Pérez Garcia Rosario, Pérez García Manuela
Atención Primaria, Servicio Gallego de Salud (SERGAS), Santiago de Compostela, España.
Servicio de Psiquiatría. Servicio Gallego de Salud (SERGAS), Santiago de Compostela, España..
Rev Fac Cien Med Univ Nac Cordoba. 2023 Sep 29;80(3):301-305. doi: 10.31053/1853.0605.v80.n3.42438.
The organization in hospital medicine services is characterized by its hierarchy, where the difference in knowledge and status between medical directors, heads of service, specialist doctors and residents implicitly entail a power dynamic that generates abuse. According to Bourdieu's symbolic theory, the framework that underlies abuse is formed by symbolic violence that materializes in complex relationships in which each person knows their hierarchical position and does not question it. But this symbolic violence is experienced unconsciously, where abuse is perceived as an attitude that is part of an established order where the abuser and the abused act without questioning the abuse and perpetuating the historically inherited model. To eradicate abuse of residents, it is necessary to become aware of the symbolic foundation of abuse that legitimizes and perpetuates it to unmask the relationship between the abuser and the abused, proposing a new relational framework based on respect and dialogue.
医院医疗服务中的组织具有层级性,医疗主任、科室主任、专科医生和住院医师之间在知识和地位上的差异无形中导致了一种权力动态,进而滋生了滥用行为。根据布迪厄的符号理论,滥用行为背后的框架是由符号暴力构成的,这种符号暴力在复杂的关系中得以体现,在这些关系中,每个人都清楚自己的层级地位且不会对此提出质疑。但这种符号暴力是在无意识中体验到的,在这种情况下,滥用行为被视为既定秩序的一部分,施虐者和受虐者都在不加质疑地延续这种滥用行为,并使历史传承下来的模式永久化。为根除对住院医师的滥用行为,有必要认识到使滥用行为合法化并使其永久化的符号基础,以揭示施虐者与受虐者之间的关系,提出一个基于尊重和对话的新关系框架。