Criminalization of Care: Drug Testing Pregnant Patients
Criminalization of Care: Drug Testing Pregnant Patients
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DOI：
10.1177/00221465211058152
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发表时间：
2021-11-18
影响因子：
5
通讯作者：
McCabe, Katharine
中科院分区：
文献类型：
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作者：
McCabe, Katharine
本文揭示了法律和法律利益如何改变医学。通过对医疗专业人员的定性访谈，本研究显示了提供者在提供护理时如何调动法律并从事调查工作。使用药物测试孕妇的情况下，我检查了三种机制，其中医学法律混杂发生在临床设置。第一种机制，临床化，描述了法医工具和方法如何在临床术语中投射，有效地掩盖了他们的法医意图。在第二份报告中，医疗专业人员使用医学和刑事法律评估对非法药物的风险进行非正式排名。第三种机制描述了性别、种族和阶级如何影响孕产妇保健方面的法医决策和犯罪怀疑。研究结果表明，通过跨越医学和法律领域，医学既不符合任何一个机构的标准和规范，也暂停了寻求治疗的患者的有意义的权利。
This article reveals how law and legal interests transform medicine. Drawing on qualitative interviews with medical professionals, this study shows how providers mobilize law and engage in investigatory work as they deliver care. Using the case of drug testing pregnant patients, I examine three mechanisms by which medico-legal hybridity occurs in clinical settings. The first mechanism, clinicalization, describes how forensic tools and methods are cast in clinical terminology, effectively cloaking their forensic intent. In the second, medical professionals informally rank the riskiness of illicit substances using both medical and criminal-legal assessments. The third mechanism describes how gender, race, and class inform forensic decision-making and criminal suspicion in maternal health. The findings show that by straddling both medical and legal domains, medicine conforms to the standards and norms of neither institution while also suspending meaningful rights for patients seeking care.