{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T20:19:53Z","timestamp":1773346793469,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,22]],"date-time":"2013-01-22T00:00:00Z","timestamp":1358812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>Sexually transmitted infections (STIs) are socially constructed as more \u2018dirty\u2019 than other gynaecological conditions. This article analyses women\u2019s accounts of interactions with clinicians, subsequent to a diagnosis of genital herpes simplex virus or human papilloma virus. Women conceptualised consultations as a \u2018moral event,\u2019 different from other consultations. This moral component is highlighted drawing on Foucault\u2019s notion of \u2018the confessional.\u2019 Additionally, Douglas\u2019 anthropological construction of \u2018dirt\u2019 is used to consider why these consultations are \u2018confessional\u2019 experiences. Email interviews were conducted with 26 women diagnosed with a viral STI and 12 sexual health clinicians. Data were analysed thematically using a feminist, poststructuralist approach. Findings indicated that discourses of morality shape sexual health consultations. Five themes were identified in relation to the moral \u2018work\u2019 in clinical consultations about a viral STI diagnosis: the particular \u2018dirtiness\u2019 of viral STIs, clinicians as moral agents, the \u2018non\u2010judgmental\u2019 clinician, women juggling truth\u2010telling and risk and clinicians prescribing moral work. Clinicians support and educate women more effectively if they recognise subjective, moral aspects of sexual health consultations rather than assuming that effective clinical teaching is rational, scientific and non\u2010judgmental.<\/jats:p>","DOI":"10.1111\/nin.12018","type":"journal-article","created":{"date-parts":[[2013,1,22]],"date-time":"2013-01-22T06:29:26Z","timestamp":1358836166000},"page":"11-19","source":"Crossref","is-referenced-by-count":14,"title":["The sexual health consultation as a moral occasion"],"prefix":"10.1111","volume":"21","author":[{"given":"Catherine","family":"Cook","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2002.tb00064.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304270837"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1258\/095646207781568484"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732310375967"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2006.05.031"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203299968"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732308320444"},{"key":"e_1_2_9_10_1","unstructured":"CookC.2009.The pedagogy of the clinic: Health professionals and women with sexually transmitted infections. 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