scholarly journals Multiple Vulnerabilities in Medical Settings: Invisible Suffering of Doctors

Societies ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 5
Author(s):  
Daria Litvina ◽  
Anastasia Novkunskaya ◽  
Anna Temkina
Keyword(s):  
Maternity Care ◽  
Social Group ◽  
Emotional Responses ◽  
Vulnerable Groups ◽  
Medical Professionals ◽  
Medical Settings ◽  
Neoliberal Reforms ◽  
Sensitive Topics ◽  
Perinatal Center ◽  
Multiple Challenges

While there is a substantive amount of literature on vulnerability of different kinds of patients in different settings, medical professionals are usually considered as the ones who possess power and gain a privileged position. In this paper, we aim to demonstrate that in a certain context physicians—a social group which is usually referred to as “powerful”—consider themselves vulnerable, and this positioning may influence patients in turn. This perspective highlights the complexity of interactions within medical organizations and contributes to the studies of sensitive topics and vulnerable groups. We conceptualize vulnerability of doctors and discuss what can be problematic in powerful doctors’ position. We describe some features of the post-Soviet context of Russian healthcare system and maternity care, both of which can be conceptualized as a hybrid of legacy of Soviet paternalism and new neoliberal reforms, managerialism and marketization. Empirical research is based on the ethnographic evidence from the study of a Russian perinatal center. In this article, we explore specific “existential” and “moral” vulnerabilities of medical professionals who routinely have to cope with multiple challenges, such as complicated clinical tasks, rigid control of different state bodies and emotional responses of suffering patients. We argue that there is a bond between the vulnerability of doctors and that of patients, whose position becomes more problematic as professionals become more vulnerable. At the end, we discuss methodological and theoretical implications of our research.

scholarly journals Hacia una construcción de una concepción psico-sociocultural de niñas y jóvenes mexicanas en situación de calle: Una aproximación cualitativa

2016 ◽  
Vol 32 (2) ◽  
pp. 516 ◽  
Author(s):  
Susana Castaños-Cervantes ◽  
Juan J. Sánchez-Sosa
Keyword(s):  
Social Group ◽  
Sexual Exploitation ◽  
Treatment Strategies ◽  
Homeless Women ◽  
Vulnerable Groups ◽  
Systematic Analysis ◽  
Accurate Definition ◽  
Human Habitation ◽  
Definition Of ◽  
Depth Interviews

Homeless women are one of the most vulnerable groups worldwide since they are victims of labor and sexual exploitation, abuse, discrimination and marginalization at a higher rate than the rest of the population. However, currently, Mexico lacks of an accurate definition of such social group, and their characteristics as well as the magnitude and dimensions of the phenomenon are only partially and superficially known. The purpose of this research was to develop and validate a typology of homeless women living in Mexico City. To fulfill this purpose, 300 in-depth interviews were conducted and examined thoroughly with a systematic analysis of the content. The main results indicate that homeless women constitute a social group immersed predominantly in circumstances of violence, marginalization, poverty and social exclusion. Also, this collective includes two subgroups: women at risk of homelessness and women emergency sheltered, unsheltered or absolutely homeless and living in places not intended for human habitation. With this typology it is possible to define, characterize and distinguish homeless women. In addition, the phenomenon can be known with more certainty and accuracy enabling, thus, the design of effective treatment strategies.

‘I gave someone a good death’: Anonymity in a community of Reddit’s medical professionals

2019 ◽  
Vol 26 (5-6) ◽  
pp. 1391-1410 ◽  
Author(s):  
Nicole M Henninger
Keyword(s):  
Online Communication ◽  
Negative Influence ◽  
Online Discussions ◽  
Medical Professionals ◽  
Online Ethnography ◽  
Norm Enforcement ◽  
Sensitive Topics ◽  
Additional Level ◽  
Made In

