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Clinical trials are crucial in developing safe medical treatments and combating diseases. However, the ethical considerations surrounding research involving human subjects have been an ongoing topic of debate. Existing ethical policies aim to ensure the accuracy of research findings and protect the well-being of participants. Nevertheless, these policies have been rooted in Western scientific and medical systems, which historically exploited communities for the benefit of privileged individuals and capital accumulation, perpetuating domination and settler colonialism. While ethical policies alone cannot erase these harmful legacies, they have globally failed at holding researchers, companies, and institutions accountable for their impact on communities. This failure has led to exploitation and unintended harm in disenfranchised communities with under-resourced health systems and limited access to healthcare resources. To address these challenges, this literature review proposes integrating stricter regulations, transparent disclosure of trial results, and comprehensive post-trial care. Additionally, it advocates for including community partnerships in clinical trial ethics policies to prioritize community needs and promote accountability. By examining qualitative studies on the perspectives of patients, researchers, and clinicians involved in clinical trials, as well as the current state of clinical trial ethics policies, this paper suggests a partnership-based approach that can facilitate the development of new treatments while addressing historical legacies of exploitation and harm in disenfranchised communities worldwide.

Miscarriages, stillbirths and neonatal deaths have received limited attention in global health programmes and research, even though pregnancy loss is common, traumatic and stigmatised. This paper seeks to illuminate lived experiences of pregnancy loss in southern Malawi, drawing on findings from semi-structured interviews and focus groups with women who have experienced loss, health professionals and community members, and observations of maternity care. Combining thematic and discourse analysis, we show how societal and medical discourses frame women as responsible for (failed) reproduction, and restrict possibilities to speak about, and respond to, loss. Some accounts and (care) practices invisibilise loss and associated suffering. However, invisibilisation may also be intended as support, and underscores rather than denies the social significance of parenthood. Other accounts (e.g. women emphasising faith and acceptance) constitute moral survival strategies to avoid the acquisition of a 'spoiled identity'. We conclude that societal and medical discourses of loss enact stigmatised, subaltern subject positions for women experiencing pregnancy loss, create social suffering, and amount to a form of structural violence. Programmes and interventions should change these discourses. [ABSTRACT FROM AUTHOR]

India is increasingly described as an 'ethnic democracy', 'populist majoritarian autocracy' or 'ethnocracy': a form of rule supported by an electoral majority rooted in ethnic affiliation, with limited and eroding checks and balances that would protect minorities. Over the past decade, constitutional arrangements shifted, 'dog-whistle' laws were passed and legal institutions starved of resources. In studying these developments, we want to ground generic studies of populist/majoritarian/autocratic law by unpacking the specific Indian version of it: how does Hindutva as a political ideology and the current dispensation as political agents conceive of the rule of law, its purpose and function? Which rules do they want the law to follow? We combine papers that trace Hindutva's own ideological commitments with those tracking material changes in legislation or jurisprudence and map out their differential consequences for India's minorities, culminating in a wider reflection on the rule(s) of law under autocratic circumstances. [ABSTRACT FROM AUTHOR]

Development should not be done in a way that endangers the environment, human life, or non-human life that depends on it. However, in Ethiopia, economic development was carried out with little or no concern for the environment or indigenous and minority groups whose livelihoods directly depended on natural resources. Based on an examination of primary and secondary sources through the lens of structural violence theory, this article argues that Ethiopia's economic growth was not equitable and happened at the expense of the country's natural resources. Using the Negede Woyto of Lake Tana as a case study, this paper investigated how economic development projects in Ethiopia impacted minority communities. The conclusion reached was that the EPRDF-led government actively worked to inflict structural violence on minority groups in the Lake Tana region, using sustainable economic development as a justification. [ABSTRACT FROM AUTHOR]

Although ethical reforms in biological anthropology have gained ground in recent years, there is still a scarcity of ethical standards for work involving historical documented collections (HDCs) at US museums and universities. These collections of deceased individuals were created in the late 19th to mid‐20th centuries under anatomy laws that targeted socially marginalized communities and allowed for the dissection of these individuals without their consent. Due to the extensive information associated with the individuals and made available to researchers, these collections have served as foundational resources for theory and methods development in biological anthropology into the 21st century. Recognizing the need for ethical guidelines for research, teaching and training, community engagement, and curation involving HDCs, we held a workshop called "Ethical Futures for Curation, Research, and Teaching in Biological Anthropology" on November 15–17, 2021. Here we summarize the conversations and major points of consensus among the workshop participants on these topics in order to advance these ethical considerations more broadly across the field. [ABSTRACT FROM AUTHOR]

