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转变残疾话语:转向包容、交叉的焦点。

Shifting the discourse on disability: Moving to an inclusive, intersectional focus.

机构信息

Department of Psychology.

Department of Educational Studies in Psychology, Research Methodology, and Counseling.

出版信息

Am J Orthopsychiatry. 2023;93(1):50-62. doi: 10.1037/ort0000653. Epub 2022 Oct 20.

Abstract

Individuals with disabilities comprise one of the largest marginalized groups in the United States and experience systemic barriers in health care. In Westernized communities, disability has historically been conceptualized via the medical model, which considers disability an individual-level deficit in need of correction. Although other models of disability (e.g., social model) have been developed to address the medical model's ableist shortcomings, these fail to consistently acknowledge intersectionality. Specifically, these models fail to consider that (a) a disabled individual may hold other marginalized or oppressed identities and (b) these intersecting oppressions may exacerbate health inequities. Intersectionality, which originates from Black feminist literature, describes the ways that systems of power and oppression (e.g., racism, sexism) interact to form an individual's unique experience. To date, the intersection of disability and other marginalized identities has been neglected in psychology and related fields, leaving little guidance for how scholars, clinicians, and other stakeholders can address disability via an intersectional lens. The present article discusses how a , approach can serve as a strategy for challenging and reforming oppressive systems across the field of psychology. We assert that, ultimately, this approach has the potential to optimize and expand access to equitable, inclusive mental health care, and we propose actionable steps psychologists can take in research, practice, training, and policy in pursuit of this aim. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

残疾人是美国最大的边缘化群体之一,他们在医疗保健方面面临着系统性障碍。在西方化社区中,残疾在历史上一直被概念化为医学模式,该模式认为残疾是一种需要纠正的个体层面的缺陷。尽管已经开发出其他残疾模式(例如社会模式)来解决医学模式的歧视性缺陷,但这些模式未能始终承认交叉性。具体来说,这些模式未能考虑到:(a) 残疾个体可能持有其他边缘化或受压迫的身份;以及 (b) 这些交叉压迫可能会加剧健康不平等。交叉性源于黑人女性主义文学,它描述了权力和压迫系统(例如种族主义、性别歧视)相互作用形成个体独特经历的方式。迄今为止,残疾和其他边缘化身份的交叉性在心理学及相关领域中一直被忽视,几乎没有为学者、临床医生和其他利益相关者提供如何通过交叉视角解决残疾问题的指导。本文讨论了如何采用 的方法,作为在整个心理学领域挑战和改革压迫性制度的策略。我们断言,这种方法最终有可能优化和扩大公平、包容的心理健康护理的机会,我们提出了心理学家在研究、实践、培训和政策方面可以采取的可行步骤,以追求这一目标。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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