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Intersectionality in Clinical Medicine: The Need for a Conceptual Framework
Authors:Yolonda Wilson  Amina White  Akilah Jefferson  Marion Danis
Affiliation:1. Howard University;2. UNC Chapel Hill;3. University of California San Diego and Rady Children’s Hospital San Diego;4. National Institutes of Health Clinical Center
Abstract:Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.
Keywords:feminist ethics  gender/sexuality  philosophy  professional–patient relationship  race and culture/ethnicity
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