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Admitting the heterogeneity of social inequalities: intersectionality as a (self-)critical framework and tool within mental health care.
Philosophy, Ethics, and Humanities in Medicine ( IF 1.9 ) Pub Date : 2023-11-24 , DOI: 10.1186/s13010-023-00144-6
Florian Funer 1
Affiliation  

Inequities shape the everyday experiences and life chances of individuals at the margins of societies and are often associated with lower health and particular challenges in accessing quality treatment and support. This fact is even more dramatic for those individuals who live at the nexus of different marginalized groups and thus may face multiple discrimination, stigma, and oppression. To address these multiple social and structural disadvantages, intersectional approaches have recently gained a foothold, especially in the public health field. This study makes an empirically informed argument for the merits of increasing the use of intersectional frameworks in the mental health field. In the mental health field, the potential for greater attention to multiple unjustified disadvantages appears to be of particular importance, as many mental health service users already face stigma and discrimination because of their mental health issues and thus may benefit particularly frequently and far-reachingly from effective problem awareness about multiple disadvantages. Intersectional approaches may help address the complexity, interdependence, and mutual constitution of social inequalities better than previous approaches that examined only one category of sociostructural stratification. By helping to identify the needs of those at the greatest risk of poor health, intersectional frameworks and tools can contribute not only to better address the needs of multiple disadvantaged individuals with mental health issues but also to the promotion of equity in the field of mental health, contributing to the reduction of health disparities.

中文翻译:

承认社会不平等的异质性:交叉性作为精神卫生保健中的(自我)批评框架和工具。

不平等影响着社会边缘个人的日常经历和生活机会,并且往往与健康状况不佳以及获得优质治疗和支持方面的特殊挑战有关。对于那些生活在不同边缘群体中的人来说,这一事实更加引人注目,因此可能面临多重歧视、耻辱和压迫。为了解决这些多重社会和结构性缺点,交叉方法最近已站稳脚跟,特别是在公共卫生领域。这项研究以实证为依据,论证了在心理健康领域增加交叉框架的使用的优点。在心理健康领域,更多地关注多种不合理的不利条件似乎尤为重要,因为许多心理健康服务使用者已经因其心理健康问题而面临耻辱和歧视,因此可能特别频繁和深远地受益于心理健康服务。对多种缺点的有效问题认识。与以前仅研究一类社会结构分层的方法相比,交叉方法可能有助于更好地解决社会不平等的复杂性、相互依赖性和相互构成。通过帮助确定健康​​状况不佳风险最大的人群的需求,跨部门框架和工具不仅有助于更好地满足多个患有心理健康问题的弱势群体的需求,而且有助于促进心理健康领域的公平,有助于缩小健康差距。
更新日期:2023-11-24
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