University of Glasgow, Scotland, UK.
J Interpers Violence. 2022 Jul;37(13-14):NP10912-NP10937. doi: 10.1177/0886260521990828. Epub 2021 Feb 2.
For people with learning disabilities, targeted violence has become routinized. In this article, we seek to explore the impact pervasive victimization has on their experience of community and participation and, through this, their health and wellbeing. People with learning disabilities experience significant inequality in health and wellbeing compared to their non-disabled peers, and the role of violence and victimization remains mostly neglected. By drawing on in-depth qualitative interviews with people with learning disabilities, we argue that abuse, disrespect and devaluing profoundly erode wellbeing. The complex forms of violence experienced by people with learning disabilities are critical to understanding the significant inequalities in health and wellbeing experienced by people with learning disabilities. We focus on community and misrecognition to move the focus from one that examines causation towards one that uncovers the layers of invisibility, and the complex relations that structure experiences from the perspective of people with learning disabilities themselves. By doing this, we locate violence and victimization as health and wellbeing concerns and seek to add a more comprehensive and holistic understanding of the social determinants of health. For the inequalities that structure the lives of people with learning disabilities to be holistically understood, they must be reframed as an issue of social justice, and violence must be identified as a central contributor to these inequalities.
对于学习障碍者来说,针对性暴力已经成为一种惯例。在本文中,我们试图探讨普遍存在的受害对他们的社区体验和参与的影响,以及由此对他们的健康和福祉的影响。与非残疾同龄人相比,学习障碍者在健康和福祉方面存在显著的不平等,而暴力和受害的作用在很大程度上仍被忽视。通过对学习障碍者进行深入的定性访谈,我们认为,虐待、不尊重和贬低严重损害了他们的幸福感。学习障碍者所经历的复杂形式的暴力对于理解学习障碍者在健康和福祉方面所经历的巨大不平等至关重要。我们关注社区和错误认知,将关注点从考察因果关系转移到揭示看不见的层面,以及从学习障碍者自身的角度揭示构成体验的复杂关系。通过这样做,我们将暴力和受害视为健康和福祉问题,并寻求更全面和整体地理解健康的社会决定因素。为了全面理解构成学习障碍者生活的不平等现象,必须将其重新定义为社会正义问题,必须将暴力视为造成这些不平等的核心因素。