AbstractQueerphobia is defined as society’s negative attitude towards LGBTQIA + people, translating into structures that marginalise LGBTQIA + people and contribute to health inequities that cause real harm and can be understood as structural violence. The purpose of this article is to explore what historically marginalised youth in a youth participatory action research (YPAR) project characterise as the big picture issues affecting the lives of LGBTQIA + youth. We used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection, engage in group thematic analysis, and make recommendations at the state policy level. We also conducted individual semi-structured interviews with participants. Our findings can be grouped into three main themes: LGBTQIA + youth may feel it is safer to remain closeted; queerphobia perpetuates housing instability; and queerphobia functions as a structural barrier to social services. Youth also developed state level policy recommendations to address the structural issues causing harm to LGBTQIA + youth health. Recommendations included increasing access to affordable housing and LGBTQIA + inclusive foster and group homes, and advocating for government-funded LGBTQIA + specific healthcare practices for LGBTQIA + youth. More youth-driven data are needed that centre those directly impacted by structural violence and associated health outcomes. [ABSTRACT FROM AUTHOR]

AbstractThis article explores forced migrant women’s transnational experiences of Sexual and Gender-Based Violence (SGBV), emphasizing that dynamic forms of violence travel with women across international borders. Through qualitative interviews with Arabic-speaking forced migrant women who have experienced SGBV, we examine how the selective permeability of international borders facilitates the perpetration of SGBV. Our analysis identified SGBV was perpetrated against participants across a range of forced migration settings. Structural and symbolic violence also persisted across international borders, creating additional barriers to accessing formal support services. The findings indicate that international borders remain permeable to diverse forms of structural, symbolic and interpersonal SGBV. [ABSTRACT FROM AUTHOR]

Introduction: Adolescent mothers require trauma- and violence-informed care during the perinatal period due to trauma histories and ongoing violence as a result of pregnancy. Nurses and midwives play a critical role in caring for adolescent mothers in primary healthcare settings in Rwanda in the perinatal period. Purpose: To explore the experiences of nurses and midwives working with adolescent mothers in selected primary healthcare settings in Rwanda to inform the delivery of trauma- and violence- informed care. Methods: This study utilized an interpretive description qualitative approach and was conducted in eight primary healthcare settings in Rwanda. Twelve nurses and midwives working in perinatal services and four heads of health centers participated in in-depth individual interviews. Data were analyzed thematically. Results: The analysis revealed four main themes and 11 (sub-themes): (a) relational practice (being creative and flexible, "lending them our ears"); (b) individual challenges of providing care to adolescent mothers (lack of knowledge to provide care related to gender-based violence, and gendered experience); (c) factors contributing to workarounds (inflexible guidelines, lack of protocol and procedures, lack of nurses' and midwives' in service training, and the physical structure of the perinatal environment); and (d) vicarious trauma (living the feelings, "I carry their stories home," and hypervigilance in parenting). Conclusion: Nurses and midwives find caring for adolescent mothers challenging due to their unique needs. These needs require them to be creative, adaptable, and attentive listeners to better understand their challenges. These practitioners face difficulties such as insufficient specific knowledge related to, for example, gender-based violence, inflexible guidelines, and a lack of protocols and training. Additionally, in the perinatal environment attention to the needs of practitioners in those settings is often lacking, and many nurses and midwives report experiencing vicarious trauma. Consequently, there is a pressing need for guidelines and protocols specifically tailored for the care of adolescent mothers. Ongoing trauma- and violence- informed care training and professional education should be provided to enhance the ability of nurses and midwives to care for adolescent mothers and prevent re-traumatization and mitigate vicarious trauma effectively. [ABSTRACT FROM AUTHOR]

Executive Summary: This article explores how undocumented border crosser (UBC) deaths are counted as well as mis- and under-counted across the US southwest, and proposes a suite of policy remediations to standardize this process. An accurate count of UBC recovered remains is vital to understanding the scope of fatalities associated with border crossing, providing evidence accounting for the reciprocal relationship between US border enforcement and the incidence of migration-related death. To meaningfully intervene, it is insufficient to advocate only for more robust individual death investigations, though this is pivotal to forensically identify UBC decedents and unite them with their loved ones. Though identification and reunification of UBCs are the elements of forensic care most commonly attributed as humanitarian, the relationship between forensic investigation and international humanitarian principles is equally about accumulating primary evidence for policy intervention and justice claims on behalf of those who wrongfully die. Even if existing counting mechanisms do not provide the means for establishing this attribution between border-crossing deaths and border enforcement policy, this article lays out an argument for why they must do so and it makes recommendations for how this can take place. Necessarily, this article begins with a critique of existing mechanisms for counting UBC deaths, from the federal observation of such deaths by Customs and Border Protection, to the bureaucratic mechanisms for the collection of vital statistics authored at the local level. It then suggests means for improving accurate counting using the US Standard Certificate of Death. It particularly explores two aspects of the certificate, Manner of Death reporting and a section that asks death filers to describe how the death occurred, sections 37 and 43 respectively. Finally, it explores historical precedent for altering the standard death form at local and then national levels, positing that select amendments to the existing death certificate would be useful for standardizing how medicolegal death filers across the border and beyond can more accurately enumerate and characterize UBC deaths. Policy recommendations include the following, in order of immediacy: ● Jurisdictions across the US southwest must adopt standardized criteria for counting fatalities believed to be associated with undocumented border crossing. ● Despite some local formalization of UBC counting, current means of representing UBC status in vital records remains ad hoc across the US southwest and existing mechanisms for counting elude wider scale national recognition in vital statistics. The most straightforward and reliable method of standardization to ensure systematic representation of UBC deaths across the borderlands would be a UBC checkbox on the death certificate. This would require cooperation with state-level public health departments and legislatures. Precedent exists for changing the death form at the state level, facilitating, in some cases, for eventual inclusion of new components of the death certificate to be adopted on the US Standard Certificate of Death. This is recommended as a longer-term goal. ● Finally, there must be a means to characterize the deadly relationship between UBC fatalities and US border enforcement policy and practice in vital records where UBC Manners of Death are most often characterized as "Natural" or "Accidental." Both are inaccurate. Unilaterally ensuring an accurate count leaves room for a trend already well underway in which agencies associated with border enforcement have cast UBC deaths as simply due to unfortunate heat-related accidents, resulting in legislation aimed to mitigate deaths that fails to address the role of border policy in causing deaths. This paper recommends that a new Manner of Death category could be useful beyond the border to represent non-capital crimes enforced by leveraging bodily harm. [ABSTRACT FROM AUTHOR]

