Lead Essay—Institutional Racism, Whiteness, and the Role of Critical Bioethics

Mayes, Christopher; Paradies, Yin; Elias, Amanuel

doi:10.1007/s11673-021-10103-5

Cited by 5 publications

(5 citation statements)

References 22 publications

(14 reference statements)

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“…Therefore, the rationale for a diverse Australian dietetics workforce is five‐fold: to eliminate the oppressive structural and social barriers which prevent people from marginalised groups to become dietitians if they so choose, because the choice to pursue the career that is self‐determined is a privilege not afforded to all (Autin & Allan, 2019; Boak, 2021; Lassemillante & Delbridge, 2021); to pursue an agenda of explorative innovation, where diverse peoples bring ways of knowing that broaden and enable better organisational and professional outcomes (Boak, 2021; Diversity Council Australia, 2019; Elia et al., 2019; Herring, 2009); for the demographics of people in dietetics would mirror the Australian population, that is, to reach parity with the population (Hickson et al., 2018; Indigenous Allied Health Australia, 2019); to actively contribute to the Australian and international agenda for diverse and inclusive health workforces as part of improving healthcare and reducing differential access to power and privilege in health systems (Dune et al., 2021; Mayes et al., 2021; Phillips et al., 2014; Stanford, 2020); and to better meet the needs of the ever increasingly diverse communities that dietitians serve, in the pursuit of health equity (Mahajan, 2021; Phillips et al., 2014; Warren, 2017). …”

Section: Diversity In Dieteticsmentioning

confidence: 99%

“…to actively contribute to the Australian and international agenda for diverse and inclusive health workforces as part of improving healthcare and reducing differential access to power and privilege in health systems (Dune et al., 2021; Mayes et al., 2021; Phillips et al., 2014; Stanford, 2020); and…”

Section: Diversity In Dieteticsmentioning

confidence: 99%

“…for the demographics of people in dietetics would mirror the Australian population, that is, to reach parity with the population (Hickson et al, 2018;Indigenous Allied Health Australia, 2019); iv. to actively contribute to the Australian and international agenda for diverse and inclusive health workforces as part of improving healthcare and reducing differential access to power and privilege in health systems (Dune et al, 2021;Mayes et al, 2021;Phillips et al, 2014;Stanford, 2020); and v. to better meet the needs of the ever increasingly diverse communities that dietitians serve, in the pursuit of health equity (Mahajan, 2021;Phillips et al, 2014;Warren, 2017).…”

Section: Diversity In Dieteticsmentioning

confidence: 99%

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Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Delbridge

Jovanovski

Skues

et al. 2022

Sociology Health & Illness

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Through an exploration of the origins of dietetics in the West, and specifically in Australia, we problematise the lack of diversity within the profession through the lens of intersectionality. Dietetics in Australia continues to be dominated by Australian-born women, and ideologies about dietitians perpetuate narratives of white, young, slim, women. Intersectional approaches to critiquing diversity in dietetics provides a useful framework to extend critical studies of health disparities into disparities in the dietetics professional workforce, which is advanced through structural, political and representational intersectionality guided critique. Through the analysis, a dialog is prompted in order to chart paths forward to find 'how differences will find expression' within the professional group. To do this, dietetics as a profession must reckon with its historical roots and step forward, out of a perceived position of objective neutrality regarding people and diversity, and into a position that can recognise that professional institutions have the power to exclude and marginalise, along with the power to include and transform.

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Section: Diversity In Dieteticsmentioning

confidence: 99%

Section: Diversity In Dieteticsmentioning

confidence: 99%

Section: Diversity In Dieteticsmentioning

confidence: 99%

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Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Delbridge

Jovanovski

Skues

et al. 2022

Sociology Health & Illness

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“…However, recent events, including the persistent effects of gender inequality and racism in health disparities, are bringing about a reckoning for the discipline, pointing to the collective failure to forcefully combat structural inequality (Association of Bioethics Program Directors 2020 ). Movements such as #BlackBioethics and #LatinXBioethics have underscored the need for bioethics to tackle critical health issues such as institutional racism, LGBTQAI+ ethics, and social justice (Mayes, Paradies, and Elias 2021 ; Wilson 2021 ; Truong and Sharif 2021 ; Klugman 2017 ). The tendency of mainstream bioethics to “problematize and displace” rather than focus on key issues such as diversity, serves to reproduce the status quo in bioethics (Myser 2003 ).…”

