The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.
Dr. Jennifer Karlin is an Associate Professor at UCSF. With fellowship
training in family planning and clinical medical ethics and a PhD in anthropology and history of medicine, Dr. Karlin is a researcher and full-scope family physician whose work aims to find ways to empower people through their healthcare experiences.
What is your article “Intimacy, Anonymity, and “Care with Nothing in the Way” on an Abortion Hotline” about?
The article explores the operations and emotional dynamics of a reproductive health hotline. It examines how the hotline offers intimate, yet anonymous support to individuals seeking information about miscarriages and abortion. This support system is characterized by a non-judgmental and compassionate approach, providing “care with nothing in the way.” The hotline serves as a crucial lifeline, offering both emotional support and vital information during a potentially distressing time for callers. Despite the anonymity, the interactions create a safe and supportive environment where callers can freely express their concerns and receive guidance without the fear of stigma or judgment. Volunteers on the hotline often find the experience more rewarding and impactful compared to in-clinic care, as they can connect deeply with callers in a unique and supportive manner without having the regulatory climate that often can cause additional trauma to people seeking in-person care through more formal networks.
Tell us a little bit about yourself and your research interests.
As a board-certified family physician and fellowship-trained family-planning specialist, my research bridges clinical practice with anthropological inquiry to enhance person-centered care for historically underserved populations. My background in anthropology and history of medicine informs my understanding of how social, political, and institutional structures shape health care experiences. I investigate a range of topics, including rheumatoid arthritis, grief, end-stage renal disease, reproductive and sexual health, and community engagement in medical research. My work emphasizes ethically informed care, empowering individuals through biopsychosocial analysis, patient-care team dynamics, and structural aspects of health systems. In reproductive health, I focus on de-medicalizing contraceptive methods and abortion care to reduce stigma. Additionally, I examine access to care for vulnerable populations and the incorporation of DEI initiatives in medical education. Through interdisciplinary research, I aim to improve complex disease management and promote equitable health care by challenging and reimagining traditional norms and structures.
What drew you to this project?
I was inspired by this project because of my long-standing interest in understanding and improving person-centered care for historically underserved populations. This was a natural field site to explore my commitment to de-medicalized and de-stigmatized care. This hotline offered an invaluable opportunity to examine how intimate, anonymous support can profoundly impact individuals seeking abortions, providing insights into creating more compassionate and accessible reproductive health services in all settings. Additionally, my interest in how social, political, and institutional structures affect health care experiences motivated me to think about how hotlines can serve as crucial resources within these contexts.
What are you reading, listening to, and/or watching right now? (Doesn’t have to be anthropological!)
I just started reading ‘High Magick’ by Damien Echols, which explores the spiritual practices Echols
developed while wrongfully imprisoned for murder. A marathon swim group recommended it to me for
its mental training techniques, as I am currently preparing for a 21-mile open water swim.
If there was one takeaway or action point you hope people will get from your work, what would it be?
A main action takeaway from the paper “Intimacy, Anonymity, and ‘Care with Nothing in the Way’ On an
Abortion Hotline” is the recommendation to support and expand support for informal structures of care.
The hotline provides a crucial space for individuals to receive compassionate, non-judgmental support
and guidance in a stigmatized and often challenging context. The anonymity and intimacy offered by
these services can significantly improve the quality of care and emotional support for those pregnant
people, emphasizing the importance of such resources in reproductive health care systems.
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