Using a systemic and institutional analysis of transnational dynamics in the recruiting, hiring and placement of Vietnamese female migrants in domestic work in Saudi Arabia, this article showcases the experiences of Vietnamese female domestic workers in Saudi Arabia and contributes to the social protection and migrant domestic worker literatures. It contributes a critical analysis on whether bilateral labor agreements can be mechanisms for social protection of migrants. Focusing on the case of Vietnam, I argue that the bilateral labor agreement (BLA) signed between Vietnam and Saudi Arabia, enacted by the Vietnamese labor brokerage state and the Saudi Kafala systems, is a form structural violence because it fails to provide social welfare and protection for Vietnamese women domestic workers. In this systemic/structural violence, intersectionality shows that not all female workers suffer the same since ethnic minority workers most often suffer more than the majority (Kinh) female workers. Moreover, inside the Kafeel (the employer/sponsor) homes of this system, most of these female workers suffer, as unfree labor, from being transferred from one house to another, resulting in precarity, cycle of debt and dispossession of their rights. [ABSTRACT FROM AUTHOR]

Abstract Background Colombia has high numbers of internally displaced people, forced to migrate due to the conflict. 1 in 3 displaced women undergo pregnancy during adolescence, compared to around 1 in 5 in the non-displaced population, alongside health and resource inequalities between these groups. There is limited qualitative information available from the perspectives of displaced women experiencing adolescent pregnancy. This research explores how structural violence may feature in their experiences. Methods Qualitative methods were used. Participants were recruited with purposive sampling, using key informants and snowball sampling technique. 14 semi-structured interviews were conducted in Ciudad Bolívar, Bogotá, involving 11 displaced women who began childbearing age 15–19 in the past 10 years, and 4 participants’ mothers. Data was analysed using the theoretical framework of structural violence, and emergent themes categorised using thematic analysis. Results Pregnancy was considered advantageous in many ways, but this was contradicted by resulting disadvantages that ensued. Structural violence was embedded in life stories, manifesting in poverty and difficulties accessing reliable income, poor access to healthcare and education following pregnancy. Institutional and interpersonal discrimination confounded these challenges. Conclusions Pregnancy during adolescence was a contradictory experience, representing both a safety net and a trap due to a complex interplay of structural and cultural violence in everyday survival. Policymakers must consider the importance of the context surrounding adolescent pregnancy and address systematic disadvantages affecting women in these positions.

The pivot of the legislature in addressing structural violence in a democratic polity is its responsibility of enacting legislation for good governance, representing citizens’ interests in the public policy formulation process and performing oversight functions for equitable distribution and access to public goods and services. In Nigeria, the elimination of poverty has remained a major focus of every successive government, however, more than half of its populace still live in poverty and continue to battle with challenges emanating from inequality in societal structures. This study applies a systematic literature review to gather data and analyse the legislature’s impact on poverty alleviation in Nigeria’s fourth republic. The study reveals the extent of the capacity of the Nigerian legislative institutions to push for the development of the nation the socio-political dynamic of the country impeding legislative oversight of the implementation of government policies and programmes and the implication of accountable and transparent governance in the country. [ABSTRACT FROM AUTHOR]

