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The Sociocultural Context of Prevention Practice
Published in Nicole M. Augustine, Prevention Specialist Exam Study Guide, 2023
When we think about social justice, the conversation often centers on disparities in health outcomes by race/ethnicity or income level. But when looking at substance misuse prevention through a social justice lens, thinking about disparities in behavior is equally important. Disparities related to culture or ethnicity may exist in how substances are used (e.g., family tradition), where substances are obtained (e.g., drug trafficking routes), and the consequences of use (structural inequality). As we critically evaluate WHY disparities occur, we are compelled to address social inequalities as a part of our work to prevent substance use disorders. As you prepare for the Prevention Specialist exam, you will learn about the theoretical concepts that guide prevention practice. This knowledge base is important in helping you to pass the exam, and will be the focus of the remainder of this book.
Justice and Democracy
Published in Robert S. Holzman, Anesthesia and the Classics, 2022
The basis of justice, for many people, refers to fairness, but there are a number of recognized contexts. Social justice is the notion that everyone deserves equal economic, political, and social opportunities regardless of race, gender, or religion. Distributive justice refers to the equitable allocation of assets in society. Environmental justice is the fair treatment of all people with regard to environmental burdens and benefits. Restorative or corrective justice seeks to make whole those who have suffered unfairly. Retributive justice seeks to punish wrongdoers objectively and proportionately. And procedural justice refers to implementing legal decisions in accordance with fair and unbiased processes. Legal and political systems that maintain law and order are desirable, but they cannot sustain either unless they also achieve justice.
Professionalism and social justice: the next step?
Published in Jill Thistlethwaite, John Spencer, Professionalism in Medicine, 2018
Jill Thistlethwaite, John Spencer
This may be at a very local level, such as lobbying for healthcare facilities to remain open or to be upgraded, or on a larger stage, such as being involved in the fight for social justice on a national or world scale. Simply defined, social justice is about the management and delivery of healthcare in a fair and just way to all, regardless of means, gender or race. However, philosophically and practically there is a lot more to it than can be conveyed in one sentence (seeBox 12.1).
Reimagining positive youth development and life skills in sport through a social justice lens
Published in Journal of Applied Sport Psychology, 2022
Martin Camiré, Tarkington J. Newman, Corliss Bean, Leisha Strachan
Social justice is often described as too nebulous and too versatile to be constricted to a single concept, instead consisting of a multitude of “discursive and pedagogical practices” (Bialystok, 2014, p. 148). As an ideological perspective, social justice is the belief that everyone deserves equal social, economic, and political rights, as well as equitable opportunities and protections (National Association of Social Workers, 2015). It consists of embracing “the idea that social identities such as race, class, and gender exist in intersectionality, that is, in the belief that social identities do not act independently, instead interact in an intersection of systematic oppression” (Warren et al., 2014, p. 91). Social justice is thus a rights-based perspective with an emphasis on fair treatment, which is value- and culture-laden (Morgaine, 2014). Hytten and Bettez (2011) organized social justice around five elements based on its contributions to the: (a) philosophical (i.e., meaning of justice), (b) theoretical (i.e., ideological positions connected to social movements), (c) democratic (i.e., problematization of oppression), (d) ethnographic (i.e., people’s lived experiences of justice/injustice), and (e) practical (i.e., application of social justice). These five elements often intersect and research should not be restricted to one element. Ultimately, social justice is about embracing diversity, equity, and inclusion while recognizing the roles of privilege and power.
Motivations, barriers, and social media: a qualitative study of uptake of women into neurosurgery
Published in British Journal of Neurosurgery, 2022
Soham Bandyopadhyay, Jigishaa Moudgil-Joshi, Emma Jane Norton, Makinah Haq, Kate E A Saunders
In recent years, there has been a spotlight on diversity in medicine and surgery1,2 and the need to promote social justice amongst the healthcare workforce.3,4 Social justice can be broadly thought as advocating for the chances that people have to achieve educationally, advance economically, and function socially to be dependent on their merit, and not the circumstances of their birth or their background.5 Just over a decade ago, it was recognised that there was an issue in recruiting and retaining women in neurosurgery.6,7 There has since been a concerted effort in elucidating the factors that lead women to leave neurosurgery,8–10 and the implementation of measures to eliminate these issues or minimise their impact.1 The success of these endeavours is evident in the fact that fewer women neurosurgical trainees are choosing to leave the profession.11 The presence of more women neurosurgical trainees may also be contributing to a growing enthusiasm for neurosurgery among women medical students.12 However, it is unclear if this is translating to an increase in the number of women applying to neurosurgical training programmes. In fact, contrary to the abundance of literature around the topic of retention of women in neurosurgery, there is a relative dearth of information on the issue of recruiting women into neurosurgery.
Put Your Money Where Your Mouth Is: How Bioethics Can Learn from Organized Medicine
Published in The American Journal of Bioethics, 2022
Elizabeth P. Clayborne, Marcella Nunez-Smith
We find it interesting that the field of bioethics has failed to be an early adopter and leader in addressing inequities and social justice issues given its roots in the study of biology, ecology, medicine, and human values (Goldim 2009). To the contrary, bioethics has struggled to respond to institutional racism because, similar to medicine, it is founded in a history of whiteness (Danis, Wilson, and White 2016). Fabi and Goldberg (2022) have poignantly raised important questions regarding funding priorities in bioethics research and how this perpetuates injustice. We argue that while organized medicine still has significant shortcomings in addressing health inequities, it has provided some practical approaches to addressing social justice that can be adopted and modeled in bioethics. The most effective of which is increasing the number of black and minority members and outlining clear paths to leadership and influence in the field.