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Pathways to Inhumane Care: Masculinity and Violence in a South African Emergency Unit

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  • Sarah Shelmerdine

Abstract

Inhumane treatment of patients by health care providers is reported around the world. A range of explanations has been proposed, indicating the complexity of the multiple factors involved. This article reports on an ethnographic study conducted in a South African public sector emergency unit, exploring the possible contribution of hegemonic discourses of masculinity to delivery of inhumane care in this context. Using ethnographic methods, including participant observation, interviews, audio-recordings of verbal interaction, and narrative analysis, the study on which this article reports explored the discursive practices surrounding incidents of abuse. The article argues that the pressure doctors experience to display strong masculine identities and simultaneous feelings of powerlessness in the face of material realities generates the potential for inhumane acts. It concludes that understanding the metaphors through which doctors interpret their experiences is important both to comprehending and subverting the forces that drive inhumane care.

Suggested Citation

  • Sarah Shelmerdine, 2017. "Pathways to Inhumane Care: Masculinity and Violence in a South African Emergency Unit," SAGE Open, , vol. 7(3), pages 21582440177, September.
    • Handle: RePEc:sae:sagope:v:7:y:2017:i:3:p:2158244017728320
    DOI: 10.1177/2158244017728320
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    1. Emslie, Carol & Ridge, Damien & Ziebland, Sue & Hunt, Kate, 2006. "Men's accounts of depression: Reconstructing or resisting hegemonic masculinity?," Social Science & Medicine, Elsevier, vol. 62(9), pages 2246-2257, May.
    2. Lewin, Simon & Green, Judith, 2009. "Ritual and the organisation of care in primary care clinics in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 68(8), pages 1464-1471, April.
    3. Jewkes, Rachel & Abrahams, Naeemah & Mvo, Zodumo, 1998. "Why do nurses abuse patients? Reflections from South African obstetric services," Social Science & Medicine, Elsevier, vol. 47(11), pages 1781-1795, December.
    4. Gibson, Diana, 2004. "The gaps in the gaze in South African hospitals," Social Science & Medicine, Elsevier, vol. 59(10), pages 2013-2024, November.
    5. Fassin, Didier, 2008. "The elementary forms of care: An empirical approach to ethics in a South African Hospital," Social Science & Medicine, Elsevier, vol. 67(2), pages 262-270, July.
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