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Updated: Aug 12, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Protective strategies of lesbian clients in health care environments
1Department of Mental Health, Community, & Administrative Nursing, School of Nursing, University of California, San Francisco 94143-0608.
Abstract:
In this triangulated, feminist narrative study, a multiethnic, socioeconomically diverse sample of 45 lesbians recounted their actions in health care in a total of 332 health care stories. Findings of a multistaged narrative analysis suggest that lesbians experience compounded vulnerability in health care environments. A repertoire of protective strategies intended to meet needs for safety characterized their actions in health care, including: rallying support, screening providers, seeking mirrors of one's experience, maintaining vigilance, controlling information, bringing a witness, challenging mistreatment, and escaping danger. Implications for theory and practice are drawn from these results.
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