关于去病理化古怪:在临床遗传学中对古怪压迫的分析
Tala Berro1, Kimberly Zayhowski2
1Department of Genetics, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.
Journal of genetic counseling
|October 25, 2023
概括
临床遗传学必须解决其优生学历史,为酷儿社区提供包容性护理. 采用修复性和创伤信息化的方法对于纠正过去的伤害和促进健康公平至关重要.
科学领域:
- 医学遗传学 医学遗传学
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 临床遗传学起源于优生学运动,促进基于"正常"的狭窄定义的有害做法.
- 现有的遗传咨询框架往往依赖于性别,性和性欲的二元概念,延续了异常规范和异常规范的假设.
研究的目的:
- 批判性地检查临床遗传学对酷儿社区的影响.
- 在遗传咨询中倡导包容性实践和健康公平.
- 为解决历史医疗伤害提出修复性和创伤信息化的方法.
主要方法:
- 临床遗传学和遗传咨询的历史起源的批判性分析.
- 检查当前临床遗传学实践及其基础假设.
- 审查恢复性司法和创伤知情护理原则.
主要成果:
- 优生学运动的遗产继续影响临床遗传学,导致边缘化酷儿个体的做法.
- 遗传学中的二元框架延续了有害的医学假设,并限制了包容性.
- 恢复性司法和创伤信息化护理为解决过去的不公正和改善护理提供了途径.
结论:
- 临床遗传学必须承认并纠正其与优生学的历史联系,以确保公平的护理.
- 消除异性恋的病理化,促进身体自主,实施创伤知情护理对于异性恋健康平等至关重要.
- 迈向同性恋包容性需要问责制和在遗传咨询中对社会正义的承诺.
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