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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Détails bibliographiques
Auteurs: Mithani, Zamina Zahra (Auteur) ; Judge, Abigail M. (Auteur)
Type de support: Électronique Article
Langue:Anglais
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Publié: Wiley-Blackwell 2024
Dans: Bioethics
Année: 2024, Volume: 38, Numéro: 1, Pages: 52-60
Classifications IxTheo:NBE Anthropologie
NCA Éthique
NCF Éthique sexuelle
NCH Éthique médicale
Sujets non-standardisés:B Substance Use
B Féministe
B Autonomy
B Feminist ethics
B clinical ethics
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Description
Résumé: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
Contient:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.13250