Structural violence
Encyclopedia
Structural violence is a term first used in the 1960s commonly ascribed to Johan Galtung
Johan Galtung
Johan Galtung is a Norwegian sociologist and the principal founder of the discipline of peace and conflict studies. He founded the Peace Research Institute Oslo in 1959, serving as its Director until 1970, and established the Journal of Peace Research in 1964...

. It refers to a form of violence where some social structure
Social structure
Social structure is a term used in the social sciences to refer to patterned social arrangements in society that are both emergent from and determinant of the actions of the individuals. The usage of the term "social structure" has changed over time and may reflect the various levels of analysis...

 or social institution harms people by preventing them from meeting their basic needs. Institutionalized elitism
Elitism
Elitism is the belief or attitude that some individuals, who form an elite — a select group of people with intellect, wealth, specialized training or experience, or other distinctive attributes — are those whose views on a matter are to be taken the most seriously or carry the most...

, ethnocentrism
Ethnocentrism
Ethnocentrism is the tendency to believe that one's ethnic or cultural group is centrally important, and that all other groups are measured in relation to one's own. The ethnocentric individual will judge other groups relative to his or her own particular ethnic group or culture, especially with...

, classism
Classism
Classism is prejudice or discrimination on the basis of social class. It includes individual attitudes and behaviors, systems of policies and practices that are set up to benefit the upper classes at the expense of the lower classes...

, racism
Racism
Racism is the belief that inherent different traits in human racial groups justify discrimination. In the modern English language, the term "racism" is used predominantly as a pejorative epithet. It is applied especially to the practice or advocacy of racial discrimination of a pernicious nature...

, sexism
Sexism
Sexism, also known as gender discrimination or sex discrimination, is the application of the belief or attitude that there are characteristics implicit to one's gender that indirectly affect one's abilities in unrelated areas...

, adultism, nationalism
Nationalism
Nationalism is a political ideology that involves a strong identification of a group of individuals with a political entity defined in national terms, i.e. a nation. In the 'modernist' image of the nation, it is nationalism that creates national identity. There are various definitions for what...

, heterosexism
Heterosexism
Heterosexism is a system of attitudes, bias, and discrimination in favor of opposite-sex sexuality and relationships. It can include the presumption that everyone is heterosexual or that opposite-sex attractions and relationships are the only norm and therefore superior...

 and ageism
Ageism
Ageism, also called age discrimination is stereotyping of and discrimination against individuals or groups because of their age. It is a set of beliefs, attitudes, norms, and values used to justify age based prejudice, discrimination, and subordination...

 are some examples of structural violence. Structural violence and direct violence are highly interdependent. Structural violence inevitably produces conflict and often direct violence, including family violence, racial violence, hate crime
Hate crime
In crime and law, hate crimes occur when a perpetrator targets a victim because of his or her perceived membership in a certain social group, usually defined by racial group, religion, sexual orientation, disability, class, ethnicity, nationality, age, gender, gender identity, social status or...

s, terrorism
Terrorism
Terrorism is the systematic use of terror, especially as a means of coercion. In the international community, however, terrorism has no universally agreed, legally binding, criminal law definition...

, genocide
Genocide
Genocide is defined as "the deliberate and systematic destruction, in whole or in part, of an ethnic, racial, religious, or national group", though what constitutes enough of a "part" to qualify as genocide has been subject to much debate by legal scholars...

, and war
War
War is a state of organized, armed, and often prolonged conflict carried on between states, nations, or other parties typified by extreme aggression, social disruption, and usually high mortality. War should be understood as an actual, intentional and widespread armed conflict between political...

.

In his book Violence: Reflections on a National Epidemic, James Gilligan
James Gilligan
James Gilligan is an American psychiatrist and author, husband of Carol Gilligan and best known for his series of books entitled Violence, where he draws on 25 years of work in the American prison system to describe the motivation and causes behind violent behaviour.During his career, Gilligan has...

 defines structural violence as "the increased rates of death and disability suffered by those who occupy the bottom rungs of society, as contrasted with the relatively lower death rates experienced by those who are above them." Gilligan largely describes these "excess deaths" as "non-natural" and attributes them to the stress, shame, discrimination and denigration that results from lower status. He draws on Sennett and Cobb, who examine the "contest for dignity" in a context of dramatic inequality.

Cultural violence

'Cultural violence' refers to aspects of culture that can be used to justify or legitimize direct or structural violence, and may be exemplified by religion and ideology, language and art, empirical science and formal science.

