Violence, Structural Violence, Power, and Agency

Defining Violence

  • Initial Question: What is your definition of violence?
  • World Health Organization's Definition:
    • Intentional use of physical force or power, threatened or actual, against oneself, another person, or a group/community.
    • Results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.
    • Focus is on harm resulting from the use of physical force or power.

Types of Violence

  • Physical Violence: Use of physical force.
  • Emotional Violence: Psychological and mental harm.
  • Sexual Violence
  • Verbal Violence
  • Environmental Violence
  • Symbolic Violence:
    • Violence created through symbols.
    • Example: Mainstream US American media and images of ideal body types impacting self-esteem.
    • Research: Studies show negative impacts on self-esteem and body image in as little as one minute of exposure.
  • Economic Violence:
    • Inability to afford basic necessities despite working.
    • Poverty affecting many people worldwide.
  • Political Violence
  • Structural Violence: Introduced by Paul Farmer; inequalities causing harm.

Physical Violence Explained

  • Use or threat of physical force to constrain someone's agency.
  • Aims to control someone by lessening their power through physical force.
  • Key aspect: High likelihood of resulting in harm.

Structural Violence

  • Inequalities that emphasize violence or harm.
  • Coined in the 1960s, often attributed to Johann Galtung.
  • Systemic ways in which social structures harm people by preventing them from meeting basic needs.
  • Basic Needs:
    • Material: Access to food, shelter.
    • Immaterial: Self-esteem, dignity, respect, safety.
  • Examples of Inequalities:
    • Racism, classism, ableism, sexism, adultism, nationalism, heterosexism, ageism, ethnocentrism.
  • Impact on Health: Inequalities significantly affect health outcomes.

Paul Farmer on Structural Violence

  • Social arrangements putting individuals and populations in harm's way.
  • Embedded in the political and economic organization of the social world.
  • Cause injury to people.
  • Neither culture nor individual will is solely at fault.
  • Historically given and economically driven processes constrain individual agency.
  • Affects those denied access to scientific and social progress, leading to a lower quality of life.
  • Institutions create suffering and violence, limiting people's agencies.
  • Measuring Suffering: Farmer proposed scientifically measuring suffering by mapping demographics and access to resources.
  • Emphasis on Harm: Systemic inequalities are violent because they harm human beings.

Violence as a Global Health Issue

  • World Health Organization recognizes violence as a major global health concern.
  • Affects the majority of populations worldwide.
  • Importance of addressing and preventing violence.
  • Violence is not an intractable social problem or an inevitable part of the human condition.
  • Global knowledge base is growing, and useful experience has been gained.

Definitions of Power

  • Common US Perspective: Power over someone.
  • Power as the ability to act or produce an effect.
  • Agency: Ability to get what one desires; navigation, choice.
  • Power as the ability to control oneself, a situation, or other people.

Foucault on Power

  • Power as the conditions of possibility.
  • Focus on context rather than individual actions.
  • Changing context to eliminate possibilities of violence.
  • Creating a more peaceful society with basic needs met to reduce violence.

Power Dynamics

  • Power is not solely about coercion or domination.
  • Agency and the ability to affect the world are crucial aspects of power.
  • Power as the capacity to influence the behavior of others or the course of events.
  • Power in imagination and creativity.

Guest's Definitions

  • Power: The ability or potential to bring about change through action or influence.
  • Agency: The potential power of individuals and groups to contest cultural norms, values, symbols, mental maps of reality, institutions, and structures of power.

Power and Agency as a Game

  • Thinking about power through the metaphor of a game (e.g., Monopoly, video games).
  • Power in Naming the Game: Defining what game is being played.
  • Power in Defining the Rules: Creating the structure of the game.
  • Power in Getting People to Play: Gaining compliance.
  • Power in Winning: Successfully navigating or manipulating the system.
  • Power in Playing on Your Own Terms: Subverting the game.
  • Power in Refraining from Playing: Refusing to participate.
  • Power in Imagining Something Besides the Game: Creating alternative visions.
  • Even with power over, individual agency is limited but not eliminated.

Understanding Causes and Realities

  • Key Question: What is responsible for a situation, reality, or pattern?
  • Listening to explanations to understand where people see power.

Holistic Analysis

  • Multidimensional analysis is necessary: Considering various factors.
  • Avoiding the fight over singular causes for violence (e.g., biology vs. individual choice).
  • Central US American Cultural Values: Strong belief in individual choice, power, autonomy, and freedom.
  • Tendency to focus on the agency of the individual.
  • Less acknowledgement of the power of institutions, history, material conditions, and embodied patterns.
  • Meritocracy: Belief that people get what they deserve or earn.
  • Focus on individual behavior rather than social, economic, and political conditions.

Inequalities and Power

  • Importance of looking at inequalities in power.
  • Uneven agencies: Not everyone has the same power to access resources.
  • COVID-19 Vaccination Distribution: Example of inequalities in access to vaccines.
  • No one chooses their birth conditions: Inequalities start very young.
  • Critique: All men are created equal narrative.

Blind Spots in the US

  • Failure to see and acknowledge structures and institutions shaping reality.
  • Failure in socialization by schools, government, and media.
  • Challenging the Idea of Choice: Questioning if people would choose negative realities.

Balance of Influences

  • Recognizing both individual and structural influences on a case-by-case basis.
  • Acknowledging patterns across class, gender, nationality, and language.
  • Remembering the uniqueness of each individual.

Cycle of Socialization

  • Individuals are socialized by institutions.
  • Institutions: Family, school, media, culture, government, police/military, corporations, healthcare/medicine, law.
  • Institutions provide frameworks for understanding:
    • Who we are, who other people are, why we're here.
    • How we should behave and fit in, what happens if we don't.
    • What we should do with our time, why society/world is like it is.
    • Where we come from, where we're going.
  • Power of these structures, especially in early years.

Identity and Institutions

  • Institutions shape realities and identities.
  • Teaching us to pay attention to similarities and differences.
  • Human identity includes categories:
    • Race/ethnicity, gender, sexuality, language, culture, nationality.
    • Immigration status, political views, religion, family background.
    • Socioeconomic class, abilities, physical appearance, taste, personality.
  • Cultural context determines which differences are emphasized.

Hierarchies and Categories

  • Not taught that all differences are equal.
  • Institutions teach hierarchies of race/ethnicity, gender, and sexuality.
  • Dominant groups are afforded privileges of feeling normal and belonging.
  • Marginalized groups are rendered invisible.

Medical Anthropology and Social Determinants of Health

  • Studying demographic identities and their impacts on health.
  • Complicated by the fact that no two individuals react the same way to life.
  • If we only think of power as "power over," we give away our own power.
  • Focusing on individual power in the US overlooks other important factors.
  • Creativity and action are crucial powers for making change.
  • Need for structural change as well as individual change.
  • Targeting individuals within institutions to create change.
  • Mapping institutions to understand their components and dynamics.