”一词；对暴力行为进行命名不会使妇女失去权力，而是对结构性、系统性和制度性暴力进行命名，要求承认、问责和对其对患者和临床医生的影响负责；最后，虽然使用这样一个术语可能会带来意想不到的后果，但这并不比在与健康相关的系统中命名结构性暴力以确定歧视、剥夺权力、伤害和压迫的做法和过程更为重要。
