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Policy of Empowerment: Pope Francis in Cuba 权力政策:教宗方济各在古巴
Pub Date : 2017-04-01 DOI: 10.13169/intejcubastud.9.1.0019
Petra Kuivala
IntroductionPope Francis spent four days on Cuban soil in September 2015. During these days, he visited three cities: Havana, Holguin and Santiago de Cuba. I participated in the visit as an observer invited by the Conference of Catholic Bishops in Cuba(Conferencia de Obispos Catolicos de Cuba). In Havana, I joined the delegation of the Conference and participated in the events in the same manner as the Catholic invitees such as foreign bishops, Cuban clergy and religious, and diplomatic representatives. This included both events open to the public as well as events for a selected audience. In Holguin and Santiago de Cuba, I focused on observing the visit among the Cubans participating in the public events, with a concentration on interpreting the responses of the audience and commentaries of the audience to the events.During and following the visit, I conducted interviews with Cuban bishops, clergy, members of the religious orders present in Cuba as well as Cubans both Catholic and non-Catholic who either participated in the events of the papal visit or chose not to participate in them. In this article, apart from my own reflections and analysis as a participant in the visit, I refer to those interviews as anonymous sources. From this perspective, I analyse the expectations, interpretations and outcomes of the papal visit, focusing on the dynamics of the apostolic journey as well as reactions and responses of the Catholic Church in Cuba and Cuban Catholics to Pope Francis's message and the purpose of the visit.Cuba and the Holy SeeIn the books of the Holy See,1 Cuba has occupied a particular chapter ever since Fidel Castro's revolution in 1959. The Catholic Church, rooted in Cuba during the Colonial era, has existed within the socialist system for the past six decades. The coexistence of the Catholic Church and the Cuban revolutionary regime has nevertheless been characterised by mutual tension, conflict and confrontation.The confrontation between the Catholic Church in Cuba and the Cuban revolution experienced its most tense stages in the 1960s. The cultural, collective memory of the Cuban Catholics still recalls the experience of alienation and marginalisation in the Cuban society and public life. The living memory still accounts for suspicion and, at times, hostility, among the older generations of Cuban Catholics both on the island and in exile. The institutional church has, however, reached a renewed position and newly gained visibility in the Cuban public sphere in the twenty-first century. From the confrontation of the 1960s and the decade of marginalised silence and introspection of the 1970s, the church reorganised itself in order to provide for internal revival in the 1980s and reemerge in the Cuban society in the 1990s in order to fill the void of ideological and existential searching among Cubans, caused by the collapse of the Soviet Union, the Special Period2 and the removal of the atheist ideal from the Cuban constitution, all occur
2015年9月,教皇弗朗西斯在古巴呆了四天。在这些日子里,他访问了三个城市:哈瓦那、奥尔金和古巴圣地亚哥。我作为古巴天主教主教会议(古巴天主教主教会议)邀请的观察员参加了这次访问。在哈瓦那,我加入了会议代表团,并以与天主教受邀者,如外国主教、古巴神职人员和宗教人士以及外交代表相同的方式参加了活动。这既包括向公众开放的活动,也包括为选定的观众举办的活动。在古巴的奥尔金和圣地亚哥,我专注于观察参加公共活动的古巴人的访问,并专注于解释观众的反应和观众对事件的评论。在访问期间和访问之后,我采访了古巴的主教、神职人员、在古巴的宗教团体成员以及参加或选择不参加教宗访问活动的古巴天主教徒和非天主教徒。在这篇文章中,除了我自己作为访问参与者的反思和分析之外,我将这些采访作为匿名消息来源。从这个角度来看,我分析了教皇访问的期望、解释和结果,重点是使徒之旅的动态,以及古巴天主教会和古巴天主教徒对教皇方济各的信息和访问目的的反应和回应。古巴与罗马教廷自从1959年菲德尔·卡斯特罗发动革命以来,古巴在罗马教廷的著作中占据了一个特殊的篇章。天主教会在殖民时期扎根于古巴,在过去六十年中一直存在于社会主义制度内。然而,天主教会和古巴革命政权共存的特点是相互紧张、冲突和对抗。古巴天主教会和古巴革命之间的对抗在20世纪60年代经历了最紧张的阶段。古巴天主教徒的文化和集体记忆仍然使人想起古巴社会和公共生活中异化和边缘化的经历。鲜活的记忆仍然在岛上和流亡的古巴天主教徒的老一辈中引起怀疑,有时甚至是敌意。然而,体制教会在21世纪的古巴公共领域获得了新的地位和新的知名度。从1960年代的对抗和1970年代被边缘化的沉默和自省的十年中,教会进行了重组,以便在1980年代进行内部复兴,并在1990年代重新出现在古巴社会中,以填补苏联解体、特别时期和从古巴宪法中删除无神论理想所造成的古巴人在意识形态和存在主义方面的探索的空白。所有这些都同时发生在20世纪90年代上半叶。在整个革命时期,教会与国家冲突中最关键的挑战是确定天主教会在古巴社会中的地位。以上帝的形式出现的超越性在基督教信仰中是至关重要的,但在马克思主义意识形态中却是一个不受欢迎的特征。相应地,在天主教中,马克思主义哲学作为唯物主义者和无神论者被视为对人性和宗教信仰的威胁。由于意识形态和实际矛盾,教会在古巴革命现实中的地位和作用已成为国家和国际政治问题。对于一场国家革命来说,一个具有相当权力和影响力的跨国全球行动者的概念,位于革命之外,但植根于革命内部,是不合适的。承认信仰的天主教徒虽然是世俗国家的公民,但他们认为自己属于教皇的精神权威、领导和统治之下。…
