In this chapter, I will investigate the reasons why healthcare providers’ affects have been downgraded in medical training and practice and the problems this causes. While most of the discussion in this chapter will focus on doctors, who face significant pressure to silence and suppress their affects, I will also consider if nurses are a special case and what specific affective harms they may face in their professions. I will first discuss the reasons that affects have been disregarded in medical training and practice. Then I will show how affects, contrary to popular belief, may actually be powerful motivating factors that may help healthcare providers to excel in their professions. I will also discuss how emotional suppression strategies are rarely successful and how they may actually lead to harm for professionals. Finally, moving from the individual to the collective level, I will discuss the ways in which affective injustice may lead to poorer quality care, including how it may lead to medical errors and compromise patient safety. This chapter is therefore focused on both the affective harms faced by individuals in the practice of their professions, but also the harms from the public health perspective from suppressing affects in healthcare service and delivery.

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Healthcare Providers and Affective Injustice

  • Brenda Bogaert

摘要

In this chapter, I will investigate the reasons why healthcare providers’ affects have been downgraded in medical training and practice and the problems this causes. While most of the discussion in this chapter will focus on doctors, who face significant pressure to silence and suppress their affects, I will also consider if nurses are a special case and what specific affective harms they may face in their professions. I will first discuss the reasons that affects have been disregarded in medical training and practice. Then I will show how affects, contrary to popular belief, may actually be powerful motivating factors that may help healthcare providers to excel in their professions. I will also discuss how emotional suppression strategies are rarely successful and how they may actually lead to harm for professionals. Finally, moving from the individual to the collective level, I will discuss the ways in which affective injustice may lead to poorer quality care, including how it may lead to medical errors and compromise patient safety. This chapter is therefore focused on both the affective harms faced by individuals in the practice of their professions, but also the harms from the public health perspective from suppressing affects in healthcare service and delivery.