Yeni bir \u00e7al\u0131\u015fma psikoterapistlerin muhtemel hastalar\u0131 aras\u0131nda siyahlara ve i\u015f\u00e7ilere y\u00f6nelik ayr\u0131mc\u0131l\u0131k yapt\u0131\u011f\u0131n\u0131 ileri s\u00fcr\u00fcyor. \u201cIrk ve s\u0131n\u0131f e\u015fitsizlikleri bulmay\u0131 bekliyordum, ama terapi talep eden i\u015f\u00e7ilerin maruz kald\u0131\u011f\u0131 ayr\u0131mc\u0131l\u0131k benim ac\u0131mas\u0131z beklentilerimi de a\u015ft\u0131.\u201d \u00c7al\u0131\u015fman\u0131n yazar\u0131 ve Princeton \u00dcniversitesi Sosyoloji B\u00f6l\u00fcm\u00fc\u2019nde doktora \u00f6\u011frencisi Heather Kugelmass b\u00f6yle s\u00f6yl\u00fcyor.<\/p>\n
Kugelmass, randevu almak amac\u0131yla bir terapistle temas kuran orta s\u0131n\u0131flar aras\u0131ndan, beyazlar\u0131n y\u00fczde 28, siyahlar\u0131n ise y\u00fczde 17 oran\u0131yla randevu alabildi\u011fini belirtiyor. Terapi talep eden siyah ve beyaz \u0131rktan i\u015f\u00e7iler i\u00e7inse ayn\u0131 oran y\u00fczde 8 olmu\u015f. Kugelmass, \u201c\u00d6zel sekt\u00f6r ruh sa\u011fl\u0131\u011f\u0131 hizmetleri piyasas\u0131ndaki ayr\u0131mc\u0131l\u0131klar\u0131 ortaya \u00e7\u0131karan bu \u00e7al\u0131\u015fma, daha \u00f6nceden konut ve i\u015f gibi ba\u015fka piyasalardaki ayr\u0131mc\u0131l\u0131klar\u0131 ortaya \u00e7\u0131karm\u0131\u015f olan di\u011fer \u00e7al\u0131\u015fmalarla da tutarl\u0131l\u0131k g\u00f6steriyor\u201d diyor. \u00c7al\u0131\u015fmas\u0131n\u0131n, sigorta piyasas\u0131n\u0131n dezavantajl\u0131 durumlar\u0131 \u00fcst\u00fc kapal\u0131 olarak s\u00fcrd\u00fcrd\u00fc\u011f\u00fcn\u00fcn anla\u015f\u0131lmas\u0131na yard\u0131mc\u0131 olabilece\u011fini de ekliyor.<\/p>\n
Journal of Health and Social Behavior\u00a0<\/em>dergisinin Haziran say\u0131s\u0131nda yer alan \u00e7al\u0131\u015fma \u201c\u2018\u00dczg\u00fcn\u00fcm, Yeni Hasta Kabul Etmiyorum\u2019: Ruh Sa\u011fl\u0131\u011f\u0131 Hizmetlerine Eri\u015fimin Denetim \u00c7al\u0131\u015fmas\u0131\u201d ba\u015fl\u0131\u011f\u0131n\u0131 ta\u015f\u0131yor. \u00c7al\u0131\u015fma dahilinde, b\u00fcy\u00fck bir sa\u011fl\u0131k sigortas\u0131 tedarik\u00e7isi olan HMO\u2019dan, PhD ya da PsyD derecesi sahibi ve tek \u00e7al\u0131\u015fan 320 New Yorklu psikoterapist geli\u015fig\u00fczel se\u00e7ildi. Her terapist, ayn\u0131 cinsiyetten bir beyaz orta s\u0131n\u0131f, bir siyah orta s\u0131n\u0131f, bir siyah i\u015f\u00e7i, bir de beyaz i\u015f\u00e7iye aitmi\u015f gibi g\u00f6r\u00fcnen ve randevu talep eden birer sesli mesaj ald\u0131. Arayanlar \u0131rk, s\u0131n\u0131f ve cinsiyet olarak ayn\u0131 oranda da\u011f\u0131t\u0131ld\u0131.<\/p>\n Kullan\u0131lan kelimeler, dil bilgisi ve aksan yoluyla arayan\u0131n sosyal s\u0131n\u0131f\u0131na dair ipu\u00e7lar\u0131 verilirken, arayan\u0131n ismi ve aksan\u0131 da \u0131rk\u0131n\u0131 bildirecek \u015fekilde kullan\u0131ld\u0131. T\u00fcm arayanlar hafta i\u00e7i ak\u015fam saatlerinde randevu talep etti ve t\u00fcm\u00fc ayn\u0131 sa\u011fl\u0131k sigortas\u0131na sahipti.