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引用次数: 1
Minority Report: Cuban Gays in the International Media 少数派报告:国际媒体中的古巴同性恋者
Pub Date : 2017-04-01 DOI: 10.13169/intejcubastud.9.1.0117
E. Kirk
All media exists to invest our lives with artificial perceptions and arbitrary values.- Marshall McLuhan (1964)Revolutionary Cuba has been a fixture in the international media for decades. Topics that made headlines around the globe have included Fidel Castro's death, US-Cuba relations, visits to Havana by the Pope, Cuba's international medical missions, and economic changes under Raul Castro. One topic, however, which has been crucial to human development in contemporary Cuba, has received comparatively little media attention - sexual diversity1 (LGBT) rights.Sexual diversity rights has been a topic of increasing importance in contemporary Cuba, although this has not always been the case. For example, probably one of the largest stains on the history of revolutionary Cuba was the treatment of homosexual men in the 1960s and 1970s. From forced attendance in the Military Units to Aid Production (UMAP) labour camps, to imprisonment, and struggles under discriminatory legislation, the first decades of the Revolution were fraught with prejudice and homophobia (Madero 2016; Roque Guerra 2011). While homosexuality was officially decriminalised in 1979, and some changes occurred through the 1980s and 1990s, it was not until some years later that attention to sexual diversity rights would be prioritised within the revolutionary framework. Yet despite the significant shifts from these earlier events, very little media attention has been given to this topic.Significant changes began in 2007, with the first celebrations for the International Day Against Homophobia (17 May). Following this, sweeping national programmes and campaigns emerged focusing on the normalisation of sexual diversity and the importance of respect (rather than tolerance or acceptance) (Kirk 2011). For example, the National Program for Sexual Education and Sexual Health (ProNess) was re-written between 2012 and 2013 to include themes of diverse sexual orientation and gender identities, and the New Family Code, including rights for non-heteronormative families, was presented to the National Assembly in 2012 (Kirk 2015). Although there are ongoing issues associated with machismo and discrimination (particularly in the more rural provinces), sexual diversity has largely been normalised throughout the island - a considerable achievement given Cuba's extensive homophobic past and the deep-rooted machismo. Nonetheless, these events have largely been ignored in the international media.The most important element to this normalisation process, which has received equally little attention, has undoubtedly been the Ministry of Public Health's (MINSAP) National Centre of Sexual Education (CENESEX) (Castro Espin 2013). The Centre, directed by Mariela Castro Espin, has employed a unique health-based approach to normalise sexual diversity. The approach focuses on the discrimination-health link, which asserts that discrimination is detrimental to individual and national health. Based on this approach, CE
所有媒体的存在都是为了给我们的生活注入人为的感知和武断的价值观。几十年来,革命的古巴一直是国际媒体的常客。成为全球头条新闻的话题包括菲德尔·卡斯特罗之死、美古关系、教皇访问哈瓦那、古巴的国际医疗使团以及劳尔·卡斯特罗领导下的经济改革。然而,有一个话题对当代古巴的人类发展至关重要,却很少得到媒体的关注——性多样性(LGBT)权利。在当代古巴,性多样性权利已成为一个日益重要的话题,尽管情况并非总是如此。例如,古巴革命历史上最大的污点之一可能是20世纪60年代和70年代对同性恋男子的待遇。从被迫进入军事单位到援助生产(UMAP)劳改营,到监禁,以及在歧视性立法下的斗争,革命的头几十年充满了偏见和同性恋恐惧症(Madero 2016;Roque Guerra 2011)。虽然同性恋在1979年被正式合法化,并且在20世纪80年代和90年代发生了一些变化,但直到几年后,对性多样性权利的关注才在革命性的框架内得到优先考虑。然而,尽管这些早期事件发生了重大变化,但媒体对这一主题的关注却很少。2007年开始发生重大变化,首次庆祝国际反对恐同日(5月17日)。在此之后,全国性的计划和运动出现了,重点是性别多样性的正常化和尊重(而不是容忍或接受)的重要性(Kirk 2011)。例如,在2012年至2013年期间重新编写了《国家性教育和性健康方案》(proess),以纳入不同的性取向和性别认同的主题,并于2012年向国民议会提交了《新家庭法》,其中包括非异性恋家庭的权利(Kirk, 2015年)。尽管与大男子主义和歧视有关的问题持续存在(特别是在农村省份),但性别多样性在整个岛屿上基本上已经正常化-鉴于古巴广泛的同性恋恐惧症和根深蒂固的大男子主义,这是一项相当大的成就。然而,这些事件在很大程度上被国际媒体所忽视。这一正常化进程中最重要的因素无疑是公共卫生部(MINSAP)国家性教育中心(CENESEX) (Castro Espin, 2013年),而这一进程同样很少受到关注。该中心由玛丽拉·卡斯特罗·埃斯平领导,采用了一种独特的基于健康的方法,使性多样性正常化。该方法侧重于歧视与健康的联系,认为歧视有害于个人和国家健康。基于这种方法,CENESEX组织了国际反同性恋日的庆祝活动,发展了一系列在全岛开展研究和传播信息的“网络”,创办了一本国际公认的研究期刊(Sexologia y Sociedad),成立了全国关注跨性别者委员会,并担任其他部委和群众组织的顾问(Roque Guerra 2011;Castro Espin 2011)。特别是,对政治和公共政策最重大变化的报道最多也不过是微乎其微。例如,2008年,公共卫生部长签署了第126号决议,将变性手术合法化(Roque Guerra 2011)。2010年,菲德尔·卡斯特罗正式为UMAP营地和20世纪60年代普遍的同性恋恐惧症道歉(路透社2010)。次年,古巴共产党(PCC)修改了其基本原则——该党的意识形态传播的基础——将尊重性别多样性纳入其中(卡斯特罗2012;Cubadebate 2011)。…