Background: Colombia has high numbers of internally displaced people, forced to migrate due to the conflict. 1 in 3 displaced women undergo pregnancy during adolescence, compared to around 1 in 5 in the non-displaced population, alongside health and resource inequalities between these groups. There is limited qualitative information available from the perspectives of displaced women experiencing adolescent pregnancy. This research explores how structural violence may feature in their experiences. Methods: Qualitative methods were used. Participants were recruited with purposive sampling, using key informants and snowball sampling technique. 14 semi-structured interviews were conducted in Ciudad Bolívar, Bogotá, involving 11 displaced women who began childbearing age 15–19 in the past 10 years, and 4 participants' mothers. Data was analysed using the theoretical framework of structural violence, and emergent themes categorised using thematic analysis. Results: Pregnancy was considered advantageous in many ways, but this was contradicted by resulting disadvantages that ensued. Structural violence was embedded in life stories, manifesting in poverty and difficulties accessing reliable income, poor access to healthcare and education following pregnancy. Institutional and interpersonal discrimination confounded these challenges. Conclusions: Pregnancy during adolescence was a contradictory experience, representing both a safety net and a trap due to a complex interplay of structural and cultural violence in everyday survival. Policymakers must consider the importance of the context surrounding adolescent pregnancy and address systematic disadvantages affecting women in these positions. Plain language summary: The violent conflict in Colombia has left many people forced to leave their homes and become 'internally displaced'. Internally displaced women are more likely to become pregnant during their adolescence than non-displaced women. This work tries to understand more about the everyday lives of displaced women who experience adolescent pregnancy, through interviews. The interviews were analysed and results interpreted using the theory of 'structural violence'. Structural violence describes how social structures such as racism, sexism, war and poverty determine life choices, leading to suffering and inequality. The work found that pregnancy and motherhood in adolescence for displaced women was positive in many ways by bringing purpose, status and companionship. However, these women also experienced many challenges after pregnancy, such as exclusion from education and secure employment and difficulty accessing healthcare. This demonstrated that structural violence features in multiple interconnected forms in the daily lives of displaced adolescent mothers. The work urges policymakers to appreciate the complexity of context surrounding adolescent pregnancy and motherhood, and to address the structural disadvantages facing women in these situations. [ABSTRACT FROM AUTHOR]

This analysis explores a literacy teacher's changing perspective about teaching in a prestigious high school after learning about ahimsa, or holistic nonviolence. Drawing from theories of transformational learning and critical pedagogy in addition to understandings of ahimsa, this article presents some of the participant's new perceptions about her teaching and about the culture of the elite high school where she worked, including perceptions of structural violence. New understandings suggest that in order for schools to be nonviolent spaces, structural violences need to be considered alongside more overtly visible forms of violence. There are also implications for teacher learning. When professional development supports transformational change, it can be both inspirational and unnerving, and might shift participants' perspectives and unsettle their ways of relating to established practices and familiar contexts. [ABSTRACT FROM AUTHOR]

While the repercussions of the novel Coronavirus or COVID-19 have been felt across the world over the past few years, the impact has not been consistent. Instead, it has been mediated by the systemic ways in which existing social and structural disparities have failed vulnerable populations globally. Drawing on document analysis and fifteen in-depth interviews (n=15) conducted among the key stakeholders in the city of San Antonio, South Central Texas, this paper reveals how structural violence worsened during the COVID-19 pandemic resulting in making it a syndemic pandemic of high rates of deaths and illnesses among the most vulnerable and disadvantaged groups. A grounded theory approach particularly revealed themes of social suffering such as low income and pre-existing medical conditions that contributed to higher mortality rates, the presence of racism and misinformation, the importance of trustworthy communication channels, and streamlined collaborative partnerships with clear and effective communication through all levels of the government, especially when communicating scientific information. [ABSTRACT FROM AUTHOR]

Through a commingled, fragmentary assemblage of skeletal remains (MNI = 9) recovered from a 1999 salvage excavation, this article explores the lives and deaths of individuals interred at the Brentwood Poor Farm, Brentwood, New Hampshire (1841–1868). This work demonstrates that bioarchaeological analyses of smaller samples can provide nuanced accounts of marginalization and institutionalization even with scant historical records. The skeletal analysis presented here is contextualized within the larger history of the American poor farm system and compared to similar skeletal samples across the United States. The hardships these individuals faced—poverty, otherness, demanding labor—were embodied in their skeletal remains, manifesting as osteoarthritis, dental disease, and other signs of physiological stress. These individuals' postmortem fates were also impacted by status; they were interred in unmarked graves, disturbed by construction, and once recovered, were again forgotten for more than 20 years. [ABSTRACT FROM AUTHOR]

This article explores structural violence over Manja minority groups of Mareka Woreda in Dawuro Zone, SNNPRS, because structural violence over Manja minority group in the study area has been hurting intrinsically and in a systemic way. The article mainly stresses on the forms and actors of structural violence over Manja. Thus, the study employed qualitative research approach and descriptive research design. Both primary and secondary data were used to conduct this research successfully. The study finding indicated that the Manja minority groups have been endangered with structural violence throughout their lives in the study area. The structural violence is committed in different forms which include social alienation, economic exploitation, political oppression, cultural domination and religious discrimination which in turn results serious psychological impacts over Manja minority groups. Structural violence against Manja minority groups is committed by individuals, groups and institutions among the community in a systemic and indirect way. Though there is some improvement in social, economic, religious and political lives of Manja over time still things continued as they are and need more work. [ABSTRACT FROM AUTHOR]

