过去关于什么时候诊断标签是压迫性的建议
Kelsey Mumford1, Lin Fraser2, Gail Knudson3
1Fourth-year, dual-degree medical student at Dell Medical School and the Lyndon B. Johnson School of Public Affairs at the University of Texas at Austin.
AMA journal of ethics
|June 7, 2023
概括
跨性别者医疗保健中使用的语言已经发展成为不那么病理化. 然而,像"性别不一致"这样的术语仍然会造成伤害,强调需要谨慎使用临床语言.
科学领域:
- 医学术语 医学术语 医学术语
- 性别研究是性别研究.
- 语言学的语言学.
背景情况:
- 80年来对跨性别者和性别多样性身份的术语的历史分析.
- 在跨性别者医疗保健中,向更少的病理化和污名化语言的进化.
- 远离诸如"性别认同障碍"之类的术语,将性别障碍归类为心理健康状况.
研究的目的:
- 检查特定术语 (如"性别不相称") 对跨性别和性别多样性个体的持续影响.
- 探索诊断和干预语言被视为压迫或虐待的可能性.
- 为临床医生提供关于使用避免伤害患者的语言的指导.
主要方法:
- 关于性别认同的医疗和社会术语的历史审查.
- 对诊断标签的语义和社会影响的分析.
- 用临床语言对患者体验的定性评估.
主要成果:
- 虽然术语有所改进,但'性别不一致'仍然是一个有问题的术语,导致压迫.
- 一个包罗万象的术语的影响可以被认为是赋权或滥用.
- 临床语言选择显著影响患者的福祉和体验.
结论:
- 临床医生必须注意与诊断术语相关的历史背景和潜在危害.
- 在跨性别者医疗保健中仔细选择语言至关重要,以避免延续耻辱.
- 对包容性和肯定性术语的进一步研究是有必要的.
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