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引用次数: 0
On Western Bias Against Cuba 论西方对古巴的偏见
Pub Date : 2017-04-01 DOI: 10.13169/INTEJCUBASTUD.9.1.0016
D. Baden
The media merry-go-round following the death of Fidel Castro has now come to a halt, and so, six months after his death, it is perhaps a good time to reflect on the Western portrayal of one of the longest serving political leaders in history. Naturally, bearing in mind the history of the imperialist US attitude towards Cuba, and the nationalisation of US property by the Castro government shortly after the revolution, the hostility between the two is perhaps understandable. Yet what surprised me greatly was the response of the UK media following Castro's death. In Britain, the overwhelmingly negative views of a few Miami emigres, who celebrated his passing, was given massive prominence, while the millions of mourners who had lost their leader were overlooked.I came to do research in Cuba for the first time in 2014 and knew little about the island until that point. On that journey, I was struck by story after story from Cubans about how they saw Fidel as a father figure - brave, heroic, larger than life and mostly beloved. So it was shocking for me to hear Fidel repeatedly described as a brutal dictator in the UK media following his death. This is not to say that all Cubans were uncritical of Fidel, far from it, but for a leader who had been in power for that long, the regard which most Cubans felt for him was remarkable.Following Castro's death, the news channel BBC 24 invited me in to talk about my experience of doing research in Cuba and what I had learned about Fidel. I was taken aback to find myself bombarded with anti-Castro questions from the interviewer, based not on any evidence, but on misinformation that had been uncritically repeated so often that it had begun to be taken as fact. It seemed to me that little interest was displayed in obtaining a genuine understanding of the Cuban experience.The fact that the BBC, of all media outlets, was happy, even keen, to repeat such one-sided and inaccurate material was revelatory. Clearly, I was not alone in being dismayed as my interview was recorded and went viral with more than three million views on YouTube. The media watchdog organisation, Media Lens, deconstructed the interview to highlight the extent of the BBC's bias and, as a consequence, I received hundreds of emails, comments, cards and letters from Cubans, or from those who had visited Cuba, and even a human rights lawyer thanking me for trying to present a more balanced perspective.1Yet it is not only the mass media who demonstrate anti-Cuba bias. It was after my second visit to Cuba in 2015, that I began to appreciate the difficulties in telling any kind of balanced story about the island. The aim of the research trip was to talk to top managers in the pharmaceutical and biotechnology sector to discuss the secret of Cuba's success, for example, as having produced the first lung cancer vaccine. I was told that their success reflected their strategy which was based on the speech given by Fidel Castro in 1960 known as the Declaration of
菲德尔·卡斯特罗(Fidel Castro)去世后,媒体的“旋转木马”现在已经停止,因此,在他去世六个月后,这也许是一个反思西方对历史上任职时间最长的政治领导人之一的描绘的好时机。当然,考虑到美国帝国主义对待古巴的历史,以及革命后不久卡斯特罗政府对美国财产的国有化,两国之间的敌意或许是可以理解的。然而,让我大为惊讶的是,英国媒体在卡斯特罗去世后的反应。在英国,一些庆祝他逝世的迈阿密移民压倒性的负面观点被给予了巨大的关注,而数百万失去他们领袖的哀悼者却被忽视了。2014年,我第一次来古巴做研究,在那之前,我对这个岛屿知之甚少。在那次旅行中,古巴人讲述了一个又一个故事,告诉我他们如何将菲德尔视为一个父亲般的人物——勇敢、英雄、比生活更伟大、更受爱戴。因此,听到菲德尔死后,英国媒体一再将他描述为一个残酷的独裁者,我感到震惊。这并不是说所有古巴人都不批评菲德尔,远非如此,但对于一个掌权这么久的领导人来说,大多数古巴人对他的尊重是非同寻常的。卡斯特罗去世后,BBC 24频道邀请我谈谈我在古巴做研究的经历,以及我对菲德尔的了解。我吃惊地发现,面试官的反卡斯特罗问题连番轰炸,这些问题没有任何证据,而是错误的信息,这些信息被不加批判地频繁重复,以至于开始被当成事实。在我看来,对真正了解古巴的经验似乎没有表现出什么兴趣。在所有媒体中,BBC乐于甚至热衷于重复这种片面和不准确的材料,这一事实具有启示性。显然,我不是唯一一个感到沮丧的人,因为我的采访被录了下来,并在YouTube上疯传,点击量超过300万。媒体监督组织“媒体镜头”(media Lens)对采访进行了解构,以突显BBC的偏见程度,结果,我收到了数百封古巴人或访问过古巴的人发来的电子邮件、评论、卡片和信件,甚至还有一位人权律师感谢我试图呈现更平衡的观点。然而,表现出反古巴偏见的不仅仅是大众媒体。直到2015年我第二次访问古巴之后,我才开始意识到,要讲述关于这个岛屿的任何一种平衡的故事都很困难。这次研究之旅的目的是与制药和生物技术部门的高级管理人员交谈,讨论古巴成功的秘密,例如,生产出第一种肺癌疫苗。我被告知,他们的成功反映了他们的战略,该战略基于菲德尔·卡斯特罗1960年发表的《哈瓦那宣言》,当时他宣布古巴人民的需求,他们的健康、教育、老年安全等. ...
