Resistance and Gendered Racism: Middle-Class Black Women's Experiences Navigating Reproductive Health Care Systems

IF 2.5 2区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Women Quarterly Pub Date : 2023-04-25 DOI:10.1177/03616843231168113

Frances M. Howell

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引用次数: 4

Abstract

A core issue in reproductive justice concerns how racism impacts reproductive health outcomes for Black women. However, the intersectional experiences of middle-class Black women navigating racism in reproductive health systems have not been fully captured in psychological literature. By utilizing a Black feminist approach to qualitative inquiry, this study situates the psychological dynamics behind middle-class Black women's interpretations of and reactions to gendered racism in reproductive settings within the historical context of slavery and its aftermath. The data analysis of 12 interviews captures how middle-class Black women reflect on their interactions with gynecologists, narrate their anticipation of gendered racism, and interpret and respond to experiencing gendered racism. Findings from this study suggest that gendered racism is a haunting of embodied gynecological trauma that maps onto the historical legacy of slavery. This study offers psychology an empirical and analytical framework for moving forward with its conceptualizations of how race, gender, and class intersect in service of reproductive justice. Results from this study can be used by clinicians to guide their clients towards healing gendered-racist-related stress, as well as medical schools to educate obstetricians and gynecologists on how to provide anti-racist care to their Black patients.

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抵抗和性别种族主义:中产阶级黑人妇女的经验导航生殖保健系统

生殖正义的一个核心问题是种族主义如何影响黑人妇女的生殖健康结果。然而，中产阶级黑人女性在生殖健康系统中应对种族主义的交叉经历并没有在心理学文献中得到充分体现。通过利用黑人女权主义方法进行定性调查，本研究将中产阶级黑人女性在奴隶制及其后果的历史背景下对生殖环境中的性别种族主义的解释和反应背后的心理动态置于奴隶制及其后果中。对12次采访的数据分析捕捉到了中产阶级黑人女性如何反思她们与妇科医生的互动，讲述她们对性别种族主义的预期，以及如何解释和应对经历的性别种族主义。这项研究的结果表明，性别种族主义是一种挥之不去的妇科创伤，它映射到奴隶制的历史遗产上。这项研究为心理学提供了一个经验和分析框架，以推进其种族、性别和阶级如何在生殖正义服务中交叉的概念化。临床医生可以利用这项研究的结果来指导他们的客户治愈与性别种族主义相关的压力，医学院也可以教育产科医生和妇科医生如何为黑人患者提供反种族主义护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology of Women Quarterly Multiple-

CiteScore

6.10

自引率

5.00%

发文量

期刊介绍： Psychology of Women Quarterly (PWQ) is a feminist, scientific, peer-reviewed journal that publishes empirical research, critical reviews and theoretical articles that advance a field of inquiry, teaching briefs, and invited book reviews related to the psychology of women and gender. Topics include (but are not limited to) feminist approaches, methodologies, and critiques; violence against women; body image and objectification; sexism, stereotyping, and discrimination; intersectionality of gender with other social locations (such as age, ability status, class, ethnicity, race, and sexual orientation); international concerns; lifespan development and change; physical and mental well being; therapeutic interventions; sexuality; social activism; and career development. This journal will be of interest to clinicians, faculty, and researchers in all psychology disciplines, as well as those interested in the sociology of gender, women’s studies, interpersonal violence, ethnic and multicultural studies, social advocates, policy makers, and teacher education.