THE INTERSECTIONS OF GENDER AND POWER IN WOMEN VETERANS' EXPERIENCES OF SUBSTANCE USE AND VA CARE
THE INTERSECTIONS OF GENDER AND POWER IN WOMEN VETERANS' EXPERIENCES OF SUBSTANCE USE AND VA CARE
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DOI：
10.1111/napa.12030
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发表时间：
2013-11-01
影响因子：
0.7
通讯作者：
Curran, Geoffrey
中科院分区：
文献类型：
--
作者：
Cheney, Ann;Dunn, Audrey;Curran, Geoffrey
在这篇文章中，我们展示了退伍军人健康管理局（VA），类似于军事组织，是一个性别组织，女性退伍军人的经历嵌入并受到性别不平等和权力结构的影响。基于对女性退伍军人药物使用历史和寻求退伍军人治疗经历的深入分析，我们说明了性别权力动态是如何通过日常社会互动和组织实践和过程产生（重新）产生和维持的，这些过程使女性退伍军人既可见又不可见：可见的是性客体，不可见的是痛苦的主体。通过重述女性退伍军人的疾病和治疗经历，她们有创伤史，同时存在药物使用和精神健康障碍——这是一个高度耻辱的退伍军人群体——我们强调在制定政策和计划时，为女性退伍军人独特的医疗保健需求提供发言权的重要性。
In this article, we show that the Veterans Health Administration (VA), similar to military organizations, is a gendered organization where women Veterans' experiences are embedded in and shaped by gender inequalities and structures of power. Based on an in-depth analysis of women Veterans' substance use histories and VA treatment seeking experiences, we illustrate how gender power dynamics are (re) produced and maintained through everyday social interactions and organizational practices and processes that render women Veterans both visible and invisible: visible as sexual objects and invisible as suffering subjects. By retelling the illness and treatment experiences of women Veterans with trauma histories and co-occurring substance use and mental health disorders-a highly stigmatized population of Veterans-we highlight the importance of giving voice to their concerns when developing policies and programs to address the unique health care needs of women Veterans.