<\/p>\n Kugelmass, \u201cTerapi talep edenlerin t\u00fcm\u00fc ayn\u0131 sa\u011fl\u0131k sigortas\u0131na sahip olmas\u0131na ra\u011fmen siyahlara ve i\u015f\u00e7ilere y\u00f6nelik ayr\u0131mc\u0131l\u0131k yap\u0131lmas\u0131 olduk\u00e7a \u00e7arp\u0131c\u0131\u201d diyor. \u201cBu kan\u0131t, finansal kayg\u0131lardan ziyade belli \u00f6nyarg\u0131lara i\u015faret ediyor. E\u011fer sa\u011fl\u0131k sigortas\u0131 kapsam\u0131 sabit tutulmam\u0131\u015f olsayd\u0131, \u0131rk ve s\u0131n\u0131f stereotipleri temelli ayr\u0131mc\u0131l\u0131\u011f\u0131n daha y\u00fcksek olarak g\u00f6zlenecek olmas\u0131 da olas\u0131 bir sonu\u00e7.\u201d<\/p>\n Ayr\u0131ca, bir psikoterapistten geri d\u00f6n\u00fc\u015f telefonu alma olas\u0131l\u0131\u011f\u0131nda da e\u015fitsizlikler bulunuyor. Kugelmass beyaz orta s\u0131n\u0131flar y\u00fczde 51, siyah orta s\u0131n\u0131flar\u0131n da y\u00fczde 49 oran\u0131yla cevap alabilirken, bu oran\u0131n beyaz i\u015f\u00e7iler i\u00e7in y\u00fczde 45 ve siyah i\u015f\u00e7iler i\u00e7in ise y\u00fczde 34 oldu\u011funu bulgulad\u0131. \u201cGeri arama oranlar\u0131n\u0131n d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc de beni \u015fa\u015f\u0131rtt\u0131\u201d diyor Kugelmass. \u201cTerapi talep eden beyaz orta s\u0131n\u0131flar dahi aramalar\u0131n\u0131n sadece yar\u0131s\u0131nda geri d\u00f6n\u00fc\u015f alabildi. Ruh sa\u011fl\u0131\u011f\u0131 hizmetlerinin t\u00fcketicileri olarak, ya da potansiyel t\u00fcketicileri olarak, herkesin bir cevab\u0131 hak etti\u011fini d\u00fc\u015f\u00fcnmek istiyoruz.\u201d Kugelmass\u2019a g\u00f6re, bir psikoterapist yeni bir hastay\u0131 kabul edemeyecek olsa bile, terapi talep eden ki\u015finin telefonuna geri d\u00f6n\u00fc\u015f yapmak ho\u015f bir davran\u0131\u015f olacakt\u0131r. \u201cBireyler, yard\u0131m arad\u0131klar\u0131 bir d\u00f6nemde cevaplanma eksikli\u011fi tecr\u00fcbe ederlerse, bir psikoterapiste ula\u015fmay\u0131 faydas\u0131z bir eylem olarak g\u00f6rebilir ya da kimilerinin halihaz\u0131rda \u015f\u00fcpheyle yakla\u015ft\u0131\u011f\u0131 mesle\u011fe kar\u015f\u0131 olumsuz yakla\u015f\u0131mlar geli\u015ftirebilirler\u201d diyor.<\/p>\n Kugelmass ayr\u0131ca orta s\u0131n\u0131f, beyaz kad\u0131nlar\u0131n \u00e7ok talep edilen hafta i\u00e7i ak\u015fam randevular\u0131 i\u00e7in kay\u0131r\u0131ld\u0131\u011f\u0131n\u0131 tespit etti ve bu zaman aral\u0131\u011f\u0131 i\u00e7in yapt\u0131\u011f\u0131 80 randevu talebinden 16\u2019s\u0131na (y\u00fczde 20) olumlu yan\u0131t ald\u0131. \u00d6te yandan, ayn\u0131 zaman aral\u0131\u011f\u0131 i\u00e7in ba\u015fvuruda bulunan siyah i\u015f\u00e7i erkeklerin 80 farkl\u0131 randevu talebine sadece bir terapist olumlu yan\u0131t verdi.<\/p>\n \u201cPsikoterapistler, di\u011fer meslek sahiplerinin kararlar\u0131n\u0131 etkileyen stereotiplere kar\u015f\u0131 ba\u011f\u0131\u015f\u0131k de\u011filler\u201d diyor Kugelmass. \u201cDahas\u0131, tek ki\u015filik \u00f6zel \u00e7al\u0131\u015fma bi\u00e7imlerinden dolay\u0131, terapistlerin mesleki \u00f6zerklik seviyesi de daha y\u00fcksek ve \u00f6nyarg\u0131lar\u0131yla uyumlu kararlar vermek i\u00e7in fazlaca serbestlikleri var.