ArticlePhilosophy, ethics, and humanities in medicine : PEHM2018
"Violence" in medicine: necessary and unnecessary, intentional and unintentional.
Article in Philosophy, ethics, and humanities in medicine : PEHM, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Final costs: The emotional impact of providing end-of-life care.Future healthcare journal · 2026Article
- Breaking the Silence: Psychological Abuse Among Patients with Breast Cancer.Healthcare (Basel, Switzerland) · 2025Article
- The fragile dialogue: communication barriers, authority and adaptive strategies in NICU parent-healthcare worker relationships.Frontiers in sociology · 2025Article
- A Patient-Centered Conceptual Model of AYA Cancer Survivorship Care Informed by a Qualitative Interview Study.Cancers · 2024Article
- Variegated racism: exploring experiences of anti-Black racism and their progression in medical education.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Exploring the varied manifestations of structural violence in the lives of children on the autism spectrum and their families: a qualitative longitudinal study in Kurdistan, Iran.International journal for equity in health · 2023Article
- An Ethics Action Plan for Rare Disease Care: Participatory Action Research Approach.Journal of participatory medicine · 2023Article
- Blaming in women with breast cancer subjected to intimate partner violence: A hermeneutic phenomenological study.Asia-Pacific journal of oncology nursing · 2023Article
- The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.BMC nursing · 2023Article
- Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.Journal of health organization and management · 2022Article
- A Critical Discourse Analysis of an Australian Incarcerated Trans Woman's Letters of Complaint and Self-Advocacy.Ethos (Berkeley, Calif.) · 2022Article
- Domestic violence and child maltreatment awareness among medical students at King Abdulaziz University Hospital.Journal of family medicine and primary care · 2022Article
- Perceptions and experiences of psychological trauma in nursing and psychiatric nursing students: A small scale qualitative case study.PloS one · 2022Article
- How prepared are students for the various transitions in their medical studies? An Australian university pilot study.MedEdPublish (2016) · 2019Article
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Authors and funding
1 author.
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Abstract
We are more used to thinking of medicine in relation to the ways that it alleviates the effects of violence. Yet an important thread in the academic literature acknowledges that medicine can also be responsible for perpetuating violence, albeit unintentionally, against the very individuals it intends to help. In this essay, I discuss definitions of violence, emphasizing the importance of understanding the term not only as a physical perpetration but as an act of power of one person over another. I next explore the paradox of a healing profession that is permeated with violence sometimes necessary, often unintentional, and almost always unrecognized. Identifying the construct of "physician arrogance" as contributory to violence, I go on to identify different manifestations of violence in a medical context, including violence to the body; structural violence; metaphoric violence; and the practice of speaking to or about patients (and others in the healthcare system in ways that minimize or disrespect their full humanity. I further suggest possible explanations for the origins of these kinds of violence in physicians, including the fear of suffering and death in relation to vicarious trauma and the consequent concept of "killing suffering"; as well as why patients might be willing to accept such violence directed toward them. I conclude with brief recommendations for attending to root causes of violence, both within societal and institutional structures, and within ourselves, offering the model of the wounded healer.
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