Subordinated masculinities : a critical inquiry into reproduction of gender norms in handovers and rounds in a forensic psychiatric care
| Autor: | Lena Aléx, Kristina Eivergård, Ove Hellzén, Ingela Enmarker, Mona Livholts |
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| Přispěvatelé: | Social Work |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty IMPACT media_common.quotation_subject Discourse analysis Context (language use) Nursing verbal handovers Power (social and political) power 03 medical and health sciences Language and gender 0302 clinical medicine Converse medicine Relevance (law) Humans masculinity 030212 general & internal medicine Psychiatry Child General Nursing media_common Masculinity 030504 nursing forensic care Communication Reproduction Omvårdnad Patient Handoff MEN General Medicine Forensic Psychiatry LOOKING 16. Peace & justice Aggression 5145 Social work discourse HEALTH 0305 other medical science Psychology Spoken language |
| Popis: | Aims and objectives To examine how gendered discursive norms and notions of masculinity are (re)produced in professional conversations about men cared for as patients in forensic psychiatric care, with a particular focus on the centrality of language and gender. Background During verbal handovers and ward rounds, care staff converse to share information about patients and make decisions about their mental status. Spoken language is thus a pivotal tool in verbal handovers and ward rounds, one able to reproduce discourses and gender norms. Design Qualitative. Data collected from audio recordings of verbal handovers and ward rounds in a forensic psychiatric clinic were subjected to discourse analysis. The COREQ checklist was used. Results While discussing patients, staff subordinated them by reproducing a discourse typical of heteronormative, family-oriented care. The overarching discourse, which we labelled subordinated masculinities, was supported by three other discourses: being unable to take responsibility, being drug-addicted and performing masculinity. Such discourse was identified as a disciplining practice that subordinate's patients as a means to maintain order, rules and gender norms. Conclusion The study reveals a caring practice that position male patients as children or disabled individuals and, in that way, as subordinated other men within a context were staff reproduces a heteronormative family structured care. The process also reveals a practice were downplaying aggressive and deviant behaviour could disempower and reduce patients´ responsibility for personal actions and their possibilities to participate in their care. That finding especially seems to contradict previous findings that patients want to be able to act responsibly and, to that end, want care staff to help them. Relevance to clinical practice Nurses need to deepen their understanding of how language (re)produces discursive norms of gender and masculinity in forensic care and that process's consequences for such care. |
| Databáze: | OpenAIRE |
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