Anonymity is often regarded as a negative influence on the quality of online communication, but can anonymity serve to bridge communication gaps under specific conditions? This study explores this question by examining key affordances of Reddit using a quasi-ethnographic method. Here, anonymity is combined with active norm enforcement by self-appointed moderators of subReddits. This study develops the concept of actively moderated anonymity and assesses its ability to mend gaps in communication through an online ethnography of Medicine, a Reddit community of self-identified medical professionals to answer the following: How does anonymity work as an affordance in shaping online discussions, such as those in r/medicine, and what types of exchanges are occurring between medical professionals in the r/medicine community that may not occur elsewhere? r/medicine’s community provided a place for comfort and a place to freely exchange ideas including sensitive topics and opposing viewpoints. Findings conclude that medical professionals often sought to validate decisions they had made in the workplace and attempted to resolve concerns about particular institutional or systemic issues, suggesting actively moderated anonymity may afford an additional level of support that medical professionals may not find in the workplace or within an identifiable setting that could potentially be invaluable to the services provided to patients.

scholarly journals The goals of sociology of medicine in studying technologies of “human enhancement”

2016 ◽  
Vol 15 (2) ◽  
pp. 87-90
Author(s):  
N. N Sedova ◽  
B. A Navrotskii ◽  
E. V Priz
Keyword(s):  
Social Group ◽  
Professional Community ◽  
Human Enhancement ◽  
Medical Professionals ◽  
Clear Cut ◽  
Sociology Of Medicine ◽  
Social Risks ◽  
Human Individual

The technologies of “enhancement of human” are issue of discussion at large due to absence of clear-cut conception in society and professional community concerning related with risks for human individual and society. For the present, these technologies just began to be applied only in medicine. Therefore, namely medical professionals are this social group that is to be more informed in the area of “enhancement of human” and hence more adaptive to their application. The paradox of inconsistency of level of technologies and level of professionalism at their application includes high social risks to be foreseen and to be eliminated. To implement these task is possible with means of sociology of medicine.

scholarly journals The Use of Non-Surgical Injectable Procedures Among Transgender Communities

CommonHealth ◽  
2020 ◽  
Vol 1 (2) ◽  
pp. 62-68
Author(s):  
Patrick John Kelly
Keyword(s):  
Medical Literature ◽  
Adverse Outcomes ◽  
Medical Professionals ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Political Factors ◽  
Scientific Communities ◽  
Medical Settings ◽  
Healthcare Settings ◽  
The Face

Each year, millions of Americans undergo non-surgical injectable procedures to rejuvenate, add volume, and shape the face. These minimally invasive procedures are routinely performed by licensed medical professionals including plastic surgeons and dermatologist using FDA approved substances. Because these procedures alter physical appearance, non-surgical injectable procedures may compliment gender-affirming procedures that some transgender (trans) individuals undergo to affirm their gender identity. However, severe marginalization and discrimination towards trans communities often leaves formalized medical settings inaccessible. Indeed, anecdotal reporting and medical literature indicate that there is a market for performing these procedures in unregulated medical settings using dangerous non-FDA approved materials outside of safe medical settings. The practice, referred to often as “pumping”, happens particularly within trans communities, largely because of social and political factors that make formalized medicine inaccessible. Even though pumping can be an affirming experience for trans individuals, an unfortunate number of those who undergo non-FDA approved non-surgical injectable procedures experience uncorrectable adverse outcomes including death. Despite indications that trans individuals may benefit from FDA approved non-surgical injectable procedures and the growing literature detailing irreversible outcomes of non-FDA approved non-surgical injectable procedures, the medical and scientific communities do not fully understand how trans individuals conceptualize and engage with non-surgical injectable procedures. A brief overview of factors that may contribute to this underground practice is presented in this narrative review and synthesized to inform suggestions for future socio-behavioral and epidemiological approaches that ultimately aim to expand access to safe and affirming healthcare settings for trans individuals.  

Clinical Psychologist, 4 years’ experience, UK

2020 ◽  
pp. 260-263
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Epileptic Seizures ◽  
Second Opinion ◽  
Clinical Psychologist ◽  
Medical Professionals ◽  
Medical Settings ◽  
Inappropriate Care ◽  
Wide Range ◽  
Negative Interactions

This chapter addresses the experience of a Clinical Psychologist who has worked in acute medical settings and on inpatient wards for several years, and has encountered people with a wide range of symptoms and presentations. Unfortunately, in acute medical settings, people who experience Non-Epileptic Seizures (NES) often receive substandard or inappropriate care and have negative interactions with staff as a result of stigma. When someone presents with NES, the situation can be difficult for medical professionals to understand. They can be just as frightened, confused, and unsure about what to do as the person experiencing the seizures. Moreover, it can be difficult for doctors to admit that they do not know what is happening. They can feel under pressure to do or say something—maybe to refer for a test that is not really needed, to prescribe unnecessary medication, or to refer to another specialist for a second opinion. As such, people often go through a seemingly never-ending journey of uncertainty, anxiety, and rejection as they try to find some understanding about what is causing the seizures they cannot predict or explain.

