power

Power
  • 文章类型: Journal Article
    尽管青年-成人伙伴关系(Y-AP)与广泛的积极青年和社区成果联系在一起,在种族化的社会控制空间(如青年住宅设施)中发生Y-AP的可能性仍然未知。植根于社会正义和基于权利的精神,Y-AP代表了青年参与的创新概念和实践模型,挑战了长期控制模式,这些模式是这些环境中成人与青年关系的特征。本研究使用叙事主题调查和反故事讲述来研究在青年住宅设施中反黑人种族主义的背景下,Y-AP制定的一线青年护理人员的叙述(N=21)。工人的叙述包括加强和减少伙伴关系形式的实例,Y-AP减少的解释描绘了种族主义(反黑人)意识形态和组织过程的相互作用,包括招聘实践中的选择性种族认知,色彩回避和精英训练,种族化的责任转移。重要的是,工人的叙述表明,尽管蓬勃发展的Y-AP仍然难以捉摸,在这些极端情况下,Y-AP不能实现青年发展和社会变革,这并不是一个必然的结论。
    Although youth-adult partnerships (Y-APs) have been linked to a wide range of positive youth and community outcomes, the possibility of Y-AP occurrence in spaces of racialized social control such as youth residential facilities remains unknown. Rooted in a social justice and rights-based ethos, Y-APs represent an innovative conceptual and practice model of youth engagement that challenges longstanding patterns of control that characterize adult-youth relationships in these settings. This study uses narrative thematic inquiry and counter storytelling to examine frontline youth care workers\' narratives (N = 21) of Y-AP enactment against the backdrop of anti-Black racism in youth residential facilities. Workers\' narratives include instances of both enhanced and diminished forms of partnership, and explanations for Y-AP diminishment depict an interplay of racist (anti-Black) ideologies and organizational processes, including selective racial cognizance in hiring practices, color-evasive and elitist training, and racialized blame-shifting. Importantly, workers\' narratives suggest that although flourishing Y-APs remain elusive, it is not a foregone conclusion that Y-APs cannot occur to realize youth development and social change in these extreme contexts.
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  • 文章类型: Journal Article
    这项研究比较了一个非常强壮的个体的肌肉和肌腱形态,世界上最强壮的男人(WSM)和硬拉冠军,对其他各种运动来说,受过训练和未受过训练的人群。WSM完成了:(1)3.0TMRI扫描,为了确定22条下肢肌肉的体积,5功能性肌肉群,髌腱(PT)横截面积(CSA),和PT力矩臂;(2)反运动跳跃(CMJ)和等距大腿中部拉力(IMTP)收缩。将WSM与我们实验室(肌肉和肌腱)和更广泛的研究文献(CMJ和IMTP)的先前评估组进行比较。WSM的CMJ峰值功率(9,866瓦),总(9,171N)和净(7,480N)IMTP峰值力高于以前公布的任何值。WSM的总体测得的腿部肌肉体积约为未经训练的对照组的两倍(96%),但在肌肉发育程度上具有明显的解剖学变异性。足底屈肌组(+120%)和拉绳肌肉(缝匠,gracilis,和半腱肌+140至+202%),稳定骨盆和股骨,与未经训练的对照相比,差异最大。WSM的明显股四头肌大小(≥2倍vs.未经训练)伴随着适度的PT力矩臂差异,值得注意的是,PTCSA的等效差异不匹配(+30%)。这些结果为一个非常强壮的个体的肌肉肌腱特征提供了新的见解,这可能是人类变异的上限,这样,WSM的非常明显的下肢肌肉也表现出明显的解剖学变异性,肌肉大小与肌腱大小无关。
    This study compared the muscle and tendon morphology of an extraordinarily strong individual, a world\'s strongest man (WSM) and deadlift champion, to that of various other athletic, trained and untrained populations. The WSM completed: (1) 3.0-T MRI scans, to determine the volume of 22 individual lower limb muscles, 5 functional muscle groups, patellar tendon (PT) cross-sectional area (CSA), and PT moment arm; (2) countermovement jumps (CMJ) and isometric mid-thigh pull (IMTP) contractions. The WSM was compared to previously assessed groups from our laboratory (muscle and tendon) and the wider research literature (CMJ and IMTP). The WSM\'s CMJ peak power (9,866 W), gross (9,171 N) and net (7,480 N) IMTP peak force were higher than any previously published values. The WSM\'s overall measured leg muscle volume was ~twice that of untrained controls (+96%) but with pronounced anatomical variability in the extent of muscular development. The plantar flexor group (+120%) and the guy rope muscles (sartorius, gracilis, and semitendinosus +140 to +202%), that stabilise the pelvis and femur, demonstrated the largest differences relative to untrained controls. The WSM\'s pronounced quadriceps size (≥2-fold vs. untrained) was accompanied by modest PT moment arm differences, and notably was not matched by an equivalent difference in PT CSA (+30%). These results provide novel insight into the musculotendinous characteristics of an extraordinarily strong individual, that may be towards the upper limit of human variation, such that the WSM\'s very pronounced lower limb muscularity also exhibited distinct anatomical variability, and with muscle size largely uncoupled from tendon size.