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引用次数: 0
Reporting the Cuban Revolution: How Castro Manipulated American Journalists 报道古巴革命:卡斯特罗如何操纵美国记者
Pub Date : 2017-04-01 DOI: 10.5860/choice.196444
D. Grantham
Leonard Ray Teel, Reporting the Cuban Revolution: How Castro Manipulated American Journalists (Baton Rouge: Louisiana State University Press, 2015) hb 264pp. ISBN: 978-0-8071-6092-3The release of Leonard Ray Teel's latest treatise, Reporting the Cuban Revolution, comes at a period of increased scepticism toward journalists as, according to a September 2016 Gallup poll, only 32% of Americans trust the mass media to report news accurately and fairly. This registered as the lowest approval rating for the media in the history of Gallup polling. Apparently, consumers, by and large, do not trust the media to follow through on its claims of objectivity. The work of 13 correspondents who covered the Cuban Revolution suggests that impartiality was an issue long before Americans considered it a problem.Famed journalist Walter Lippmann and Charles Merz studied the New York Times reporting on the Russian Revolution from 1917 to 1920 and concluded it was 'nothing short of disaster . . . seeing not what was, but what men wished to see' (35). This characterization reflects Teel's overall argument concerning the coverage of the Cuban Revolution. Teel surveys 'this cohort of thirteen' to find that adventure reporting rather than impartiality once again dominated coverage of events in another country. Reporting from a foreign land when meshed with 'timeliness, prominence, conflict, proximity and human interest', - what Teel tongue-and-cheek calls journalism's 'tests' for news value - came together to create a narrative of news.This cohort and their abandonment of the code of impartiality in a war zone 'served Castro's purpose' (5). Teel goes on in Chapters One and Two to describe how that code began in 1923 with the American Society of Newspaper Editors, who formalized a national journalistic ethos, prizing objectivity and impartiality. This code of objectivity lost its way once reporters left the US. Echoing media critic Herbert Altschull, Teel concludes that 'ideal of objectivity evidently applied to American journalists "only within the geographic limits of the United States"' (5).In Chapters Three and Four, Teel walks through the media competition that inspired the first four correspondents to risk much at a chance with Castro who was holed up deep inside the Sierra Maestra Mountains of southeast Cuba. By 1957, Herbert Matthews, Jules Dubois, Robert Taber, and Wendell Hoffman had 'projected a positive image of [Castro]' as the 'freedom-loving young attorney' who sacrificed comforts for the cause of democracy and free elections. Teel argues that the four helped glamorise Castro for the marketplace by 'basically reporting straight from Castro's script' (68).In Chapters Five and Six, Teel recounts how journalist Andrew St. George was lured by the adventure saga, the novelty and shock of the first four journalists. Intoxicated by the thought of similar exploits, St. George ended up with everything he needed for adventure, other than impartial reporting. …
伦纳德·雷·蒂尔,报道古巴革命:卡斯特罗如何操纵美国记者(巴吞鲁日:路易斯安那州立大学出版社,2015)hb 264页。伦纳德·雷·蒂尔的最新专著《报道古巴革命》出版之际,正值人们对记者越来越怀疑的时期。根据2016年9月的盖洛普民意调查,只有32%的美国人相信大众媒体能够准确、公正地报道新闻。这是盖洛普民意调查历史上对媒体的最低支持率。显然,总的来说,消费者并不相信媒体会兑现其所宣称的客观性。报道古巴革命的13名记者的工作表明,早在美国人认为公正是个问题之前,这个问题就已经存在了。著名记者沃尔特·李普曼(Walter Lippmann)和查尔斯·默茨(Charles Merz)研究了《纽约时报》对1917年至1920年俄国革命的报道,得出结论说,这场革命“简直就是一场灾难……看到的不是真实的东西,而是人们希望看到的东西。这种描述反映了蒂尔对古巴革命报道的总体看法。蒂尔对“这13个人”进行了调查,发现冒险报道而非公正再次主导了另一个国家的新闻报道。当来自异国他乡的报道与“及时性、突出性、冲突性、亲近性和人情味”相结合时——迪尔半开玩笑地称之为新闻业对新闻价值的“考验”——共同创造了一种新闻叙事。这群人以及他们在战区放弃公正准则的行为“达到了卡斯特罗的目的”(5)。蒂尔在第一章和第二章中继续描述了1923年美国报纸编辑协会(American Society of Newspaper Editors)是如何开始这种准则的,他们正式确立了一种国家新闻精神,重视客观和公正。一旦记者离开美国,这种客观准则就失去了意义。在第三章和第四章中,蒂尔回顾了媒体竞争的过程,正是这种竞争激励了最初的四位记者冒着很大的风险去采访躲藏在古巴东南部马埃斯特拉山脉深处的卡斯特罗。到1957年,赫伯特·马修斯、朱尔斯·杜布瓦、罗伯特·塔伯和温德尔·霍夫曼“塑造了卡斯特罗的正面形象”,把他塑造成“热爱自由的年轻律师”,为民主和自由选举事业牺牲了舒适。蒂尔认为,这四个人“基本上直接按照卡斯特罗的剧本报道”,从而在市场上美化了卡斯特罗。在第五章和第六章中,蒂尔讲述了记者安德鲁·圣乔治是如何被冒险传奇、前四名记者的新奇和震惊所吸引的。想到类似的事迹,圣乔治陶醉了,他最终得到了探险所需的一切,除了公正的报道。…
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引用次数: 0
The Latin American School of Medicine (Elam): Admissions, Academics and Attitudes 拉丁美洲医学院(埃兰):招生、学术和态度
Pub Date : 2017-04-01 DOI: 10.13169/INTEJCUBASTUD.9.1.0142
