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请勿同性恋化!:关于为LGBTQI+群体提供安全肯定性医学健康教育及临床实践的医学化人际关系的自我民族志叙述。

Please don't gayify!: an autoethnographic account of medicalised relationality for LGBTQI+ safe affirming medical health education and clinical practice.

作者信息

Vicars Mark, Deppeler Mickey

机构信息

Department of Education, Victoria University, Melbourne, VIC, Australia.

出版信息

Front Sociol. 2024 Aug 21;9:1438906. doi: 10.3389/fsoc.2024.1438906. eCollection 2024.

Abstract

In this article, the authors, a cis-gender gay man and an Indigenous non-binary, two-spirit person, narrate their past encounters with health professionals and their experiences pursuing allied health care training as students. Taking an autoethnographic approach, the first author re-narrates how medical practitioners and students engage (or fail to engage) with the LGBTQIA+ community. They draw on gray documentation derived from an interaction with a consulting physician that highlighted a telling lack of knowledge about the LGBTQ+ community, including those with diverse sex characteristics and sexualities/manifesting as unconscious bias. This interaction provided the impetus to speak back to the experience of being reduced to a medical prognosis. The second author questions the hegemonic practices underpinning encounters with the medical model of response in tertiary education. Our remit in this paper is to question how adequately the specific needs of the LGBTQI+ population are being addressed by the medical model and to what extent aspiring clinicians understand how their actions can contribute to gender- and sexuality-based discrimination and stigmatization.

摘要

在本文中,作者是一位顺性别男同性恋者和一位原住民非二元双性人,他们讲述了自己过去与医疗专业人员的接触经历以及作为学生追求联合医疗保健培训的经历。第一作者采用自我民族志方法,重新叙述了医生和学生与 LGBTQIA+ 社区互动(或未能互动)的情况。他们借鉴了与一位咨询医生互动产生的灰色文献,该文献凸显了对 LGBTQ+ 社区明显缺乏了解,包括对那些具有不同性特征和性取向的人/表现为无意识偏见的情况。这次互动促使他们回击被简化为医学预后的经历。第二作者质疑了高等教育中与医疗回应模式接触所依据的霸权做法。我们在本文中的职责是质疑医疗模式在多大程度上充分满足了 LGBTQI+ 人群的特定需求,以及有抱负的临床医生在多大程度上理解他们的行为会如何导致基于性别和性取向的歧视和污名化。

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本文引用的文献

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Advancing LGBTQI health research.推进 LGBTQI 健康研究。
Lancet. 2021 May 29;397(10289):2031-2033. doi: 10.1016/S0140-6736(21)01057-6. Epub 2021 May 13.

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