This study seeks to explore the gender -- specific impact of post-9/11 terrorism acts in Pakistan, with a particular focus on the parents of the children killed in the terrorist attacks on Army Public School in Peshawar, in 2014. The paper dwells deep into exploring how the parents have been impacted and examines the many ways by which the victims have devised coping strategies in response to traumatic events. This study uses Galtung's structural violence theory as a theoretical framework to examine the psychological impact on the parents, with structural violence in this context referring to post-9/11 terrorism acts in Pakistan. This study adopted a sequential exploratory design. By using a stratified random sampling technique, a total of 216 participants were selected, comprising 133 Direct Victims and 83 Indirect Victims. Data collection involved a mixed method approach - both quantitative and qualitative analyses. Primary data was collected through structured interviews and a standardized questionnaire called Lieber's scale of Post-Traumatic Stress Disorder (PTSD) to measure the level of post-traumatic stress. Subsequent processing and tabulation followed by statistical examination to assess the psychological impact of post-9/11 terrorism in Peshawar. Finding indicates that the symptoms of PTSD were still evident among all participants even after nine years of terrorist attack. Participants who were directly exposed to trauma displayed more symptoms of psychological distress as compared to those who were indirectly exposed. The results also indicate a surprising and rather significant development in gender focused research with male parents exhibiting significantly high level of PTSD in comparison to women victims. Observations from the primary data showing men demonstrating higher level of PTSD, brings interesting propositions to gender research, where explorations around the social and psychological aspects of masculinity, and the multifaceted roles played by men around gender empowerment may prompt intriguing inquiries into gender research. Furthermore, it is recommended that future research must focus on factors that should not only identify the optimal timing for PTSD treatment, but also explore factors that can bring natural recovery. Moreover, the research also facilitates the policy recommendation for development work as well as those agencies including, the government, local and international aid organizations working in the areas affected by violence. [ABSTRACT FROM AUTHOR]

Social inequities have widened divisions between diverse population groups. Inequity is associated with social exclusion, structural and physical violence and reduced development, which in turn are linked to civil unrest, conflict and adverse health and social outcomes. Public services are key institutions through which social inequities are created and maintained, but evidence on viable interventions to reduce institutional exclusion is limited for low- and middle-income (LMIC) contexts. We identify common drivers of institutional exclusion across diverse populations in LMICs and inclusion strategies that could potentially work across populations, public service sectors and country contexts. Seven studies engaged with over 385 key stakeholders in healthcare, education and local government settings in Bangladesh, Kazakhstan, Kenya, Myanmar, Nepal, Nigeria and Vietnam. Participatory research, in-depth interviews, policy reviews and multi-stakeholder workshops focused on a range of disadvantaged groups. A multi-sector partnership co-produced recommendations at each site. Findings were synthesised to identify common themes and a framework for social inclusion across disadvantaged populations. The invisibility of disadvantaged communities in public service planning and delivery processes helped maintain their exclusion from opportunities and resources. A spectrum of neglect, restrictions and discriminatory practice reflected structural violence linked to poor life chances, illness, physical abuse and death. Key recommendations include the representation of disadvantaged groups in service staffing and decision-making and the transformation of public service policy and practice to develop inclusive, targeted, collaborative and accountable systems. [ABSTRACT FROM AUTHOR]

In the contemporary American political landscape, gerrymandering and the passage of anti‐abortion legislation are intimately connected in what I call reproductive gerrymandering. I develop this concept as an analytic tool to understand the disjuncture between the passage of laws restricting reproductive healthcare access and the will of the majority of voters. In this ethnographic project, Ohio serves as an important case study where efforts to elect a supermajority of extremist anti‐abortion Republican officials has allowed for the passage of unpopular legislation restricting abortion. I argue that the mundane bureaucratic processes involved in electoral redistricting and state budget procedures are forms of bureaucratic violence that result in structural harm experienced by pregnant people, especially those who are most marginalized. Reproductive gerrymandering provides a means for theorizing the connections across domains involving partisan redistricting, reproductive governance in the form of anti‐abortion legislation, and the structural violence experienced by pregnant people seeking abortion. [ABSTRACT FROM AUTHOR]

Child maintenance is not just a fundamental right but a crucial human need, essential for meeting the basic requirements of children. It also plays a vital role in preventing single mothers from carrying the sole burden of parenthood, which can exacerbate poverty and marginalisation. Against this backdrop, this study examines how social systems and institutions perpetuate structural violence, disproportionately impacting women. Specifically focusing on child maintenance in East London, South Africa, this research sheds light on how existing structures may compound the difficulties encountered by single mothers in securing financial support for their children. The research objective is to understand how structural violence contributes to women's poverty in child maintenance cases. Employing an exploratory qualitative design with a purposive sample of 54 participants, the study reveals that women already facing structural inequalities are most affected by a lack of child support. This forces them to rely on their limited income to raise their children, pushing them further into poverty.

AbstractThis article discusses the dehumanisation experienced by marginalised South African ekasi (African township) youths. More particularly, it explores how dehumanisation in the two African townships of Bophelong and Nyanga in South Africa has increased young people’s vulnerability to youth gangs. The research question is: how does dehumanisation contribute to gang violence in African townships? The paper adopts a qualitative approach and purposive sampling. The findings show that there is a strong link between dehumanisation and youth vulnerability to gangs. Many young people are excluded from access to fundamental human rights, which exposes them to multidimensional development challenges and pushes them towards a life of gangs and crime. Government, civil society, and the private sector must work together to intentionally address the root causes of youth gang violence in African townships.

