Improving health
Structure and agency in health interventions
Bibliographic Data
| ID | 23200595 |
|---|---|
| Authors | Alexandra A Choby (Faculty of Nursing University of Alberta Edmonton AB Canada, corresponding author), Alexander M Clark (0000-0002-2860-0492, Faculty of Nursing University of Alberta Edmonton AB Canada) |
| Year | 2014 |
| Volume | 15 |
| Issue | 2 |
| Pages | 89-101 |
| Publication date | 2014-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Nursing Philosophy (JOURNAL) |
| Journal identifiers | ISSN: 1466-7681 • E-ISSN: 1466-769X |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/nup.12018 |
| PMID | 24741690 |
| OpenAlex | W1599282985 |
| Language | EN |
| Citations received | 5 |
| References cited | 53 |
Taking debates about the roles of structure and agency in health as a lens, this essay asks how C ritical R ealist and F eminist I ntersectional approaches might inform health interventions research. Despite recognition of multiple determinants of health, health problems are often thought of as individual and interventions, in turn, target risky individual behaviours. Such approaches are rooted in a liberal model of personhood. This paper critiques enduring individualist assumptions linked to W estern liberal underpinnings embedded in health interventions. It posits the need to include a robust conception of the social world in which change depends on shifting power relations, and individual agency is shaped by power as well as individual will. We propose preliminary steps for undertaking critical realist intersectional interventions research.
Agency (philosophy) · Psychological intervention · Social science · Sociology · Critical Realism in Sociology · Foucault, Power, and Ethics · Medicine · Nursing · Psychology · Social Policy and Reform Studies
La perspectiva feminista de la interseccionalidad en el campo de la salud pública
Understanding educational inequalities in sports participation through structurally based resources and individual agency – a sequential mediation analysis
Understanding health through social practices
Accountability as Self-Determination
Searching for relief from suffering
Structural interventions in public health
Intersectionality and Women’s Health
Realist Social Theory
The Causal Power of Social Structures
Realism and Social Science
The Possibility of Naturalism
What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work
Who is epidemiologically fathomable in the HIV/Aids epidemic? Gender, sexuality, and intersectionality in public health
Structural Interventions
Anthropology, Inequality, and Disease
From ‘not a big deal’ to ‘hellish’
For Structure
On Neoliberalism and Other Social Diseases
Neighborhood Context and the Transition to Sexual Activity among Young Black Women
Dialógica, etnografia e educação em saúde
Mississippi front-line recovery work after Hurricane Katrina
Mapping the Margins
A Realist Theory of Science
Considerations on Mainstreaming Intersectionality
The Time- and Context-Contingent Nature of Intersectionality and Interlocking Oppressions
Morphogenesis versus structuration
Teenage childbearing as an alternative life-course strategy in multigeneration black families
Gender and health
Structural Domination and Structural Freedom
Habit versus choice
Social Conditions as Fundamental Causes of Health Inequalities
Routine, Reflexivity, and Realism
The rise of surveillance medicine
Neoliberal Agency
Slow Death (Sovereignty, Obesity, Lateral Agency)
| Citations per year | 0.45 |
|---|---|
| Citation span | 2015 - 2026 (12) |
| Highly cited | No |