Structural Competency
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Structural Competency
Jonathan Metzl, an American psychiatrist, professor, and writer, and Helena Hansen, an American psychiatrist, professor, and anthropologist wrote the article, “Structural competency: Theorizing a new medical engagement with stigma and inequality” in which this definition of structural competency was developed. Metzl and Hansen describe medical structural competency as a “trained ability to discern how a host of issues” including social determinants define “symptoms, attitude, or attitudes” that patients may possess impact treatment. Both, alongside other structural competence advocates believe that structural competency is integral to the training of physicians in their service to others as oftentimes, social determinants of health issues are overlooked as the sources of problems. Instead blame is typically put on the individual for their contribution to their own poor health. History Structural competency emerged from the term “cultural competence.” “Cultural ...
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Jonathan Metzl
Jonathan Michel Metzl (born December 12, 1964) is an American psychiatrist and author. He is the Frederick B. Rentschler II Professor of Sociology and Psychiatry at Vanderbilt University, where he is also Director of the Center for Medicine, Health, and Society. Metzl is an expert on gun violence and mental illness, which is the subject of his latest book, ''What We've Become, Living and Dying in a Country of Arms''. He is the author of several other books, including '' The Protest Psychosis'', ''Prozac on the Couch'', ''Against Health: How Health Became the New Morality'', and '' Dying of Whiteness''. Early life and education Metzl was born and raised in Kansas City, Missouri to a Jewish family. His father was a pediatrician and his mother was a psychoanalyst. He has three brothers, Jordan, Jamie and Joshua, two of whom are doctors. He received two bachelor's degrees, one in biology and one in English literature, from the University of Missouri, Kansas City, where he went on to e ...
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Helena Hansen
Helena Hansen is an American psychiatrist and anthropologist who is a professor and Chair of Translational Social Science at University of California, Los Angeles. Her research considers health equity, and has called for clinical practitioners to address social determinants of health. She holds an Honorary Doctorate from the Icahn School of Medicine at Mount Sinai and was elected Fellow of the National Academy of Medicine in 2021. Early life and education Hansen was raised in Berkeley, California, where she graduated from Berkeley High School. She then completed her undergraduate degree at Harvard University. She was a graduate student at Yale University, where she earned both a medical degree and a doctorate in cultural anthropology. During her doctorate research she worked in Havana on AIDS policy. She also spent time in Puerto Rico, where she studied faith healing programmes led by ex-addicts in Christian ministries. She was a clinical resident in psychiatry at NYU Medical Ce ...
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