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  • 文章类型: Journal Article
    反对医疗咨询(AMA)的出院对医疗保健系统构成重大挑战,紧张的患者与临床医生的关系,同时有助于可避免的发病率和死亡率。此外,尽管这些出院最终导致患者离开医院,它们的效果在很久之后回荡,由存储在患者医疗记录中的临床医生记录传播。这些笔记记录了患者和提供者之间异常紧张的互动,描述了围绕临床关系崩溃的情况。此外,它们只代表复杂的一面,有争议的社会互动,在描述AMA放电时,临床医生的笔记本相当字面上有最后一句话。由于这些原因,记录AMA放电的笔记提供了对临床医生概念化的方式的洞察,表征,并在当代医疗保健系统中传播功率差异。这里,我们对185份记录美国大型城市医疗中心AMA出院的笔记进行了定性主题分析,通过三个权力分析的社会学模型来解释笔记动力学:(I)马克斯·韦伯颁布的权力分配模型,(ii)以塔尔科特·帕森斯和汉娜·阿伦特为特征的集体主义权力模型,和(iii)米歇尔·福柯提出的权力的结构解释。我们认为,在记录AMA出院时,临床医生似乎几乎完全以分布的方式设想他们与患者的关系,这反过来又导致了一种对抗性动态,即患者和临床医生最终都会被剥夺权力。我们还认为,通过促进临床医生对权力的集体主义和结构维度的认识,我们可以帮助将患者-临床医生关系的破裂转化为合作的机会.
    Against Medical Advice (AMA) discharges pose significant challenges to the healthcare system, straining patient-clinician relationships while contributing to avoidable morbidity and mortality. Furthermore, though these discharges culminate in patients\' departure from hospitals, their effects reverberate long after, propagated by clinician notes stored in patients\' medical records. These notes capture exceptionally fraught interactions between patients and providers, describing the circumstances surrounding breakdowns in clinical relationships. Additionally, they represent just one side of complex, contentious social interactions, for in describing AMA discharges, clinician notewriters quite literally have the last word. For these reasons, notes documenting AMA discharges provide insight into the ways in which clinicians conceptualize, characterize, and propagate power differentials in the contemporary healthcare system. Here, we present a qualitative thematic analysis of 185 notes documenting AMA discharges from a large urban US medical center, interpreting note dynamics through three sociological models of power analysis: (i) the distributive model of power promulgated by Max Weber, (ii) the collectivist power model characterized by Talcott Parsons and Hannah Arendt, and (iii) structural interpretations of power developed by Michel Foucault. We argue that in documenting AMA discharges, clinicians appear to conceive of their relationship with patients in almost exclusively distributive terms, which in turn contributes to an adversarial dynamic whereby both patients and clinicians ultimately suffer disempowerment. We furthermore argue that by facilitating clinicians\' recognition of power\'s collectivist and structural dimensions, we may help transform breakdowns in patient-clinician relationships into opportunities for collaboration.
