Microaggressions and the reproduction of social inequalities in medical encounters in Mexico

Social Science & Medicine
Vania Smith-Oka

Abstract

This article examines the role of microaggressions in the interactions between biomedical personnel and marginalized patients to addresses the constitutive property of medical interactions and their contribution to a class-differentiated and discriminatory local social world. Based on ethnographic fieldwork over the course of three months (2008-2011) the study examined the clinical relationships between obstetric patients and clinicians in a public hospital in the city of Puebla, Mexico. It reveals four factors present in the social hierarchies in Mexico that predispose clinicians to callous interactions toward "problematic others" in society, resulting in microaggressions within clinical encounters: (a) perceptions of suitability for good motherhood; (b) moralized versions of modern motherhood inscribed on patient bodies; (c) a priori assumptions about the hypersexuality of low-income women; and (d) clinician frustration exacerbated by overwork resulting in corporeal violence. This work concludes by questioning the efforts for universal health rights that do not address underlying social and economic inequities.

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Citations

Jun 29, 2016·Anthropology & Medicine·Sarah A Williams
Nov 4, 2017·Culture, Health & Sexuality·Sreeparna ChattopadhyaySuraj Jacob
Sep 8, 2018·Reproductive Health Matters·Gita SenAditi Iyer
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Feb 6, 2019·PloS One·Daniel CruzChristina Mastropaolo
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Apr 9, 2019·Violence Against Women·Roberto Castro, Sonia M Frías
Feb 14, 2020·Medical Anthropology·Morgen A Chalmiers
Jul 12, 2019·Culture, Health & Sexuality·Elyse Ona Singer
Dec 18, 2019·Journal of Racial and Ethnic Health Disparities·Leslie Riggle Miller, B Mitchell Peck
Apr 21, 2016·Maternal and Child Health Journal·Rose L MolinaNawal M Nour
Jan 1, 2021·International Journal of Environmental Research and Public Health·James Gordon RiceHanna Björg Sigurjónsdóttir
Feb 26, 2021·Current Opinion in Anaesthesiology·Odinakachukwu EhieAlexandra Bastien
Mar 12, 2021·Medical Anthropology·Adrienne E Strong, Tara L White
Dec 4, 2019·Asian Bioethics Review·Supriya Subramani
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Aug 17, 2021·JMIR Mental Health·Ellen Elizabeth KozelkaElizabeth Carpenter-Song

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