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复原力的问题:健康话语中关于复原力的个体化、还原论与关联性

The Problem With Resilience: Individualisation, Reductionism and Relationality in Health Discourses on Resilience.

作者信息

Bryant Joanne, Aggleton Peter

机构信息

School of Social Sciences, UNSW Sydney NSW, Sydney, Australia.

School of Sociology, The Australian National University, Canberra, Australia.

出版信息

Sociol Health Illn. 2025 May;47(4):e70031. doi: 10.1111/1467-9566.70031.

Abstract

Narratives of resilience are proliferating in health policy and research where they are used to address problems threatening individuals and communities. Resilience approaches are often considered alternatives to other models of intervention because they signal a shift away from deficit assumptions to more empowering ways of promoting health. To date, however, there has been a lack of scrutiny of the nature, assumptions and effects of resilience discourse within the health field. This paper critically analyses the logics that underpin the use of such discourse, and the implications of their allure. Findings show that resilience discourse is largely understood and operationalised in neoliberal, individualistic and reductionist terms. Such logics create normative standards for what counts as 'proper resilience' and, by doing so, engender experiences of guilt and shame when individuals are not 'resilient enough'. Seen differently, through the logics of social relationality, for example, resilience can engender new forms of subjectivity and practice for individuals and communities as 'expert' and 'knowing'. Relational resilience is especially evident in First Nations scholarship, where it is conceptualised in terms of collective values, practices and identities rather than the attributes of individuals, offering opportunities to advance thinking about resilience and its use in health contexts.

摘要

关于复原力的叙述在卫生政策和研究中不断涌现,这些叙述被用于解决威胁个人和社区的问题。复原力方法通常被视为其他干预模式的替代方案,因为它们标志着从缺陷假设转向更具赋权性的促进健康方式。然而,迄今为止,卫生领域对复原力话语的性质、假设和影响缺乏审视。本文批判性地分析了支撑此类话语使用的逻辑及其吸引力的影响。研究结果表明,复原力话语在很大程度上是按照新自由主义、个人主义和还原论的方式来理解和实施的。这些逻辑为“适当的复原力”设定了规范标准,这样一来,当个体“复原力不足”时就会产生内疚和羞耻感。从不同的角度来看,例如通过社会关系逻辑,复原力可以为个体和社区带来新的主体性形式和作为“专家”和“有见识者”的实践方式。关系性复原力在原住民学术研究中尤为明显,在那里它是根据集体价值观、实践和身份来概念化的,而不是根据个体的属性,这为推进关于复原力及其在健康背景下的应用的思考提供了机会。

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本文引用的文献

1
'Our culture makes us strong': Understanding and working with community strengths among Aboriginal people in western Sydney.
Health Promot J Austr. 2025 Jan;36(1):e906. doi: 10.1002/hpja.906. Epub 2024 Sep 3.
2
Women's perspectives on resilience and research on resilience in motherhood: A qualitative study.
Health Expect. 2023 Aug;26(4):1575-1583. doi: 10.1111/hex.13762. Epub 2023 Apr 10.
3
Resilience is an Adverse Event: A Critical Discussion of Resilience Theory in Health Services Research and Public Health.
Community Health Equity Res Policy. 2024 Apr;44(3):339-343. doi: 10.1177/2752535X231159721. Epub 2023 Mar 1.
4
: Resilience and Mental Health among Older Youth in and Aged out of Foster Care during COVID-19.
J Child Adolesc Trauma. 2022 Nov 19;17(1):1-10. doi: 10.1007/s40653-022-00498-7.
6
Association of Psychological Resilience With Healthy Lifestyle and Body Weight in Young Adulthood.
J Adolesc Health. 2022 Feb;70(2):258-266. doi: 10.1016/j.jadohealth.2021.08.006. Epub 2021 Sep 11.
7
Black to the Future: Making the Case for Indigenist Health Humanities.
Int J Environ Res Public Health. 2021 Aug 18;18(16):8704. doi: 10.3390/ijerph18168704.
8
Beyond deficit: 'strengths-based approaches' in Indigenous health research.
Sociol Health Illn. 2021 Jul;43(6):1405-1421. doi: 10.1111/1467-9566.13311. Epub 2021 Jun 19.
10
Closing the gap between rhetoric and practice in strengths-based approaches to Indigenous public health: a qualitative study.
Aust N Z J Public Health. 2020 Apr;44(2):102-105. doi: 10.1111/1753-6405.12953. Epub 2020 Jan 8.

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