Presumed Consent for Pelvic Exams Under Anesthesia Is Medical Sexual Assault

被引:5
|
作者
Tillman, Stephanie [1 ]
机构
[1] St Louis Univ, Healthcare Eth, St Louis, MO 63103 USA
来源
INTERNATIONAL JOURNAL OF FEMINIST APPROACHES TO BIOETHICS | 2023年 / 16卷 / 01期
关键词
clinical education; consent; pelvic examinations; queer theory; sexual assault; INTIMATE EXAMS; STUDENTS; WOMEN;
D O I
10.3138/ijfab-2022-0002
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Unconsented pelvic exams under anesthesia are assaults cloaked in defense of healthcare education. Preemptive linguistic qualifiers "presumed" or "implied" attempt to justify such violations with flippancy toward their oxymoronic implications: to suggest a priori that consent can be assumed undermines its otherwise standalone social, ethical, and medico-legal reverence. In this paper I conceptualize "medical sexual assault" and argue that presumed consent for intimate exams exemplifies its definition. By bluntly describing pelvic exams as "penetration," this work aims to reify the intimate reality of the clinical label "pelvic exam" and to call attention to cisheteronormative and androcentric assumptions involved in its practice. Additionally, this scholarship seeks to create a foundation toward broader work in conceptualizing clinical rape culture. Given recent national survey data indicating a surprising frequency of unconsented intimate exams, detailed language as to their problematics is necessary for ongoing legal and ethical efforts. Explicit consent for intimate exams must be the standard of care for conscious and unconscious patients.
引用
收藏
页码:1 / 20
页数:20
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