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  • 文章类型: Journal Article
    目的:本研究旨在研究短跑间歇训练(SSIT)试验之间的不同休息时间对女子排球运动员生理和表现适应的影响。
    方法:二十四名受过训练的大学运动员自愿参加本研究,并被随机分配到3个SSIT组,其工作与休息的比例不同(1:2[5-s运行:10-s休息],1:4[5-s运行:20-s休息],和1:6[5-s工作:30-s休息])。6周培训前后,生理参数(最大摄氧量,第一和第二通气阈值,以及峰值和平均功率输出)和物理性能测量(即,反向运动垂直跳跃,10米冲刺,和T测试方向变化速度)进行评估。
    结果:训练期结束后,所有组改善(P=0.001)他们与运动相关的表现和生理参数,范围从中等到非常大的效果大小。对训练效果大小的比较分析表明,1:6SSIT组的反运动垂直跳跃变化明显更大(P=.007),10米冲刺(P=.014),峰值功率输出(P=.019),与1:2SSIT组相比,平均功率输出(P=0.05)。相比之下,与1:6SSIT组相比,1:2SSIT组的最大摄氧量变化显着(P=0.022)。然而,两组间方向变化速度和第一和第二通气阈值的变化相同(P>.05).
    结论:执行SSIT时,较长的休息间隔适合物理和厌氧性能,较短的休息时间适合提高女排运动员的心肺健康水平。
    OBJECTIVE: This study aimed to examine the impact of different rest periods between short sprint interval training (SSIT) trials on the physiological and performance adaptations of female volleyball players.
    METHODS: Twenty-four trained college athletes volunteered to participate in this study and were randomly assigned to 3 SSIT groups with different work-to-rest ratios (1:2 [5-s run:10-s rest], 1:4 [5-s run:20-s rest], and 1:6 [5-s work:30-s rest]). Before and after 6-week training, physiological parameters (maximum oxygen uptake, first and second ventilatory thresholds, and peak and mean power output) and physical performance measures (ie, countermovement vertical jump, 10-m sprint, and T-test change-of-direction speed) were evaluated.
    RESULTS: After the training period, all groups improved (P = .001) their sport-related performance and physiological parameters, ranging from moderate to very large effect sizes. Comparative analysis of the magnitude of training effects indicated that the 1:6 SSIT group had in a significantly greater change in countermovement vertical jump (P = .007), 10-m sprint (P = .014), peak power output (P = .019), and mean power output (P = .05) compared with 1:2 SSIT group. By contrast, the 1:2 SSIT group demonstrated significantly (P = .022) greater changes in maximum oxygen uptake than the 1:6 SSIT group. However, the change-of-direction speed and changes in first and second ventilatory thresholds were the same among the groups (P > .05).
    CONCLUSIONS: When performing SSIT, longer rest intervals are suitable for physical and anaerobic performance, and shorter rest periods are appropriate for enhancing the cardiorespiratory fitness of female volleyball players\' performance.
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  • 文章类型: Journal Article
    这篇文章是对Kaldybekov和他的同事的回应,2024年福柯权力理论论文。我认为,如果不研究福柯的知识生活和经历,很难理解他的权力理论,尤其是他的战争经历.我研究的目的是证明福柯关于权力的想法和他自己的生活之间存在联系,尽管他似乎受到马克思主义理论的影响,但他一直对极权主义理论持批评态度,在他职业生涯的早期。在这篇论文中,我展示了他如何通过将尼采的一些思想融入他的思想中来处理这个困境。为了说明福柯的生活和他的权力理论之间的联系,我在福柯1970年代关于精神病学权力的系列讲座和意大利记者Trombadori进行的采访中提出了一个特别的出发点。
    The article is a response to Kaldybekov and his colleague\'s, 2024 paper about Foucault\'s theory on power. I argue that it is difficult to understand Foucault\'s theory of power without looking into his intellectual life and experiences, especially his war experiences. The objective of my study is to show that there is a connection between Foucault\'s ideas about power and his own lived life, and that he always has been critical of totalitarian theories although he seems influenced by Marxist theories, early in his career. In the paper I show how he deals with this dilemma by incorporating some of Nietzsche\'s ideas into his thinking. To illustrate the connection between Foucault\'s lived life and his theories about power, I take a particular point of departure in Foucault\'s lecture series on psychiatric power in the 1970s and an interview conducted by the Italian journalist Trombadori.