Section: Introductionmentioning

confidence: 99%

Diversity in German-speaking medical ethics and humanities

Fiske

McLennan

2022

Bioethical Inquiry

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Background Bioethics can play an important role in addressing diversity both in and outside of academia, setting precedents for meaningful contributions to public discourse, research, teaching, training, and policy development. However, in order to do so, these conversations also need to reflect on the issue of diversity within the field of bioethics across the globe. This study aims to examine current gender representation and diversity at medical ethics and humanities institutes in Germany, the German-speaking areas of Switzerland, and Austria. Methods A total of forty-nine medical ethics and humanities institutes from Germany (n=42), the German-speaking areas of Switzerland (n=5), and Austria (n=2) were included in the study. Institutes websites were reviewed in the first week of March 2021 and the details of each staff member listed on the website recorded. Results Overall, a total of 964 staff members were identified at the forty-nine German-speaking medical ethics and humanities institutes. Just over half (530/964; 55%) of all staff were female. There were significant differences between gender in some staff positions: 64.6 per cent (31/48) of directors were male (χ2(1)=4.1, P=.04); 62.7 per cent (84/134) of student assistants were female (χ2(1)=8.6, P=.003); and 83.7 per cent (77/92) of administrative staff were female (χ2(1)=41.8, P<.001). There were no significant differences between staff gender for researchers and lecturers, or associated researchers. In addition, 65.5 per cent (19/29) of researchers and lecturers who had a professor title were male, but the difference between genders was not found to be significant. However, significantly more of the researchers and lecturers who had completed a habilitation were male (75.8% (25/33); χ2(1)=8.8, P=.003). When comparing the institute director’s gender presentation with staff gender presentation, it was found that male-led institutes had 53.4 per cent (286/536) female staff overall but had 52.7 per cent (136/258) male researchers and lecturers. However, the difference between genders were not found to be significant. On the other hand, female-led institutes had significantly more female staff overall (59.9% (223/372); χ2(1)=14.7, P<.001) and also significantly more female researchers and lecturers (58.9% (119/202; χ2(1)=6.4, P=.01). Conclusions There has been a significant push to address gender diversity in German-speaking academia, and this study finds overall good gender parity in medical ethics and humanities institutes. However, there has not been a similar openness to discussing issues of systemic racism or how other forms of inequality affect academic diversity. Taking diversity seriously requires opening up conversations around intersectionality, including difficult conversations around race and cultural background that have long been taboo in German-speaking countries.

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“…In this edition of the Journal of Bioethical Inquiry, we are pleased to publish a symposium entitled "Institutional Racism, Whiteness, and Bioethics" on the historical dominance of whiteness and its all-pervasive but often unseen and unacknowledged influence on various aspects of bioethics. In their lead essay, "Institutional Racism, Whiteness, and the Role of Critical Bioethics," Mayes et al (2021) appeal for a deep examination of the dominance of whiteness in bioethics itself: "to address institutional racism, and the compounding problem of whiteness, we need a bioethics that is reflexive and critical of whiteness and its relationship with institutional racism" ( ¶3). They posed the authors three questions concerning bioethics itself and ways that it might see itself as engulfed in the problem, rather than assuming that it is above looking down from a moral high ground to which, upon deeper examination, it is not entitled.…”

mentioning

confidence: 99%

The Shifts in Human Consciousness

Ashby

2021

Bioethical Inquiry

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Lead Essay—Institutional Racism, Whiteness, and the Role of Critical Bioethics

Cited by 5 publications

References 22 publications

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Exploring the relevance of intersectionality in Australian dietetics: Issues of diversity and representation

Diversity in German-speaking medical ethics and humanities

The Shifts in Human Consciousness

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