Intersections of Gender and Age in Health Care: Adapting Autonomy and Confidentiality for the Adolescent Girl
- 1 January 2004
- journal article
- other
- Published by SAGE Publications in Qualitative Health Research
- Vol. 14 (1) , 78-99
- https://doi.org/10.1177/1049732303259674
Abstract
Autonomy and confidentiality are central topics in adolescent health care, both pertaining to findings that nonparent adults often benefit adolescent girls’psychological resilience. Traditionally, autonomy captures a patient’s right to self-determine a course of treatment, whereas confidentiality is understood as privacy between doctor and patient. The author proposes a revision of these constructs to accommodate the psychology of adolescent girls in health care contexts through a case study of a 17-year-old girl’s hospitalization. In particular, the importance of voice and trust in girls’psychology calls for understanding autonomy as self in relationship and confidentiality as mutual confidence. Suggestions for practice are guided by the premise that girls’ health care can foster psychological risk or resilience, depending on the doctor-patient relationship.Keywords
This publication has 49 references indexed in Scilit:
- Puberty and the emergence of gender differences in psychopathologyPublished by Elsevier ,2002
- Choosing to remain smoke-free: The experiences of adolescent girlsJournal of Adolescent Health, 2001
- YOUNG WOMEN'S HEALTH CONCERNS: REVEALING PARADOXHealth Care for Women International, 2001
- Adolescent medicine faculty development needsJournal of Adolescent Health, 2001
- Health‐Risk Behaviors Among Middle School Students In A Large Majority‐Minority School DistrictJournal of School Health, 2001
- Depressive Symptoms, Health Promotion, and Health Risk BehaviorsAmerican Journal of Health Promotion, 2000
- Factors Affecting the Decision to Seek Health Care: The Voice of AdolescentsPediatrics, 1997
- Development of an adolescent health counseling quality questionnaire: Viking A. Hedberg, MD, Jonathan D. Klein, MD, MPH, Caryn A. Graff, MPH, Marjorie J. Allan, BS, Edward L. Deci, PhD. Division of Adolescent Medicine, Strong Children's Research Center, and the Department of Clinical and Social Sciences in Psychology, Univ. of Rochester, Rochester, NYJournal of Adolescent Health, 1997
- Confidentiality in Health CareJAMA, 1993
- Antecedents and consequences of variations in girls' maturational timingJournal of Adolescent Health Care, 1988