Dynamics of stigma in abortion work: Findings from a pilot study of the Providers Share Workshop
Dynamics of stigma in abortion work: Findings from a pilot study of the Providers Share Workshop
复制标题
DOI：
10.1016/j.socscimed.2011.07.004
复制
发表时间：
2011-10-01
影响因子：
5.4
通讯作者：
Hassinger, Jane
中科院分区：
文献类型：
--
作者：
Harris, Lisa Hope;Debbink, Michelle;Hassinger, Jane
在美国，堕胎是一种非常可耻的行为。污名化对堕胎提供者的影响没有得到很好的理解，也没有公布评估或减轻其负担的工具。我们设计了供应商共享研讨会来解决这一差距。“提供者分享”是一个六期研讨会，堕胎提供者在经验丰富的协调人的指导下开会讨论他们的经验。美国一家堕胎诊所的17名工作人员参加了一个试点讲习班。会议记录和转录，并采用迭代过程来确定主要主题。与会者强调了文化话语、法律、政治、社区、机构（包括堕胎诊所本身）以及与家人、朋友和患者的关系中的耻辱。所有人都面临着公开堕胎工作的决定。有些人选择沉默，害怕被评判和暴力，而另一些人则选择坦白，以保持心理上的一致性，并成为他人的资源。这两种方法都会导致痛苦的人际关系断裂。在研讨会的安全空间中发言，促进了人际关系，似乎是一种有效的污名管理工具。参与者对这次经历的评价很好。我们得出结论，提供者分享研讨会可以减轻堕胎耻辱的一些负担，并且可能是堕胎人力资源的重要干预措施。我们提出了一个概念模型的动态耻辱在堕胎工作。(C) 2011 Elsevier Ltd.版权所有。
Abortion is highly stigmatized in the United States. The consequences of stigma for abortion providers are not well understood, nor are there published accounts of tools to assess or alleviate its burdens. We designed The Providers Share Workshop to address this gap. Providers Share is a six-session workshop in which abortion providers meet to discuss their experiences, guided by an experienced facilitator. Seventeen workers at one US abortion clinic participated in a pilot workshop. Sessions were recorded and transcribed, and an iterative process was used to identify major themes. Participants highlighted stigma, located in cultural discourse, law, politics, communities, institutions (including the abortion clinic itself), and relationships with family, friends and patients. All faced decisions about disclosure of abortion work. Some chose silence, fearing judgment and violence, while others chose disclosure to maintain psychological consistency and be a resource to others. Either approach led to painful interpersonal disconnections. Speaking in the safe space of the Workshop fostered interpersonal connections, and appeared to serve as an effective stigma management tool. Participants reflected favorably upon the experience. We conclude that the Providers Share Workshop may alleviate some of the burdens of abortion stigma, and may be an important intervention in abortion human resources. We present a conceptual model of the dynamics of stigma in abortion work. (C) 2011 Elsevier Ltd. All rights reserved.