在关于实习生健康的生物医学文献中",耻辱"是如何构想出来的? 一个有针对性的内容分析
Nicholas Lawson1, Adina Kalet2
1Georgetown University Law Center.
MedEdPublish (2016)
|December 13, 2023
概括
实习生心理健康耻辱的医学研究侧重于治疗,忽视歧视. 研究表明,研究人员建议更多的治疗机会,但未能解决对学员的制度歧视.
科学领域:
- 医学教育研究 医学教育研究
- 心理健康污名化 心理健康污名化
- 关于残疾人的研究.
背景情况:
- 对患有精神障碍的医务实习生进行制度歧视的研究不足.
- 现有的研究可能集中在耻辱对寻求治疗的影响上,忽视歧视.
- 医学中的残疾模型和耻辱议程影响了研究重点.
研究的目的:
- 调查医学教育研究关于实习生心理健康污名的研究是否忽视了机构歧视.
- 分析研究是否优先考虑心理健康治疗而不是解决歧视问题.
- 检查在学术医学研究中对耻辱的概念化.
主要方法:
- 在PubMed和Medline搜索有关健康,医疗学员和精神污名的文章 (2011-2016).
- 针对精选文章的定向内容分析,重点关注心理健康健康.
- 对"歧视"和"待遇"的量化提及;评价的作者建议.
主要成果:
- 25篇文章符合纳入标准;经常提到"治疗" (中位数=7),很少提到"歧视" (中位数=0).
- 超过20篇文章建议识别和治疗,但没有一篇文章涉及减少机构歧视.
- 调查显示,有关心理健康歧视的担忧没有得到研究作者的解决.
结论:
- 目前的实习生健康研究在很大程度上忽视了心理健康歧视.
- 这些发现与对医疗残疾模型的批评一致,有利于社会/权利模型.
- 健康研究人员必须解决心理健康歧视问题,并重新考虑耻辱的概念化.
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