\u201d<\/p>\n \u00c7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131 bak\u0131m\u0131ndan Kugelmass, ruh sa\u011fl\u0131\u011f\u0131 hizmetlerine dair sorunlar\u0131n sa\u011fl\u0131k sigortas\u0131 kapsam\u0131n\u0131n art\u0131r\u0131lmas\u0131yla a\u015f\u0131lamayaca\u011f\u0131n\u0131 s\u00f6yl\u00fcyor. \u201cSa\u011fl\u0131k sigortas\u0131na eri\u015fim terapiye eri\u015fimde e\u015fitli\u011fi sa\u011flamak i\u00e7in yeterli de\u011fil\u201d diyor. \u201cAsl\u0131na bak\u0131l\u0131rsa, hastalar \u00fczerinde takdirde bulunduklar\u0131nda, psikoterapistler istemsiz olarak e\u015fit eri\u015fimin te\u015fvik edilmesi \u00e7abalar\u0131na ta\u015f koyuyor olabilir. Sa\u011fl\u0131k hizmetine eri\u015fimin \u00f6n\u00fcndeki makro d\u00fczeydeki bariyerler olduk\u00e7a \u00f6nemli, ama terapist ve muhtemel hastalar\u0131 aras\u0131ndaki ili\u015fkinin etkisini de g\u00f6z ard\u0131 etmemek gerekiyor.\u201d<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Yeni bir \u00e7al\u0131\u015fma psikoterapistlerin muhtemel hastalar\u0131 aras\u0131nda siyahlara ve i\u015f\u00e7ilere y\u00f6nelik ayr\u0131mc\u0131l\u0131k yapt\u0131\u011f\u0131n\u0131 ileri s\u00fcr\u00fcyor. \u201cIrk ve s\u0131n\u0131f e\u015fitsizlikleri bulmay\u0131 bekliyordum, ama terapi talep eden i\u015f\u00e7ilerin maruz kald\u0131\u011f\u0131 ayr\u0131mc\u0131l\u0131k benim ac\u0131mas\u0131z beklentilerimi de a\u015ft\u0131.\u201d \u00c7al\u0131\u015fman\u0131n yazar\u0131 ve Princeton \u00dcniversitesi Sosyoloji B\u00f6l\u00fcm\u00fc\u2019nde doktora \u00f6\u011frencisi Heather Kugelmass b\u00f6yle s\u00f6yl\u00fcyor. Kugelmass, randevu almak amac\u0131yla bir terapistle temas kuran […]<\/p>\n","protected":false},"author":426,"featured_media":15170,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[186,19,233,218],"tags":[1750,1751,380,1467],"class_list":["post-15169","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-149-sayi","category-bilim-gundemi","category-psikiyatri","category-sosyoloji","tag-psikoterapi","tag-ruh-sagligi","tag-sosyoloji","tag-toplumsal-siniflar"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/15169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/users\/426"}],"replies":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=15169"}],"version-history":[{"count":0,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/15169\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/media\/15170"}],"wp:attachment":[{"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=15169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=15169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bilimvegelecek.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=15169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}