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Helping the "Neediest of the Needy"

An Intersectional Analysis of Moral-Identity Construction at a Community Health Clinic

University of California, Davis

Drawing on data from 18 months of participant observation and interviews at a community health clinic in North Carolina, the author illustrates how an intersectional perspective deepens our understanding of the construction of a moral identity. In this case, the author examines the moral identity of health care providers—all women—who provide family planning and contraceptive counseling for women clients. The author analyzes how maternity care coordinators—two whites and two Latinas—craft a moral identity by drawing on the cultural toolkit available to them, using gendered frames but also racial, class, and nationalist frames. An intersectional lens helps us better understand how maternity care coordinators' moral identities are shaped by their different locations within racism, classism, and nationalism.

Key Words: intersectionality • moral identity • cultural toolkit • frames • ethnography • community clinic

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