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- All Subjects: appearance-based shame
- Creators: Brian, Jennifer
- Status: Published
Ankle monitors are not the bright, kind alternative to incarceration that they are made to be. Advocates propose them as a solution to overcrowded carceral sites and excessive federal expenditure on public corrections agencies. Their logic being we can release certain incarcerated people to reduce prison, jail, and detention center populations and require them to pay for their monitoring to reduce prison expenditures. While there is potential for ankle monitors to achieve these aspirations, it is necessary to recognize how and where they can produce harm. Rather than being an alternative to incarceration, ankle monitors are a method of incarceration. They serve the same functions and hold the same power as prisons and jails with a more elusive form. In the current implementation of ankle monitors, we see individual bodies being transformed into sources of data to be capitalized upon by the government and private companies. Along with this, there is a shift of the financial burden of incarceration from prisons to the person being punished. This acts to further perpetuate the cycles of poverty and financial oppression that are seen within traditional forms of incarceration. Ankle monitor advocates also claim ankle monitors allow incarcerated people to enjoy freedom beyond prison walls and reintegrate into society. In reality, this is an oversimplification of freedom. Individuals with ankle monitors find themselves to be limited in their freedoms by restricted movement and stigmatization. They are unable to live a “normal” life because their ankle monitors prevent them from doing so. These people cannot move as they please, they cannot find and hold employment, and they cannot interact with people like they normally would. Ankle monitor usage must be critically examined and altered if it is to be considered a meaningful, gentle alternative to incarceration.
Health service quality is understood to be a crucial determinant in successful patient-physician encounters and patient health. One common feeling that patients have reported experiencing during appointments is shame. We hypothesized that patients who experience appearance-based shame during an appointment are not likely to return to the same physician and that patients who do not experience appearance-based shame are likely to return to the same physician. This was assessed by conducting an anonymous online survey of 13 questions that served to establish a general foundation for understanding the participants' physical characteristics such as race, age, weight, and gender identity as well as their overall patient-physician relationship and experiences of shame, if applicable. 119 participants were recruited from Arizona State University and a case study was performed individually for five participants of interest. The data analyzed from this study suggests that while appearance-based shame does exist in healthcare spaces, it is not a significant determining factor in patients returning to their physicians. In addition, there was no significant evidence to suggest that patients who do not experience appearance-based shame are either likely or more likely to return to their physician. We hypothesize this could be due to confounding variables such as convenience, accessibility, or insurance limitations which patients may prioritize over feeling ashamed during an appointment. However, more research needs to be conducted to confirm these hypotheses.
Health service quality is understood to be a crucial determinant in successful patient-physician encounters and patient health. One common feeling that patients have reported experiencing during appointments is shame. We hypothesized that patients who experience appearance-based shame during an appointment are not likely to return to the same physician and that patients who do not experience appearance-based shame are likely to return to the same physician. This was assessed by conducting an anonymous online survey of 13 questions that served to establish a general foundation for understanding the participants' physical characteristics such as race, age, weight, and gender identity as well as their overall patient-physician relationship and experiences of shame, if applicable. 119 participants were recruited from Arizona State University and a case study was performed individually for five participants of interest. The data analyzed from this study suggests that while appearance-based shame does exist in healthcare spaces, it is not a significant determining factor in patients returning to their physicians. In addition, there was no significant evidence to suggest that patients who do not experience appearance-based shame are either likely or more likely to return to their physician. We hypothesize this could be due to confounding variables such as convenience, accessibility, or insurance limitations which patients may prioritize over feeling ashamed during an appointment. However, more research needs to be conducted to confirm these hypotheses.
Health service quality is understood to be a crucial determinant in successful patient-physician encounters and patient health. One common feeling that patients have reported experiencing during appointments is shame. We hypothesized that patients who experience appearance-based shame during an appointment are not likely to return to the same physician and that patients who do not experience appearance-based shame are likely to return to the same physician. This was assessed by conducting an anonymous online survey of 13 questions that served to establish a general foundation for understanding the participants' physical characteristics such as race, age, weight, and gender identity as well as their overall patient-physician relationship and experiences of shame, if applicable. 119 participants were recruited from Arizona State University and a case study was performed individually for five participants of interest. The data analyzed from this study suggests that while appearance-based shame does exist in healthcare spaces, it is not a significant determining factor in patients returning to their physicians. In addition, there was no significant evidence to suggest that patients who do not experience appearance-based shame are either likely or more likely to return to their physician. We hypothesize this could be due to confounding variables such as convenience, accessibility, or insurance limitations which patients may prioritize over feeling ashamed during an appointment. However, more research needs to be conducted to confirm these hypotheses.