Willett Andrea, Etowa Josephine
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Nurs Inq. 2023 Oct;30(4):e12564. doi: 10.1111/nin.12564. Epub 2023 May 29.
The theoretical perspectives of intersectionality and poststructuralism have contributed meaningfully to advancing issues of social injustice within the realm of women's health research. However, the question of whether the two approaches are epistemologically commensurate has been at the heart of a polarized debate within third- and fourth-wave feminist literature in recent years. In this paper, we draw on the extant literature to explore existing dilemmas within this debate and critically reflect on points of epistemological tension and congruence between the two perspectives. It will be demonstrated that intersectionality and poststructuralism, especially feminist poststructuralism, represent concordant theoretical perspectives and a synthesized theoretical framework for application in qualitative research into women's health will be proposed. We argue that an intersectional feminist poststructuralist framework contributes to a deepened analysis of women's disparate healthcare experiences, and the social mechanisms, power relations, and discourses that mediate these experiences, while offering avenues for advocacy and political praxis on a multitude of levels.
交叉性理论和后结构主义的理论视角为推动女性健康研究领域的社会不公问题做出了重要贡献。然而,近年来,这两种方法在认识论上是否兼容的问题一直是第三波和第四波女权主义文献中两极分化辩论的核心。在本文中,我们借鉴现有文献,探讨这场辩论中存在的困境,并批判性地反思这两种视角在认识论上的紧张点和一致性。将证明交叉性理论和后结构主义,尤其是女权主义后结构主义,代表了一致的理论视角,并将提出一个综合的理论框架,用于女性健康的定性研究。我们认为,一个交叉性女权主义后结构主义框架有助于深化对女性不同医疗保健经历以及调节这些经历的社会机制、权力关系和话语的分析,同时在多个层面提供倡导和政治实践的途径。