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.