Intersectionality in Clinical Medicine: The Need for a Conceptual Framework

Intersectionality in Clinical Medicine: The Need for a Conceptual Framework
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DOI:
10.1080/15265161.2018.1557275
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发表时间:
2019-01-01
影响因子:
13.4
通讯作者:
Danis, Marion
Danis, Marion
中科院分区:
人文科学1区
文献类型:
--
作者:
Wilson, Yolonda;White, Amina;Danis, Marion

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对于那些思考种族、性别和其他社会认同如何汇聚以创造独特形式的压迫的人来说,交叉性已经成为一种重要的智力方法。虽然关于交叉性的最初工作涉及黑人妇女相对于黑人男子和白人妇女的独特地位,但此后这一概念已扩展到处理一系列社会特性。在这里,我们考虑如何将交叉性提供的一些理论工具应用于临床背景。我们首先简要讨论交叉性,以及它在临床上可能是如何有用的。然后,我们讨论两个临床场景,强调我们认为考虑交叉性可以导致更成功的患者与临床医生的互动。最后,在考虑反对意见和答复之前,我们推断出将交叉性应用于临床背景的一般策略。
Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient-clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.