Jacobson Nora
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Toronto, Canada.
BMC Int Health Hum Rights. 2009 Feb 24;9:3. doi: 10.1186/1472-698X-9-3.
This paper has its origins in Jonathan Mann's insight that the experience of dignity may explain the reciprocal relationships between health and human rights. It follows his call for a taxonomy of dignity: "a coherent vocabulary and framework to characterize dignity."
Grounded theory procedures were use to analyze literature pertaining to dignity and to conduct and analyze 64 semi-structured interviews with persons marginalized by their health or social status, individuals who provide health or social services to these populations, and people working in the field of health and human rights.
The taxonomy presented identifies two main forms of dignity-human dignity and social dignity-and describes several elements of these forms, including the social processes that violate or promote them, the conditions under which such violations and promotions occur, the objects of violation and promotion, and the consequences of dignity violation. Together, these forms and elements point to a theory of dignity as a quality of individuals and collectives that is constituted through interaction and interpretation and structured by conditions pertaining to actors, relationships, settings, and the broader social order.
The taxonomy has several implications for work in health and human rights. It suggests a map to possible points of intervention and provides a language in which to talk about dignity.
本文源于乔纳森·曼的见解，即尊严体验或许可以解释健康与人权之间的相互关系。本文响应了他对尊严分类法的呼吁：“一个用于描述尊严的连贯词汇表和框架”。
运用扎根理论方法分析与尊严相关的文献，并对64位因健康或社会地位而被边缘化的人群、为这些人群提供健康或社会服务的个人以及从事健康与人权领域工作的人员进行半结构化访谈，并对访谈结果进行分析。
所呈现的分类法确定了尊严的两种主要形式——人的尊严和社会尊严——并描述了这些形式的若干要素，包括侵犯或促进这些尊严的社会过程、此类侵犯和促进发生的条件、侵犯和促进的对象以及尊严侵犯的后果。这些形式和要素共同指向一种尊严理论，即尊严是个人和集体的一种品质，它通过互动和解释而构成，并由与行为者、关系、环境及更广泛社会秩序相关的条件所构建。
该分类法对健康与人权领域的工作有若干启示。它为可能的干预点提供了一幅地图，并提供了一种谈论尊严的语言。
