Who Decides Women’s Best Interests? Examining patient-provider power relations in counselling on long-acting reversible contraception

By Tracy Morison

Image by Pexels

Long-acting reversible contraception (LARC) is widely accepted in most public health and family planning approaches. However, power imbalances between healthcare providers and patients make many women feel as though they are coerced into taking LARC. There is little research that considers the nature and quality of patient-provider interactions, including issues of power and women’s agency, as most scholarship in the field focuses on access. Concerns about the potential for coercion, lack of patient-centeredness, or uncritical LARC promotion are therefore under-explored, especially among ‘high-risk’ women who experience poor health and social outcomes. This study takes a much-needed look at how providers’ perspectives influence their recommendations to patients and the changes that must be implemented to help patients regain autonomy over their reproductive choices.

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Fat Pain is Not Your Profundity

By Rachel Fox

Photo by AllGo – An App For Plus Size People on Unsplash

Rachel Fox explores how doctor-writer narratives often depict fat people in dehumanising and hurtful ways, and argues they need to be reframed with empathy.

During my six years as a student in the medical humanities, I’ve become quite familiar with the “doctor reflecting on a memorable patient encounter” genre of publication. These stories often follow a similar structure: anecdotal introduction, explanation of patient/case/doctor’s own training, dramatic or otherwise significant event, then conclusion with a broader lesson and/or resolution for the author. Stories that take this form are compelling and familiar; readers get to vicariously experience the stakes of medicine with the security of closure awaiting them at the end, while the doctor-writer gets a cohort of witnesses for their perspective on some significant part of their practice. At their best, these stories “humanize” the experience of medicine, giving a personal voice to the intimacies within a seemingly indifferent system. But I have yet to see a story of this genre that humanizes fat people.

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