A Feminist Approach to the Opioid Epidemic - page 2

Nonmedical prescription opioid abuse (NPOA) is an ongoing problem in America, with data showing an increase in this phenomenon in every state (Paulozzi & Xi, 2008). This phenomenon found its genesis... Read More

  1. by   MunoRN
    I think you mean 'maternal' and 'paternal' rather than masculine and feminine, although the patient treatment philosophies you're referring to aren't really as specific to gender as you're making them out to be.
  2. by   klone
    I did wonder if he meant "paternalistic" rather than "masculine." Although paternalism in healthcare is a well-known and documented phenomenon, is there such a thing as "maternalism"? I do not believe so, which causes his theory to sort of fall apart.
  3. by   Kitiger
    Instead of saying "Maternal Care", say "Patient Centered Care". This is what works. This is what empowers the patient to set his own goals and to work toward achieving them.

    Using terms that incite gender wars won't help.

    I agree with Julius Seizure; the article was well-written.

    Quote from Julius Seizure

    I want to commend you for taking the time to create a well-written article (with citations!). You may get some comments that disagree with the concept behind your writing, but I do hope that others recognize and appreciate that it was written in an academic and professional way.
  4. by   klone
    Why is the graphic for this article a woman snorting a rail of coke?
  5. by   Issaiah1332
    Last edit by Issaiah1332 on Nov 25, '17 : Reason: Figured out how to quote
  6. by   Issaiah1332
    Last edit by Issaiah1332 on Nov 25, '17 : Reason: Figured out how to quote
  7. by   Issaiah1332
    Quote from Emergent
    Seriously? Sorry, but this article seems like divisive, stereotyping nonsense generated by the woman's studies dept of academia.

    That bad, bad patriarchy doing everything wrong! Those uncaring men responsible for all our problems.

    Maybe a man will counter with an article claiming that female dominance of the regulatory system is what twisted the arms of the medical community to meet the pain goals of a generation of weaklings, who lacked strong male role models in their lives.
    Well, my hope was that my photo would tip readers off that I am a male; but I guess that wasn't the case.

    Anyways, I feel like this may be getting misinterpreted. My point was never to derive blame toward men (obviously, I am a male and not the self-loathing type). The "feminine vs. masculine" approach was meant to be a more metaphorical sense. That is to say, the masculine approach is one that tends to generate blame, without empathy, and "tough love" whether that is through the judicial system or evident in the care received.

    One can see this with conversations revolving around medication-assisted treatment, in which many see this as "enabling" or "trading one addiction for another."

    The "feminist approach" is meant to take on a metaphorically maternal role. This type of treatment values compassion and nurture, pacing with the patient in a way that is not meant to push someone into treatment nor, rather, a specific path of treatment since this can often lead to resistance between the patient and the provider. The other consequence, is the hemorrhaging of communication as the relationship may seem too punitive and not foster honesty.

    There is an argument to be made about how this approach and hierarchy developed through a social lens, looking for causation in how men may have dominated and shaped medicine; but that was not my intent.
  8. by   Issaiah1332
    Quote from Daisy Joyce
    I'm not entirely certain the opioid epidemic is the result of obedient and powerless patients.
    I more get the sense that these patients were not taking their meds as prescribed, and HCPs sorta shot themselves in the foot when they decided that pain is whatever the patient says it is.
    You're correct. I wasn't making an argument on the cause of the epidemic, but how to treat it in a way that fosters better decision-making. I elaborated more on this in a reply to the previous poster.
  9. by   Issaiah1332
    Quote from Atl-Murse
    What universe do you exist ? Real problems demands real solutions not some wishful magical thoughts. Gender wars will not help.
    Again, I elaborated on this in reply to another comment. This wasn't a male VS female argument, it was meant to argue the dynamics of a paternal VS. maternal approach.
  10. by   Issaiah1332
    Quote from KatieMI
    The author clearly never in his/her life saw a single one of those "poverless, obedient" patients who will do literally whatever it takes to wheedle more "good pills" from a provider, who is the truly powerless person in this equation, facing DEA on one side and HCAPS surveys on another.
    This was never meant to discuss the etiology of the epidemic, one in which we likely share a perspective on. It was to compare approaches through a different social lens.
  11. by   Issaiah1332
    Quote from JKL33

    OP, I'm curious how you might reconcile these two ideas. ^

    I don't agree with your thesis but I don't think you have proven it, regardless. What you have written is divisive and ultimately unhelpful .

    I hate the way we tend to use such a boxed-in definition of "caring" to begin with. There are a LOT of ways to care and to show care/concern. Definitions and generalizations like the ones in your article hurt both men and women. Boys and girls, too. Everyone, really.
    Sigh...in an effort to reply to every critique, I've found myself constantly saying to see an above reply I posted. It wasn't a boy and girl thing, it was a social perspective thing. The way in which we approach these patients is analogous to the way we see maternal and paternal care.
  12. by   Issaiah1332
    Quote from Julius Seizure
    OP, I had never heard of the term "feminist ethic of care" until reading your article. It is an interesting concept, even if the terminology seems to rub me the wrong way at the moment. I'll have to do some reading and think it over to decide how I feel about this. My initial reaction was similar to what JKL wrote, that men can "care" in an effective way too and that "caring" shouldn't need to be a feminist issue. I see now that the concept you are writing about is not quite what I initially understood it to be. Admittedly, I've never been one for philosophy.

    I want to commend you for taking the time to create a well-written article (with citations!). You may get some comments that disagree with the concept behind your writing, but I do hope that others recognize and appreciate that it was written in an academic and professional way.
    Thanks for the post (one of the few) and trying to understand the more philosophic path I took. As a man (who cares), it definitely wasn't meant to be disparaging toward men and create divisiveness. It was meant to be more along the lines of comparing treatment approaches through different lenses, which are often much in the way we tend to think of maternal and paternal care.
  13. by   Issaiah1332
    Quote from AJJKRN
    While I find the OPs concept on the newer end I can appreciate what is trying to be conveyed. Especially in the mental health arena. I don't think this article is solely pointing to just how women are treated in medicine but how medicine has treated everyone since it's inception...including how women are undertreated and often dismissed.

    Come on guys...give a girl a break! Sheesh...
    Thanks! I'm a guy by the way, haha. Yeah, it was never meant to incite a war between the sexes.