Cvjetanović B
Andrija Stampar School of Public Health, Zagreb, Croatia.
Coll Antropol. 2000 Jun;24(1):11-25.
The magnitude of the threat that violence and war pose to the health, the quality of life, and the very survival of humanity is obvious. A number of scientific disciplines have provided, each through its own methodology, insights into the causation, genesis, and dynamics of violence and war. Although epidemiological and psychological methodologies received priority, the multidisciplinary approach to this problem seems to be the most appropriate. This essay attempts to approach holistically the study of epidemiology of violence and war and the ways of preventing these severe problems of the contemporary society. Conceptual models of the causative mechanisms and dynamics of violence and war, mapping the various psychic, social, and environmental factors, are presented. These models, besides advancing abstract ideas, also provide a concrete framework for determining and exploring the interactions and dynamics of the factors and processes which lead to violence and war. The types of interventions outlined for control and prevention are intended to make an impact upon "critical points" within the dynamics of the process which produces violence and war, and are conceived to be implemented on both the national and international level. The importance of family, community, and school influences is considered, but the role of international organizations, including the United Nations, and other governmental and non-governmental organizations is also stressed. Discussion is focused on the factors which favour peace and hamper aggression, on "internationalization" and global society versus xenophobia and nationalism. The conclusions state that there is sufficient knowhow to devise and implement a reasonable and effective international programme for the control and prevention of violence and war, provided there is adequate public and political willingness and support.
暴力和战争对人类健康、生活质量乃至生存构成的威胁程度显而易见。许多科学学科都通过自身的方法,对暴力和战争的起因、根源及动态进行了深入研究。尽管流行病学和心理学方法受到了优先关注,但多学科方法似乎是解决这一问题的最合适途径。本文试图全面探讨暴力和战争的流行病学研究以及预防当代社会这些严重问题的方法。文中呈现了暴力和战争的致病机制及动态的概念模型,描绘了各种心理、社会和环境因素。这些模型除了提出抽象概念外,还为确定和探索导致暴力和战争的因素及过程的相互作用和动态提供了具体框架。所概述的控制和预防干预类型旨在对产生暴力和战争的过程动态中的“关键点”产生影响,并设想在国家和国际层面实施。文中考虑了家庭、社区和学校影响的重要性,但也强调了包括联合国在内的国际组织以及其他政府和非政府组织的作用。讨论聚焦于有利于和平、阻碍侵略的因素,以及“国际化”和全球社会与仇外心理和民族主义的对比。结论指出,只要有足够的公众意愿和政治支持,就有足够的专业知识来设计和实施一项合理有效的国际控制和预防暴力及战争的计划。