Chapter 5
Community and Power
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Chapter Aims
In this chapter you will learn about community and power. The specific
aims of the chapter are 1. To define and critique the
concepts 2. To study their
value-base 3. To identify their implications
for the promotion of well-being and liberation and for the perpetuation of
oppression. |
Have you done the warm up exercise in Box 5.1? How
did you feel when you experienced a sense of community? Did you feel supported,
appreciated? Did you feel constrained? What about power? Did you feel good when
you were in control of a situation? Did power ever get to your head? Most
people experience both sides of community and power: positive aspects and
negative aspects.
Positive aspects of community include social support,
cohesion, and working together to achieve common aims. Negative aspects of community
include rigid norms, conformity, exclusion, segregation, and disrespect for
diversity. Positive aspects of power include the ability to achieve goals in
life, a sense of mastery and a feeling of control. Negative aspects of power
include the capacity to inflict damage or to perpetuate inequality. Our
challenge as community psychologists is to promote the growth-enhancing aspects
of community and power and to diminish their negative potential. We want to use
community and power to promote social justice and not to stifle creativity or
perpetuate the status quo.
Our work is difficult because it is highly
contextual. It’s hard to make rules that apply to all contexts (Trickett,
1994). On one hand, we know intuitively that sharing happy and sad moments with
friends and others is beneficial for personal well-being. On the other hand,
groups can exert powerful norms of conformity that suppress the creativity and
individuality of their members. Similarly, we know that dis-empowered people
could use more political power to advance their legitimate aims, but that
doesn’t mean that more power is always a good thing, neither for dis-empowered
or for over-empowered people. Being dis-empowered does not make a person into a
righteous individual. These potential scenarios teach us that the outcomes of
community and power are highly contextual. We need to know the specific
circumstances and dynamics of community and power before we endorse either of
them. Who will benefit from a set of community norms? Who will gain and who
will lose from giving a certain group of people more power? What is the impact
of community and power for well-being and liberation? These are the key
questions that we want to address in this chapter.
COMMUNITY AND POWER
Community psychology has traditionally emphasized the
role of community over power in promoting well-being. The sense of community
metaphor discussed in Chapter 2 dominated the field’s narrative for its first
decade or so. In a corrective move, Rappaport (1981, 1987) introduced the
concept of empowerment to indicate that power and control over community
resources would be just as important as a feeling of communion. As we will see
in this chapter, the concept of empowerment has limitations of its own, but at
the time it was introduced it served an important function: it drew attention
to power dynamics affecting well-being. Feminist critics of empowerment like
Stephanie Riger (1993) pointed out some risks inherent in the concept. First,
she reminded us of the danger of swinging the pendulum too much towards
individual power and forgetting the need for sense of community. Second, she
recognized that empowerment may become another psychological variable that
would lead to individual changes instead of social changes. Riger’s critique is
reminiscent of Bakan’s (1966) distinction between agency and communion. Agency
is the power to assert ourselves, whereas communion is the need to belong to
something larger than ourselves. The conflict between these two complementary
tendencies is played out in the field of community psychology through the
tension between empowerment and community (Tyler, 2001).
In this book, we wish to avoid dichotomies such as
community or power. We wish to push the community psychology agenda further and
claim that psychological empowerment and empowering processes are not enough
without social justice and a redistribution of resources (Speer, 2002). At the
same time, achieving power without a sense of community, within and across
groups, may lead to untoward effects (Nisbet, 1953). Without empowerment we
risk maintaining the status quo and without community we risk treating people
as objects. Let’s explore now this thesis and the ways in which these two
concepts complement each other.
What Are Community
and Power?
Community
At its most basic level, the word community implies a
group or groups of citizens who have something in common. We can think of a
geographical community such as your neighbourhood or country or we can think of
a relational community such as a group of friends or your religious
congregation (Bess, Fisher, Sonn, & Bishop, 2002). Members of a relational
group may share a culture or a common interest. There are countless forces and
dynamics that bring people together. Some of us feel quite close to the
community of community psychologists, while others feel close to the fans of a
football club or to members of a religious group. Some of us can feel close to
these three groups at the same time. We can belong to multiple communities
concurrently. Of the multiple meanings of the word community we have chosen to
concentrate on two that are important to the work of community psychologists:
sense of community and social capital.
Sense of Community. Seymour Sarason (1988),
one of the founders of the field of community psychology, identified sense of
community as central to the endeavour of the field. In his view, sense of
community captured something very basic about being human: our need for
affiliation in times of sorrow, our need for sharing in times of joy; and our
need to be with people at all other times. He defined sense of community as
the sense that one
belongs in and is meaningfully a part of a larger collectivity; the sense that
although there may be conflict between the needs of the individual and the
collectivity, or among different groups in the collectivity, these conflicts
must be resolved in a way that does not destroy the psychological sense of
community; the sense that there is a network of and structure of relationships
that strengthens rather than dilutes feelings of loneliness. (Sarason, 1988, p.
41)
Since Sarason’s coinage of the term, others have
tried to operationalize and distill the meaning of sense of community, all in
an effort to understand the positive or negative effects of this phenomenon.
McMillan and Chavis (1986) are credited with formulating an enduring
conceptualization of sense of community. According to them, the concept
consists of four domains: (a) membership, (b) influence, (c) integration and
fulfilment of needs, and (d) shared emotional connection. These four domains of
sense of community sparked a great deal of interest and research in the field
of community psychology. A special issue of the Journal of Community
Psychology in 1996 (volume 4) and a recent book on the subject summarize
very well progress in the area (Fisher, Sonn, & Bishop, 2002).
The interest in communities is justified in a world
where groups intersect and experience conflict over resources. We live in a
world where communities of various identities share space, time, work, past,
present, and future. Each community has to value its own diversity as well as
the diversity present in other groups.
What on the surface may look similar may hide vast
differences. Not all Aboriginal people share the same culture (Dudgeon,
Mallard, Oxenham, & Fielder, 2002), nor do all immigrants experience the
same challenges (see Chapter 17). We can talk about a community of women,
within which there are obviously multiple communities of Chicanas, Aboriginal,
African American, privileged, poor, disabled and able-bodied women. Every time
we invoke a group of people, there are going to be multiple identities within
it (Arellano & Ayala-Alcantar, 2002; Serrano Garcia & Bond, 1994;
Trickett, 1994). Communities may define themselves in exclusive terms
reminiscent of Apartheid or in inclusive terms reminiscent of solidarity.
