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Critical Realism for Health and Illness Research最新文献

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Rethinking theories: the basis of practical research and problems with paradigms 理论反思:实践研究的基础与范式问题
Pub Date : 2021-02-11 DOI: 10.1332/policypress/9781447354550.003.0002
P. Alderson
Chapter 1 reviews: social and biomedical influences through the centuries; positivist health research and then problems with it; interpretive research and some associated problems; differences between positivism and interpretivism; realist evaluation compared and contrasted with critical realism and discourse analysis. The detailed example is an evaluation of a community-based integrated care service. The chapter ends with questioning the present unhealthy state of social health research, which undermines the hope that sociology can be generally respected, convincing and useful in helping to resolve serious global problems of health and illness. This prepares for future chapters that show how critical realism draws on the strengths and overcomes the limitations of these paradigms by combining them into larger analysis.
第一章回顾了几个世纪以来的社会和生物医学影响;实证主义健康研究及其问题;解释学研究及其相关问题实证主义与解释主义的区别现实主义评价与批判现实主义和话语分析相比较。详细的例子是对社区综合护理服务的评估。本章最后对社会卫生研究目前的不健康状况提出了质疑,这破坏了社会学在帮助解决严重的全球健康和疾病问题方面能够得到普遍尊重、令人信服和有用的希望。这为以后的章节做了准备,这些章节将展示批判现实主义如何利用这些范式的优势,并通过将它们结合到更大的分析中来克服它们的局限性。
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引用次数: 0
Health and illness research: 健康和疾病研究:
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.10
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引用次数: 0
Health and illness research: value-free or value-laden? 健康与疾病研究:无价值还是有价值?
Pub Date : 2021-02-11 DOI: 10.1332/policypress/9781447354550.003.0005
P. Alderson
This chapter asks whether health research can and should be value-free. It questions whether facts can be separated from values, and then considers: health-related rights; dignity in healthcare; truth, trust and consent; values and ethics in health research. The chapter also looks at: what critical realism can add on important ethical concerns that are missing or under-examined in other paradigms; health research paradigms and ethics; ethical naturalism and moral realism; learning from other major theorists: advocacy on many levels and, finally, the chapter compares the approaches to values in realist evaluation and in critical realism. In the detailed example, Graham Scambler combines critical realism with Habermas’s theories.
本章探讨健康研究是否可以而且应该是价值无关的。它质疑事实是否可以从价值中分离出来,然后考虑:与健康有关的权利;保健方面的尊严;真理、信任和同意;健康研究中的价值观和伦理。本章还着眼于:批判现实主义可以在其他范式中缺失或未充分研究的重要伦理问题上增加什么;卫生研究范式与伦理;伦理自然主义与道德现实主义向其他主要理论家学习:在许多层面上的倡导,最后,本章比较了现实主义评价和批判现实主义的价值方法。在详细的例子中,Graham Scambler将批判现实主义与哈贝马斯的理论相结合。
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引用次数: 0
Back Matter 回到问题
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.19
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引用次数: 0
Four planes of social being: more connections 社会存在的四个层面:更多的联系
Pub Date : 2021-02-11 DOI: 10.1332/policypress/9781447354550.003.0006
P. Alderson
Adverse mortality and morbidity effects of the huge oil spills in Bayelsa State, Niger Delta, illustrate the value of critical realism’s four planes of social being for organising complex findings and for combining large- and small-scale data sets. These planes cover every aspect of being human: bodies in relation to nature; interpersonal relations; larger social relations and structures; and inner human being in the mental-social-embodied personality. Chapter 5 also considers critical realist approaches to managing data-analysis: laminated systems analysis; interdisciplinary research and policy-making; critical realist theories about interdisciplinarity; overcoming barriers to interdisciplinarity, and interdisciplinary commitments. The detailed examples are about improving the physical health of people with a diagnosis of serious mental illness, and feminist-informed counselling after sexual assault.
尼日尔三角洲巴耶尔萨州巨大的石油泄漏对死亡率和发病率的不利影响,说明了批判现实主义的社会存在的四个层面在组织复杂的调查结果和结合大型和小型数据集方面的价值。这些层面涵盖了人类的方方面面:身体与自然的关系;人际关系;更大的社会关系和结构;以及心理社会具体化人格中的内在人。第5章还考虑了管理数据分析的关键现实主义方法:层压系统分析;跨学科研究和决策;跨学科的批判现实主义理论;克服跨学科和跨学科承诺的障碍。这些详细的例子是关于改善被诊断患有严重精神疾病的人的身体健康,以及在性侵犯后为女权主义者提供咨询。
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引用次数: 0
Researching transformative change over time 研究随着时间的变化
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.12
P. Alderson
Chapter 6 on the four stages of dialectical transformative change involves concepts of: absence as well as presence; difference versus actual transformative change; emergence of higher order things from lower order ones; immanent critique. With the four stages, the acronym MELD stands for first Moment, second Edge, third Level and fourth Dimension. The stages are considered in their benign/effective, malign/ineffective and mini versions. It is vital to start research with 1M’s intense in-depth study before intervening at 2E, then at 3L looking at the larger scene, and at 4D working on personal change. There is an overview of research from past to future, local to global. The detailed example applies MELD to research on improving care for children with allergies.
第六章论述了辩证转型的四个阶段,涉及的概念有:在场与缺席;差异与实际的变革;从低阶事物中产生高阶事物;内在的批判。在这四个阶段中,首字母缩略词MELD代表第一时刻、第二边缘、第三层次和第四维度。这些阶段分为良性/有效、恶性/无效和迷你版本。至关重要的是,在2E介入之前,先从1M的深入研究开始,然后在3L观察更大的场景,在4D研究个人变化。这里概述了从过去到未来,从本地到全球的研究。详细的例子将MELD应用于改善对过敏儿童护理的研究。
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引用次数: 0
The point is to change it: connecting research to policy and practice 关键是要改变它:将研究与政策和实践联系起来
Pub Date : 2021-02-11 DOI: 10.1332/policypress/9781447354550.003.0008
P. Alderson
The final chapter begins with epidemics in Africa and Asia, then considers challenges to health and illness research, and ways forward. Disconnections in theory, policy and practice are contrasted with the connections that need to be made in theory and practice if pandemics, climate change and other global threats to health are to be contained. Contradictory social science theories all need to be connected and combined, like medical science, into a larger coherent critical realist framework that goes beyond describing and measuring.The detailed example is about contested understandings of mental distress within neoliberal reform of community mental health services. Eight commitments for useful health research are followed by methods for Utopian research about future change.
最后一章从非洲和亚洲的流行病开始,然后考虑健康和疾病研究面临的挑战,以及前进的道路。如果要遏制流行病、气候变化和其他全球健康威胁,理论、政策和实践方面的脱节与理论和实践中需要建立的联系形成鲜明对比。相互矛盾的社会科学理论都需要联系和结合,就像医学一样,进入一个更大的连贯的批判现实主义框架,超越描述和测量。详细的例子是关于社区精神健康服务的新自由主义改革中对精神痛苦的有争议的理解。对有益健康研究的八项承诺之后是关于未来变化的乌托邦式研究方法。
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引用次数: 0
List of figures and tables 图表列表
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.3
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引用次数: 0
Rethinking theories: 反思理论:
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.7
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引用次数: 0
ABCD – Articles, books, commentary and dictionary-glossary 文章,书籍,评论和词典-词汇表
Pub Date : 2021-02-11 DOI: 10.2307/j.ctv1fcf8g0.14
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引用次数: 0
期刊
Critical Realism for Health and Illness Research
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