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潛藏在抗精神病藥物臨床研究中的性別排除-以Clozapine為例

The Gender Exclusion Hidden in Clinical Studies of Anti-psychotic Drugs-Using Clozapine as an Example

摘要


本文試圖探討其中一個第二代抗精神病藥物Clozapine來論述精神藥物的發展脈絡,並從中檢視臨床醫學研究的性別排除現象,以及臨床醫學研究如何納入女性樣本的過程與現況。從檢視Clozapine臨床試驗,發現多數臨床研究是以男性為樣本的分析作為推論,不僅缺乏女性樣本,即便有女性病人為樣本的臨床研究,最後還是籠統的在男女性別上作簡單平均值分析而已,並未進行男女性別差異分析,此性別排除的標準化治療事實上可能濳藏對男性以外的性別族群的治療風險,例如女性、第三性或跨性別族群。精神病人是弱勢族群,女性病人是弱勢族群中的弱勢,在以男性威權主導的醫學科學領域,不論是精神醫學或其他醫學研究,都有意或無意地排除女性。在生物醫學蓬勃發展的時代,藥物的研究必須開始認真的轉向接納女性進入研究中,更進一步努力的方向是在臨床研究的結果中進行性別差異分析,使臨床醫療擺脫舊有的假性性別平等的模式,才能看到女性在醫療社會中被視為主體的自由與真正平等的樣貌。

並列摘要


This paper attempts to explore one of the second-generation antipsychotics, clozapine, using it as an example to discuss the gender exclusion phenomenon in clinical studies. From examine the clinical studies of clozapine, found that the majority of clinical studies' implications and inference are only using male samples. Even some studies included a few female samples, but only using simple statistical analysis on malefemale category , did not analyze gender differences. The risk of gender exclusion in clinical studies will endanger the women, the third sex or transgender communities. Mental patients are disadvantaged group. Female mental patients are more disadvantaged in the field of male-dominated medical science, whether psychiatric or other medical studies have intentionally or unintentionally excluded women in the clinical studies. In the era of booming modern biomedical studies, psychiatric medicine must begin to seriously turn inclusion women into the clinical studies, and make efforts to analyze gender differences on the results in order to get rid of false sex equality model, to achieve the true gender equality.

被引用紀錄


黃筱晶、何縕琪(2019)。智慧科技於護理人員性別素養培育之運用護理雜誌66(2),29-35。https://doi.org/10.6224/JN.201904_66(2).05

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