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Social Capital. While sense of community
attracted a lot of attention within community psychology, allied terms such as
community cohesion and social capital gained currency in other disciplines such
as sociology, community development and political science. We find much in
common between these two concepts and community psychology (Perkins, Hughey,
& Speer, in press). In essence, they speak about the potential of
communities to improve the well-being of their members through the synergy of
associations, mutual trust, sense of community, and collective action (Kawachi,
Kennedy, & Wilkinson, 1999; Veenstra, 2000). In short, they deal with the
intersection of people, well-being, and community. The main difference between
sense of community and social capital lies in the level of analysis. Whereas
sense of community is typically measured and discussed at the group or
neighbourhood level, social capital research has looked at the results of
cohesion at state and national levels. Community psychologists
Douglas Perkins and Adam Long (2002) maintain that sense of community is only a
part of social capital. They suggest that social capital consists of four
dimensions: (a) sense of community, (b) neighbouring, (c) collective efficacy,
and (d) citizen participation.
In his widely popular book Bowling Alone: The
Collapse and Revival of American Community, Robert Putnam (2000)
distinguished among physical, human, and social capital. “Whereas physical
capital refers to physical objects and human capital refers to properties of
individuals, social capital refers to connections among individuals – social
networks and the norms of reciprocity and trustworthiness that arise from them”
(p. 19).
In our view, social capital refers to collective
resources consisting of civic participation, networks, norms of reciprocity,
and organizations that foster (a) trust among citizens, and (b) actions to
improve the common good. Figure 5.1 shows the various dimensions of social
capital identified by Stone and Hughes in their study of social capital in Australian
families (Stone & Hughes, 2002). As may be seen, social capital entails
networks of trust and reciprocity that lead to positive outcomes at multiple
levels of analysis, including individual, family, community, civic, political
and economic well-being. Figure 5.1 summarizes the types and characteristics of
networks. Density, size and diversity are key factors in the quality of
community connections. Another important feature of this figure is that the
hypothesized outcomes influence the very determinants of social capital. Some
of the outcomes, such as civic participation, may generate more social capital.
Accordingly, we should see determinants and outcomes of social capital as
exerting reciprocal and not unidirectional influence on each other.
Social capital, in the form of connections of trust
and participation in public affairs, enhances community capacity to create
structures of cohesion and support that benefit the population and produce
positive health, welfare, educational, and social outcomes. Vast research
indicates that cohesive communities and civic participation in public affairs
enhance the well-being of the population. Communities with higher participation
in volunteer organizations, political parties, local and professional
associations fare much better in terms of health, education, crime, and
well-being than communities with low rates of participation. This finding has
been replicated at different times across various states, provinces and
countries (Putnam, 2000; Schuller, 2000; Stone & Hughes, 2002; Wilkinson,
1996).
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Power
In the last two decades, community psychologists have
discussed empowerment more often than power per se (Speer, 2002; Zimmerman,
2000). For that reason, we begin with a brief review of the former.
Empowerment. Empowerment refers to both
processes and outcomes occurring at various levels of analyses (Prilleltensky,
1994; Zimmerman, 2000). Empowerment is about obtaining, producing or enabling
power. This can happen at the individual, group, or community and social
levels. Rappaport claimed that empowerment is “a process: the mechanism by
which people, organizations, and communities gain mastery over their lives.”
(1984, p. 3); whereas the Cornell Empowerment Group defined it as “an intentional
ongoing process centered in the local community, involving mutual respect,
critical reflection, caring, and group participation, through which people
lacking an equal share of valued resources gain greater access to and control
over those resources.” The latter definition starts talking about the process
but ends with an emphasis on outcomes: control over resources. We agree with
Speer (2002) that a balance must be reached between research and action on
empowering processes and empowered outcomes. Otherwise, we risk sacrificing one
for the other. Not only are the two components equally important, but they are
mutually reinforcing as well. Based on the work of Zimmerman (2000) and Speer
and colleagues (Speer & Hughey, 1995; Speer, Hughey, Gensheimer, &
Adams-Leavitt, 1995), we represent in Table 5.1 the various domains and
dynamics of empowerment at four levels of analysis. Similar to Figure 5.1 on
social capital, some of the outcomes are reinforcing of the processes. Better
empowerment outcomes should generate more empowerment processes and vice versa.
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The concept of empowerment stimulated much discussion
in community psychology, with two special issues of the American Journal of
Community Psychology dedicated to it in 1994 (Serrano Garcia & Bond,
1994) and 1995 (Perkins & Zimmerman, 1995). Yet, despite much progress in
the field, some key issues remain under explored. In our view, these issues
pertain to the multifaceted and dynamic nature of power. Empowerment is not a
stable or global state of affairs. Some people feel empowered in some settings
but not in others, whereas some people work to empower one group while
oppressing others along the way. A more refined concept of power is needed to understand better the concept of
empowerment and its nuances.
From Empowerment to Power. Power is
everywhere; it’s in interpersonal relationships, families, organizations,
corporations, neighbourhoods, sports and countries. Power can be used for
ethical or unethical purposes. It can promote well-being but it can also
perpetuate suffering.
A
more dynamic conceptualization of power is needed, one that takes into account
the multifaceted nature of identities and the changing nature of social
settings (Watts, 2001). Moreover, we need a definition of power that takes into
account subjective and objective forces influencing our actions as community
psychologists.
In light of the need for a
comprehensive conceptualization of power, we offer a few parameters for clarification
of the concept. Based on previous work, we present them as a series of ten
complementary postulates (Prilleltensky, in press a).
1. Power refers to the capacity
and opportunity to fulfil or obstruct personal, relational, or collective
needs.
2. Power has
psychological and political sources, manifestations and consequences.
3. We can distinguish among power to strive for
well-being, power to oppress, and power to resist oppression and strive for
liberation.
4. Power can be overt or covert, subtle or blatant,
hidden or exposed.
5. The exercise of power can apply to self, others,
and collectives.
6. Power affords people multiple identities as
individuals seeking well-being, engaging in oppression, or resisting
domination.
7. Whereas people may be oppressed in one context,
at a particular time and place, they may act as oppressors at another time and
place.
8. Due to structural factors such as social class,
gender, ability, and race, people may enjoy differential levels of power.
9. Degrees of power are also affected by personal
and social constructs such as beauty, intelligence, and assertiveness;
constructs that enjoy variable status within different cultures.
10. The exercise of power can reflect varying
degrees of awareness with respect to the impact of one's actions.
We expand here on the first and main postulate of our
conceptualization of power. We claim that power is a combination of ability and
opportunity to influence a course of events. This definition merges elements of
agency, or self-determination on one hand, with structure or external
determinants on the other. Agency refers to ability whereas structure refers to
opportunity. The exercise of power is based on the juxtaposition of wishing to
change something, and having the opportunity, afforded by social and historical
circumstances, to do so. Ultimately, the outcome of power is based on the
constant interaction and reciprocal determinism of agency and contextual
dynamics (Bourdieu, 1990; Martin & Sugarman, 1999; 2000).
