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专业权威与性胁迫:医生滥用的典型案例研究。

Professional authority and sexual coercion: A paradigmatic case study of doctor abuse.

机构信息

Senior Lecturer in Criminology Centre for Gender and Violence Research School for Policy Studies University of Bristol, Bristol, BS8 1TZ, United Kingdom.

出版信息

Soc Sci Med. 2022 Jul;305:115093. doi: 10.1016/j.socscimed.2022.115093. Epub 2022 May 30.

Abstract

Professionals occupy a position of esteem in society. Doctors and health professionals tend to score especially highly on public opinion surveys of trust. Sexual violence and abuse (SVA) by medical professionals towards their patients is a grave breach of that confidence. This paper uses thematic analysis of a paradigmatic case study of doctor abuse, drawn from a larger sample of semi-structured interviews conducted for an Economic and Social Research Council (ESRC) funded United Kingdom (UK) study 2015-2018 into justice and gender based violence. It explores how professional authority can both facilitate and conceal sexual coercion through building dependency; use of language and authorship of the official record; and by functional complicity and 'data doubling' within intra and inter-professional cultures. While there is an established literature on child sexual abuse, including in institutional contexts, this paper focuses on the lived experience of grooming and sexual violence of an adult survivor of doctor abuse.

摘要

专业人员在社会中享有崇高的地位。医生和卫生专业人员在公众信任度调查中往往得分特别高。医疗专业人员对患者的性暴力和虐待(SVA)严重违反了这种信任。本文使用典型案例研究的主题分析方法,该案例来自于 2015 年至 2018 年为经济和社会研究委员会(ESRC)资助的英国(UK)研究进行的半结构化访谈的更大样本,该研究涉及司法和基于性别的暴力。它探讨了专业权威如何通过建立依赖性、语言的使用和官方记录的作者身份,以及在内部和跨专业文化中的功能共谋和“数据加倍”,来促进和掩盖性胁迫。虽然已经有关于儿童性虐待的既定文献,包括在机构背景下,但本文侧重于医生虐待的成年幸存者的性诱骗和性暴力的生活经历。

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