It is difficult to describe the experience of living through the COVID-19 global pandemic while simultaneously teaching anthropology and sociology courses to undergraduates. My students and I experienced together not just the fear of sickness and death, but also social issues in the U.S. made more visible by the pandemic, such as racial tensions, challenges related to access to health care, and consequences of the social determinants of health. The “normal” that many are hoping we return to was heavily shaped by neoliberal policies that conceptualize health and illness as well as personhood in particular ways, such as through defining social problems as medical in nature and using medicine as a form of social control. The issue for us as educators, however, is that stress, depression, and anxiety are normal reactions to real conditions that we are all experiencing, albeit with strikingly different foundations and resources. In this paper I reflect on my own experiences in the classroom and discuss how I incorporated theoretical constructs of intersectional trauma, or trauma-informed pedagogy. I will showcase how I teach students these concepts through medical anthropology. I highlight how these concepts have helped students make sense of the impacts of the COVID-19 pandemic, and I argue that this framing is useful for understanding other crises for students and professors alike.

Violence is defined as "the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation." Encompassed in this definition are multiple, interrelated forms of violence, including interpersonal firearm death and injury, but also the systems, policies, and practices enacted by those with power to advantage some groups while depriving others of meaningful opportunities for meeting their basic needs-known as "structural violence". Yet dominant violence prevention narratives too often ignore or deemphasize the deeply intertwined threads of structural violence with other forms of violence, leading to policies and practices that are frequently insufficient, and often harmful, for reducing interpersonal firearm violence and building community safety, particularly in minoritized and structurally marginalized communities. We highlight ways in which limited scrutiny of structural violence, the omission of its defining characteristics-power and deprivation-from functional characterizations and frameworks of interpersonal firearm violence, and the inadequate distribution of power and resources to those most impacted by violence to self-determine narratives of and solutions to interpersonal firearm violence grossly impacts how interpersonal firearm violence is collectively conceived, discussed, and addressed. Expanding dominant narratives of interpersonal firearm violence, guided by the wisdom and determination of those most impacted, such that the goal of prevention and intervention efforts is not merely the absence of violence but rather the creation of a community safety and health ecosystem is essential to meet this critical moment in firearm violence research and prevention.

Copyright of Sexuality, Gender & Policy Journal is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Desacatos is the property of Centro de Investigaciones y Estudios Superiores en Antropologia Social and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

While scholars of migration have drawn our attention to the plight of children 'left behind' when their mothers migrate, children born to migrant women in destination countries have received far less consideration. In destinations such as Lebanon, migrant domestic worker employment – and right to residency – is governed by the kafala, or sponsorship, system which prohibits pregnancy and childbirth. Despite this prohibition, considerable numbers of migrant women do give birth, leaving them at risk of unemployment, visa and work permit cancellation, and 'illegalisation'. Compounding the situation, many mothers in this situation encounter substantial barriers to returning to home countries with their children. This paper draws on interviews with Ethiopian mothers living in Lebanon and other key informants, to examine the gendered and racialised structural, symbolic and interpersonal violence that governs the lives of these women and their children. We argue that the interlocking violence to which they are subjected results in the immobilisation of migrant mothers and their children, placing them at high risk of lifelong harm within a system that produces and reproduces global inequalities and im/mobilities. [ABSTRACT FROM AUTHOR]

Anti-trafficking programmes in Italy have been implemented for more than two decades. Yet, little empirical evidence is available regarding their functioning. This paper draws on 56 semi-structured interviews carried out in the period of 2019–2021 with practitioners and beneficiaries of the N.A.Ve anti-trafficking programme. The interviews focused on practitioners' experience working with Nigerian women and on Nigerian women's experiences of the programme upon completion. By building on critical anti-trafficking studies and the autonomy of migration perspective, this contribution looks at the relationship between practitioners and Nigerian women admitted to the programme by addressing the following questions: what is the experience of practitioners and beneficiaries in the N.A.Ve programme? To what extent is the structural violence of the counter-trafficking apparatus reproduced in the relational dynamics between practitioners, particularly Case Managers, and beneficiaries? How do beneficiaries cope with such violence? I argue that the Case Managers' approach builds on "stratified layers of institutional knowledge" and that this concept is useful to highlight how their knowledge derives both from the counter-trafficking apparatus and their social work background. Furthermore, I present evidence that such an approach reproduces structural violence through processes of "conditional inclusion". Nigerian women denounced this violence but also seized the relational capital grown from rapport, calling for more engagement with people rather than programme objectives. [ABSTRACT FROM AUTHOR]

