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queer(ing) 医疗空间: queer 理论作为麻醉学和危重病医学中变革性社会变革的框架。

Queer(ing) medical spaces: queer theory as a framework for transformative social change in anesthesiology and critical care medicine.

机构信息

Department of Philosophy, History, and Politics, Thompson Rivers University, Kamloops, BC, Canada.

Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

出版信息

Can J Anaesth. 2023 Jun;70(6):950-962. doi: 10.1007/s12630-023-02449-8. Epub 2023 May 22.

DOI:10.1007/s12630-023-02449-8
PMID:37217735
Abstract

Queer theory is a disruptive lens that can be adopted by researchers, educators, clinicians, and administrators to effect transformative social change. It offers opportunities for anesthesiologists, critical care physicians, and medical practitioners to more broadly understand what it means to think queerly and how queering anesthesiology and critical care medicine spaces improves workplace culture and patient outcomes. This article grapples with the cis-heteronormative medical gaze and queer people's apprehensions of violence in medical settings to offer new ways of thinking about structural changes needed in medicine, medical language, and the dehumanizing application of medical modes of care. Using a series of clinical vignettes, this article outlines the historical context underlying queer peoples' distrust of medicine, a primer in queer theory, and an understanding of how to begin to "queer" medical spaces using this critical framework.

摘要

酷儿理论是一种具有颠覆性的视角,研究人员、教育工作者、临床医生和管理人员可以采用这种视角来实现变革性的社会变革。它为麻醉师、重症监护医师和医疗从业者提供了更广泛地理解“酷儿地思考”意味着什么的机会,以及使麻醉学和重症监护医学领域变得“酷儿化”如何改善工作场所文化和患者预后。本文探讨了顺性别异性恋医学视角和酷儿人群对医疗环境中暴力的恐惧,为思考医学、医学语言以及医疗护理模式的非人性化应用中所需的结构性变革提供了新的思路。本文通过一系列临床案例,概述了酷儿人群对医学不信任的历史背景、酷儿理论简介,以及如何使用这一关键框架开始使医疗空间变得“酷儿化”。

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Can J Anaesth. 2023 Jun;70(6):950-962. doi: 10.1007/s12630-023-02449-8. Epub 2023 May 22.
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Anxiety, worry, and job satisfaction: effects of COVID-19 care on critical care anesthesiologists.焦虑、担忧与工作满意度:COVID-19护理对重症监护麻醉医生的影响
Can J Anaesth. 2022 Apr;69(4):552-554. doi: 10.1007/s12630-022-02188-2. Epub 2022 Jan 13.
2
Experiences of LGBTQ+ Residents in US General Surgery Training Programs.美国普通外科培训项目中 LGBTQ+ 居民的经历。
JAMA Surg. 2022 Jan 1;157(1):23-32. doi: 10.1001/jamasurg.2021.5246.
3
Gender and sexuality-based discrimination in anesthesiology within Canada: a cross-sectional survey.
加拿大麻醉学领域基于性别和性取向的歧视:一项横断面调查。
Can J Anaesth. 2021 Aug;68(8):1263-1265. doi: 10.1007/s12630-021-01997-1. Epub 2021 Apr 23.
4
The case for a Canadian standard for 2SLGBTQIA+ medical education.制定加拿大2SLGBTQIA+医学教育标准的理由。
CMAJ. 2021 Apr 19;193(16):E562-E565. doi: 10.1503/cmaj.202642.
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Impact of the intersection of anaesthesia and gender on burnout and mental health, illustrated by the COVID-19 pandemic.新冠疫情期间麻醉与性别交叉对倦怠和心理健康的影响。
Anaesthesia. 2021 Apr;76 Suppl 4(Suppl 4):24-31. doi: 10.1111/anae.15360.
6
: Canadian Gay, Bisexual, and Queer Men's Willingness to Donate Blood If Eligible Despite Feelings of Policy Discrimination.加拿大男同性恋、双性恋和酷儿尽管感觉存在政策歧视,但如果符合条件仍愿意献血。
Qual Health Res. 2020 Dec;30(14):2234-2247. doi: 10.1177/1049732320952314. Epub 2020 Sep 4.
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Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak.重症监护病房专家在面对新冠疫情时的职业倦怠症状。
Ann Intensive Care. 2020 Aug 8;10(1):110. doi: 10.1186/s13613-020-00722-3.
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Medical Training in the Closet.隐秘中的医学培训
N Engl J Med. 2019 Oct 3;381(14):1305-1307. doi: 10.1056/NEJMp1905829.
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Gay and bisexual men's views on reforming blood donation policy in Canada: a qualitative study.男同性恋和双性恋者对加拿大献血政策改革的看法:一项定性研究。
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Assessment of Internal Medicine Resident Preparedness to Care for Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Patients.内科住院医师照顾女同性恋、男同性恋、双性恋、跨性别和酷儿/疑问患者的准备情况评估。
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