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  • 文章类型: Systematic Review
    进行了这项系统综述,以分析有关力量训练(ST)和复杂/对比训练(CCT)对团队运动运动员重复冲刺能力(RSA)的影响的现有证据。
    根据PRISMA声明对文献进行了系统回顾。PubMed,WebofScience,使用了Scopus数据库。对原有的全文文章进行了分析,在2024年5月26日之前没有日期限制,用英语写,同行评审,并且资格必须包括(1)男性或女性团体运动运动员,业余或专业类别,无年龄限制(2)下肢ST和/或CCT程序(3)主动对照组(4)进行RSA测试(例如,重复穿梭冲刺能力测试或直线重复冲刺能力测试)干预期前后(5)对照试验。
    总共鉴定和筛选了3,376项研究。最后,根据纳入和排除标准纳入了10篇文章,根据PEDro量表,所有方法学质量均中等。最好的时间,平均时间,总时间呈现测试前后的重大变化,在3、2和1实验组中使用ST,分别,在1、1和1个实验组中使用CCT,分别,RSA测试中最常见的递减百分比几乎没有差异。对照组没有变化。
    一起,在最大功率范围内执行的ST在最佳时间和平均时间内提供益处,并且在1次重复最大值(RM)的80%至95%之间执行的ST在最佳时间内提供益处,平均时间,以及RSA测试的总时间。CCT在1RM的75%到90%之间进行,再加上跳跃和冲刺,可以在最佳时间内提供好处,平均时间,以及RSA测试的总时间,但在精英和半职业团队运动运动员中,ST和CCT的百分比没有不变的下降。
    UNASSIGNED: This systematic review was conducted to analyze the existing evidence on the effects of strength training (ST) and complex/contrast training (CCT) on repeated sprint ability (RSA) in team sports players.
    UNASSIGNED: A systematic review of the literature was performed following the PRISMA statement. PubMed, Web of Science, and Scopus databases were used. Original full-text articles were analyzed, without date restriction until May 26, 2024, written in English, peer-reviewed, and for eligibility must have included (1) male or female team sports players, amateur or professional category, without age restriction (2) lower extremity ST and/or CCT program (3) active control group (4) running RSA test (e.g., repeated shuttle sprint ability test or straight-line repeated sprint ability test) before and after the intervention period (5) controlled trial.
    UNASSIGNED: A total of 3,376 studies were identified and screened. Finally, 10 articles were included based on the inclusion and exclusion criteria, all with moderate methodological quality according to the PEDro scale. The best time, mean time, and total time presented significant pre and post-test changes, using ST in 3, 2, and 1 experimental groups, respectively, and using CCT in 1, 1, and 1 experimental groups, respectively, with almost no differences in the percentage decrement most commonly reported in RSA tests. There were no changes in the control groups.
    UNASSIGNED: Together, ST performed in a range of maximal power provides benefits in the best time and mean time and performed between 80 to 95% of 1 repetition maximum (RM) provides benefits in the best time, mean time, and total time in RSA tests. CCT performed between 75 to 90% of 1 RM combined with jumps and sprints provides benefits in the best time, mean time, and total time in RSA test, but no unaltered percentage decrement in ST and CCT in elite and semi-professional team sport players.
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  • 文章类型: Journal Article
    针对特定的采矿和地质条件,正确选择切割长壁取材机需要开发适当的算法。机器(采煤机)的适当选择与从给定的长壁获得高浓度的开采密切相关。这是不可缺少的,特别是考虑到采矿成本的增长,以及煤层的深度。在这篇文章中,提出了一种显示长壁制胜机选择的算法。该算法是基于对加工煤的力学性能的研究结果而创建的。分析采矿过程,特别是在困难的条件下,显示了为了定义滚筒长壁采煤机的使用范围,必须确定对开采过程有重大影响的煤的性质。以上也影响了技术,采矿的技术和有效性-它们影响获胜机器的有效性。与此相关,应根据这些因素选择和设计切割头,以及任何业绩预测。作为代表值,选择了以下内容:可加工性指数(WUB),耐单向压缩(Rc),和采矿过程的能源消耗(TE)。
    The proper selection of cutting longwall winning machines for specific mining and geological conditions requires the development of an appropriate algorithm. The appropriate selection of a machine (shearer) is closely related to acquiring a high concentration of exploitation from the given longwall. That is indispensable, especially taking into consideration the growing cost of mining, as well as the depth of coal seams. In this article, an algorithm showing the selection of longwall winning machines has been presented. The algorithm has been created based on results of research on the processed coal\'s mechanical properties. Analysis of the mining process, especially in difficult conditions, shows that in order to define a drum longwall shearer\'s range of usage, the coal\'s properties which have a significant impact on the mining process must be determined. The above also influences the technique, technology and effectiveness of mining-they impact the effectiveness of the winning machines. In connection to this, the cutting heads should be chosen and designed based on those factors, as well as any performance forecasts. As representative values the following have been chosen: workability index (WUB), resistance to unidirectional compression (Rc), and energy consumption of the mining process (TE).