People who are born into privilege may be afforded
educational and employment opportunities that people on the other side of town
could never dream of. Privilege can lead to a good education, to better job
prospects, and to life satisfaction. These, in turn, can increase
self-confidence and personal empowerment. Lack of structural opportunities,
such as the absence of good schools or economic resources, undermine children’s
capacities for the development of talents, control and personal empowerment
(Bourdieu & Passeron, 1977; Prilleltensky, Nelson, & Peirson, 2001).
Another defining feature of power is its evasive
nature. You can’t always tell it’s there. Nor can you tell how it’s operating.
Power is not tantamount to coercion, for it can operate in very subtle and
concealed ways (Bourdieu, 1986, 1990; Foucault, 1979; Swartz, 1997). According
to social critics such as Bourdieu, Foucault and Rose, people come to regulate
themselves through the internalization of cultural prescriptions. Hence, what
may seem on the surface as freedom may be questioned as a form of acquiescence
whereby citizens restrict their life choices to coincide with a narrow range of
socially sanctioned options. In his book Powers of Freedom, Rose (1999)
claimed that
Disciplinary
techniques and moralizing injunctions as to health, hygiene and civility are no
longer required; the project of responsible citizenship has been fused with
individuals’ projects for themselves. What began as a social norm here ends as
a personal desire. Individuals act upon themselves and their families in terms
of the languages, values and techniques made available to them by professions,
disseminated through the apparatuses of the mass media or sought out by the
troubled through the market. Thus, in a very significant sense, it has become
possible to govern without governing society – to govern through the
‘responsibilized’ and ‘educated’ anxieties and aspirations of individuals and
their families. (p. 88)
The point is that if governments or rulers want to
exert power over their dominion, they don’t have to police people because
people police themselves through the internalization of norms and regulations
(Chomsky, 2002). The problem with this is that many groups absorb rules and
regulations that are not necessarily in their best interests, as can be seen in
Box 5.3.
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Power, then, emanates from the confluence of personal
motives and cultural injunctions. But, as we have seen, personal motives are
embedded in the very cultural injunctions with which they interact. Hence, it
is not just a matter of persons acting on the environment, but it is a matter
of individuals coming into contact with external forces that, to some extent,
they have already internalized. The implication is that we cannot just take at
face value that individual actions evolve from innate desires. Desires are
embedded in norms and regulations (Bourdieu, 1990; Bourdieu & Passeron,
1977; Swartz, 1997). This is not to adopt a socially deterministic position
however; for even though a person’s experience is greatly shaped by the
prescriptions of the day, agency and personal power are not completely erased
(Bourdieu, 1998; Martin & Sugarman, 2000).
Why Are Community
and Power So Important?
Community
Sense of community, social support and social capital
can produce beneficial results at the individual, communal, and societal
levels. Different kinds of social support may be given and received.
Instrumental support refers to the provision of resources, such as lending
money, helping a neighbour with babysitting, or sharing notes with a student
who couldn’t make a class. These are concrete actions that people take to help
each other. Emotional support, in turn, refers to the act of listening and
showing empathy towards others. When a friend shares with you a problem you
show emotional support by being there, listening non-judgmentally, and making
yourself available. Bonding, sharing, and building relationships through common
experiences can activate either type of support.
Social support can increase or restore health and
well-being in two ways (Cohen & Wills, 1985). First, social support can
enhance well-being through bonding, affirming experiences, sharing of special
moments, attachment, and contributions to one’s self-esteem. The more support I
have the better I feel and the more likely I am to develop well-being and
resilience in the face of adversity (Prilleltensky, Nelson, & Peirson,
2001). There is an accumulated positive effect of having had good interpersonal
experiences. According to our model of well-being, relational well-being leads
to personal well-being. The second mechanism through which social support
enhances well-being is by providing emotional and instrumental support in times
of crises. The stressful reactions associated with divorce, moves, transitions,
or death may be buffered by the presence of helpful and supportive relatives
and friends.
Cohen and Wills (1985) posited the buffering
hypothesis to indicate that social support may serve (a) to enhance coping and
(b) to mitigate the negative effects of stress. In their view, social support
may prevent the perception of events as stressful because people have
sufficient instrumental and/or emotional resources to cope with untoward
situations. A person with sufficient supports may not experience a situation as
stressful whereas others without supports may perceive the situation as very
threatening. A father who suddenly becomes unemployed but who has a partner
with a stable job and parents with economic resources may not experience the
loss of a job as a father with no parents, no back-ups, and several kids to
feed. The very phenomenon of unemployment is experienced differently by the two
men.
But social support can buffer the effects of stress
even when situations are perceived as stressful. In the case of the man with
supports, he will not worry as much about his children because others will come
through. In the second case, the father has good grounds to worry about feeding
his family. In effect, Cohen and Wills (1985) postulate that supports can help
in (a) reducing the very perception of a threat and (b) in increasing the act
of coping with the threat.
Various channels lead to the positive effects of
social support (Barrera, 2000). We can think of agents and recipients of
support, where the former is the one providing the help and the latter is the
one benefiting from it. Relational well-being is characterized by relationships
in which people assume the dual roles of agents and recipients. Support may be
given and received from a single agent to a single recipient (friends talking
to each other), from a single agent to multiple recipients (grandmother helping
her daughter and grandchildren with shopping and cooking), from multiple agents
to a single recipient (a self-help group where various participants encourage
and support a person going through a hard time), and from multiple agents to
multiple recipients (a group of women raises funds and lobbies the government
to help refugee women). In some cases, the recipients are single individuals,
whereas in others they are small or large groups. Let’s explore the
significance of social support for the various recipients.
At the individual level, compared with people with
lower supports, those who enjoy more support from relatives or friends live
longer, recover faster from illnesses, report better health and well-being, and
cope better with adversities (Cohen, Underwood, & Gottlieb, 2000; Ornish,
1998). At the group level, studies have shown that women with metastatic breast
cancer have better chances of survival if they participate in support groups.
After a follow up of 48 months, Spiegel, Bloom, Kraemer and Gotheil (1989)
found that all the women in the control group had died, whereas a third of
those who received group support were still alive. The average survival for the
women in the support group was 36 months, compared to 19 months in the control
group. Richardson and colleagues made similar claims on a sample of patients
with hematologic malignancies. They claimed that “the use of special
educational and supportive programs designed to improve patient compliance are
associated with significant prolongation of patient survival” (Richardson,
Shelton, Krailo, & Levine, 1990, p. 356). Finally, Fawzy and colleagues
(Fawzy et al., 1993) found that patients with malignant melanoma were more
likely to die or experience recurrence of the disease if they did not receive
the group intervention that the experimental group received. Out of 34 patients
in each group, of those who received group support, only 7 had experienced
recurrence and 3 had died at the five-year follow-up, compared with 13 and 10,
respectively, in the control group. Altogether, these three teams of
researchers found that social support can enhance health and longevity in the
face of deadly diseases.
