Weir Michelle
University of Pennsylvania, Perelman School of Medicine, 235 South 8th Street, Philadelphia, PA 19106, USA.
Dermatol Clin. 2023 Apr;41(2):291-297. doi: 10.1016/j.det.2022.08.006. Epub 2023 Feb 1.
Microaggressions are directed unconsciously to people of color or other minority groups, and the accumulated experience of multiple microaggressions over a lifetime have detrimental effects on mental health. In the clinical setting, both physicians and patients can commit microaggressions. Patients experiencing a microaggression from their provider suffer emotional distress and distrust resulting in decreased service utilization, reduced adherence, and poorer physical and mental health. Physicians and medical trainees, particularly those of color, women and LGBTQIA members, have increasingly experienced microaggressions committed by patients. Learning to recognize and address microaggressions in the clinical setting creates a more supportive and inclusive environment.
微侵犯是无意识地针对有色人种或其他少数群体的行为，一生中多次微侵犯的累积经历会对心理健康产生有害影响。在临床环境中，医生和患者都可能做出微侵犯行为。遭受来自医疗服务提供者微侵犯的患者会经历情绪困扰和不信任，从而导致服务利用率下降、依从性降低以及身心健康状况变差。医生和医学实习生，尤其是有色人种、女性和 LGBTQIA 群体成员，越来越多地经历患者的微侵犯行为。学会在临床环境中识别和应对微侵犯行为有助于营造一个更具支持性和包容性的环境。
