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从金雀花到森林:新西兰医疗系统去殖民化的一个新兴寓言。

From gorse to ngahere: an emerging allegory for decolonising the New Zealand health system.

作者信息

Came Heather, Warbrick Isaac, McCreanor Tim, Baker Maria

机构信息

Taupua Waiora Centre for Māori Health Research, Auckland University of Technology, Auckland.

Te Rōpū Whāriki, Massey University, Auckland.

出版信息

N Z Med J. 2020 Oct 30;133(1524):102-110.

Abstract

Prior to colonisation, Māori had a well-developed holistic health system based on maintaining balance between people, place and spirit. The colonial imposition of British economic, religious, educational, legal, health and governance, through warfare, immigration, legislation and social coercion had a devastating effect on Māori health outcomes. With the release of the WAI 2575 Waitangi Tribunal report exposing the failings of our health system in relation to Māori health, the need to decolonise our health system becomes more pressing. A key difficulty in this work is the poverty of transformative language, concepts and frameworks in our workforce. This paper is the product of an anti-racism think tank that occurred in April 2019. While working through a system change analysis on our colonial health system, Māori and Tauiwi activists and scholars created an allegory-from gorse to ngahere. The allegory depicts the ongoing impact of the colonial health system as represented by gorse, and the possibilities of a decolonised health system represented by ngahere-a self-sustaining and flourishing native forest. Racism has a geographic specificity. The allegory we developed is a mechanism for conceptualising decolonisation for the context of Aotearoa. It serves to reinforce the different roles and responsibilities of the descendants of the colonisers and the colonised in the pursuit of decolonisation.

摘要

在被殖民之前,毛利人拥有一套高度发达的整体健康体系,该体系基于维持人与地点及精神之间的平衡。通过战争、移民、立法和社会强制手段,英国对毛利人的经济、宗教、教育、法律、健康和治理等方面进行殖民强加,这对毛利人的健康状况产生了毁灭性影响。随着怀唐伊法庭第2575号报告的发布,该报告揭露了我们的医疗体系在毛利人健康方面的不足,使我们的医疗体系去殖民化的需求变得更加紧迫。这项工作的一个关键困难在于我们的医疗队伍中缺乏变革性的语言、概念和框架。本文是2019年4月举行的一个反种族主义智库活动的成果。在对我们的殖民医疗体系进行系统变革分析的过程中,毛利人和非毛利人活动家及学者创作了一个寓言——从金雀花到森林。这个寓言描绘了以金雀花为代表的殖民医疗体系的持续影响,以及以森林(一种自我维持且繁荣的原生森林)为代表的去殖民化医疗体系的可能性。种族主义具有地域特殊性。我们所创作的这个寓言是一种在新西兰背景下将去殖民化概念化的机制。它有助于强化殖民者后代和被殖民者后代在追求去殖民化过程中的不同角色和责任。

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