如何与卫生专业人员的会面重申难民的殖民体验
Mehmoona Moosa-Mitha1, Colleen Varcoe2, Cindy Holmes1
1School of Social Work, University of Victoria.
概括
脱殖民主义理论揭示了种族化难民的慢性疼痛是一种由殖民性塑造的多维体验,而不仅仅是感官问题. 了解这种背景是公平获得医疗保健和解决疼痛差异的关键.
科学领域:
- 社会学 社会学 社会学
- 脱殖民主义理论
- 健康差异 在健康上的差异
背景情况:
- 身体疼痛通常被医疗保健提供者和学者视为感官体验.
- 脱殖民主义理论家将疼痛概念化为受殖民化影响的多维主观体验,包括心理,情感,认知和社会政治维度.
研究的目的:
- 收集来自种族化难民的第一手经验叙述,来管理慢性疼痛.
- 进行关于疼痛意义的非殖民分析,并纳入难民参与者的医疗保健经历.
主要方法:
- 一项基于社区的定性研究,利用加拿大不列颠哥伦比亚省的重点小组.
- 对一小组患有慢性疼痛的难民 (N=14) 进行了主题分析,为脱殖民时期的疼痛理论提供了信息.
主要成果:
- 三个主题出现了:"身体是 (不) 知道的"",身体是 (非) 文化上穿着的"",身体是 (不) 响应的".
- 一种非殖民主义的方法,使用可用性,异化和代理的概念,被开发出来,以解释殖民主义对医疗保健准入的心理影响.
- 这一框架有助于从业人员评估和解决种族化难民之间的疼痛差异.
结论:
- 脱殖民主义的观点将痛苦差异重新定义为植根于殖民实践,超越纯粹的生物医学解释.
- 这种方法突出了影响健康结果的社会政治现实,并促进了边缘化人口的公平护理.
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