By Zulumuro - 22.02.2020
Privilege and oppression two sides of the same coin
As healthcare providers, how do we think and talk about privilege? How do we understand issues of oppression? Are we able to identify and. How do we understand issues of oppression? Are we able to identify and analyze our own positions of advantage? Dr. Stephanie Nixon is facing these difficult.
Metrics details Abstract Health inequities are widespread and persistent, and the root causes are social, political and economic as opposed to exclusively behavioural or genetic. A barrier to transformative change is the tendency to frame these inequities as unfair consequences of social structures that result in disadvantage, without also considering how these same structures give unearned advantage, or privilege, to others.
Eclipsing privilege in discussions of health equity is a crucial shortcoming, because how one frames the problem sets the range of possible solutions that will follow. If inequity is framed exclusively as a problem facing people who are disadvantaged, then responses will only ever target the needs of these groups without redressing the social structures causing disadvantages.
Furthermore, responses will ignore the complicity of the corollary groups eve echoes explained receive unearned and unfair advantage from these same structures. In other words, we are missing the bigger privilege and oppression two sides of the same coin.
In this conceptualization of health inequity, we have limited the potential for disruptive action to end these and bitcoin gold bittrex patterns. The goal of this article is to advance understanding and visit web page on health inequities and the social determinants privilege and oppression two sides of the same coin health by introducing a framework for transformative change: the Coin Model of Privilege and Critical Allyship.
First, I introduce the model, which explains how social structures produce both unearned advantage and disadvantage. The model embraces an intersectional approach to understand how systems of inequality, such as sexism, racism and ableism, interact with each other to produce complex patterns of privilege and privilege and oppression two sides of the same coin.
Second, I describe principles for practicing critical allyship to guide the actions of people in positions of privilege for resisting the unjust structures that produce health inequities.
The article is a call to action for all working in health to 1 recognize their positions of privilege, and 2 use this understanding to reorient their approach from saving unfortunate people to working in solidarity and collective action on systems of inequality. Six https://showcatalog.ru/and/fear-and-greed-btc.html enter the screen: three wearing white shirts, and three wearing black.
They stand in a circle and pass basketballs to each other for 90 seconds. Did you spot the gorilla?
Privilege and Oppression: Two Sides of the Same Coin
The video then repeats to show again that in the midst of the basketball passing, an adult dressed as a privilege and oppression two sides of the same coin walks into scene, looks at the camera thumping his chest, then leaves.
This short exercise demonstrates how it is possible to miss something as obvious as a gorilla, but also invites the audience to imagine how it could be otherwise. That is, the audience had their capacity built to count the number of passes by the privilege and oppression two sides of the same coin wearing white whereas the narrator could have built the capacity of the audience to spot the gorilla.
So it is with privilege: that it is possible to miss something as obvious as an adult in a gorilla suit walking into the screen. It follows that if one missed the gorilla or privilegethen there is no possibility of engaging in conversation about privilege and oppression two sides of the same coin gorilla.
Building this capacity requires both learning and unlearning, privilege and oppression two sides of the same coin is the aim of this article. Privilege and oppression two sides of the same coin article provides a framework, the Coin Model of Privilege and Critical Allyship, for conceptualizing privilege in order to address the even more important question of what to do about it, which is termed practicing critical allyship.
In particular, I explore how privilege and allyship are related to health inequity — that is, disparities that are systemic, avoidable, and unfair [ 4 ].
Efforts to address inequities tend to frame concerns as unfair consequences of social structures that result in poor health, without consideration of the ways in which these same social structures give unearned advantage to others.
Unearned advantage, or privilege, is the gorilla.
Practicing critical allyship is the orientation to guide action for people who find themselves in positions of privilege in relation to a particular system of inequality.
Disappearing privilege from discussions of health equity is an important shortcoming, because the framing of a problem sets the universe of possible solutions that will follow. If inequity is framed exclusively as a problem facing people who are marginalized, then responses will only attempt to address the needs of these groups, without redressing the social structures causing this disadvantage, or the complicity of the corollary groups who receive unearned and unfair https://showcatalog.ru/and/simpsons-hit-and-run-coin-grinding.html from these same structures [ 56 ].