In 2020–2021, 94% of undergraduates in England took out government-backed loans to fund their higher education. The growing and widespread use of student loans in England, mounting student debt, and governments' increasing dependence on tuition fees underwritten by loans to finance public higher education raise important questions which this paper seeks to address. Specifically, the paper asks how do graduates respond to student loan debt and what does this tells us about the nature of the relationship between the graduate debtor and the state lender? We also question the usefulness of symbolic violence as a sociological lens to better understand graduates' different patterns of responses and reactions to student loan debt and their relationship with the state lender. Our analysis draws on 98 in-depth qualitative interviews conducted with English graduates between 2020 and 2021. We conclude that a more comprehensive explanation requires an exploration of both symbolic violence and structural violence and a re-appraisal of the word 'violence' to better represent the wide range of graduates' responses. [ABSTRACT FROM AUTHOR]

Background This paper highlights the role of cultural and structural gaps that shape illness experiences of women with manifestations of female genital schistosomiasis (FGS) and their impacts upon mental well-being. Methods Using ethnography, case study narrative accounts of women manifesting symptoms of FGS, as well as interviews with health workers within FGS-endemic rural fishing communities in Cameroon, we present experiences of women affected by FGS, alongside information on FGS health service provision. Results Our results show how gendered power dynamics in decision making, gendered experiences around menstrual health and structural gaps in service provision, combine and lead to poor mental well-being. Subfertility brings a heavy psychosocial toll from external blame and rejection, exacerbated by internalised stigma and the challenge of not being able to fulfil cultural and gendered social norms. Conclusions Gender analysis is key to developing context-embedded understanding and addressing FGS-related challenges. With context-specific experiences demonstrating FGS comorbidity with mental ill health, there is a need to prioritise mental health integration at policy level through a person-centred approach. Furthermore, to address stigma and discrimination, campaigns to raise awareness in Cameroon, and beyond, are needed. Contexte Cet article met en évidence le rôle des lacunes culturelles et structurelles qui façonnent les expériences des femmes atteintes de schistosomiase génitale féminine (SGF) et leur impact sur le bien-être mental. La méthode À l'aide de l'ethnographie, de récits d'études de cas de femmes présentant des symptômes de schistosomiase génitale féminine, et d'entretiens avec des agents de santé au sein de communautés de pêcheurs ruraux endémiques de la schistosomiase génitale féminine au Cameroun, nous présentons les expériences des femmes touchées par le SGF, ainsi que des informations sur les services de santé liés au SGF. Résultats Nos résultats montrent comment la dynamique du pouvoir dans la prise de décision, les expériences de la santé menstruelle et les lacunes structurelles dans la fourniture de services, interagissent et conduisent à un manque de bien-être psychologique. La sous-fécondité entraîne un lourd fardeau psychosocial du fait du blâme et de rejet externes auxquelles sont assujetties les personnes souffrant de la maladie, ce qui est exacerbé par la stigmatisation intériorisée et le défi que représente leur incapacité à respecter les normes sociales culturelles et sexospécifiques. Conclusion L'analyse de genre est essentielle pour développer une compréhension intégrée au contexte et pour relever les défis liés aux SGF. les défis liés à l'ESF. Avec des expériences spécifiques au contexte démontrant la comorbidité de la FGS avec la mauvaise santé mentale, il est nécessaire de donner la priorité à l'intégration de la santé mentale au niveau politique par le biais d'une approche centrée sur la personne. l'intégration de la santé mentale au niveau politique par une approche centrée sur la personne. En outre, pour lutter contre la stigmatisation et la stigmatisation et la discrimination, des campagnes de sensibilisation sont nécessaires au Cameroun et au-delà. Antecedentes En este documento se pone de relieve el papel de las brechas culturales y estructurales que dan forma a las experiencias de enfermedad de las mujeres con manifestaciones de Esquistosomiasis Genital Femenina (EGF), y sus impactos en el bienestar mental. Método Utilizando la etnografía, estudios de caso mediante relatos narrativos de mujeres que manifiestan síntomas de EGF y entrevistas con trabajadores sanitarios de comunidades pesqueras rurales endémicas en Camerún, presentamos las experiencias de las mujeres afectadas por la EGF, junto con información sobre la prestación de servicios sanitarios para la EGF. Resultados Nuestros resultados muestran cómo la dinámica de poder de género en la toma de decisiones, las experiencias de género en torno a la salud menstrual y las deficiencias estructurales en la prestación de servicios se combinan y conducen a un bienestar mental deficiente. La subfertilidad conlleva un alto coste psicosocial debido a la culpa y el rechazo externos, exacerbados por el estigma interiorizado y el reto de no poder cumplir las normas culturales y de género. Conclusión El análisis de género es clave para desarrollar una comprensión integrada en el contexto y abordarlos retos relacionados con la EGF. Dado que las experiencias específicas de cada contexto demuestran la comorbilidad de las EGF con la enfermedad mental, es necesario priorizar la integración de la salud mental en las políticas a través de un enfoque centrado en la persona. Además, para hacer frente al estigma y la discriminación, son necesarias campañas de sensibilización en Camerún y en otros lugares. [ABSTRACT FROM AUTHOR]

