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Mansplaining in Medicine

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Last Updated June 25, 2021
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A portrait of a fuming young female physician surrounded by many BLAH! BLAH! BLAH! words.

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My friend (I'll call him Dr. Mensch) reached out to me because he fears that a gender war is unfolding in his division. He is worried that current cultural concerns about gender equity are degrading the previously harmonious relations between male and female professionals on his team and that the mounting tension could have a negative impact on patient care.

Mensch told me that several female physicians, including residents and fellows, use the term "mansplaining" in a fashion that he described as "imprecise, cavalier, even reckless." He put it like this: "It's as though 'mansplain' has become the preferred verb when some women in the division describe the verbal style of their male colleagues."

He said he's not the only male member of his workgroup who feels painted by the broad brush of presumed linguistic sexism -- most of them do.

Urban Dictionary describes mansplaining as, "When a man explains something to a woman in a patronizing tone as if the woman is too emotional and illogical to understand."

When it comes to a male speaker's words and tone, is there an objective way to determine the man's attitudes and whether or not what he said was indeed patronizing? I conferred with an Oxford-trained linguistics professor who assured me that "we can draw some robust inferences about attitude from how people behave and speak." However, in Mensch's division, different team members don't hear the same thing.

There is a growing rift in this workgroup that previously enjoyed a robust esprit de corps. The team has become factionalized – those who make liberal use of the word mansplaining; those who feel disparaged when they hear it; and those who try to avoid the fray. Although Mensch has provided guidance to the male physicians who need to work on their tone, especially when they speak to women, he is convinced that the tension surrounding gender is escalating out of control.

What can be done to restore an atmosphere of collegiality and mutual respect in Mensch's division? In a 2018 article in the New England Journal of Medicine titled "" Sophie Soklaridis, PhD, and co-authors posit that in this era of increased "focus on gender equity and diversity in medicine," male physicians become fearful and anxious in a way that "can turn every experience that men have with women into a hazard that needs to be managed."

Each gender equity situation has its own unique qualities. It is up to thoughtful front-line leaders to sort things out with level-headedness, curiosity, patience, and respect in collaboration with their teams. Ideally, they will talk with one another and listen hard. Respectful dialogue may propel them beyond the current impasse. The authors of the NEJM article suggest "creating a 'safe space' where men and women can talk directly about concerns."

Reflective, empathic listening ultimately works far better than any amount of "'splainin'" or venting to aggrieved parties.

, is a psychiatrist and can be reached at his self-titled site, .

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