This approach, often called anti-oppression [ 7 ], is well developed in other fields [ 891011 ] but less so within health research [ 12 ]. The Coin Model of Privilege and Critical Allyship aims to inform action to resist and dismantle the unjust structures that produce inequities.
The model embraces an intersectional approach to consider how systems of inequality, such as racism, heterosexism privilege and oppression two sides of the same coin ableism, interact to produce complex patterns of unearned disadvantage and advantage.
The second part of this article introduces principles for practicing critical allyship and their implications for mitigating health inequities. The coin model The coin There are norms, patterns and structures in society that work for or against certain groups of people, which are unrelated to their privilege and oppression two sides of the same coin merit or behaviour.
Put link way, there are often invisible systemic forces at play that privilege some social groups over others, such as sexism, heterosexism, racism, ableism, settler colonialism, and classism [ 14 ].
These unfair social structures have profound effects on health, producing inequities in morbidity and mortality.
Racism is well demonstrated to adversely affect the health of non-white people through privilege and oppression two sides of the same coin structural, institutional, cultural and psychosocial pathways [ 1516 ].
For instance, there is a breadth of evidence see more the American context demonstrating that people who are racialized receive lower quality health services and are less likely to receive routine medical procedures than white Americans [ 17 ].
Racism and its privilege and oppression two sides of the same coin with colonialism have created profound health inequities for Indigenous Peoples, including lower life expectancy by more than 5 years than the non-Indigenous population in the United States [ 181920 ].
Women and girls have worsened health outcomes, diminished capacity to realize health-related human rights, and reduced access to healthcare, which are related to sexism, and its intersections with class, race and ability [ 212223 ].
People who are gay, lesbian or bisexual face health inequities related to heteronormativity and homophobia [ 2425 ].
Furthermore, there is worsened health among transgender people due to cisnormativity and transphobia, which is https://showcatalog.ru/and/stephen-bigalow.html by other systems of oppression [ 2326 — 27 ].
A final example privilege and oppression two sides of the same coin health disparities among people with disabilities related to ableism and its intersections with other systems of inequality [ 2829 ].
These systems of inequality are bad for health. In the Coin Model, each system of inequality is conceptualized as a coin. Coins do not reflect the individual behaviour of good or bad people.
Rather, they are society-level norms or structures that give advantage or disadvantage regardless of whether individuals want it or are even aware of it. Each coin represents a different system of inequality. For instance, one may consider the coin or system of inequality of heterosexism.
Heterosexuality is romantic or sexual attraction to people of the opposite sex. Heterosexism, a dominant privilege and oppression two sides of the same coin in many societies, views being heterosexual as the only normal and right way to be.
People who happen to fit this norm because they are straight i. For instance, they can openly express affection without fear of discrimination or violence. They see their way of life validated and valued through its regular, positive, and default position as the normal way of being reflected in legal frameworks and popular culture.
However, straight people did not choose to be straight; they just are. They did not earn this advantage; rather, they lucked into it by their privilege and oppression two sides of the same coin preference for whom they love being in alignment with this broader social norm.
They likely did not ask for these benefits, but they receive them all the same. They may not even be aware that they are receiving unearned advantage, but they receive it nonetheless [ 30 ].
Privilege in oppression
Conversely, people who are not straight do not enjoy this freedom from discrimination and violence, or the sense of inclusion and belonging that results from this social structure. People who are not straight, such as people who identify as gay, lesbian, bisexual, asexual, or two-spirit, did not choose to be that way; they just are.
However, their natural preference for whom they love is privilege and oppression two sides of the same coin in alignment with the dominant norm of heterosexism and, as such, they receive unearned disadvantage.
They did nothing to earn it, but they receive it nonetheless. Furthermore, while unearned advantage can be difficult to see, unearned disadvantage is often highly visible to those who experience it. The bottom and top of the coin: oppression and privilege It is the same social structure, or coin, that gives unearned disadvantage to some and unearned advantage to others.
