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From:
"Thompson, Kenneth" <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 24 Oct 2006 09:57:10 -0400
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hi susan et al.

thanks for this.  let me reply by saying that 

1) collective actions by groups of humans can be evil or good- just as individual actions can be.  but the concept of social capital implies (though maybe not very forcefully) that the action taken is for the "good".  actions that produce violence and conflict are highly problematic here- are some wars just? for example.  the issue is recognized by putnam et al who note that social capital comes in two forms- bonding and bridging.  bonding links members of a group together, bridging links different groups together.  the implication is that bonding social capital, in the absense of bridging social capital, leads to some of the problems you note below.

2) solidarity is, to my understanding, the equivalent of all for one, one for all.  it applies especially in circumstances where one group is exploiting/oppressing another.  as i noted above, simply bonding together (even in the face of oppression) does always not guarantee good action.  but in its heart, though perhaps not strongly enough, solidarity is about life affirmation, not death and destruction.  for me solidarity will always be mean "good" collective bonding and action and it must not mean homogeneity.  its what we should strive to create. 

3) so where does this leave us?  the capacity for collective non-violent action and problem solving, with social justice and humanity and humility in mind, is what we need to improve the lot and life and health of people who are now oppressed/exploited/neglected/excluded.  the more we have that, the better things will be for all.  but what to call it?  how about "capacity for collective non-violent action and problem solving, with social justice, humanity and humility in mind"---  roles right off the tongue..

ken 


-----Original Message-----
From: Social Determinants of Health on behalf of Susan Ladwig
Sent: Tue 10/24/2006 1:25 AM
To: [log in to unmask]
Subject: Re: [SDOH] Income or Social Capital as Social Determinants of Health
 
 
Ken, a thought experiment:
 
If we insist that  social capital  equals solidarity or "the capacity for 
people to  have enough trust in each other to be able to work together to solve 
the  problems they mutually confront" then one could argue that members of 
gangs, or  a  cohesive community of illegal drug users also possess high levels of 
 solidarity or social capital according to this definition. But mere  
presence of social capital does not, in itself, guarantee health or better  health 
outcomes, as these examples should also make clear. In fact, one might  argue 
that social capital, or networks of individuals who work together to solve  
common problems, often do so precisely in the absence of other structural  
supports or safety nets provided by government, or outside democratic government  
itself.  Nazi Germany in the 1930s, or the American South in the  1860s had a 
high degree of solidarity or conformity, did they not? And  in these examples, 
one could hypothesize that resolving conflicts is often very  unhealthy (  or 
fatal) for the  dissenting parties involved,  and that some invocations of 
social capital  or  solidarity do indeed serve those with the most power, and 
marginalize  those without. There is currently much solidarity, networking  or  
social capital among the  neo-liberal business class in America, as  they try to 
keep the growing problem of severe poverty and rising numbers of  uninsured 
from affecting their bottom line -- and the business elite certainly  has much 
influence  and solidarity with our neo-liberal  (conservative) government. Yet 
all evidence indicates  the resulting  neo-liberal policies are  detrimental 
to  population health.

More evidence that use of the concept "social capital" as it  relates to 
population health is problematic at best, and certainly not an  unambiguously po
sitive force for better health. And how  often  throughout history has 
"solidarity" substituted for  "homogeneity?
 
Sue Ladwig
MPH candidate, University of Rochester
 
 
In a message dated 10/22/2006 11:28:21 P.M. Eastern Daylight Time,  
[log in to unmask] writes:

hi  all,

i must be missing something.

as i have understood social  capital, i have taken it as the capacity for 
people to have enough trust in  each other to be able to work together to solve 
the problems they mutually  confront.  in short, i have read it as a liberal 
term for  solidarity.  it seems to me that we should insist on this  meaning.   
and it is in my mind very related to health.  social  capital/solidarity is 
predicated on the history of prior efforts to solve  social problems, and future 
problems are structured by its presense or  absense.

i suppose there are some uses of the term that try to paper  over social 
conflict between individuals, communities, classes and other  social 
organizations- this seems to me to be a corrupt definition from the  start.  there is no 
social capital if there is unresolved  conflict.

social capital, in the solidarity sense, can exist outside of  government.  
but if the government has no solidarity with the people-  there is no social 
capital that government can call on.

ken thompson  
pittsburgh


-----Original Message-----
From: Social  Determinants of Health on behalf of Vanessa Yu
Sent: Sat 10/21/2006 7:51  PM
To: [log in to unmask]
Subject: Re: [SDOH] Income or Social Capital as  Social Determinants of Health

Alternatively, the presence of high  levels of social capital  
(self-sufficiency) within a group allow  governments to defer  
responsibility.  When good health outcomes  are apparent though,  
governments are quick to accept accountability  -- and as Dennis said,  
when problems arise, communities are  blamed.

Vanessa Yu

Quoting Dennis Raphael  <[log in to unmask]>:

> Social capital is  primarily an outcome of structural arrangements in
> society.  It  may be a mediator between these structural relations (i.e.
> income  distribution, job security, democratic responsiveness) and health.
> It  may even feed back to support these structural relations.  But it is  
not
> a cause of health in itself.  It does not arise  spontaneously, and it is
> certainly a minor (though potentially  marginally useful) point at which to
> intervene in the service of  health.
>
> It is also a de-politicized approach that allows those  in authority to
> blame communities for their own problems.  It is  not surprising that Robert
> Putnam was a frequent guest of the Clinton  White House.  Social capital can
> help serve those in  power.
>
>  See four articles on community quality of life by  yours truly at:
>
>  http://tinyurl.com/wjg8l
>
>
> dr
>
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