Empowerment to participate: a case study of participation by indian sex workers in HIV prevention

The popularity of ‘participation’ and ‘empowerment’ in international development discourse is not matched by sophisticated conceptualisation of these terms. Critics have argued that their vagueness allows ‘participation’ and ‘empowerment’ to be used indiscriminately to describe interventions which vary from tokenism to genuine devolving of power to the community. This paper suggests that conceptualising empowerment and participation simply in terms of a scale of ‘more or less’ participation or ‘more or less’ empowerment does not capture the qualitatively different forms of empowerment that are necessary for different activities. Instead, the paper conceptualises participation in terms of concrete domains of action in which people may be empowered to take part. An ethnographic case study of a participatory HIV prevention project run by sex workers in Kolkata illustrates the argument. Four domains of activity in which sex workers may participate are distinguished: (1) participating in accessing project services; (2) participating in providing project services; (3) participating in shaping project workers' activity; (4) participating in defining project goals. To be empowered to participate in each domain depends upon a different set of resources. Asking the question ‘empowerment to do what?’ of health promotion projects is proposed as a way of facilitating appropriate project design. Copyright © 2006 John Wiley & Sons, Ltd.     

Empowerment theory,research, and application

This introduction to the special issue briefly reviews the meaning and significance of the empowerment concept and problems associated with the proliferation of interest in empowerment. We identify some of the topics not included in this issue and relate those to the many broad and diverse areas of psychological empowerment theory and community-based research and intervention that are covered. We present synopses of each article along with some of the themes and lessons cutting across the frameworks, studies, and applications. These include a wide diversity of settings, fairly representative of empowerment interventions, and, at the same time, improved clarity (if not unanimity) of definitions and measurement, which has been a problem in much empowerment research and intervention.     

Paths to community empowerment: Organizing at home

This study examines how low-income minority communities build on their strengths to improve material conditions and how these actions lead to further empowerment at the individual and group level, and increase engagement with civic life. Based on earlier qualitative research, low-income limited equity housing co-ops were chosen as research. Using quantitative questionnaire data, a path model was tested in which variables were organized into four levels.Level One: Attributes of the person and the context were conceptualized asexogenous variables leading to activities first at the co-op level.Level Two:co-op activities were thought to affect living conditions in the building and evaluations of co-op ownership, which comprisedLevel Three,quality of life in the building. All preceding levels were thought to influenceempowerment, as measured atLevel Four through an attitudinal measure of empowerment, and reported participation in civic activities in the broader community. The model, which emphasizes the collective and material nature of empowerment in addition to the psychological, seems justified by the data. It is especially significant that the aggregate measure of perceived participation of others predicted building quality, and that the aggregate measure of building quality went on to influence empowerment and voting behavior. Personal participation in building activities also proved a good predictor of empowerment, indicating that empowerment operates at both the individual and the group level. Furthermore, increased empowerment at the level of attitude did influence civic activities, in conjunction with personal characteristics and perceived neighborhood qualities. (Tests of causality in the opposite direction were not significant.) Our findings confirm the importance of all three components of empowerment, as articulated by Zimmerman and his colleagues (1992), that is, empowerment at the psychological, interactional, and behavioral level. It extends the conceptualization by introducing the group level of analysis. We thank the Robert F. Wagner Sr. Center for Urban Public Policy at the City University of New York Graduate School and University Center and the Fund for the City of New York for early support and the Edna McConnell Clark Foundation for current support. We acknowledge the invaluable participation in the original project of Heléne Clark, Eric Glunt, Bill Roane, and April Tyler. We also thank the anonymous reviewers and the editor for their helpful and extremely thorough comments and suggestions.     

Using empowerment theory in collaborative partnerships for community health and development

Models of community empowerment help us understand the process of gaining influence over conditions that matter to people who share neighborhoods, workplaces, experiences, or concerns. Such frameworks can help improve collaborative partnerships for community health and development. First, we outline an interactive model of community empowerment that describes reciprocal influences between personal or group factors and environmental factors in an empowerment process. Second, we describe an iterative framework for the process of empowerment in community partnerships that includes collaborative planning, community action, community change, capacity building, and outcomes, and adaptation, renewal, and institutionalization. Third, we outline activities that are used by community leadership and support organizations to facilitate the process of community empowerment. Fourth, we present case stories of collaborative partnerships for prevention of substance abuse among adolescents to illustrate selected enabling activities. We conclude with a discussion of the challenges and opportunities of facilitating empowerment with collaborative partnerships for community health and development. This work was supported by Kansas Health Foundation Grants 9206032B and 9206032A to support and evaluate community partnerships to prevent adolescent substance abuse. Thanks to Tom Wolff for sharing his wisdom about community coalitions so generously, and to Bill Berkowitz and anonymous reviewers for thoughtful comments on an earlier version of this manuscrpt. We also thank our colleagues from the Kansas Health Foundation, Mary K. Campuzano, Steve Coen, and Marni Vliet, and those from collaborating communities, who continue to teach us about ways to enhance community capacities to address local concerns.     