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  • 文章类型: Journal Article
    神经生理信号,由两者组成(例如,振荡)和非周期性(例如,非振荡)活动,在童年和成年之间经历复杂的发育变化。由于许多现有文献主要集中在脑功能的周期性特征上,我们对非周期性信号的理解仍处于起步阶段。这里,我们是第一个使用光泵浦磁力计(OPM)检查与年龄相关的周期性(峰值频率和功率)和非周期性(斜率和偏移)活动的变化,一个新的,可穿戴脑磁图(MEG)技术,特别适合研究发展。我们检查了幼儿(1-3岁)样本(N=65)中这些光谱特征的年龄相关变化,儿童(4-5岁),年轻人(20-26岁),成人(27-38岁)。与现有文献一致,我们发现非周期性斜率和偏移量显著与年龄相关的下降,以及峰值频率和功率的变化是频率特定的;我们是第一个表明这些变化的影响大小也在不同的大脑区域。这项工作不仅增加了越来越多的工作,突出了使用OPM的优势,特别是研究发展,而且还提供了有关大脑中神经生理变化随年龄变化的新信息。
    Neurophysiological signals, comprised of both periodic (e.g., oscillatory) and aperiodic (e.g., non-oscillatory) activity, undergo complex developmental changes between childhood and adulthood. With much of the existing literature primarily focused on the periodic features of brain function, our understanding of aperiodic signals is still in its infancy. Here, we are the first to examine age-related changes in periodic (peak frequency and power) and aperiodic (slope and offset) activity using optically pumped magnetometers (OPMs), a new, wearable magnetoencephalography (MEG) technology that is particularly well-suited for studying development. We examined age-related changes in these spectral features in a sample (N=65) of toddlers (1-3 years), children (4-5 years), young adults (20-26 years), and adults (27-38 years). Consistent with the extant literature, we found significant age-related decreases in the aperiodic slope and offset, and changes in peak frequency and power that were frequency-specific; we are the first to show that the effect sizes of these changes also varied across brain regions. This work not only adds to the growing body of work highlighting the advantages of using OPMs, especially for studying development, but also contributes novel information regarding the variation of neurophysiological changes with age across the brain.
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  • 文章类型: Journal Article
    向医学生介绍文化谦逊的概念,我们设计了一个教学计划,让学生考虑如何通过在临床交流中使用语言来体现力量,专注于全科医学。文化谦逊是一个教学框架,由Tervalon和Murray-Garcia介绍,以解决他们认为的文化能力模型的局限性。
    我们的教学计划专门针对临床交流中的力量,口头磋商和书面说明。该课程在他们的第一个“临床”年度面向三年级医学生,他们定期见证并参与初级和二级护理实习的临床沟通。道德上的认可已经到位,以分析学生对会议的思考。
    参加的学生很好。他们对会议进行了积极的评价,因为他们提高了对临床语言在负面刻板印象和非人性化患者中的力量的认识。他们在反映通常用于医患关系的临床语言的无意伤害时表现出文化谦卑。然而,对我们来说最引人注目的是,以及我们作为教育者的学习所在,出席会议的人很少,尽管我们试图强调临床相关性和作为未来医生发展的重要性。
    本文为对文化谦逊感兴趣的教育者提供了一个框架。这一举措的含义是如何(或如何不)在这一领域发展和提供培训。作为教育工作者需要更多的考虑,包括我们自己的语言,如何让学生围绕权力这个复杂的话题进行思考。
    UNASSIGNED: Introducing medical students to the concept of Cultural Humility, we devised a teaching initiative for students to consider how power manifests through the use of language in clinical communication, with a focus on General Practice. Cultural Humility is a pedagogical framework, introduced by Tervalon and Murray-Garcia, to address what they consider as the limitations of the Cultural Competence model.
