Schneider M, Phillips S P
Department of Applied Psychology, Ontario Institute for Studies in Education, University of Toronto, Ontario, Canada.
Soc Sci Med. 1997 Sep;45(5):669-76. doi: 10.1016/s0277-9536(96)00384-x.
This paper reports the qualitative data from a study of sexual harassment of female family physicians by patients. In addition to the everyday harassment that any woman might encounter in a work setting, the physicians in this study also reported types of harassment which are unique to the practice of medicine. These include opportunistic harassment such as exposure of the genitals, inappropriately touching the physician when the examination requires close contact, excessive discussion of sexual matters for apparent erotic gratification, and acting out behaviours from non-competent patients. Other reported behaviours were not, strictly speaking, sexual harassment but were troublesome nonetheless, including spontaneous erections during physical examinations, physically intimidating behaviour, and ambiguous behaviours which were sexual in nature, but difficult to interpret. The findings are discussed in the context of theory pertaining to contrapower harassment. It is concluded that for some patients the gender of the physician takes precedence over her occupational status and, this combined with the unique characteristics of the doctor/patient relationship, can make the practice of family medicine more conductive to sexual harassment than other professions.
本文报告了一项关于患者对女性家庭医生性骚扰研究的定性数据。除了任何女性在工作场所可能遇到的日常骚扰外，本研究中的医生还报告了医学实践中特有的骚扰类型。这些包括机会主义骚扰，如暴露生殖器、在检查需要密切接触时不适当地触摸医生、为明显的性满足而过度讨论性问题，以及无行为能力患者的行为表现。其他报告的行为严格来说并非性骚扰，但仍然令人困扰，包括体检时的自然勃起、身体上的恐吓行为，以及本质上具有性意味但难以解释的暧昧行为。研究结果将在与反权力骚扰相关的理论背景下进行讨论。得出的结论是，对于一些患者来说，医生的性别比其职业地位更重要，再加上医患关系的独特特征，可能使家庭医学实践比其他职业更容易发生性骚扰。
