Autonomy, power, and place: Ethical considerations at the intersections of substance use care, and the sex trade

Substance use disorder (SUD) care among women in the sex trade poses multiple ethical challenges. We propose a framework with three lenses—autonomy, power, and place—that can inform and help improve more ethical clinical care for people who trade sex seeking SUD treatment. A relational perspective o...

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Bibliographic Details
Authors: Mithani, Zamina Zahra (Author) ; Judge, Abigail M. (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell 2024
In: Bioethics
Year: 2024, Volume: 38, Issue: 1, Pages: 52-60
IxTheo Classification:NBE Anthropology
NCA Ethics
NCF Sexual ethics
NCH Medical ethics
Further subjects:B Substance Use
B Feminist
B Autonomy
B Feminist ethics
B clinical ethics
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Summary:Substance use disorder (SUD) care among women in the sex trade poses multiple ethical challenges. We propose a framework with three lenses—autonomy, power, and place—that can inform and help improve more ethical clinical care for people who trade sex seeking SUD treatment. A relational perspective on autonomy, an analysis of power relations in the clinic, and a geographical analysis can inform how we create space for people with experience in the sex trade in substance use treatment facilities and beyond. We conclude with some practical applications of this framework, all while integrating a composite clinical vignette throughout our analysis. This analysis addresses a clinical and ethical gap in ways to provide better care for women in the sex trade, an understudied and chronically marginalized population deserving of care that meets them where they are.
ISSN:1467-8519
Contains:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.13250