书目名称 | Deconstructing Health Inequity | 副标题 | A Perceptual Control | 编辑 | Timothy A. Carey,Sara J. Tai,Robert Griffiths | 视频video | | 概述 | Draws on experience from cross-cultural settings; rural, remote, and underserved communities; community mental health settings; prisons; schools; and psychiatric wards.Provides fresh insight for acade | 图书封面 |  | 描述 | .This book offers a radically different perspective on the topic of health inequity. Carey, Tai, and Griffiths use Perceptual Control Theory (PCT) to deconstruct current approaches to understanding, investigating, and addressing problems of health inequity. In the book, the authors propose that health inequity is not a problem .per se.. Disrupted control, they argue, is the problem that needs to be addressed...From this perspective, research, policy, and health practices directed at addressing health inequity in isolation will offer only partial solutions to the problems created by disrupted control. Addressing problems of disrupted control directly, however, has the potential to entirely resolve issues that are created by health inequity...The authors have extensive clinical and research experience in a wide range of contexts, including: cross-cultural settings; rural, remote, and underserved communities; community mental health settings; prisons; schools; and psychiatric wards. Drawing on these diverse experiences, the authors describe how adopting a Perceptual Control Theory perspective might offer promising new directions for researchers and practitioners who have an interest i | 出版日期 | Book 2021 | 关键词 | Social determinants of health; health inequity; degrees of freedom; PCT; poverty; health inequalities | 版次 | 1 | doi | https://doi.org/10.1007/978-3-030-68053-4 | isbn_ebook | 978-3-030-68053-4 | copyright | The Author(s), under exclusive license to Springer Nature Switzerland AG 2021 |
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Front Matter |
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Abstract
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,Beginning the Search for Answers, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
Sometimes, some things just don’t add up. For us, health inequity is one of those things. We have a lot of expertise in the field of mental health. Collectively, we have accumulated decades of experience working in different settings with different people. We’ve worked in numerous inner-city services, as well as rural and underserved communities, in places such as England, Scotland, Ireland, Australia, the United States (US), and Europe. We’ve also worked in remote and very remote communities of the central Australian desert.
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,A Closer Look at the Scientific Literature, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
Things added up less to us now than they had when we first began to interrogate the health inequity literature, with the questions we articulated at the end of Chapter . demanding our attention.
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,Inequity Through a Different Lens: An Introduction to Perceptual Control Theory, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
In the previous two chapters we described our impressions of the state of the health inequity literature, as we encountered it, while we hunted for answers to the questions of why inequity is . the problem it is portrayed to be, and why it has been so impervious to remedies. The field, in general, seems to be a gallimaufry of ideas, concepts, methodologies, standards, and explanations. We think this is a problem because, . there is an issue to be addressed, and . the issue is important enough that it compromises successful social living, then anything less than a unified, coherent approach will jeopardise effective resolution of the issue.
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,Health Through the Lens of Control: A Different Look at Well-Being and Being Well, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
It seems reasonable to suggest that, if any systematic and sustained improvements in the health and equity arena are going to be achieved, a clear idea of what health is might be a necessary starting point. Currently, health inequity is assessed through apparent indicators of health such as infant mortality and life expectancy (Beckfield et al. in . 13(3–4):227–244, 2015; Bezruchka in .. The New Press, New York, pp. 190–198, 2014; Blazquez-Fernandez et al. in . 47(4):464–479, 2018). Other indicators include the presence of various diseases and also premature death (Mackenbach in ., 45:113–120, 2017). Despite the way in which health inequity is assessed, there doesn’t seem to be any indication that a preference is developing for referring to “life expectancy inequity” or “disease inequity”. Instead, the term “health inequity” is used consistently.
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,Research Through the Lens of Control: Reflecting on What We’re Doing from a Different Vantage Point |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
As we pass the halfway mark of the book, it might be appropriate to take stock of where we have come from, and exactly what we are suggesting. During the years we’ve been writing about and teaching Perceptual Control Theory (PCT; Powers in .. Aldine, Chicago, 1973; Powers in ., 2nd ed. Benchmark, New Canaan, CT, 2005), we’ve noticed some typical responses from people when they first encounter organic, autonomous control as an object of investigation. Of course, everyone has been experiencing control for their whole life. Control, in fact, is why they have a life to experience. An unexpected rendezvous with control as a phenomenon of scientific enquiry, however, can be confronting. Engaging with the principles of PCT, along with the implications of those principles, can lead people to question implicit but fundamental assumptions about what it means to be human, the purpose of life, how we organise our affairs, how we structure and coordinate our communities, and the kind of society in which we want to live.
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,Supercharging Our Research Efforts: A Matter of Control, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
We suggested in the last chapter that understanding our controlling natures might have important and useful implications for the way in which we conduct research. These implications will include unambiguous lessons for the issues we research and the research questions we develop and seek to answer.
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,Yes! That Really , What We Mean, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
So far throughout the book, we have outlined some general principles and concepts that could, potentially, transform the health inequity domain in terms of understanding and impact. At the end of the previous chapter, we began to sketch out some of our initial ideas for how we might advance the study of inequity.
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,But Wait, There’s More! Control Affects Practice as Much as Research, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
We are aware that the focus of this book has been heavily weighted towards the body of research and associated commentary that characterises the state of health inequity knowledge. Much less information has been discussed in relation to the implications that a control paradigm has for health professionals and other practitioners who are addressing health inequity “in the field”.
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,Well That’s That Then. We’re All Controllers All Controlling Together. So What?, |
Timothy A. Carey,Sara J. Tai,Robert Griffiths |
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Abstract
So here we are. We began this book by explaining that, for us, some of the claims being made in the health inequity literature didn’t add up. This book has been somewhat of a chronicling of our efforts to make sense of the field in the context of a particular theory of living of which we have been students for a number of decades.
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Back Matter |
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Abstract
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