    UNASSIGNED: Our teaching initiative specifically focused on power in clinical communication, both oral consultations and written notes. The session was delivered to third-year medical students during their first \'clinical\' year, where they regularly witness and are involved in clinical communication across primary and secondary care placements. Ethical approval was in place to analyse students\' reflections on the session.
    UNASSIGNED: Students who attended engaged well. They evaluated the session positively as increasing their awareness of the power of clinical language in negatively stereotyping and dehumanising patients. They demonstrated Cultural Humility in their reflections of the unintentional harm of clinical language commonly used for the doctor-patient relationship. However, most striking for us, and where our learning as educators lies, was the low attendance at the session, despite our attempts to underline clinical relevance and importance for development as future doctors.
    UNASSIGNED: This article offers a framework for educators interested in Cultural Humility. The implications of this initiative are how (or how not) to develop and deliver training in this space. More consideration is required as educators, including around our own language, as to how to engage students to think around the complex topic of power.
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  • 文章类型: Journal Article
    公共卫生领域的性别暴力(GBV)研究历来密切关注性别作为一种压迫制度,由于较少关注性别与殖民主义等其他压迫性制度之间的交集,白人至上,和资本主义。2019年,我们对埃斯瓦蒂尼大学就读女性进行了个人层面的基于证据的性暴力抵抗干预措施,并进行了试点测试。我们使用关键的教育学视角对我们适应的干预措施的可接受性和可行性进行了定性评估,以探索权力在提供赋权干预措施中的运作方式。使用与干预参与者和主持人的深入访谈。我们以关键的教学法框架为指导,以主题分析了访谈笔录,并将紧急主题组织成具有两个主要轴的概念图:参与者-研究人员驱动的力量和近端-远端决定因素。我们将参与者的干预体验定位在由这些轴定义的三个象限内:1)“其中研究人员或主持人主要控制内容和交付,主要关注近端风险降低策略;2)“团结,“强调通过对话培养促进者和干预参与者的批判意识,通过参与者驱动的个人经历讨论来建立集体力量;和3)“解放,“参与者批判性地检查了支撑他们生活经历的权力结构,并表示希望以干预并非旨在解决的方式改变这些问题。这三个象限表明存在第四象限,\"家长式,“-干预主义者试图对参与者进行有关其自身经验的结构性驱动因素的教学教育。我们的分析强调了GBV研究认识论中的一个基本张力:虽然有一个明确的共识,即“授权”是成功的GBV干预的必要组成部分,将权力让给参与者的“解放”方法本质上与在随机对照试验或其他“黄金标准”方法中进行一致复制所需的脚本方法或用于后实证主义证据生成的其他“黄金标准”方法相反。
    Gender-based violence (GBV) research in public health has historically paid close attention to gender as a system of oppression, with less attention paid to the intersections between gender and other oppressive systems such as colonialism, white supremacy, and capitalism. In 2019, we adapted and pilot-tested an individual-level evidence-based sexual violence resistance intervention for university-attending women in Eswatini. We conducted a qualitative assessment of our adapted intervention\'s acceptability and feasibility using a critical pedagogy lens to explore how power operated in delivering an empowerment intervention, using in-depth interviews with intervention participants and facilitators. We analyzed interview transcripts thematically guided by a critical pedagogy framework and organized emergent themes into a concept map with two primary axes: participant-researcher-driven power and proximal-distal determinants. We located participant experiences with the intervention within three quadrants defined by these axes: 1) \"Prescriptive,\" in which the researcher or facilitator primarily controls the content and delivery, with a principal focus on proximal risk reduction strategies; 2) \"Solidarity,\" which emphasizes fostering critical consciousness among facilitators and intervention participants through dialogue, building collective power through participant-driven discussions of individual experiences; and 3) \"Liberation,\" in which participants critically examined the power structures that underpinned their lived experiences, and expressed a desire to transform these in ways the intervention was not designed to address. These three quadrants suggest the existence of a fourth quadrant, \"paternalistic,\" - in which the interventionist seeks to didactically educate participants about structural drivers of their own experience. Our analysis highlights a fundamental tension in the epistemology of GBV research: While there is a clear consensus that \'empowerment\' is a necessary component of successful GBV interventions, \"liberatory\" approaches that cede power to participants are inherently antithetical to the scripted approach typically required for consistent replication in randomized control trials or other \'gold-standard\' approaches for post-positivist evidence generation.
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