The fashion scandal: Social media, identity and the globalization of fashion in the twenty-first century

2021 ◽  
Vol 00 (0) ◽  
pp. 1-23
Author(s):  
Annamari Vänskä ◽  
Olga Gurova
Keyword(s):  
Social Media ◽  
Critical Analysis ◽  
Emotional Responses ◽  
First Century ◽  
Vulnerable Groups ◽  
Citizen Journalism ◽  
Cultural Appropriation ◽  
Twenty First Century ◽  
The Way

During the latter part of the 2010s, many fashion brands – e.g., Gucci, Burberry, Dolce & Gabbana, Prada, Dior – have been caught up with scandals and called out for racism, cultural appropriation and other types of insensitivity towards vulnerable groups. This article will unpack, through critical analysis of some of these examples, the changing landscape of the ‘fashion scandal’ in the late-2010s. We understand fashion scandals as the fuel of fashion. They are debated in social media and they are controversial actions, statements or events that cause strong emotional responses. Even though scandal has been proven effective in fashion marketing for decades, and despite it is still frequently used, there might be a change on the way. Our examples suggest that with the rise of social media and its so-called ‘citizen journalism’ the tactics of creating scandals may have lost their lustre and can easily turn against the brand. We will also discuss new tactics that brands have adopted to escape undesired scandals by establishing new roles such as the ‘diversity consultant’.

scholarly journals Why Accurate Knowledge of Zygosity is Important to Twins

2015 ◽  
Vol 18 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Tessa L. Cutler ◽  
Kate Murphy ◽  
John L Hopper ◽  
Louise A Keogh ◽  
Yun Dai ◽  
...  
Keyword(s):  
Health Professionals ◽  
Genetic Test ◽  
Emotional Responses ◽  
Substantial Proportion ◽  
Medical Professionals ◽  
Same Sex ◽  
Online Questionnaire ◽  
Peace Of Mind ◽  
Paper Questionnaire ◽  
Accurate Knowledge

All same-sex dizygotic (DZ) twins and approximately one-third of monozygotic (MZ) twin pairs have separate placentas, making it impossible to use the number of placentas to determine zygosity. Zygosity determination is further complicated because incorrect assumptions are often made, such as that only DZ pairs have two placentas and that all MZ pairs are phenotypically identical. These assumptions, by twins, their families and health professionals, along with the lack of universal zygosity testing for same-sex twins, has led to confusion within the twin community, yet little research has been conducted with twins about their understanding and assumptions about zygosity. We aimed to explore and quantify understanding and assumptions about zygosity using twins attending an Australian twin festival. We recruited 91 twin pairs younger than 18 years of age and their parents, and 30 adult twin pairs who were all uncertain of their zygosity, to complete one pen and paper questionnaire and one online questionnaire about their assumed zygosity, reasons for their assumptions and the importance of accurate zygosity knowledge. Responses were compared with their true zygosity measured using a genetic test. We found a substantial proportion of parents and twins had been misinformed by their own parents or medical professionals, and that knowledge of their true zygosity status provided peace of mind and positive emotional responses. For these reasons we propose universal zygosity testing of same-sex twins as early in life as possible and an increase in education of medical professionals, twins and families of twins about zygosity issues.

Selecting Skills To Teach Communication Partners: Where Do I Start?

2012 ◽  
Vol 21 (4) ◽  
pp. 127-135 ◽  
Author(s):  
Cathy Binger ◽  
Jennifer Kent-Walsh
Keyword(s):  
Clinical Outcomes ◽  
Intervention Program ◽  
Communication Partners ◽  
Multiple Challenges

Abstract Clinicians and researchers long have recognized that teaching communication partners how to provide AAC supports is essential to AAC success. One way to improve clinical outcomes is to select appropriate skills to teach communication partners. Although this sometimes seems like it should be a straightforward component of any intervention program, deciding which skills to teach partners can present multiple challenges. In this article, we will troubleshoot common issues and discuss how to select skills systematically, resulting in the desired effects for both communication partners and clients.

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