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Social Determinants of Health

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Subject:
From:
Rhonda Love <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Wed, 3 Aug 2005 11:16:49 -0400
Content-Type:
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Dear All:

I would like to respond to one aspect of Linda's post: the role of academics 
and the university.

Until universities change the ways that scholars and scholarship are evaluated 
and promoted, there will be little change in the way academics work. Academia 
is suffering as "market forces" change the structure of the academic workforce 
and the actual job of academics. I personally see no signs that universities 
are encouraging community control over research, unless that "community" is 
already rich and powerful. I, am, however, hopeful that efforts such as the 
Community-Campus Partnership for Health that Sarena Saifer wrote to us about, 
and other such efforts, may create change from the bottom up. 

There are some very good critiques of the university in society and I want to 
encourage list members to read some or all of them. These books show 
the "underbelly" of academia and understanding that will help "community" 
workers know the forces that shape higher education and research. I suggest 
just a few below:


Universities in the Marketplace: The Commercialization of Higher Education by 
Derek Bok, published by Princeton University Press in 2003. ISBN: 0-691-11412-9


Universities and Globalization, edited by Jan Currie and Janice Newson, 
published by Sage Publications, 1998. ISBN: 0-7619-1066-2 (pbk).

The Canadian Association of University Teachers has a book series and that can 
be found on CAUT's website: http://www.caut.ca  Below is a detailed sampling 
of that series:

The Olivieri Report: The complete text of the report of the independent 
inquiry commissioned by the Canadian Association of University Teachers, by 
Jon Thompson, Patricia Baird and Jocelyn Downie. Published by James Lorimer 
and Company, Ltd., 2001. ISBN 1-55028-739-7

Discipling Dissent: The curbing of free expression in academia and the media. 
Edited by: William Bruneau and James L. Turk, Published by James Lorimer and 
Company Ltd., 2004. ISBN 1-55028-841-5

Let Them Eat Prozac by Dr. David Healy, Published by James Lorimer and 
Company, Ltd., 2003. ISBN: 1-55028-783-4

Also in the series from CAUT: Counting Out the Scholars: How Performance 
Indicators Undermine Colleges and Universities by William Bruneau and Donald 
Savage; The Corporate Campus: Commercialization and the Dangers to Canada's 
Colleges and Universities, edited by James L. Turk; Universities for Sale: 
Resisting Corporate Control over Canadian Higher Education.

Happy Reading!

Rhonda Love





Quoting Linda Green <[log in to unmask]>:

> >Announcing the publication of Methods in Community-Based Participatory
> >Research 
> >for Health Edited by Barbara A. Israel DrPH, Eugenia Eng DrPH, Amy J.
> >Schulz 
> >PhD, Edith A. Parker DrPH
> >
> >Written by distinguished experts 
> 
> Let's just flag the phrase 'distinguished experts'  for a moment
> in light of the claims being made about equal partnerships below.
> With the respect due those who have developed CBPR and are 
> promoting it so that community based organizations can get into 
> line with the requirements of new evidentiary regimes (including
> program and outcomes evaluation), I noticed that the principles 
> and practices that inform community based participatory research 
> are essentially those of community psychology. Given that, I wonder 
> about the strength of the argument that CBPR is truly community 
> based? I find it very difficult given my exposure to the practices
> of knowledge production in the field of psychology to see the field
> as capable of leading anything truly grassroots. When I inquired of 
> those online recently about the history of usage of the term citizen 
> engagement, someone (forgive me for forgetting for the moment 
> who that was) responded with a  comparison with the participatory 
> approach that is credited to Paolo Freire. However, I want to point
> out that from my point of view, it is a significant political leap from 
> CBPR to the work of Freire. This was an extremely generous
> comparison I think. 
> 
> For those who weren't aware of the origins of CBPR in community
> psychology, take a look at the book  Community Psychology: Linking
> Individuals and communities. Dalton, J.H. (2001). Stamford, Conn.
> Wadsworth Publishing.  
> 
> >in the field, this book shows how researchers, 
> >practitioners, and community partners can work together to establish and 
> >maintain equitable partnerships 
> 
> why are we so sure these are equitable partnerships? I think 
> that assertion may need some reality testing. My experience is 
> you don't have to dig very deep to hear how this isn't quite a fit 
> on the community side of these partnerships. I suspect we need to 
> have a closer look at how the role and power of universities and 
> academics in knowledge production are being reasserted and 
> redefined by the machinery of evidence based policy making. 
> 
> >using a community-based participatory research 
> >(CBPR) approach to increase knowledge and improve health and well-being
> >of the 
> >communities involved. What distinguishes CBPR from other approaches to
> >research 
> >is the active engagement of all partners in the process. This book
> >provides a 
> >comprehensive and thorough presentation of CBPR study designs, specific
> >data 
> >collection and analysis methods, and innovative partnership structures
> >and 
> >process methods. This book informs students, practitioners, researchers,
> >and 
> >community members about methods and applications needed to conduct CBPR
> >in the 
> >widest range of research areas?including social determinants of health,
> >health 
> >disparities, health promotion, community interventions, disease
> >management, 
> >health services, and environmental health.
> 
> just a few observations. Linda
> >
> 
> ____________________________
> Linda Green, OISE/UT
> Counselling for Community Settings
> [log in to unmask]
> 
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