Transformative Consciousness of Health Inequities: Oppression Is a Virus and Critical Consciousness Is the Antidote
Transformative Consciousness of Health Inequities: Oppression Is a Virus and Critical Consciousness Is the Antidote
复制标题
DOI：
10.1007/s41134-018-0061-8
复制
发表时间：
2018-12-01
影响因子：
1.2
通讯作者：
Jemal, Alexis
中科院分区：
文献类型：
--
作者：
Jemal, Alexis
压迫已被确定为疾病的根本原因。像一个自我复制的病毒，它感染系统从生物到政治，有助于个人（例如，物质使用，低自尊）和社会（例如，社区暴力，大规模监禁）功能障碍。保罗·弗莱雷的批判意识（CC）是一种哲学、理论和基于实践的框架，已被确定为压迫的解药。批判意识是对限制或促进某些群体机会的制度性、历史性和系统性力量的认识和行动。虽然社区合作理论已被用来解决不平等，很少有学者试图概念化，操作化，并描述了社区合作的发展过程。针对CC文献中广泛注意到的概念不一致，本文提出了一个新的结构，变革意识（TC），由三个领域组成：意识，行为反应和后果，每个层次的社会生态系统。并描述了TC发展的阶段性过程。TC的理论框架可以应用于各种社会问题，如暴力，有针对性的监禁，无家可归，艾滋病毒/性传播感染，和物质使用，所有这些都对健康和福祉作为一项人权有巨大的影响。随着进一步的研究，变革意识可能被证明是必要的，以推动人们走向反压迫，个人和集体行动的方向，以克服和消除压迫，创造一个更健康，更公正和解放的社会。
Oppression has been identified as a fundamental cause of disease. Like a self-replicating virus, it infects systems from the biological to the political, contributing to personal (e.g., substance use, low self-esteem) and social (e.g., community violence, mass incarceration) dysfunction. Paulo Freire's critical consciousness (CC) is a philosophical, theoretical, and practice-based framework that has been identified as an antidote to oppression. Critical consciousness constitutes an awareness of, and action against, institutional, historical, and systemic forces that limit or promote opportunities for certain groups. Although the CC theory has been used to address inequity, very few scholars have attempted to conceptualize, operationalize, and describe the development process of CC. In response to the conceptual inconsistencies widely noted in the CC literature, this paper presents a new construct, transformative consciousness (TC), composed of three domains: awareness, behavioral-response, and consequence, for each level of the socio-ecosystem. The staged process of TC development is also described. The theoretical framework of TC can be applied to various social issues, such as violence, targeted incarceration, homelessness, HIV/STI infection, and substance use-all of which have tremendous implications for health and well-being as a human right. With further research, transformative consciousness may prove necessary to move persons in the direction of anti-oppressive, individual, and collective action to overcome and dismantle oppression, creating a healthier and more just and liberated society.