In the psychological realm, self-help groups provide
support for people experiencing addictions, psychiatric conditions, weight
problems, and bereavement. In addition, support groups are also available for
relatives and friends caring for others with physical or emotional problems.
Estimates of participation in self-help groups in the United States range from
7.5 million in 1992 to 10 million in 1999 (Levy, 2000).
Keith Humphreys is one of the leading researchers in
the field of self-help groups. In a study of people with substance abuse
problems, Humphreys and colleagues found positive results for African American
participants attending Narcotics Anonymous and Alcoholic Anonymous. The sample
of 253 participants showed significant improvements in employment, alcohol and
drug use, legal complications, and psychological and family well-being
(Humphreys, Mavis, & Stoffelmayr, 1994). In another study Humphreys and
Moos (1996) compared the outcomes of self-help groups versus professional help
on people who abused alcohol. The outcomes were positive for both groups, but
the cost of the self-help option was considerably lower. Like these two
examples, there is a vast amount of research documenting the positive effects
of self-help groups. The research provides evidence that lay people can be very
helpful to each other, even in the absence of professionals leading the groups.
At the community level, the research demonstrates that
communities with high levels of social cohesion experience better health,
safety, well-being, education and welfare than societies with low levels of
cohesion. Based on U. S. research, Figure 5.2 shows the positive effects of
social capital on a number of well-being indicators. Putnam created a measure
of social capital based on “the degree to which a given state is either high or
low in the number of meetings citizens go to, the level of social trust its
citizens have, the degree to which they spend time visiting one another at
home, the frequency with which they vote, the frequency with which they do
volunteering, and so on” (Putnam, 2001, p. 48). He then compared how states
with different levels of social capital fare on a number of indicators. Putnam
compared states on measures of educational performance, child welfare, TV watching, violent crime, health,
tax evasion, tolerance for equality, civic equality, and economic equality. The
trends in Figure 5.2 are representative of the results overall. States with
high levels of social capital and social cohesion enjoy better rates of health,
safety, welfare, education, and tolerance. As can be seen in the graph, there
is a clear gradient: The higher the level of social capital, the better the
outcomes.
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Of particular interest to us is
whether social capital and social cohesion can increase health and well-being.
There is evidence to support this claim. In a survey of 167,259 people in 39 U.
S. states Kawachi and Kennedy (1999) lent strong support to Putnam’s claim that
social capital reinforces the health of the population. Convincing evidence
making the links between social cohesion and health is also presented by
Berkman, (1995), Kawachi, Kennedy, and Wilkinson (1999), Veenstra (2001), and
Wilkinson (1996). Whereas the previous sets of studies investigated the effects
of social support on individuals, researchers like Putnam, Berkman, Kawachi and
Wilkinson assessed the aggregated effect of social cohesion on entire
populations, demonstrating that a sense of community and cohesion can lead to
population health.
Power
People like you and us can use power to promote
social cohesion or social fragmentation. But power does not inhabit humans
alone. Power is vested in institutions like the church, in business corporations,
in schools and in governments (Bourdieu & Passeron, 1977). Power is
important because it is central to the promotion or prevention of the goals of
community psychology: well-being and liberation. Without it, the dis-empowered
cannot demand their human rights. With too much of it, the over-empowered is
not going to relinquish privilege. With just about enough of it, it is possible
that people may satisfy their own needs and share power with others in a
synergic form (Craig & Craig, 1979).
Power to Promote Well-being. Well-being is
achieved by the simultaneous, balanced, and contextually-sensitive satisfaction
of personal, relational, and collective needs. In the absence of
capacity and opportunity, central features of power, individuals cannot strive
to meet their own needs and the needs of others.
Personal and collective needs represent two faces of
well-being (Keating & Hertzman, 2000; Marmot & Wilkinson, 1999). The
third side of well-being concerns relational needs. Individual and group
agendas are often in conflict. Power and conflict are intrinsic parts of
relationships. To achieve well-being, then, we have to attend to relationality.
Two sets of needs are primordial in pursuing healthy relationships among
individuals and groups: respect for diversity and collaboration and democratic
participation. Respect for diversity ensures that people’s unique identities
are affirmed by others, while democratic participation enables community
members to have a say in decisions affecting their lives (Prilleltensky &
Nelson, 1997). Without power to exercise democratic rights, the chances of
promoting the three dimensions of well-being are diminished.
Power to Oppress. Power can be used for ethical
or unethical purposes. This is not just a risk of power, but part of its very
essence. For French social scientist Pierre Bourdieu, social capital is power.
It is power because it encompasses networks and resources available to serve
personal and class interests (Bourdieu, 1986; 1990; Bourdieu & Passeron,
1977). Unlike authors like Putnam who tended to emphasize the positive in
social capital, Bourdieu was concerned with some of its negative effects. Like
Bourdieu, we are concerned with the possibility of social capital and power
being used to oppress others.
Oppression can be regarded as a state or a process
(Prilleltensky & Gonick, 1996). With respect to the former, oppression is
described as a state of domination where the oppressed suffer the consequences
of deprivation, exclusion, discrimination, exploitation, control of culture,
and sometimes even violence (e.g.,
Bartky, 1990; Moane, 1999; Mullaly, 2002; Sidanius, 1993). A useful definition
of oppression as process is given by Mar'i (1988): “Oppression involves
institutionalized collective and individual modes of behavior through which one
group attempts to dominate and control another in order to secure political,
economic, and/or social-psychological advantage” (p. 6).
Another important distinction in the definition of
oppression concerns its political and psychological dimensions.
We cannot speak of one without the other (Bulhan, 1985; Moane, 1999;
Walkerdine, 1996, 1997). Psychological and political oppression co-exist and
are mutually determined. Following Prilleltensky and Gonick (1996), we
integrate here the elements of state and process, with the psychological
and political dimensions of oppression. Oppression entails a state of
asymmetric power relations characterized by domination, subordination, and
resistance, where the dominating persons or groups exercise their power by the
process of restricting access to material resources and imparting in the
subordinated persons or groups self-deprecating views about themselves. It is
only when the latter can attain a certain degree of conscientization that resistance
can begin (Bartky, 1990; Fanon, 1963; Freire, 1972; Memmi, 1968).