社区背景下的心理赋权研究:回顾与展望

心理赋权作为社区心理学的一个核心概念,关注的是在特定社区背景下,以公民参与为目标的个体人格定向与自我调控过程。目前对心理赋权的理论研究已有一定积累,但实证研究还相当薄弱,无论是测量工具的开发、有关影响因素的探讨还是心理赋权的干预研究或行动研究,都亟需加强。本文着重介绍了心理赋权在理论研究方面所取得的成果以及实证研究的最新进展,并对未来的研究趋势进行了展望。     

Community-Engaged Neighborhood Revitalization and Empowerment: Busy Streets Theory in Action

Busy streets theory predicts that engaging residents in physical revitalization of neighborhoods will facilitate community empowerment through the development of sense of community, social cohesion, collective efficacy, social capital, and behavioral action. Establishing safe environments fosters positive street activity, which reinforces neighborhood social relationships. A community-engaged approach to crime prevention through environmental design (CE-CPTED) is one promising approach to creating busy streets because it engages residents in collaborative interactions to promote safer environments. Yet, few researchers have studied how CE-CPTED may be associated with busy streets. We interviewed 18 residents and stakeholders implementing CE-CPTED in Flint, Michigan. We studied three neighborhoods with different levels of resident control over CE-CPTED. Participants described how CE-CPTED implementation affected their neighborhood. Participants from all three neighborhoods reported that CE-CPTED was associated with positive street activity, sense of community, and collective efficacy. Participants from neighborhoods with higher resident control of CE-CPTED reported more social capital and behavioral action than those from neighborhoods with less resident control. Our findings support busy streets theory: Community engagement in neighborhood improvement enhanced community empowerment. CE-CPTED that combines physical revitalization with resident engagement and control creates a potent synergy for promoting safe and healthy neighborhoods.     

Conducting community‐based participatory research in an urban Malaysian community: Lessons learned and challenges in establishing partnerships

This paper presents the process of how partnerships are established between an urban residential community and an academic institution in Malaysia by employing community‐based participatory research, which involves researchers, community members, and organizational representatives as coresearchers. The research process encompasses colearning, power sharing, and coconstructing of knowledge, with the community members driving the research direction. The research paradigm is grounded on conducting research with the community. This paper highlights the experience and lessons learned while applying the principles of community‐based participatory research that promotes social participation of older persons living in a residential community. Two pertinent challenges surface in the research process. The first challenge involves the complexity noted in the gap between the emancipation of community‐based participatory research and the hierarchical social structure of the society. The second challenge is the prevalence of unspoken yet subtle domination that undermines the local cultural values affecting the process of coconstructing knowledge with the community. Recommendations for addressing these challenges include future partnerships with other Malaysian communities as well as cross‐border research partnerships.     

Citizen participation and emprowerment: The case of local environmental hazards

Local environmental hazards place millions of citizens at risk of physical, emotional, and financial harm. While the discovery of such hazards can be fundamentally disempowering for individuals and communities, few scholars have examined the dynamics of empowerment in this context. We explore the relationships among forms of empowerment, citizen participation, and local environmental hazards, and offer a model of the processes of empowerment and disempowerment appropriate to a broad range of citizen issues. On the basis of this analysis we recommend a partnership approach to community decision making that is designed both to reduce the likelihood that local environmental hazards will develop and to minimize the disempowering impact of any threats that do occur.     

Health Promotion in International Documents: Strengths and Weaknesses from the Perspective of Community Empowerment

Informed by a community psychology perspective, which takes an integrated and systemic, or holistic view of health and health promotion, this study presents quali‐quantitative analysis of health documents, produced by the World Health Organization (WHO) over the last 30 years. Textual analysis facilitated the identification of the typical specificities of international WHO health promotion documents, highlighting the lexical contexts of health promotion, particularly in relation to responsibilities for health and the concept of community health. Further, this textual analysis demonstrated how these understandings of health and health promotion have evolved over the last 30 years. Drawing on theory from within the field of community psychology, the changes proposed throughout international WHO documentation in conceptualizations of health and health promotion and in defining strategies to achieve the stated goals of health promotion are discussed critically. Copyright © 2011 John Wiley & Sons, Ltd.     

