Gendering psychosocial care: risks and opportunities for global mental health.
Gendering psychosocial care: risks and opportunities for global mental health.
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性别社会心理护理：全球心理健康的风险和机遇。
DOI：
10.1016/s2215-0366(20)30483-1
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Rumba,Sunita
中科院分区：
文献类型：
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作者：
Chase,LianaE;Gurung,Dristy;Shrestha,Parbati;Rumba,Sunita
《柳叶刀精神病学》最近的对话强调了全球精神卫生机构反映和再现更广泛的社会不平等的方式。 1 就业和薪酬中的性别做法是这一问题的一个尚未得到充分研究的方面。过去十年，非专业社区工作者（主要是女性劳动力）提供的心理社会干预措施激增。在适当的条件下，以这种方式转移任务可以解决获得护理方面的地理和社会经济不平等问题，并支持妇女赋权。然而，当女性社区工作者被视为更负担得起的临床劳动力的来源时，此类干预措施也存在进一步加剧性别不平等的风险。作为一群参与尼泊尔社会心理干预的女性学者和临床医生，我们写信是为了在全球心理健康任务转移的热情日益高涨之际发出警告。
Recent conversations in The Lancet Psychiatry have highlighted the ways global mental health institutions reflect and reproduce wider social inequalities. 1 Gendered practices of employment and remuneration are an understudied dimension of this problem. The past decade has seen a proliferation of psychosocial interventions delivered by lay community workers, a predominantly female workforce. Under the right conditions, task shifting in this way can address geographical and socioeconomic inequities in access to care and support women’s empowerment. Yet, such interventions also carry the risk of further entrenching gender inequalities when female community workers are viewed instrumentally as a source of more affordable clinical labour. As a group of women scholars and clinicians involved with psychosocial interventions in Nepal, we write to sound a note of caution amid the burgeoning enthusiasm for task shifting in global mental health.