The dynamics of oppression are internal as well as
external. External or political forces deprive individuals or groups of the
benefit of personal (e.g., self-determination), collective (e.g., distributive
justice), and relational (e.g., democratic participation) well-being. Often,
these restrictions are internalized and operate at a psychological level as
well, where the person acts as his or her personal censor (Moane, 1999; Mullaly,
2002; Prilleltensky & Gonick, 1996). Some political mechanisms of
oppression and repression include actual or potential use of force, restricted
life opportunities, degradation of indigenous culture, economic sanctions, and
inability to challenge authority. Psychological dynamics of oppression entail
surplus powerlessness, belief in a just world, learned helplessness,
conformity, obedience to authority, fear, verbal and emotional abuse (for
reviews see Moane, 1999; Mullaly, 2002; Prilleltensky, in press b; and
Prilleltensky & Gonick, 1996).
What Is the
Value-Base of Community and Power?
We have already established the complementarity of
values for personal, relational, and collective well-being in Chapter 3. In a
similar vein, Newbrough (1992, 1995) has argued that community psychology
should try to reach an equilibrium among the principal values of the French
revolution: liberty, equality, and fraternity. In our view, however, the
desired equilibrium has not been reached because the field has paid more attention
to fraternity than to the other two values. Unlike the value of fraternity,
which has been enacted through the concept of community, the values of liberty
and equality have not found similar expression in concepts like power and
justice (Prilleltensky & Nelson, 1997). To achieve personal liberty and
collective equality, which are closely intertwined, sometimes we need to resort
to conflict. If fraternal means fail to produce a more equal distribution of
resources, conflict may be necessary. The absence of conflict rewards those who
benefit from the current state of affairs, for the status quo is to their
advantage. Hence, for as long as they produce the desired results, we would
prefer conflict-free and fraternal means of promoting well-being. But if they
don’t, we have to consider more assertive means (Hughey & Speer, 2002). We
could try to persuade companies to provide better conditions for their workers,
or we could create support groups for workers experiencing stress. Furthermore,
we could negotiate with factory owners to put in place better working
conditions such as ventilation, proper lighting, and more breaks. But if the
owners deny all requests workers may consider a strike or more confronting
means of action.
The erosion of social cohesion since the 1960s, at
least in the U. S., has been amply documented by Putnam (2000). This is a
reminder that it is not enough to reflect on the virtues of community
structures; somebody has to support them! In the age of economic neoliberalism
and globalization, governments are under great pressure to reduce community and
social services either to cope with lower taxes or to reduce them. This has
been the trend in the last two decades. As a result, we see less and less
investment in communities and more and more tax cuts that benefit the rich
(Gershman & Irwin, 2000; Sen, 1999). In light of these developments, now
more than ever we need social movements to fight for the restoration of
community services and for social investments (Bourdieu, 1998; Kim, Millen,
Irwin, & Gershman, 2000).
How Can Community
and Power Be Promoted Simultaneously?
The literature is quite abundant in examples that
promote either a sense of community (e.g., Fisher, Sonn, & Bishop, 2002) or
empowerment (e.g., Perkins & Zimmerman, 1995; Serrano Garcia & Bond,
1994), but not so vast in cases that promote both simultaneously. Based on
their research with community mental health groups, Nelson, Lord and Ochocka
(2001) proposed the empowerment-community integration paradigm. With input from
various stakeholder groups they identified values, elements, and ideal
indicators for the promotion of the new paradigm. The key values for this
paradigm are psychiatric consumer/survivor empowerment, community integration
and holistic health care, and access to resources. The principles, which
correspond respectively to liberty, fraternity, and equality, seek an
integration of empowerment and community interventions. Table 5.2 shows the
main ingredients of the new paradigm.
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Insert Table 5.2 About Here |
As found by Nelson and colleagues, the three values
are needed for the well-being of psychiatric consumer/survivors. In our view,
this integration is really imperative for the promotion of individual, group,
community, and societal well-being (see also Table 5.1). Social support by
itself promotes a sense of community but it doesn’t rectify power imbalances,
whereas combative social action addresses power inequalities but doesn’t
necessarily promote cohesion.
Power and
community may be invoked to promote well-being, engage in oppression or,
finally, strive for liberation. Liberation refers to the process of
resisting oppressive forces. As a state, liberation is a condition in which
oppressive forces no longer exert their dominion over a person or a group.
Liberation may be from psychological and/or political influences. Building on Fromm’s
dual conception of “freedom from” and “freedom to” (1965), liberation is the
process of overcoming internal and external sources of oppression (freedom
from), and pursuing well-being (freedom to). Liberation from social oppression
entails, for example, emancipation from
class exploitation, gender domination, and ethnic discrimination. Freedom from
internal and psychological sources includes overcoming fears, obsessions, or
other psychological phenomena that interfere with a person's subjective
experience of well‑being. Liberation
to pursue well-being, in turn, refers to the process of meeting personal,
relational, and collective needs.
The process of liberation is
analogous to Freire’s concept of conscientization, according to which
marginalized populations begin to gain awareness of oppressive forces in their
lives and of their own ability to overcome domination (Freire, 1972). This
awareness is likely to develop in stages (Watts, Griffith, & Abdul-Adil,
1999). Through various processes, people begin to realize that they are the
subject of oppressive regulations. The first realization may happen as a result
of therapy, participation in a social movement or readings. Next, people may
connect with others experiencing similar circumstances and gain an appreciation
for the external forces pressing down on them. Some individuals will go on to
liberate themselves from oppressive relationships or psychological dynamics
such as fears and phobias, whereas others will join social movements to fight
for political justice (Bourdieu, 1998). While a fuller exploration of
interventions will be given in Chapters 8, 9, and 10, we offer below some
parameters for intervention at different levels of analysis.
Individual and Group Interventions. Research
on the process of empowerment shows that individuals rarely engage in
emancipatory actions until they have gained considerable awareness of their own
oppression and have enjoyed support from other community members (Kieffer,
1984; Lord & Hutchinson, 1993). Consequently, the task of overcoming
oppression should start with a process of interpersonal support, mentoring, and
psychopolitical education. It is through this kind of support and education
that people experience consciousness-raising (Hollander, 1997; Watts, Griffith,
& Abdul-Adil, 1999).
The preferred way to contribute
to the liberation of oppressed people is through partnerships and solidarity.
