Rier David A
Department of Sociology & Anthropology, Bar-Ilan University, 5290002 Ramat-Gan, Israel.
Am Sociol. 2022;53(4):663-684. doi: 10.1007/s12108-022-09549-w. Epub 2022 Oct 7.
Personal responsibility has emerged as an important element in many countries' public health planning, and has attracted substantial debate in public health discourse. Contemporary medical sociology typically resists such "responsibilization" as victim-blaming, by privileged elites, that obscures important structural factors and inequities. This paper, based primarily on a broad review of how contemporary Anglophone medical sociology literatures treat responsibility and blame, points out advantages of taking responsibility seriously, particularly from the perspective. These advantages include: empowerment; responsibility-as-coping-mechanism; moral dignity; and the pragmatic logic of doing for oneself, rather than passively awaiting societal reforms. We also offer possible reasons why sociologists and their subjects view these issues so differently, and suggest some areas for future research.
个人责任已成为许多国家公共卫生规划中的一个重要元素，并在公共卫生话语中引发了大量争论。当代医学社会学通常抵制这种被特权精英视为指责受害者的“责任化”，因为它掩盖了重要的结构因素和不平等现象。本文主要基于对当代英语医学社会学文献如何看待责任与指责的广泛综述，指出认真对待责任的好处，特别是从[此处原文似乎缺失具体视角内容]的角度。这些好处包括：赋权；责任作为应对机制；道德尊严；以及为自己行动而非被动等待社会改革的务实逻辑。我们还给出了社会学家及其研究对象对这些问题看法如此不同的可能原因，并提出了一些未来研究的领域。