A. Jiwa
IntroductionCuba's health status has grown in the last few decades following the expansion of their acclaimed medical schools, to welcome a growing number of international students. In 1999, the Latin American School of Medicine (Spanish - Escuela Latinoamericana de Medicina (ELAM)) was founded by the Cuban government to train international students in the field of medicine (Castro 1999). It now has 10,000 students from 124 countries (Porter 2012), primarily those from Latin America and the Caribbean, with smaller numbers from Africa and Asia. With all students at the school on full scholarships, inclusive of room, board, and a small monthly stipend, admission to the school is widely viewed as a prestigious opportunity to learn in one of the most innovative and sophisticated healthcare systems in the world (Tandon et al. 2000). In particular, Cuba's approach to healthcare is famed for its medical internationalism and its public health strategies which have resulted in health statistics paralleling those in the developed world. With such a heavy focus on health governance, the underlying processes in creating these doctors have often been overlooked. This article examines the available literature to describe and analyse the teaching methods, curriculum structure and student experience at ELAM.BackgroundUnder General Batista's rule (1952-59), pre-revolutionary healthcare in Cuba was private, with a fee-for-service system in place. This catered mainly for the elite and was neither universal nor equally accessible. While charity hospitals were available to those who could not afford private healthcare, there was still a significant number of Cubans who were unable to access healthcare or whom were denied care (Choonara 2010). A significant number of Cubans lived in rural communities, whereas most hospitals and doctors were located in the capital, Havana (Keck and Reed 2012). Wages differed according to location, and with lower wages in rural areas, doctors in these areas were usually less qualified or experienced than those in the cities (Choonara 2010). As a result, infant mortality in the area was as high as 100 per 1,000 births - statistics that paint today's picture of Mali or Somalia (World Health Organization 2016b).Following the revolution in 1959, Che Guevara outlined his aims for healthcare in Cuba, in his speech on Revolutionary Medicine. The speech declared,The work that today is entrusted to the Ministry of Health and similar organisations is to provide public health services to the greatest possible number of persons, institute a program of preventative medicine and orient the public to the performance of hygienic practices. (Guevara 1960 in Guevara 1971)Acting on these words, Fidel Castro, Cuba's new leader, began a programme of reform which involved the construction of new hospitals, decentralised the Cuban healthcare system, and began a programme of nationalisation and regionalisadon. The medical school in Havana, which had been close
在过去的几十年里,古巴的健康状况有所改善,因为他们广受赞誉的医学院扩大了规模,以欢迎越来越多的国际学生。1999年,古巴政府成立了拉丁美洲医学院(西班牙语- Escuela Latinoamericana de Medicina (ELAM)),以培训医学领域的国际学生(Castro 1999年)。它现在有来自124个国家的10,000名学生(Porter 2012),主要来自拉丁美洲和加勒比地区,来自非洲和亚洲的人数较少。学校的所有学生都享有全额奖学金,包括住宿费、食宿费和每月少量津贴,因此被学校录取被广泛视为在世界上最具创新性和最先进的医疗体系之一学习的难得机会(Tandon等人,2000年)。特别是,古巴的保健办法以其医疗国际主义和公共卫生战略而闻名,其卫生统计数据与发达国家相当。由于如此重视卫生治理,造就这些医生的基本过程往往被忽视。本文考察了现有的文献来描述和分析ELAM的教学方法、课程结构和学生体验。在巴蒂斯塔将军的统治下(1952- 1959年),古巴革命前的医疗保健是私人的,实行按服务收费的制度。这主要是为精英阶层服务的,既不是普遍的,也不是平等的。虽然那些负担不起私人医疗费用的人可以去慈善医院,但仍有相当数量的古巴人无法获得医疗服务或被剥夺了医疗服务(Choonara, 2010年)。相当数量的古巴人居住在农村社区,而大多数医院和医生位于首都哈瓦那(Keck和Reed, 2012年)。工资因地区而异,由于农村地区的工资较低,这些地区的医生通常不如城市的医生合格或经验丰富(Choonara 2010)。因此,该地区的婴儿死亡率高达每1000名新生儿中有100人死亡,这是今天马里或索马里的统计数据(世界卫生组织2016b)。1959年革命之后,切·格瓦拉在他关于革命医学的演讲中概述了他在古巴医疗保健方面的目标。该讲话宣布,卫生部和类似组织今天的工作是向尽可能多的人提供公共卫生服务,制定预防医学方案,并引导公众采取卫生做法。根据这些话,古巴的新领导人菲德尔·卡斯特罗开始了一项改革方案,其中包括建设新的医院,分散古巴的医疗保健系统,并开始了国有化和区域化方案。哈瓦那的医学院在巴蒂斯塔将军的统治下因抗议活动而关闭,现已重新开放。学生免学费,农村学生增多。实践技能教学第一次与社会医学一起被纳入课程。1960年,第717号法律设立了公共卫生部(MINSAP - Ministerio de Salud Publica),第723号法律设立了农村医疗服务机构(RMS);菲茨2016)。在实践中,这些法律产生了两大变化:1。将农村医疗作为优先事项医学院最后一年的学生发起了一项倡议,详细说明了他们在古巴农村工作的必要性,因为那里最需要他们。为此,公共卫生部为农村社区的学生创造了318个工作岗位(Del等人,2008年),并于1960年创建了RMS(西班牙语,El Servicio Medico rural)。RMS旨在为那些最需要的人提供"疾病预防和健康振兴服务,无论他们是穷人、健康状况不稳定还是居住在远离城市中心的地方" (Gorry 2012b)。…
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引用次数: 3