This means that we approach others in an attempt to work with them and learn
from them at the same time that we contribute to their cause (Nelson, Ochocka,
Griffin & Lord, 1998; Prilleltensky, Nelson & Peirson, 2001). The three community mental health
organizations studied by Nelson, Lord and Ochocka (2001) dedicated themselves
to empowering people with psychiatric problems. At their best, these
organizations provided support and empowerment to their members, affording them
voice and choice in the selection of treatment, caring and compassion, and access
to valued services and resources. Similarly, action groups studied by Speer and
colleagues offered citizens better resources such as services and housing, but
connectedness at the same time (Speer & Hughey, 1995; Speer, Hughey,
Gensheimer, & Adams-Leavitt, 1995). In both sets of studies, the groups acted as
communities of support and communities of power.
Community and Societal Interventions. Joining
strategic social movements is perhaps the most powerful step that citizens can
take to transform unacceptable social conditions. In some cases these will be
global movements, in others they may be regional or community-based coalitions.
In North America community-building efforts have proven useful in bringing
people together to fight poverty. Snow (1995) claims that “community-building
can enable the underprivileged to create power through collective action” (p.
185), while McNeely (1999) reports that “community building strategies can make
a significant difference. There is now evidence of many cases where the
residents of poor communities have dramatically changed their circumstances by
organizing to assume responsibility for their own destiny” (p. 742). McNeely
lists community participation, strategic planning, focused and local
interventions as central to success. Similar initiatives have taken place in
Europe to address the multifaceted problems faced by residents in large public
housing estates. Community organizing helped many poor neighbourhoods
throughout the UK to demand and receive improved social services such as
health, policing, and welfare (Power, 1996).
In their research of Block Booster Projects in New
York, Perkins and Long (2002) found that sense of community and
communitarianism predicted collective efficacy, which is encouraging because
collective efficacy may be a precursor of social action. A similar and
encouraging result was reported by Saegert and Winkel (1996) who found that
social capital increased empowerment and voting behavior at the group level.
These interventions work at the personal, relational,
and collective levels at the same time. By participating in social action
groups, citizens feel empowered while they develop bonds of solidarity, a
phenomenon that is particularly prominent in women-led organizations (Gittell, Ortega-Bustamante,
& Steffy, 2000; hooks, 2002). The feelings of empowerment and connection
contribute to personal and relational well-being; whereas the tangible outcomes
in the form of enhanced services and quality of life contribute to collective
well-being. In comparing two social action groups, Speer and colleagues found
that members of the organization that invested more in interpersonal
connections reported their group to be “more intimate and less controlling.
They also reported more frequent overall interpersonal contact and more
frequent interaction outside organizing events. Members of the community based
organization also reported greater levels of psychological empowerment” (Speer,
Hughey, Gensheimer, & Adams-Leavitt, 1995, p. 70). Their research illustrates
how an organization can promote empowerment and community at the same time.
What Are Some of
the Risks and Limitations of Community and Power?
Community
Social capital may be used to increase bonding
or bridging. Whereas the former refers to
exclusive ties within a group,
the latter refers to connections across groups. Country clubs, ethnic
associations, farmers’ association, and men’s groups increase bonding.
Coalitions, interfaith organizations and service groups enhance bridging
(Agnitsch, Flora, & Ryan, 2001). There is a risk of bonding overshadowing
the need for bridging. If every group in society was interested only in what is
good for its own members, there would be little or no cooperation across
groups. Bridging is a necessity of every society. It is a basic requirement of
a respectful and inclusive society. However, there are examples of groups
investing in bonding to prevent bridging. Classic examples include the Ku Klux
Klan and movements that support ethnic cleansing.
If bonding leads to preoccupation with one’s
well-being and the neglect of others’, we see a problem. The problem is even
greater if social capital is used to promote unjust policies or discrimination.
“Networks and the associated norms of reciprocity are generally good for those
inside the network, but the external effects of social capital are by no means
always positive” (Putnam, 2000, p. 21). Movements such as NIMBY (not in my
backyard) and coalitions of elite businesses exploit their power and
connections to achieve goals that are in direct opposition to the values of
community psychology. “Social capital, in short, can be directed toward
malevolent, antisocial purposes, just like any other form of social
capital....Therefore it is important to ask how the positive consequences of
social capital – mutual support, cooperation, trust, institutional
effectiveness – can be maximized and the negative manifestations –
sectarianism, ethnocentrism, corruption – minimized” (Putnam, 2000, p. 22).
Another serious risk of the current discourse on
social capital is its potential deflection of systemic sources of oppression,
inequality and domination. There is a distinct possibility that social capital
may become the preferred tool of governments to work on social problems because
it puts the burden of responsibility back onto the community (Blakeley, 2002;
Perkins, Hughey, & Speer, in press). We believe that communities should
become involved in solving their own problems. But that is part of the
solution, not the whole solution. No amount of talk about social support
can negate the fact that inequality exists and that it is a major source of
suffering for vulnerable populations. Social support can buffer some of the
effects of inequality, but it would be most ironic if it was used to support
the same system that creates so much social fragmentation and isolation. Hence,
we caution against social capital becoming the new mantra of governments.
Furthermore, we call on people to create bonds of solidarity to enhance, not to
diminish, political action against injustice. We concur with Perkins, Hughey,
and Speer who claim that “excessive concern for social cohesion undermines the
ability to confront or engage in necessary conflict and thus disempowers.” (in
press, p. 2).
Power
Too much power in the wrong hands and too little
power in the right hands are two problems associated with power. Of course, we
don’t always know who is the “wrong hands” and who is the “right hands.” But,
in principle, we know that certain groups are clearly over-empowered. At the
time of this writing, in July 2002, newspapers and magazines all over the world
are decrying the unrestrained power of corporate executives. The collapse of
corporations like Enron and Worldcom, due in part to the unrestrained power of
chief executive officers and their ability to doctor the books, left thousands
of people with no pension plan and thousands of others with no life savings (e.
g., Gibbs, 2002). We don’t want to give more power to corrupted corporate
leaders, nor, for that matter, to racist demagogues or unreformed sexists.
Far too often, not enough power gets into the hands
of the marginalised. A number of barriers stand in the way of the disempowered
(Gaventa & Cornwall, 2001; Serrano-García & López Sánchez, 1994; Speer
& Hughey, 1995; Speer, Hughey, Gensheimer, & Adams-Leavitt, 1995).
Superior bargaining resources is the first instrument of power in the hands of
the powerful. Those with resources to pay lawyers and send their children to
elite schools have more access to power than those with fewer resources. In the
case of a dispute, those with the lawyers, the money, and the connections can
outweigh the position of the disadvantaged.
By setting agendas and defining issues in a
particular way, power is also exercised by excluding from discussions and
public debate issues such as inequality, privilege, oppression, corruption and
power differentials. The third barrier to power and participation is defining
issues in such a way that people do not realize that power is being taken away
from them. Callers to the Suzie Orman show (see Box 5.1) are being robbed of
power when they believe that their “net-worth is a reflection of their
self-worth.” They are buying into myths and cultural messages that prevent them
from fighting injustice. Instead, they are told to go therapy and improve their
self-esteem. This is a forceful way to deny people the power of political and
economic literacy (Bourdieu, 1990, 1998; Bourdieu & Passeron, 1977).