While research in healthcare service provision for transgender and gender diverse (TGD) people has seen rapid progress, health information communication technologies (health ICTs) research on this key population is falling behind. Blindspots in the literature risk perpetuating systemic barriers to healthcare access. This critical, cross-disciplinary literature review applies a health equity perspective alongside the lenses of structural violence and intersectionality. It presents a research agenda for building systematic knowledge in the Information Systems (IS) and Information Communication Technologies for Development (ICT4D) fields, identifying and addressing blindspots that risk amplifying existing inequities for TGD people. It makes theoretical contributions to discourse on health equity and ICTs by exploring how health ICTs shape the inclusion and exclusion of marginalized communities. In facilitating a scholarly and practice-based understanding of the effect of health ICTs on TGD health provision, it paves the way for these fields to make significant contributions to global health equity. [ABSTRACT FROM AUTHOR]

Conflict and displacement exacerbate violence against women, including intimate partner violence (IPV). Considering the rising prevalence and duration of conflict-displacement, how violence follows women through chains of related events and contexts, including across generations, demands attention and action. The current study investigates how conflict-displacement contributes to IPV across generations of displacement at the Thailand-Myanmar border, a particularly informative setting for understanding displacement histories. Analyzing survey interview data from 534 women in a population-based survey of two border subdistricts, it investigates evidence of theoretical perspectives informed by trauma, social violence, and social disorganization. Analyses compare IPV and social fear responses by displacement generation, and test potential mediators of IPV differences tied to each theoretical perspective using logistic regression-based effect decomposition. Among first-generation women with more proximate conflict exposure, both legacy effects of past social and individual trauma, and adverse effects of displacement circumstances, emerge. Meanwhile, second-generation women experienced the highest IPV odds, suggesting that violence and displacement have an enduring impact but through mechanisms unmeasured in the current study. Both first- and second-generation women demonstrate navigating everyday violence through social vigilance. Both these groups demonstrate general social fear that aligns with IPV prevalence while also demonstrating individual blunted fear responses to direct victimization, i.e., relatively low reported fear among women with a violent partner, a coping mechanism symptomatic of trauma. Findings warrant greater attention to trauma and structurally violent displacement contexts that persist long term. When unaddressed, these likely exacerbate IPV in ways unexplained by cultural norms, direct conflict, or displacement alone. [ABSTRACT FROM AUTHOR]

How to define, and conceptualise, violence? This is a problem the social sciences and humanities have long wrestled with, often framing violence as an abstract, moral, and normative question, which prevented them from capturing its complexity. Violence, we suggest, is a tensional force that is constitutive of and immanent to social, material, and spatial relations, simultaneously weaving them together and threatening to disrupt them. At the same time, violence cannot be reduced to an epiphenomenon of an overarching process such as capitalism: it does not simply result from the unfolding of structures and global processes. Rather, it takes material existence in the frictional encounter with these very structures and processes. In this article, we build on and push beyond recent theorisations on infrastructure and infrastructural violence to introduce the concept of 'infra-structural violence' – where the hyphen emphasises the relational, tensional, and somatic in-between – as a way to rework symbolic, economic, and other notions of structural violence towards an ontological, epistemological, and ethical 'statics' of violence, which is attuned to its disruptive, constructive, and preserving qualities. [ABSTRACT FROM AUTHOR]

Structural inequities influence young parents' access to health care, housing, transportation, social support, education, and income. The current study adds to the extant literature by providing data directly obtained in collaboration with young parents to understand how structural violence affects the health and well-being of their families, ultimately resulting in community-driven policy recommendations developed in collaboration with the state health department. We engaged a diverse sample of young people—considered as community researchers in the project—including Black, Latinx, and/or LGBTQ+ pregnant and parenting young parents in a participatory action research (PAR) project in the spring of 2022 to explore their health and material needs while living in Springfield, Massachusetts. Together with young parents, we used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection (photos), engage in group thematic analysis, and take action at the state policy level. We also conducted individual semi-structured life-history interviews with the young parents. Participatory community-led findings indicate an urgent need for systemic change to increase access to safe and affordable housing; living-wage jobs; safe, high-quality, and affordable child care; and to bolster social support and disabilities services for young parents and their families. This participatory study funded by a state health department demonstrates that participatory community-driven data can have the power to mobilize community members and policy makers for social change if prioritized at the state and local levels. Additional practice-based implications include prioritizing participatory mentorship programs intended to aid young parents in navigating the complex systems that are vital to their survival. [ABSTRACT FROM AUTHOR]

The article addresses violence against nuns, given that the gendered nature of this violence affects all women, irrespective of their status, role or duty within the Church. The first chapter presents testimonies and the research aimed at de-tabooing the topic of violence against nuns. The second chapter examines structural and spiritual violence, as these forms of violence underpin and frame all other forms of violence and are crucial for comprehensive understanding of violence against nuns. The third and fourth chapters discuss the types and manifestations of violence in women's religious communities as well as clerical violence against nuns. The conclusion identifies specific problems, such as power asymmetry between clergy and laity, between men and women and between leaders and community members. It also addresses the needs for limiting the terms of office and prohibition of holding concurrent leadership positions. In the context of the Catholic Church in Croatia, the aim of the article is to initiate the de-tabooing and encourage research to develop prevention programs and support victims of violence. [ABSTRACT FROM AUTHOR]