A Hidden History of the Cuban Revolution: How the Working Class Shaped the Guerrillas' Victory 古巴革命的隐藏历史:工人阶级如何塑造游击队的胜利
Pub Date : 2016-07-01 DOI: 10.5860/choice.198112
G. Prevost
Steve Cushion, A Hidden History of the Cuban Revolution: How the Working Class Shaped the Guerrillas' Victory (New York, NY: Monthly Review Press, 2016) pb 272 pp. ISBN: 9781583675816Reviewed by Gary PrevostLondon-based trade union activist Steve Cushion has written an invaluable contribution to our understanding of victory of the Cuban revolutionary forces in 1959 by focusing on the role of organized labor in the defeat of the Batista dictatorship. Leaning heavily on the labor archives of the Institute of Cuban History in Havana and interviews with participants in the struggles, Cushion fashions a well-written and well-researched account of the role of the working class struggles and their interplay with the rural guerrilla army and the armed urban underground. The latter two movements have been previously well documented and generally credited with the success of the revolution, but Cushion argues that these studies combined with the official narrative of the leaders of the Cuban revolution from Fidel Castro on down have tended to underestimate the role of organized labor. Rather than just a two-front war against Batista, he argues that the interaction of all three elements are necessary to understand the defeat of Batista and equally important in understanding the pro-working class trajectory that the revolution took from 1959 forward.Cushion successfully documents a myriad of working class organizing, especially in Eastern Cuba, that occurred in the wake of Batista's coup in 1952 and the attack on the living standards of Cuban workers in the ensuing years made worse by the complicity with Batista of the existing trade union leadership under Eusebio Mujal. Cushion documents a lively picture of working class activism in 1950s Cuba ranging from those employed in the dominant sugar sector to those in shops, department stores, and white-collar workers in the offices and banks. The activism, carried out under harsh government repression, took multiple forms from slowdowns and walkouts to sabotage and the formation of clandestine cells that would form the workers' section of the guerrilla movement. Documented is the development of the tactic of railway workers of 'trade unionism on a war footing' which combined mass action with acts of sabotage that burned sugar fields and derailed trains. Cushion documents a textile workers' strike in Matanzas leading to a complete shutdown of the city with female workers in the Woolworth's department store helping to enforce the citywide general strike in defiance of efforts by state security forces to reopen the store. …
Steve Cushion,古巴革命的隐藏历史:工人阶级如何塑造游击队的胜利(纽约,纽约:每月评论出版社,2016)272页。ISBN: 9781583675816 Gary prevos评论伦敦的工会活动家Steve Cushion通过关注有组织的劳工在击败巴蒂斯塔独裁统治中的作用,为我们理解1959年古巴革命力量的胜利做出了宝贵的贡献。大量参考哈瓦那古巴历史研究所的劳动档案和对斗争参与者的采访,《缓冲》对工人阶级斗争的角色及其与农村游击队和城市武装地下组织的相互作用进行了精心撰写和研究。后两种运动之前都有很好的文献记载,并被普遍认为是革命成功的功臣,但塞奇认为,这些研究与从菲德尔·卡斯特罗(Fidel Castro)起的古巴革命领导人的官方叙述相结合,往往低估了有组织劳工的作用。他认为,这三个因素的相互作用对于理解巴蒂斯塔的失败是必要的,而不仅仅是反对巴蒂斯塔的两线战争,对于理解1959年以来革命所走的亲工人阶级的轨迹同样重要。《缓冲》成功地记录了大量的工人阶级组织,特别是在古巴东部,这些组织发生在1952年巴蒂斯塔的政变之后,在随后的几年里,古巴工人的生活水平受到了更严重的攻击,这是因为在尤西比奥·穆贾尔(Eusebio Mujal)领导下的现有工会领导层与巴蒂斯塔串通一干。《缓冲》生动地记录了20世纪50年代古巴工人阶级的行动,从占主导地位的制糖业的工人到商店、百货公司的工人,再到办公室和银行的白领。在政府严厉镇压下进行的激进主义采取了多种形式,从怠工和罢工到破坏和形成秘密小组,这些小组将成为游击队运动的工人部分。记录在案的是铁路工人“战时工会主义”策略的发展,这种策略将群众行动与烧毁糖田和使火车出轨的破坏行为结合起来。《缓冲》记录了马坦萨斯纺织工人的罢工,导致整个城市完全关闭,伍尔沃斯百货公司的女工们不顾国家安全部队重新开业的努力,帮助实施了全市范围的大罢工。…
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引用次数: 8
Revolution within the Revolution: Women and Gender Politics in Cuba, 1952-1962 革命中的革命:古巴的妇女和性别政治,1952-1962
Pub Date : 2016-07-01 DOI: 10.5860/choice.196495
D. Baden
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引用次数: 0
Back Channel to Cuba: The Hidden History of Negotiations between Washington and Havana 回到古巴:华盛顿和哈瓦那之间谈判的隐藏历史
Pub Date : 2016-07-01 DOI: 10.1093/jahist/jav436
Steve Ludlam