Finally, we caution against covering the whole human
experience with a blanket of power. Power is vitally important in fostering
well-being and liberation. Moreover, it is ever present in relationships,
organizations, and communities. But we want to think that there are spaces in
human relations where power differentials are minimized, where people feel
solidarity with others, where empathy outweighs personal interests, and where
love and communion are more important than narcissism (Craig & Craig, 1979;
Dokecki, Newbrough, & O’Gorman, 2001; hooks, 2000, 2002). The complementary
risk is that we fail to see power where power is present, for masking power is
perhaps one of the gravest risks in the pursuit of well-being and liberation.
SUMMARY
In this chapter we explored the concepts of community
and power. These two concepts are the root of sense of community and
empowerment, both of which have been hailed as defining metaphors for community
psychology. We considered geographical and relational communities and explored
sense of community and social capital. The research demonstrates that cohesive
communities achieve better rates of health, education, tolerance and safety
than fragmented ones.
The benefits of social support extend beyond the
individual. Social networks improve outcomes for children, adults, and for the
community as a whole. While the positive outcomes of cohesion and social
capital are many, it’s important to remember that group unity can be used to
exclude “others.” It is equally important to keep in mind that social capital
and the call for community may be used to excuse governments from investing in
public resources (Blakeley, 2002). In other words, community and social capital
may be used to deflect responsibility from governments.
Whereas bridging and bonding are desirable qualities
of healthy communities, they can restrict opportunities for challenging power
structures and for engaging in productive conflict. Although social capital can
contribute to health and welfare, it can also depoliticize issues of well-being
and oppression (Perkins, Hughey, & Speer, in press).
The ability of communities to promote well-being and
liberation is linked to the power of the group to demand rights, services, and
resources. We explored the concept of power and noted its multifaceted nature
and applications. For us, power is a combination of ability and opportunity. In
other words, power is not just a psychological state of mind, but it’s a
reflection of the opportunities presented to individuals by the psychosocial
and material environment where they live. Of particular interest to us is the
potential of power to promote well-being, to cause or perpetuate oppression and
to pursue liberation. Personal empowerment has to be complemented by collective
actions (Cooke, 2002). We identified three main barriers to power, based on the
ability of the powerful to (a) use resources to reward and punish behavior in
line with their interests, (b) set agendas, and (c) create cultural myths and
ideologies that perpetuate the status quo. We noted that our work is challenged
by the fact that it is not always clear who needs more power and who needs to
be dis-empowered. Knowledge of the values, the context, and the various
interests at play is the best antidote against dogmatism. We can see too much
power in certain places and not enough of it in others. Both are serious risks,
for we don’t want to be oblivious to power, nor do we want to project it where
it doesn’t belong.
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Insert Box 5.3 About Here Insert Table 5.3 About Here |
Resources
1.
For an interesting project on community capacity (headed at the time of
this writing by community psychologist David Chavis), visit the Association for
the Study and Development of Community on
2.
For information on the role of social capital in international community
development, you can visit a site operated by the University of Sussex in
collaboration with the UK government department of International Development.
Go to www.id21.org/insights/insights34/insights‑iss34‑art02.html
3.
ISUMA – The Canadian Journal of Policy Research has devoted its second
volume to social capital. You may read online state of the art articles by
leading authors in this field. Visit
4.
The Saguaro Seminar at Harvard University is interested in promoting
social capital. Visit at
5.
Robert Putnam has an interesting website on his book Bowling Alone. You
can read an overview of the book on
6.
The Poverty and Race Research Action Council offers resources on how to
promote community development and community organizing. The Council aims to use
social research to reduce poverty and racism. You can visit them at
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Box 5.1 Warm up Exercise Community, Power,
and You We would like
you to think about the four following situations: 1. A
situation in which you experienced a sense of community through bonding,
close relationships and attachment. 2.
A time when you felt excluded and isolated. 3.
A situation in which you felt empowered to do something or achieve
something. 4.
An occasion in which you felt powerless and without a sense of
control. Write down how you felt in each one of these situations. |
Box 5.2 Measuring Social
Capital The following are partial sample items taken from the Social
Capital Community Benchmark Study sponsored by the Saguaro Seminar at
Harvard University. The complete tool is available at 5. This study is about
community, so we’d like to start by asking what gives you a sense of
community or a sense of belonging. I’m going to read a list, for each one say
YES if it gives you a sense of community or a sense of belonging and NO if it
does not. Your old or new friends The people in your neighbourhood Your place of worship The people you work with or go to school with 6. Generally speaking, would you say that most people can be trusted
or that you can’t be too careful in dealing with people? 16. Overall, how much impact do you think people like you can have im
making your community a better place to live? 26. Which of the following things have you done in the past twelve
months Have you signed a petition? Attended a political meeting or rally? Worked on a community project? Participated in any demonstrations, protests, boycotts, or marches? Donated blood? 33. I’m going to read a list, just answer yes if you have been
involved in the past 12 months with this kind of group An adult sports club or league, or an outdoor activity club? A youth organization like a youth sports league, the scouts, 4-H
clubs, and Boys and Girls clubs? A parents’ association, like the PTA or PTO, or other school support
or service clubs? A neighbourhood association, like a block association? A labor union? A support group or self help program? 34. Did any of the groups that you are involved with take any local
action for social or political reform in the past 12 months? |
|
Box 5.3 The Power to
Delude Ourselves? In April 2002, I, Isaac, travelled to California to teach a course at
Pacifica Graduate Institute in Carpinteria. I took a shuttle from the LA
Airport to Carpinteria. The driver, a congenial young man, started talking
with passengers about the economy, the cost of living in California, housing
and traffic. He shared with us that he had a B.A. in chemistry and that he
worked full time in a lab. In order to afford the cost of living in
California he also drove a shuttle bus from the Los Angeles Airport several
times a week, on weekends and after work. He had two demanding jobs. While
talking about the economy he said that he is in favor of a flat tax, because
“the rich should not be punished for being rich.” I thought to myself, here
is this guy who is working probably 80 or more hours a week and cannot afford
the cost of living in California, and he is favoring a most regressive tax
system that benefits the rich and disadvantages people like him because there
are fewer public resources, little public housing, and poor social services.
