School of Global and Population Health, University of Western Australia, Crawley, WA 6009, Australia.
Centre for Aboriginal Medical and Dental Health, University of Western Australia, Crawley, WA 6009, Australia.
Int J Environ Res Public Health. 2022 Mar 19;19(6):3654. doi: 10.3390/ijerph19063654.
Research remains a site of struggle for First Nations peoples globally. Biomedical research often reinforces existing power structures, perpetuating ongoing colonisation by dominating research priorities, resource allocation, policies, and services. Addressing systemic health inequities requires decolonising methodologies to facilitate new understandings and approaches. These methodologies promote a creative tension and productive intercultural dialogue between First Nations and Western epistemologies. Concurrently, the potential of critical theory, social science, and community participatory action research approaches to effectively prioritise First Nations peoples' lived experience within the biomedical worldview is increasingly recognised. This article describes learnings regarding research methods that enable a better understanding of the lived experience of rheumatic heart disease-an intractable, potent marker of health inequity for First Nations Australians, requiring long-term engagement in the troubled intersection between Indigenist and biomedical worldviews. Working with (Aboriginal) co-researchers from remote Northern Territory (Australia), the concept of (turbulent co-mingling of salt and fresh water) was foundational for understanding and applying relationality (), deep listening ( and the use of metaphors-approaches that strengthen productive dialogue, described by co-researchers as weaving a 'mat we can all sit on'. The research results are reported in a subsequent article.
研究仍然是全球原住民的一个斗争场所。生物医学研究常常强化现有的权力结构，通过主导研究重点、资源分配、政策和服务，使持续的殖民化永久化。解决系统性健康不平等问题需要采用去殖民化方法，以促进对新的理解和方法的认识。这些方法促进了原住民和西方认识论之间的创造性紧张和富有成效的跨文化对话。同时，批判理论、社会科学和社区参与性行动研究方法的潜力越来越被认识到，可以有效地将原住民人民的生活经验置于生物医学世界观之中。本文描述了一些研究方法的学习经验，这些方法使我们能够更好地理解风湿性心脏病的生活体验——这是澳大利亚原住民健康不平等的一个棘手而有力的标志，需要长期参与原住民和生物医学世界观之间的困境交叉点。与来自澳大利亚北部偏远地区的（原住民）合作研究人员合作，（咸淡水的动荡混合）的概念是理解和应用关系性（）的基础，深入倾听（和使用隐喻——合作研究人员称之为编织“我们都可以坐在上面的毯子”的方法。研究结果在随后的一篇文章中报告。
