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更好地从失败中学习:对努纳武特因纽特青年社区参与式心理健康研究的挑战和风险的反思。

Learning to Fail Better: Reflections on the Challenges and Risks of Community-Based Participatory Mental Health Research With Inuit Youth in Nunavut.

机构信息

Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.

Department of Health Care Management, Berlin Technical University, Berlin, Germany.

出版信息

Front Public Health. 2021 Mar 12;9:604668. doi: 10.3389/fpubh.2021.604668. eCollection 2021.

Abstract

Community-based participatory research (CBPR) is a mine field of moral dilemmas. Even when carefully planned for and continuously critically reflected upon, conflicts are likely to occur as part of the process. This paper illustrates the lessons learned from "Building on Strengths in Naujaat", a resiliency initiative with the objective of promoting sense of belonging, collective efficacy, and well-being in Inuit youth. Naujaat community members over time established strong meaningful relationships with academic researchers. Youth took on the challenge of organizing community events, trips out on the land, and fundraisers. While their creativity and resourcefulness are at the heart of the initiative, this paper explores conflicts and pitfalls that accompanied it. Based on three themes - struggles in coming together as academic and community partners, the danger of perpetuating colonial power structures, and the challenges of navigating complex layers of relations within the community - we examine the dilemmas unearthed by these conflicts, including an exploration of how much we as CBPR researchers are at risk of reproducing colonial power structures. Acknowledging and addressing power imbalances, while striving for transparency, accountability, and trust, are compelling guiding principles needed to support Indigenous communities on the road toward health equity.

摘要

基于社区的参与式研究(CBPR)是一个充满道德困境的雷区。即使经过精心规划和持续的批判性反思,冲突也可能会在这个过程中发生。本文通过“努纳武特的优势建设”项目来说明从中学到的经验,该项目旨在提高因纽特青年的归属感、集体效能和幸福感。努纳武特社区成员随着时间的推移与学术研究人员建立了牢固而有意义的关系。青年们承担起组织社区活动、土地旅行和筹款活动的挑战。虽然他们的创造力和足智多谋是该倡议的核心,但本文探讨了随之而来的冲突和陷阱。基于三个主题——作为学术和社区合作伙伴走到一起的斗争、延续殖民权力结构的危险,以及在社区内部复杂关系层次中进行导航的挑战——我们探讨了这些冲突揭示的困境,包括我们作为 CBPR 研究人员在多大程度上有可能复制殖民权力结构的探讨。承认和解决权力失衡问题,同时努力实现透明度、问责制和信任,是支持土著社区实现健康公平道路上的强制性指导原则。

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