I then got to the hotel and went to the gym. As I was cycling on the exercise
bike I turned on the TV which was tuned in to the Suzie Orman show. Suzie
gives financial advice over the phone. One of Suzie’s mantras was that your
net-worth was a reflection of your self-worth. She told people that if they
did not achieve financial wealth it was because they did not think they
deserved it! Here I was, a community psychologist trained in thinking that
people’s problems have to do with contexts and circumstances and
opportunities in life, and in less than 30 minutes I encountered two cultural
discourses completely undermining my message. Is culture so powerful as to
delude people that if they have problems it’s their own fault? Was the driver
deluding himself? What type of social power was at play in the case of the
driver and in the case of Suzie Orman? |
|
Box 5.4 Class Exercise 1. Identify
a group or a community to which you belong. Using Table 5.3 make a list of
benefits and disadvantages associated with being part of a particular group
or community. Write down benefits and disadvantages for yourself, for other
members of the community and for people not belonging to this particular
group or community. 2.
Compare and discuss with peers in class the contents of Table 5.3 3.
As part of the discussion, consider the role of power in bringing
about positive or negative outcomes for the various groups of people listed
in Table 5.3 |
Table 5.1*
Empowerment
Processes and Outcomes at Multiple Levels of Analysis
|
Levels of Analysis |
Processes |
Outcomes |
|
Individual |
training in critical thinking participation in action groups mentoring experiences connecting with
people in similar situations training in
value-based practice |
consciousness raising participation in social action assertiveness expanded options in life sense of control mentoring others |
|
Organizational |
shared leadership training in group facilitation participation in
decision making sense of common
purpose participation in
social action |
increased resources enhanced connections solidarity with other groups influences public opinion |
|
Community |
access to government participation in civic organizations political education target local issues |
improved quality of life enhanced health
and well- being democratic
institutions improved access
to services coalitions for
well-being tolerance of
diversity |
|
Societal |
struggles for democracy struggles for liberation solidarity across
social groups resisting
globalization political and
economic literacy |
redistributive policies support for
disadvantaged people governmental
accountability control of
resources by poor progressive
social policies resists economic neo-liberalism |
* Expanded from Lord and
Hutchison (1993), Speer and Hughey (1995) and Zimmerman (2000).
Table 5.2
Values, Elements,
and Ideal Indicators of the Empowerment-Community Integration Paradigm in
Community Mental Health (reproduced with permission from Nelson, Lord, &
Ochocka, 2001, pp. 243-245)
|
Values |
Elements |
Ideal Indicators |
|
Consumer/survivor empowerment |
Personal empowerment |
• There is consumer/survivor independence • Consumer/survivors have a positive
self-image |
|
|
Voice, choice, and control over services and supports |
• Consumer/survivors have
choice over the type and source of support • Consumer/survivors’ choices
about medication are viewed in terms of choice, not “compliance” |
|
|
Voice, choice, and control over organizational planning and policy |
• Consumer/survivors have a
strong voice on all organizational committees • Consumer/survivors constitute the
majority on agency boards and committees |
|
|
Consumer/survivor control over financial resources |
• Consumer/survivors have
control over how mental health dollars are spent • Consumer/survivors are staff at all
levels of the organization |
|
Community integration |
Participation in the community |
• Consumer/survivors
participate everywhere in the community, in all walks of life • There is non-segregated
living, working, and playing |
|
|
Acceptance of consumer/survivors as valued members of the community
and eradication of stigma and labelling |
• People are loved and
accepted for who they are • Consumer/survivors do not
feel ashamed, isolated, or stigmatized |
|
|
Relationships with people who are not consumer/survivors |
• Consumer/survivors have
relationships with people in normal community settings, recreation and
leisure, work, education • Consumer/survivors have
informal support and are not isolated |
|
|
Participation in self-help/mutual aid |
• Consumer/survivors have
their own independent organizations over which they have total control • Consumer/survivors have
peer support |
|
Access to valued
resources |
Income |
• Consumer/survivors are
assured a guaranteed minimum income that allows them to live in dignity and
peace • Consumer/survivors have
decent financial support, not poverty level |
|
|
Housing |
• There is a focus on homes as
opposed to housing • Everyone has access to
clean, safe, affordable housing; housing is a basic human right |
|
|
Education |
• There are more sensitive
departments in schools and universities that aim to support students who are
consumer/survivors • Colleges and universities
have supported and flexible education policies to ensure access and support |
|
|
Employment |
• An employment strategy to
eliminate unemployment of
consumer/survivors who want to work at whatever work or level they
want • Consumer/survivors do not
lose financial support when they try to go back to work |
|
Holistic health care
(treatment and support) |
Holistic treatment and support |
• Treatment and support focus
on spiritual, emotional, mental, and physical aspects of health • Treatment and support focus
on the whole person |
|
|
Information from professionals |
• Consumer/survivors get full
information about treatment • Consumer/survivors have a
directive role with psychiatrists and professionals |
|
|
Professional attitudes and behaviours |
• Professionals listen to and
respect consumer/survivors • Professionals acknowledge
their own mental health issues |
|
|
Valuing of consumer/survivors’ experiential knowledge |
• Consumer/survivors’
experiential knowledge is considered valid • Consumer/survivors
disseminate their knowledge about recovery to professionals |
|
|
Individualized and flexible support and treatment |
• There is a move away from
“programming” to individualized supports • Services and supports build
upon consumer/survivors’ strengths |
|
|
Community and home-based support |
• Support is provided in a
person’s home or wherever it is needed in the community • Life changes for the consumer/survivor
are minimized while treatment is provided |
|
|
Coordination of treatment and support |
• There is cooperation and
common goals between psychiatrists and support workers • There is more coordination
and cooperation among service-providers • Consumer/survivors direct support coordination |
Table 5.3
Positive and Negative Aspects Associated with Being Part of a Group or
Community
|
|
Positive Aspects of Being
Part of a Group or Community |
Negative Aspects of Being
Part of a Group or Community |
|
For myself |
|
|
|
For other members of the group |
|
|
|
For people not associated with the group or community |
|
|
Figure 5.1 Summary of Core Measures of Social Capital, and Illustrative
Examples of its Determinants and Outcomes.
Insert here figure, available in RTF separate file
called “Fig 1 social capital RTF”
From Stone and Hughes (2002).
Reproduced with permission from the Australian Institute of Family Studies.
|
|
Figure 5.2 The
Effects of Social Capital in Different States of the USA
Examples of
Low social capital
states: Alabama, Mississippi, Georgia,
Louisiana
Medium social
capital states: Illinois,
Kansas, California, Ohio
High social capital
states: Vermont, North Dakota, South
Dakota, Minnesota.
* The trends reflected in the graph are based on research summarized by
Putnam (2000) in Bowling alone: The collapse and revival of American
Community. New York, NY: Touchstone.