William M. Leogrande and Peter Kornbluh, Back Channel to Cuba: The Hidden History of Negotiations between Washington and Havana (Chapel Hill, NC: The University of North Carolina Press, 2015) pb 560pp. ISBN: 978-1-4696-2660-4Reviewed by Steve LudlamWhen Cuban resistance finally produced Obama's abandonment of over half a century of violent US hostility to the Revolution, the obvious question arose as to why this had taken so long? What this book demonstrates is that, despite the decades of relations characterised by Cuba's revolutionary internationalism and US aggression through invasion, terrorism, assassination attempts against Cuban leaders, economic strangulation, and unending projects of internal subversion, there were repeated behind-the-scenes talks seeking to normalise those relations. The authors make the important point that, post-Cold War, the ending of US security concerns actually lowered its incentive to act. Domestic politics became more important, and, after all, US opposition to the Revolution's antiimperialism both preceded and survived Cuba's Soviet alignment.Written by two of the US's leading Cuba scholars, this monumental history is based on the major US and presidential archives, on an extensive secondary literature, and on nearly seventy interviews with leading political actors, including Fidel Castro and James Carter. It is also a culmination of years of excavation by the Cuba Documentation Project of the National Security Archive, which Peter Kornbluh directs.The book begins with Fidel's 'unofficial' visit to the US in April 1959, when he (and the US Ambassador in Cuba) assumed positive relations were possible. Eisenhower snubbed Fidel, preferring the golf course, prompting the famous photograph of Fidel and Che playing golf, taken, according to Fidel, to satirise Eisenhower's behaviour (p. 17). Nixon, in his stead, hectored Fidel on communist threats. A meeting with the CIA produced agreement to establish a back channel that was never opened. Within weeks the Revolution's agrarian reform accelerated the process of US counter-revolutionary policy that culminated in the full trade embargo and increasingly violent aggression. By the summer of 1959, the CIA was planning a counter-revolution.Yet, as this book makes clear, back channels remained open as the revolution radicalised, even through terrorist incidents like the La Coubre explosion in Havana. The secrecy surrounding such dialogue reflects Cold War constraints and the violence, sometimes murderous, of right-wing Cuban-American groups against 'dialogistas'. On the Cuban side, of course, suspicion and stubborn defence of sovereignty prevailed. Inevitably, then, some of the 'back' channels discussed throughout are not so much non-diplomatic channels as diplomatic channels rendered exceptionally clandestine by the historical sensitivity of USCuba relations.The book takes us in fascinating detail through such channels, and an extensive dramatis personae of officials, diplo
William M. Leogrande和Peter Kornbluh,《回到古巴的渠道:华盛顿和哈瓦那之间谈判的隐藏历史》(Chapel Hill, NC:北卡罗来纳大学出版社,2015)560pp。当古巴的抵抗最终使奥巴马放弃了半个多世纪以来美国对古巴革命的暴力敌意时,一个明显的问题出现了,为什么这花了这么长时间?这本书所表明的是,尽管几十年来两国关系的特点是古巴革命的国际主义和美国通过入侵、恐怖主义、暗杀古巴领导人的企图、经济扼杀和无休止的内部颠覆项目进行侵略,但寻求两国关系正常化的幕后谈判一再进行。两位作者提出了一个重要观点,即冷战后,美国安全担忧的结束实际上降低了其采取行动的动力。国内政治变得更加重要,毕竟,美国反对古巴革命的反帝国主义,在古巴与苏联结盟之前和之后都是如此。由两位美国著名的古巴学者撰写,这段不朽的历史是基于主要的美国和总统档案,大量的二手文献,以及对包括菲德尔·卡斯特罗和詹姆斯·卡特在内的主要政治人物的近70次采访。这也是Peter Kornbluh领导的国家安全档案馆古巴文献项目多年挖掘的成果。这本书从1959年4月菲德尔对美国的“非正式”访问开始,当时他(和美国驻古巴大使)认为两国有可能建立积极的关系。艾森豪威尔冷落菲德尔,更喜欢去高尔夫球场,于是拍了一张著名的菲德尔和切打高尔夫的照片,据菲德尔说,这是为了讽刺艾森豪威尔的行为(第17页)。尼克松则以共产主义威胁威胁菲德尔。与中央情报局的会议达成了建立秘密渠道的协议,但从未开放过。在几周内,革命的土地改革加速了美国反革命政策的进程,最终导致全面贸易禁运和日益暴力的侵略。到1959年夏天,中央情报局正在策划一场反革命。然而,正如这本书所表明的那样,随着革命的激进化,即使是在哈瓦那La Coubre爆炸这样的恐怖事件中,秘密渠道仍然是开放的。这种对话的秘密反映了冷战的限制和右翼古巴裔美国人团体对“对话者”的暴力,有时是谋杀。当然,在古巴方面,怀疑和对主权的顽固捍卫占了上风。因此,不可避免的是,整个讨论的一些“幕后”渠道与其说是非外交渠道,不如说是由于美古关系的历史敏感性而变得异常秘密的外交渠道。这本书通过这些渠道向我们展示了引人入胜的细节,并广泛地刻画了官员、外交官和私人中间人的人物形象,其中最著名的是作家加布里埃尔·加西亚·马尔克斯。他们的工作经历了半个世纪的明显冰冻关系,以及许多不稳定事件,最近的事件是“救援兄弟”飞机被击落,埃连·冈萨雷斯案,“古巴五人”在美国的监禁,以及美国特工艾伦·格罗斯在古巴的监禁。…
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引用次数: 8
La Influencia del Culto a Los Orishas En la Patrimonialización del Central Méjico (Matanzas) Orishas邪教对墨西哥中部世袭化(Matanzas)的影响
Pub Date : 2016-07-01 DOI: 10.13169/intejcubastud.8.2.0329
Maxime Toutain
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引用次数: 0
Methodological Considerations on the Experience of Undertaking Doctoral Research in the Agricultural Sector in Cuba during the Special Period (1998-2000) 关于特殊时期(1998-2000年)古巴农业部门博士研究经验的方法学思考
Pub Date : 2016-07-01 DOI: 10.13169/INTEJCUBASTUD.8.2.0296
Julia E. Wright
