Whitman S
J Natl Med Assoc. 1988 Jul;80(7):737-43.
Interpersonal violence is a major problem in US society in terms of the death and destruction it causes, the fear it generates, and the attention it receives. A recent trend has been to regard the problem of violence as an epidemic and to shape ideas of violence prevention according to public-health formulations. This process does not take into account the ideological nature of the proposed violence-prevention measures. Problems arise because this ideology is relevant to the potential effectiveness of violence prevention.This paper delineates several ideological issues involved in violence prevention and discusses how they interact with frequently employed public-health prevention strategies. Based upon this discussion, a general perspective for violence prevention is proposed and guiding principles that emerge from this perspective are presented.
人际暴力在美国社会是一个重大问题，就其所造成的死亡和破坏、所引发的恐惧以及所受到的关注而言。最近的一种趋势是将暴力问题视为一种流行病，并根据公共卫生模式来塑造预防暴力的理念。这一过程没有考虑到所提议的预防暴力措施的意识形态性质。问题之所以出现，是因为这种意识形态与预防暴力的潜在有效性相关。本文阐述了预防暴力中涉及的几个意识形态问题，并讨论了它们如何与经常采用的公共卫生预防策略相互作用。基于这一讨论，提出了预防暴力的总体观点，并呈现了从这一观点中得出的指导原则。
