In a world that too often marginalizes people based on their race, gender, sexual orientation, body size, or disability, medicine can often be no different. Far from "doing no harm," it treats some patients unfairly, leading to detrimental effects. Guided by diverse patient testimonies and case studies, Microaggressions in Medicine focuses on the harms that such patients face. It amplifies their voices, stories, and experiences, which have too-often been excluded from mainstream bioethical, medical, and popular discussions. Microaggressions in medicine are not rare, but frequent in the healthcare experiences of marginalized patients. Recognizing this can help patients better understand and make sense of their experiences. As bioethicists Lauren Freeman and Heather Stewart argue, building such an awareness can also help current and future healthcare professionals recognize the serious and enduring consequences that microaggressions have on their patients. Freeman and Stewart offer practical strategies for healthcare professionals to reduce microaggressions in their practices.
The harms of microaggressions are anything but micro. Healthcare professionals have a moral obligation to prevent them as much as possible. Health equity can be achieved, but only through first recognizing the harm caused by microaggressions in medical contexts. Shining a light on microaggressions in medicine and offering concrete ways for health professionals to avoid them in the future will make a positive difference in the lives of marginalized patients as they interact with medical institutions and practitioners. All patients deserve high quality, patient-centered care but healthcare professionals must change their practices in order to achieve such equity.
Microaggressions in Medicine introduces a novel account of microaggressions and applies it in medical contexts. Guided by diverse patient testimonies and case studies, it focuses on harms experienced by patients marginalized on the basis of race, gender, sexual orientation, body size, and disability. It makes a compelling case that the harms of microaggressions are anything but micro and argues that healthcare professionals have a moral obligation to prevent them. By proving practical strategies for healthcare professionals to reduce microaggressions in their practices, Microaggressions in Medicine will make a positive difference in the lives of marginalized patients as they interact with healthcare professionals. All patients deserve high quality, patient-centered care, but healthcare professionals must change their practices in order to achieve such equity.
Microaggressions are not only a vexing problem in daily interactions, but also appear in medical contexts where they can cause distress in patients, reduce adherence to medical advice, and even cause patients to avoid care altogether. Freeman and Stewart take readers through the medical impact of microaggressions on patients to the oft-ignored history of the concept and into the thick of debates about how to classify and understand these events. This is an important and insightful work that should be widely read, from medical professionals to diversity scholars.
