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Further reading - Structural Violence and Clinical Medicine 

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Further reading - Structural Violence and Clinical Medicine 

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It was concluded that structural violence remains a high-ranking cause of premature death and disability

(Paul E Farmer,* Bruce Nizeye, Sara Stulac, and Salmaan Keshavjee)

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R2: Anonymity and suffering of the individuals, it's important to tell these stories - people dissociate from it because it's far away and they can't fathom the extend of the suffering - Paul Farmer Sheds a sobering light on that (pg 40-41)

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R2: In Haiti, AIDS and political violence are two leading causes of death amongst adults - the afflictions are not the result of accident or a force majeure (Act of god); they are the consequence, direct or indirect of human agency

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Structural violence refers to a form of violence wherein social structures or social institutions harm people by preventing them from meeting their basic needs. Although less visible, I argue that it is probably by far the most lethal form of violence, through causing excess deaths — deaths that would not occur in more equal societies.

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R2: Page 36

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Structural Violence, Life Stressors and Maternal and Child Health at the Thai-Myanmar Border

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Structural Violence, Life Stressors and Maternal and Child Health at the Thai-Myanmar Border

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Koning, Stephanie M.The University of Wisconsin - Madison, ProQuest Dissertations Publishing, 2018. 10830487.

Topics: Structural violence, Women's health, migrant health, child health

Findings: The evidence shows that more traumatic and disruptive pre-displacement stressors (forced evacuation, acute deprivation, and military oppression) indeed carry lasting health effects relative to other migrants. It is further found that there is a strong association between high-threat environments and select health outcomes across all migrant groups surveyed.

Why have I chosen this material:

How does it relate to the issues discussed in the lectures and/or readings:

Poignant Poem on page 1 and quote from Paul Farmer

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R2: Right before Acephie's story - "What these victims, past and present, share are not personal or psychological attributes. They do not share culture or language or a certain race. What they share, rather, is the experience of occupying the bottom rung of the social ladder in in-egalitarian societies." p31

Paul Farmer emphasises that "this is not simply the story of Acephie and her daughter ... nor this is simply the story of those infected with HIV" it's about the longstanding ramifications and trauma as well as the emblematic suffering of the structural violence that is causing the tragic and premature deaths

c) Structural Violence vs Social Determinants of Health
Its potential lies in the focus it gives to the deep structural roots of health inequities; in contrast to the more passive term “social determinants of health,” structural violence explicitly identifies social, economic, and political systems as the causes of poor health.

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R1: Fernando De Maio; David Ansell 10/2018 - “As Natural as the Air Around Us”: On the Origin and Development of the Concept of Structural Violence in Health Research in International Journal of Health Services

R2: Paul Farmer 2003 - Chapter 1  'On Suffering and Structural Violence: Social and Economic Rights in the Global Era', pp. 29-50 - Pathologies of power: health, human rights, and the new war on the poor

R3: A. Wilkinson; M. Leach 01/01/2015 - Briefing: Ebola-myths, realities, and structural violence in African Affairs

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Activity 2: Find additional material that illustrates how ill-health and suffering can be viewed as an embodiment of structural violence

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Activity 2: Find additional material that illustrates how ill-health and suffering can be viewed as an embodiment of structural violence

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* Please include a brief comment with your post that explains:
- why you have chosen this material
-how it relates to the issues discussed in the lectures and/or readings
- please also comment on the material and reflections posted by other members of your Grou

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*questions to consider whilst reflecting -

a) What does the concept of 'structural violence' try to capture?
b) What is the perspective(s) that this concept encourages us to take?
c) How does it differ from the concept of 'social determinants of health?
d) How can structures be violent?