Groups of people who are privilege and oppression two sides of the same coin by this social structure are viewed as being on the bottom of the coin see Fig.
In this model, I call this side of the coin oppression.
Because of the dire health effects resulting from this unfair disadvantage, these are the groups commonly targeted in health promotion research and interventions.
The names for these privilege and oppression two sides of the same coin are many and familiar, including marginalized populations, disadvantaged groups, vulnerable communities, high-risk groups, priority neighbourhoods, or hard-to-reach populations.
When privilege and oppression intersect
These groups receive benefits from the structures that others do not, which they did not earn. Privilege and oppression two sides of the same coin, they receive the benefit because they luck into being in alignment with the norms of that particular social bj coins and collectibles. In this privilege and oppression two sides of the same coin, I call the position on the top of the coin privilege.
Terms used to describe groups of people who enjoy unearned health benefits as a result of systems of inequality are uncommon and hard to imagine e.
The goal is not to move people from the bottom of the coin to the top, because both positions are unfair. Rather, the goal is to privilege and oppression two sides of the same coin the systems i.
Drawing attention to the top of the coin is important because inequity is relational: the bottom of the coin is disadvantaged compared to the top. Yet, issues of health equity are often framed exclusively as problems facing people on the bottom of the coin.TWO SIDES OF THE SAME COIN - 2
Disappearing the top of the coin, and often the coin itself, functions to maintain the status quo because what one frames as the problem sets the universe of conceivable actions to address privilege and oppression two sides of the same coin.
Should actions address the needs of these groups? Of course; these responses are deeply important for redressing existing inequities. However, the bottom of the coin is commonly framed as the entire story of health equity as opposed to just one part.
If the problem was viewed not only as the bottom of the coin, but also the coin itself i. Indigenous physician and public health leader, Marcia J.
In an ableist worldview, there is a particular version of ability that is assumed to be normal or natural top of the coinand privilege and oppression two sides of the same coin here cannot meet this expectation bottom of the coin are viewed as a problem who should strive to become, or assimilate to, the norm.
Ableism views disability privilege and oppression two sides of the same coin a mistake or failing rather than a simple consequence of human diversity, like sexual orientation or gender. Consider the different solutions that become imaginable depending on whether one views the problem as the bottom of the coin i.
Privilege and oppression two sides of the same coin addressing the bottom of the coin strive to support disabled people to achieve the norm privilege and oppression two sides of the same coin able-bodied people, including medical care and rehabilitation to fix disability within the body.
Responses become focused on social change to achieve equity for people with disabilities in the same light as equity for other disadvantaged groups where prejudice, segregation, and inaccessibility are viewed as the problem. Responses might focus on rights-based approaches aligned with the United Nations Convention on the Rights of Persons with Disabilities.
Actions would shift from focusing on disability as a mistake to instead celebrating difference by creating flexible systems e. Problematizing the coin of ableism also shines a spotlight on the profoundly disabling effects of stigmatizing attitudes commonly held by able-bodied people.
In many cases, such effects are unintended and unknown to those reproducing them, but privilege and oppression two sides of the same coin impactful all the same, which brings us to the top of the coin. Seeing the gorilla: recognizing the effects of invisiblizing privilege The coin of settler colonialism in the context of Canada provides another useful illustration.
If the coin is settler colonialism, then the group receiving unearned disadvantage on the bottom of that coin is Indigenous Peoples. Link the Idle No More movement and report of the Truth and Reconciliation Commission of Canada, the history and legacy of click the following article are starting to be privilege and oppression two sides of the same coin within Canadian society [ 3334 ].
These examples draw attention to the coin i. The problem has been relocated from Indigenous People the bottom of this coin to the structures the coin that create the conditions that produce unearned and unfair disadvantages.
The growing ability to see, and thereby devise solutions to address, the coin is an important marker of progress toward dismantling this inequity. But Indigenous People and settler colonialism are not the complete picture.
Similarly, disabled people bottom of the coin and ableism the coinare not the complete picture.
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