IntroductionIt was in about 1992 that I first became interested in Cuba from a professional perspective; rumour had it that Cuba was 'going organic' owing to the collapse of the Soviet Union. I was working in international agricultural development and had from the outset aligned with organic farming approaches. If a whole nation were practising organic farming, this would clearly have major implications for the rest of the world's farming and food systems and especially in terms of food security, sustainable agriculture and human health. If this was not happening in Cuba, then begged the question 'Why not?' From that point of first interest, and notwithstanding the supposed interest of the global agricultural sector in sustainability, it took 6 years to secure the funding to undertake doctoral research in Cuba, finally receiving support through the EU Marie Curie Training and Mobility of Researchers Awards.2 My overall research objective was to evaluate the implications for both the agricultural sector and the food system, of the impact of a widespread reduction in the petroleum-based inputs that Cuban agriculture was dependent on, drawing from the Cuban experience.3This article aims to describe the methodological challenges encountered in attempting to undertake research in Cuba, and the often serendipitous ways in which these challenges were overcome. Along the way, I encountered the struggles of numerous Cuban researchers who were attempting to continue their work during the resource-poor Special Period. Some Cuban colleagues have informally, and politely, contested my interpretation of the 'snapshot' of the farming and food systems that I documented, and each of them has a different perspective of 'the real situation'. Nevertheless, the book that emerged as an adaptation of my doctoral thesis4 has become a seminal text not only for students but also for civil society groups working for change toward more sustainable systems that are less dependent on fossil fuels.Methodological Considerations of a Cautious Doctoral StudentAny attempt to evaluate the farming and food system over a whole country is ambitious, especially when the country is relatively secluded and reticent, as was the case for this research. Notwithstanding the extensive research planning that took place, the final research design developed as an emergent product of the research process, rather than through rigid adherence to a fixed framework. In particular, it was governed in practice by the opportunities encountered in the field, which in turn affected not only the methodology but also the development of the analytical framework, which in turn was influenced by the author's background in applied development research and her university research department's focus on Innovation, Communication and Knowledge Systems (at Wageningen University).Much secondary information was unavailable to the author pre-field, given the 2 to 5 year time lag of publications coming out of Cuba, and
大约在1992年,我第一次从专业的角度对古巴产生了兴趣;有传言说,由于苏联的解体,古巴正在“走向有机”。我从事国际农业发展工作,从一开始就与有机农业方法保持一致。如果整个国家都在实行有机农业,这显然会对世界其他地区的农业和粮食系统产生重大影响,特别是在粮食安全、可持续农业和人类健康方面。如果古巴没有发生这种情况,那么我就会问:“为什么不发生这种情况?”从最初的兴趣出发,尽管假定全球农业部门对可持续性感兴趣,但花了6年时间才获得在古巴进行博士研究的资金,最终通过欧盟玛丽居里培训和研究人员流动奖获得支持。2我的总体研究目标是评估对农业部门和粮食系统的影响。根据古巴的经验,古巴农业所依赖的以石油为基础的投入广泛减少所产生的影响。3 .本文旨在描述在古巴进行研究时遇到的方法上的挑战,以及克服这些挑战的往往是偶然的方式。一路上,我遇到了许多古巴研究人员的挣扎,他们试图在资源贫乏的特别时期继续他们的工作。一些古巴同事非正式而礼貌地质疑我对我所记录的农业和粮食系统“快照”的解释,他们每个人对“真实情况”都有不同的看法。尽管如此,这本根据我的博士论文改编而成的书已经成为一本影响深远的著作,不仅对学生们,而且对致力于向更可持续的系统转变、减少对化石燃料依赖的民间社会团体都是如此。任何评估整个国家农业和粮食系统的尝试都是雄心勃勃的,尤其是当这个国家相对封闭和沉默的时候,就像这项研究的情况一样。尽管进行了广泛的研究规划,但最终的研究设计是作为研究过程的新兴产品而发展起来的,而不是通过严格遵守固定的框架。特别是,它在实践中受到该领域遇到的机会的支配,这反过来不仅影响了方法,也影响了分析框架的发展,而分析框架又受到作者应用发展研究背景和她所在大学研究部门(在瓦赫宁根大学)对创新、通信和知识系统的关注的影响。由于从古巴出版的出版物有2至5年的时滞,而且没有数据,作者在实地前无法获得许多次要资料。罗塞特对数据访问的评论是:“获得任何数据都是非常困难的,因为古巴政府长期以来不愿公布这些数据,而且危机后数据汇编和出版的削减”(1996:67)。Mesa-Lago(1998)试图评估20世纪90年代古巴转型的经济和社会表现,他注意到古巴的数据,“统计系列在转型之初消失了,使得严肃的评估几乎不可能。”1995- 1997年公布了重要数据,但其可靠性值得怀疑。由于现有数据的缺乏和古巴境内研究情况的不确定,因此需要制定一个参考框架,而不是一个先验的假设。在这种情况下,扎根理论被认为是处理这种经验不确定性的最合适的理论方法(Strauss和Corbin 1990)。在本研究中,扎根理论(从研究中产生的理论)可用于评估古巴农业现状二手信息的有效性,为个人和机构采用的应对策略提供经验证据,并对现有的生态农业和粮食安全理论进行阐述和修正。…
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引用次数: 1
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The International Journal of Cuban Studies
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