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感知过滤器:探索残疾与能力主义的认知框架。

Perceptual filters: Exploring disability and ableism's cognitive framework.

作者信息

Vasudeva Abhimanyu, Mohanraj Palani Selvam, Tripathi Richa, Shrivastava Anita Kashi, Vardhan Vikram

机构信息

Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.

Department of Biochemistry, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):4755-4758. doi: 10.4103/jfmpc.jfmpc_764_24. Epub 2024 Nov 18.

Abstract

Ableism, akin to other forms of discrimination such as sexism and racism, is increasingly recognized as a pervasive societal concern directed towards individuals with disabilities. This scholarly inquiry delineates the operational definition, manifestations, and ramifications of ableism, with a specific focus on its manifestations within healthcare settings. It underscores the critical need for targeted interventions aimed at mitigating biases among healthcare professionals and promoting inclusivity within healthcare delivery systems. Utilizing insights from cognitive psychology, the study conceptualizes ableism as a cognitive distortion, explicating the mechanisms through which biases shape perceptions and recommending Cognitive Behavioral Therapy (CBT) as a promising intervention modality. The paper advocates for exploration of intersectional analyses, utilization of qualitative research methodologies, and cultivation of collaborative partnerships with disability advocacy organizations to develop more comprehensive intervention approaches. Noteworthy limitations of the current discourse include the potential for tokenistic representations and the imperative for genuine and substantive engagement with the voices and experiences of individuals with disabilities.

摘要

与性别歧视和种族主义等其他形式的歧视类似,能力主义日益被视为针对残疾人的一种普遍的社会问题。这项学术研究阐述了能力主义的操作定义、表现形式和影响,特别关注其在医疗环境中的表现。它强调了针对性干预措施的迫切需求,旨在减轻医疗专业人员的偏见,并促进医疗服务系统的包容性。该研究利用认知心理学的见解,将能力主义概念化为一种认知扭曲,解释了偏见形成认知的机制,并推荐认知行为疗法(CBT)作为一种有前景的干预方式。本文主张探索交叉分析、运用定性研究方法,并与残疾倡导组织建立合作关系,以制定更全面的干预方法。当前论述的显著局限性包括可能存在象征性代表,以及与残疾人的声音和经历进行真正实质性互动的必要性。

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本文引用的文献

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Ableism in Health Care.医疗保健中的能力歧视。
Am J Nurs. 2023 Feb 1;123(2):23-24. doi: 10.1097/01.NAJ.0000919712.93900.29.
6
Explicit and implicit disability attitudes of healthcare providers.医疗服务提供者的显性和隐性残疾态度。
Rehabil Psychol. 2020 May;65(2):101-112. doi: 10.1037/rep0000317. Epub 2020 Feb 27.
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Clinical relevance of findings in trials of CBT for depression.抑郁症认知行为疗法试验结果的临床相关性。
Eur Psychiatry. 2017 Sep;45:207-211. doi: 10.1016/j.eurpsy.2017.07.003. Epub 2017 Jul 25.

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