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从现实主义-建构主义视角看健康促进中的参与式研究。

A realist-constructionist perspective on participatory research in health promotion.

机构信息

Institut de recherche en santé publique de l'Université de Montreal, Public Health Montreal, Quebec, Canada.

出版信息

Health Promot Int. 2013 Mar;28(1):61-72. doi: 10.1093/heapro/das037. Epub 2012 Sep 5.

DOI:10.1093/heapro/das037
PMID:22952337
Abstract

Clarifying the contours of research in health promotion (HP) is an ongoing challenge. Research in this action-oriented field has traditionally been developed based on values such as participation and empowerment. Consequently, many forms of participatory research have emerged throughout the years, and participatory research has positioned itself as a core competency of HP and public health. This paper argues that participation as a normative stance guiding methodology, or as value, is a fragile posture upon which to position research practices. The argument is based on a realist-constructionist perspective of science and specifically uses Law and Latour's notion of inscription device and Callon's actor-network theory to suggest that participation is an epistemological necessity and that participatory research practices may be considered as inscription devices. These theoretical notions help clarify the consequences of participation on knowledge production. Finally, the article refers to Stengers's work to propose an ecology of research practices that defines obligations and exigencies for HP with respect to knowledge production and that are more consistent with the field's values of social justice and equity.

摘要

明确健康促进(HP)研究的范围是一个持续存在的挑战。这个面向行动的领域的研究传统上是基于参与和赋权等价值观发展起来的。因此,多年来出现了许多形式的参与式研究,参与式研究已成为 HP 和公共卫生的核心能力。本文认为,将参与作为指导方法或价值观的规范性立场,是一种脆弱的姿态,无法为研究实践提供支撑。该论点基于一种科学的现实主义-建构主义观点,特别使用了 Law 和 Latour 的铭刻装置概念以及 Callon 的行动者网络理论,表明参与是一种认识论上的必要性,参与式研究实践可以被视为铭刻装置。这些理论概念有助于澄清参与对知识生产的影响。最后,本文提到了 Stengers 的工作,提出了一种研究实践的生态学,该生态学定义了与知识生产相关的 HP 的义务和要求,并且更符合该领域的社会正义和公平价值观。

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