心理授权研究的现状

心理授权是授权的个体内心体验的综合体,包含意义、自我效能感、自我决定以及影响四个维度。个体心理授权的影响因素方面包括个体特征、工作特征以及团体和组织特征等三个方面。心理授权不仅能作为自变量对相关工作态度、工作行为及绩效发挥积极的作用,也能作为中介变量对某些因素之间的关系起着中介作用。该文最后在对心理授权的相关研究进行总结的基础上,指出未来的研究有必要加强对心理授权的纵向过程研究等四方面问题的考察     

Social Contexts and Building Social Capital for Collective Action: Three Case Studies of Volunteers in the Context of HIV and AIDS in South Africa

Social capital is increasingly conceptualised in academic and policy literature as a panacea for a range of health and development issues, particularly in the context of HIV. In this paper, we conceptualise social capital as an umbrella concept capturing processes including networks, norms, trust and relationships that open up opportunities for participation and collective action that allow communities to address issues of common concern. We specifically outline social capital as comprising three distinct forms: bonding, bridging and linking social capital. Rather than presenting original data, we draw on three well‐documented and previously published case studies of health volunteers in South Africa. We explore how social contexts shape the possibility for the emergence and sustainability of social capital. We identify three cross‐cutting contextual factors that are critical barriers to the emergence of social capital: poverty, stigma and the weakness of external organisations' abilities to support small groups. Our three case studies suggest that the assumption that social capital can be generated from the ground upwards is not reasonable. Rather, there needs to be a greater focus on how those charged with supporting small groups—non‐governmental organisations, bureaucracies and development agencies—can work to enable social capital to emerge. Copyright © 2014 John Wiley & Sons, Ltd.     

中小学教师心理授权的测量

本研究旨在编制适合我国实际教育情境的中小学教师心理授权问卷。在文献分析的基础上,结合开放式和半开放式问卷调查、教师访谈、专家访谈,采用分问卷开发技术,对1272份有效问卷进行了分析,结果表明中小学教师心理授权由心理授权体验、心理授权技能和心理授权行为三个分问卷构成。其中,心理授权体验包括自我效能、影响力、地位和自主性4个因素;心理授权技能包括决策参与技能和沟通交流技能2个因素;心理授权行为包括影响教学行为和决策参与行为2个因素。本研究编制的心理授权问卷共44个题项,信效度均达到了心理测量学要求,可以用作教师心理授权的测量。     

Testing Underlying Assumptions of the Family Empowerment Perspective

We examined two underlying assumptions of the family empowerment perspective. The first assumption is that a well-validated family-based treatment that explicitly aims to empower caregivers can do so. The second assumption is that increased caregiver empowerment should be associated with improved youth and family functioning. The data used to examine these assumptions are based on a randomized trial of multisystemic therapy versus usual community services for 118 substance abusing and dependent juvenile offenders. Results provided partial support for the underlying assumptions of the family empowerment perspective. The family-based treatment in comparison with usual services increased caregiver perceptions of empowerment at the service system level, but not at the family level. In addition, increased empowerment at the family and service system levels were associated with improved family relations, but not with decreased youth behavior problems. The conceptual implications and limitations of the findings are discussed.     

Sense of community improves community participation in Chinese residential communities: The mediating role of sense of community responsibility and prosocial tendencies

Community participation is essential for community development and enhancing quality of life. Several studies have focused on the relationship between sense of community (SOC) and community participation in organizational settings. Guided by the community experiences framework, this study aims to examine how a SOC improves community participation in Chinese residential communities. Moreover, the study aims to assess the mediating role of SOC responsibility (SOC-R) and prosocial tendencies in that relationship. A sample of 433 residents completed questionnaires regarding their SOC, sense of community responsibility, prosocial tendencies, and community participation. Using a linear regression model, we found that a SOC can positively predict the level of community participation. Mediation effect analysis revealed that a SOC-R mediated the relationship between SOC and community participation. In addition, prosocial tendencies mediated the association between the SOC and community participation. Using multiple mediation analysis, we found that SOC-R and prosocial tendencies mediated the link between a SOC and community participation in a sequential manner. The findings of this study complement existing research by uncovering the mechanism underlying the relationship between a SOC and community participation.     

