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The Binary Order of Things

A Discursive Study of Nursing Students' Talk on Providing, and Learning About, LGBT Patient Care

Bibliographic Data

ID3640594
AuthorsP Pinto (0000-0002-7326-4053, Rhodes University, corresponding author), Catriona Ida Macleod (0000-0003-0992-3525, Rhodes University), Mercy Nhamo-Murire (0000-0002-6244-7321, Rhodes University)
Year2023
Volume70
Issue10
Pages1979-2010
Publication date2023-08-24
Open AccessNo
TypeARTICLE
VenueJournal of Homosexuality (JOURNAL)
Journal identifiersISSN: 0091-8369 • E-ISSN: 1540-3602
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00918369.2022.2048163
PMID35452360
OpenAlexW4224245413
LanguageEN
Citations received2
References cited52

Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers' prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and "scientifically" supported through binary, deterministic views of sexuality and gender. Such "expert" views accord with Foucault's notion of "grotesque discourse." We conclude with a discussion of the findings' implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives

Order (exchange · Sociology · African Sexualities and LGBTQ+ Issues · Hate Speech and Cyberbullying Detection · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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