Misogynist MicroAggression in the Female Patient to Male

Misogynist Micro-Aggression in the Female Patient to Male Provider Dynamic Jacqueline Vicksman Duke University Talkspace, August 30, 2017. https: //www. talkspace. com/blog/mental-health-feministissue/ Introduction • The patient-provider relationship is defined by power • Patients are vulnerable and asked to divulge intimate information about their bodies and lifestyles • Physicians and healthcare specialists direct the conversation and determine the diagnosis • Women are often dismissed, criticized and dismissed especially by their male physicians • Some women describe the feeling of guilt and shame in such situations • Patriarchal notions, implicit bias and blatant discrimination most affect women of color, women of lower socio-economic status, women with disabilities, queer women, and overweight women Conclusion • In instances of provider-induced shame and guilt women are disproportionally affected • Self-condemnation was found to cause more negative consequences than behavioral condemnation • Perceived instances of intentionally induced shame and guilt correlated to exclusively negative reactions and consequences • Implicit bias can be combatted with self-awareness, inclusive learning, increasing opportunities for positive interaction, empathy skills development Results History • James Marion Sims widely believed to be the “father of gynecology” • Was a white, wealthy slave-owner from 19 th century Alabama • Best known for invention of the speculum and gynecological surgery (cure for vesicovaginal fistula) • Surrounded by controversy: known to “practice” surgery on enslaved women without anesthesia • Evidence illustrates excruciating trauma and pain • Memorialized across the nation “the year of the women. ” Hale, Hale. http: //www. h-a-l-e. com/design-blog/the-year-of-the-woman Personal Narratives “When I was in County Hospital, the interns would talk about us in the hall. They didn’t seem to realize that we could hear them. Well, one of my roommates was a Black woman wth some kind of gynecological problem. In the hall, the doctors were joking that she had so many kids already that they might as well take out her uterus. Another time, I overheard the doctors referring to one of my roommates as a “hooker. ” They said that it didn’t matter if she lost her reproductive capacity or not, that she probably would rather be rid of it. ” “I asked my doctor what side effects I might expect from taking the medicine. He told me, “Don’t expect any. If you think about them, you’ll get them. ” I am an intelligent person. The average person knows her body, knows when there is something wrong. I don’t cause my own side effects by knownng about them. The practice is to make you feel like you are stepping out of line, looking for trouble, when you ask for information. ” Buttacavole, Gabriella. Crespo, Michelle. Educational Women’s Empowerment, 3 Apr. 2019, https: //thelodirampage. com/26256/editorials/educational-womens-empowerment/. Acknowledgments Baker, Timothy K. et al. “A deeper look at implicit weigth bias in medical students. ” Advances in Health Sciences Education. Vol. 22, no. 4. 2016. Darby, Ryan S. et al. “Reactions to Physician-Inspired Shame and Guilt. ” Basic and Applied Social Psychology vol. 36, 2014. Wailoo, Keith. “Historical Aspects of Race and Medicine. ” JAMA Network. 2018