“为癌症患者心理赋能”的临床干预路径

“为患者心理赋能”是近年来医疗健康领域出现的一种新的积极医疗照护理念,其关注点是个体的能力而非缺陷,它强调医疗实践应该为改善健康和生活质量建立患者激励结构。首先梳理了赋能的概念发展与心理结构,随后引证多个实证研究总结出为癌症患者心理赋能的四条临床干预路径,指出医患共同决策、同伴支持、赋能教育以及认知行为压力管理的赋能价值。最后结合已有成果和研究中发现的问题,提出癌症心理赋能干预发展建议,有利于进一步开展临床研究和实践探索。

     

Youth Empowerment in Context: Exploring Tensions in School-Based yPAR

In much of the youth empowerment literature, researchers focus on the relationship between youth and adults involved in empowerment programs while neglecting the broader social framework in which these relationships and the program itself functions. Utilizing an ecological model, the current research examines the tensions that surfaced in attempts to create an empowering setting in an after-school PAR program with fifth-graders. Challenging assumptions about youth, structural challenges, and conflicting theories of change are highlighted. Results examine the role of sociocultural context as PAR researchers attempt to create a setting in which students gain skills to become change agents within their school. The study suggests that youth empowerment is a context dependent process that requires attention to a multiplicity of factors that influence possibilities for empowerment via second order change.     

The Influence of Participation, Gender and Organizational Sense of Community on Psychological Empowerment: The Moderating Effects of Income

This study explored the influence of participation, gender and organizational sense of community (SOC) on both the intrapersonal and interactional components of psychological empowerment (PE). Participants were residents (n = 562) involved in community organizing efforts in five U.S. communities. Measures of participation and SOC were tailored to community organization contexts. SOC assessed three dimensions: (1) connection of members to the organization; (2) perceptions about the organization as a bridge to other groups and organizations in the broader community; and (3) bond or attachment to the community at large. Income (low, middle and high-income) was tested as a moderator of these relationships. Results showed significant moderating effects of income on the relationship between participation, gender and SOC on both components of PE. Participation was positively related with intrapersonal empowerment across income levels, but positively related with interactional empowerment only for low-income individuals. Gender was only associated with intrapersonal empowerment, and only for low-income individuals. SOC, as expressed through bridging to the broader community, was positively related with interactional PE for all income levels, but with intrapersonal PE for only low and middle-income individuals. In contrast, member connection to the organization was not related to interactional empowerment and significantly related to intrapersonal empowerment only for individuals with higher income. The importance of participation, gender and SOC for different types of empowerment and the impact of income on the SOC-empowerment relationship are discussed.     

Empowerment,agency, and power

As ‘empowerment’ and ‘agency’ have received wider usage within development research and policy, ambiguities and variant meanings have proliferated. Amidst this conceptual drift, there has also been a tendency to assimilate the two concepts. This tendency is problematic in a number of ways. First, ‘agency’ has various meanings, and the weakest of these captures little of the concept of empowerment. Second, empowerment has a conceptual link with well-being that agency cannot have. Third, when empowerment is assimilated with expanded agency, that agency is not considered in a relational way: the focus is on how the agency of a group or individual becomes greater than it was, not on the degree to which their agency is dependent on or dominated by the agency of others. If ‘empowerment’ no longer refers to social relations, it loses its direct relevance to the transformation of those relations and, as some critics have claimed, it ceases to be a ‘transformative’ concept. After showing that there are cases of empowerment that cannot be captured by conceptions of empowerment that ‘take power out’, I draw upon the capability approach to propose relational conceptions of agency and empowerment that ‘bring power back in’.     

癌症患者健康赋权能力的研究现状

追溯赋权的起源及其概念的演变,全面研究健康赋权的内涵及其对癌症患者的重要性。通过总结癌症患者健康赋权的测评工具、相关影响因素、促进健康赋权策略三个方面,了解国内外癌症患者健康赋权研究与实施的关键点与未来挑战,以期为探索适合我国癌症患者健康赋权的专科评估、干预模式构建和护理实践提供依据,以提高患者对健康相关知识的掌握,促使患者与医务人员共同规划、设计医疗保健行为,并最终实现以患者为中心的医疗服务理念,促进医疗系统的可持续发展。

     

Culture and empowerment in the Deaf community: An analysis of internet weblogs

Although deafness is traditionally conceptualized as a medical problem or disability, about 500 000 deaf people in the United States identify as members of an ethno‐linguistic minority that takes pride in being Deaf. This study examined 416 Internet weblog posts authored by nine Deaf bloggers to describe aspects of Deaf culture and individual and community level empowerment strategies expressed in weblogs. Results highlight aspects of American Deaf culture, such as the value placed on American Sign Language and equal treatment of D/deaf and hearing people. Findings also provide evidence of expressions of Deaf culture such as the use of humour and supporting the community that have been less emphasized in previous literature. Community level empowerment strategies evident in posts included disseminating information, rallying the involvement of members and advocating for social justice. Overlap between expressions of Deaf culture and empowerment strategies were also found. Present results inform a growing literature on empowerment strategies that occur without intervention by professionals. Implications of the study for community research and action are discussed. Copyright © 2011 John Wiley & Sons, Ltd.