BODIES DON'T JUST TELL STORIES, THEY TELL HISTORIES

BODIES DON'T JUST TELL STORIES, THEY TELL HISTORIES
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身体不只是讲述故事,它们还讲述历史

DOI:
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发表时间:
2011
期刊:
Du Bois Review: Social Science Research on Race
影响因子:
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通讯作者:
B. Duran
B. Duran
中科院分区:
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文献类型:
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作者:
Karina L. Walters;S. Mohammed;Teresa Evans;Ramona E. Beltrán;D. Chae;B. Duran

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越来越多地,了解历史事件和背景的作用如何影响当今的健康不公平已成为美国土著社区的主导叙事。历史创伤,包括针对社区的创伤性事件(例如,原住民社区和一些研究人员认为,造成灾难性动荡的强迫搬迁(强迫搬迁)具有通过从生物到行为的无数机制持续几代人的有害影响。与健康方法的当代社会决定因素一致,历史创伤的影响要求研究人员从理论和经验上明确地审视历史过程和背景是如何体现的。从理论上讲,学术界参与如何历史创伤事件成为体现和影响的规模和分布的卫生不公平显然是必要的。然而,关于历史创伤的学术研究是有限的。一些学者把这些事件作为社会和心理痛苦的病因;另一些学者把这些事件作为结果(例如,历史创伤反应);其他人仍然关注这些事件作为历史创伤传播的机制或途径;而其他人关注历史创伤相关因素(例如,集体损失)与近端压力源相互作用。这些不同的历史创伤概念阻碍了有说服力的理论,它和它对土著健康的影响的能力。本文的目的是阐明历史创伤和体现概念之间的联系。在对“学科状态”进行跨学科的回顾之后,我们利用生态社会理论和本土主义的压力应对模型来论证当代的身体健康在一定程度上反映了历史创伤的体现。最后讨论了今后的研究方向。
Abstract Increasingly, understanding how the role of historical events and context affect present-day health inequities has become a dominant narrative among Native American communities. Historical trauma, which consists of traumatic events targeting a community (e.g., forced relocation) that cause catastrophic upheaval, has been posited by Native communities and some researchers to have pernicious effects that persist across generations through a myriad of mechanisms from biological to behavioral. Consistent with contemporary societal determinants of health approaches, the impact of historical trauma calls upon researchers to explicitly examine theoretically and empirically how historical processes and contexts become embodied. Scholarship that theoretically engages how historically traumatic events become embodied and affect the magnitude and distribution of health inequities is clearly needed. However, the scholarship on historical trauma is limited. Some scholars have focused on these events as etiological agents to social and psychological distress; others have focused on events as an outcome (e.g., historical trauma response); others still have focused on these events as mechanisms or pathways by which historical trauma is transmitted; and others have focused on historical trauma-related factors (e.g., collective loss) that interact with proximal stressors. These varied conceptualizations of historical trauma have hindered the ability to cogently theorize it and its impact on Native health. The purpose of this article is to explicate the link between historical trauma and the concept of embodiment. After an interdisciplinary review of the “state of the discipline,” we utilize ecosocial theory and the indigenist stress-coping model to argue that contemporary physical health reflects, in part, the embodiment of historical trauma. Future research directions are discussed.
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