Health care professionals use strategies during the physical examination to stay in control of their feelings, the behaviors of their patients, and to avoid allegations of sexual misconduct. To investigate how health care practitioners desexualize physical exams, the authors conducted 70 in-depth interviews with physicians and nurses. Three desexualizing strategies were general ones, used by both male and female health care providers, and were employed regardless of the characteristics of the patients: engaging in conversation and nonsexual joking, meeting the patient clothed before the exam, and using medical rather than colloquial terms. Six strategies were used only in specific contexts or were used primarily by men or women. These gendered strategies include using a chaperone, objectifying the patient, empathizing with the patient, joking about sex, threatening the patient, and looking professional. The authors conclude that desexualizing the exam is gendered and, in some contexts, (hetero) sexualized. Using certain strategies bolsters stereotypes about gender and heterosexual relationships in the hospital.
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References
1.
Acker, J.1990. Hierarchies, jobs, bodies: A theory of gendered organizations.Gender & Society4:39-158.
2.
Acker, J.
1992. Gendering organizational theory. In Gendering organizational analysis, edited by A. J. Mills and P. Tancred.Newbury Park, CA: Sage.
3.
Adkins, L.
1995. Gendered work: Sexuality, family, and the labour market.Buckingham, UK: Open University Press.
4.
Allison, A.
1994. Nightwork: Sexuality, pleasure, and corporate masculinity in a Tokyo hostess club.Chicago: University of Chicago Press.
5.
Baines, C. T.
, P. M. Evans, and S. M. Neysmith. 1991. Caring: Its impact on the lives of women. In Women's caring: Feminist perspectives on social welfare, edited by C. T. Baines, P. M. Evans, and S. M. Neysmith.Toronto: McClelland & Stewart.
6.
Burrell, G.
, and J. Hearn. 1989. The sexuality of organization. In The sexuality of organization, edited by J. Hearn, D. L. Sheppard, P. Tancred-Sheriff, and G. Burrell.London: Sage.
7.
Buxman, K.1991. Make room for laughter.American Journal of Nursing91:46-51.
8.
Cassell, J.
1998. The woman in the surgeon's body.Cambridge, MA: Harvard University Press.
9.
Coser, R.1959. Some social functions of laughter.Human Relations12:171-82.
10.
Dellinger, K. A.
, and C. L. Williams.1997. Makeup at work: Negotiating appearance rules in the workplace.Gender & Society11:151-77.
11.
DiTomaso, N.
1989. Sexuality in the workplace: Discrimination and harassment. In The sexuality of organization, edited by J. Hearn, D.L. Sheppard, P. Tancred-Sheriff, and G. Burrell.London: Sage.
12.
Emerson, J.
1970. Behavior in private places: Sustaining definitions of reality in gynecological examinations. In Recent sociology (no. 2), edited by H. P. Dreitzel.London: Macmillan.
13.
Fine, G. A.1976. Obscene joking across cultures.Journal of Communication26:134-40.
14.
Fisher, S.
1995. Nursing wounds: Nurse practitioners/doctors/women patients/and the negotiation of meaning.New Brunswick, NJ: Rutgers University Press.
15.
Foner, N.
1994. The caregiving dilemma: Work in an American nursing home.Berkeley: University of California Press.
16.
Friedman, J.
, and M. M. Boumil. 1995. Betrayal of trust: Sex and power in professional relationships.Westport, CT: Praeger.
17.
Giuffre, P. A.
, and C. L. Williams.1994. Boundary lines: Labeling sexual harassment in restaurants.Gender & Society8:378-401.
18.
Goffman, E.
1962. Asylums.Chicago: Aldine.
19.
Grieco, A.1987. Scope and nature of sexual harassment in nursing.Journal of Sex Research23:261-66.
20.
Hall, E. J.1993. Smiling, deferring, and flirting: Doing gender by giving “good service.”Work and Occupations20:452-71.
21.
Hearn, J.
, and W. Parkin. 1987. “Sex” at “work”: The power and paradox of organisation sexuality.New York: St. Martin's.
22.
Henslin, J. M.
, and M. A. Biggs. 1998. Behavior in public places: The sociology of the vaginal examination. In Down to earth sociology: Introductory readings, 9th ed., edited by J. M. Henslin.New York: Free Press.
23.
Komaromy, M.
, A. B. Bindman, R.J. Haber, and M. A. Sande.1993. Sexual harassment in medical training.New England Medical Journal of Medicine328:322-26.
24.
Konrad, A. M.
, and B. A. Gutek.1986. Impact of work experiences on attitudes toward sexual harassment.Administrative Science Quarterly31:422-38.
25.
Lyman, P.
1987. The fraternal bond as a joking relationship: A case study of the role of sexist jokes in male group bonding. In Changing men: New directions in research on men and masculinity, edited by M. S. Kimmel.Newbury Park, CA: Sage.
26.
Parkin, W.
1989. Sexuality and residential care organizations. In The sexuality of organization, edited by J. Hearn, D. L. Sheppard, P. Tancred-Sheriff, and G. Burrell.London: Sage.
27.
Phillips, S. P.
, and M. S. Schneider.1993. Sexual harassment of doctors by patients.New England Journal of Medicine329:1936-39.
28.
Pringle, R.
1998. Sex and medicine.Cambridge, UK: Cambridge University Press.
29.
Randolph, L.
, B. Seidman, and T. Pasko. 1996. Physician characteristics and distribution in the U.S.Chicago: American Medical Association.
30.
Rubin, L. B.
1983. Intimate strangers: Men and women together.New York: Harper & Row.
31.
Schneider, M.
, and Phillips, S. P.1997. A qualitative study of sexual harassment of female doctors by patients.Social Science & Medicine45:669-76.
32.
Schultz, V.1998. Reconceptualizing sexual harassment.Yale Law Journal107:1683-1805.
33.
Scully, D.
1980. Men who control women's health: The miseducation of obstetrician-gynecologists.Boston: Houghton Mifflin.
34.
Smith, A. C.
, and S. Kleinman.1989. Managing emotions in medical school: Students' contact with the living and the dead.Social Psychology Quarterly52:56-69.
35.
Stevens, P.E.1996. Lesbians and doctors: Experiences of solidarity and domination in health care settings.Gender & Society10:24-41.
36.
Strauss, A. L.
1987. Qualitative analysis for social scientists.Cambridge, UK: Cambridge University Press.
37.
Tiefer, L.
1987. In pursuit of the perfect penis: The medicalization of male sexuality. In Changing men: New directions in research on men and masculinity, edited by M. S. Kimmel.Newbury Park, CA: Sage.
38.
Todd, A. D.
1989. Intimate adversaries: Cultural conflict between doctors and women patients.Philadelphia: University of Pennsylvania Press.
39.
West, C.
, and D. Zimmerman.1987. Doing gender.Gender & Society1:125-51.
40.
Williams, C. L.
1995. Still a man's world: Men who do “women's work.”Berkeley: University of California Press.
