Oral Presentation Australasian Association of Bioethics and Health Law Conference

Phenomenology of Humiliation and Violence in Healthcare (2013)

Supriya Subramani 1
  1. Sydney Health Ethics, University of Sydney, Camperdown, NEW SOUTH WALES, Australia

When we speak of violence in medicine, we often think of physical and sexual assault, patient aggression, media reports of healthcare workers (HCWs) being attacked, or policy discussions on hospital security. Violence against HCWs is frequently framed as a crisis of public trust, resource scarcity, or patient aggression. However, such explanations overlook its structural dimensions, particularly the experiences of humiliation as a systemic affective and epistemic force. In this paper, I argue that the violence against healthcare workers cannot be understood without a deep engagement with the phenomenology of humiliation in medicine. This humiliation is both inflicted and inherited, shaping the very structure of healthcare labor and the interpersonal dynamics between doctors, nurses, patients, patients’ family members and hospital administrators. It is the humiliation of being made responsible for an underfunded, crumbling healthcare system and larger institutional and social dominant ethos while being blamed for its failures. Through critical reflective analysis, drawing from my ethnographic and phenomenological work, and lived experiences, in India, Zurich, and Australia, I will illustrate the meaning and phenomenology of humiliation, and how it is structurally embedded in medicine in a social and political context, shaping both patient and healthcare workers suffering and violence. Thus, violence against HCWs is not an aberration but a predictable consequence of structural humiliation, and reframing this “crisis” as an opportunity to address humiliation as a central axis of systemic oppression can shift the focus towards structural transformation, fostering a more just clinical practice.