Cultural violence makes direct and structural violence look or feel "right," or at least not wrong, according to Galtung. The study of cultural violence highlights the way in which the act of direct violence and the fact of structural violence are legitimized and thus made acceptable in society. One mechanism of cultural violence is to change the "moral colour" of an act from "red/wrong" to "green/right," or at least to "yellow/acceptable."

International scope

In 1984, Petra Kelly
Petra Kelly
Petra Karin Kelly was a German politician and activist. She was instrumental in founding the German Green Party, the first Green party to rise to prominence worldwide.- Early life :...

 wrote (in her first book, Fighting for Hope):
The violence in structural violence is attributed to the specific organizations of society that injure or harm individuals or masses of individuals. In explaining his point of view on how structural violence affects the health of subaltern or marginalized people, medical anthropologist Paul Farmer
Paul Farmer
Dr. Paul Edward Farmer is an American anthropologist and physician. He is currently the Kolokotrones University Professor at Harvard University, formerly the Presley Professor of Medical Anthropology in the Department of Social Medicine at Harvard Medical School, an attending physician and Chief...

 writes:
This perspective has been continually discussed by Paul Farmer
Paul Farmer
Dr. Paul Edward Farmer is an American anthropologist and physician. He is currently the Kolokotrones University Professor at Harvard University, formerly the Presley Professor of Medical Anthropology in the Department of Social Medicine at Harvard Medical School, an attending physician and Chief...

, as well as by Philippe Bourgois
Philippe Bourgois
Philippe Bourgois is a Richard Perry University Professor of Anthropology & Family and Community Medicine at the University of Pennsylvania. He also served as founding Chair of the Department of Anthropology, History and Social Medicine at the University of California, San Francisco from 1998...

, and Nancy Scheper-Hughes
Nancy Scheper-Hughes
Nancy Scheper-Hughes is a professor of Anthropology and director of the program in Medical Anthropology at the University of California at Berkeley. She is known for her writing on the anthropology of the body, hunger, illness, medicine, psychiatry, madness, social suffering, violence and genocide...

.

Theorists argue that structural violence is embedded in the current world system. This form of violence, which is centered on apparently inequitable social arrangements, is not inevitable, they argue. Ending the global problem of structural violence will require actions that may seem unfeasible in the short term. To some this indicates that it may be easier to devote resources to minimizing the harmful impacts of structural violence. Others, such as futurist Wendell Bell, see a need for long term vision to guide projects for social justice. Many structural violences, such as racism and sexism, have become such a common occurrence in society that they appear almost invisible. Despite this fact, sexism and racism have been the focus of intense cultural and political resistance for many decades. Significant reform has been accomplished, though the project remains incomplete.

Access to health care

Structural violence has affected health care availability in the sense that physicians need to pay attention to large-scale social forces (racism, gender inequality, classism, etc...) to often determine who falls ill and who will be given access to care. Paul Farmer argues that the major flaw in the dominant model of medical care is that medical services are sold as a commodity, remaining only available to those who can afford them.

Structural violence is the result of policy and social structures, and change can only be a product of altering the processes that encourage structural violence in the first place. Paul Farmer claims that "structural interventions" are one possible solution.

Countries such as Haiti and Rwanda have implemented these interventions with positive outcomes. Examples include prohibiting the commodification of the citizen needs, such as health care, ensuring equitable access to effective therapies, and the development of social safety nets. These examples increase citizen’s social and economic rights, thus decreasing structural violence. However, for these structural interventions to be successful, medical professionals need to be capable of executing such a task. Unfortunately, many of these professionals are not trained to perform structural interventions.

See also

  • Anarchism and violence
    Anarchism and violence
    Anarchism and violence have become closely connected in popular thought, in part because of a concept of "propaganda of the deed". Propaganda of the deed, or attentát, was espoused by a number of leading anarchists in the late nineteenth century, and was associated with a number of incidents of...

  • Aggression
    Aggression
    In psychology, as well as other social and behavioral sciences, aggression refers to behavior between members of the same species that is intended to cause humiliation, pain, or harm. Ferguson and Beaver defined aggressive behavior as "Behavior which is intended to increase the social dominance of...

  • Imperialism
    Imperialism
    Imperialism, as defined by Dictionary of Human Geography, is "the creation and/or maintenance of an unequal economic, cultural, and territorial relationships, usually between states and often in the form of an empire, based on domination and subordination." The imperialism of the last 500 years,...

  • Structural abuse
    Structural abuse
    Structural abuse is the process by which an individual is dealt with unfairly by a system of harm in ways that the person cannot protect themselves against, cannot deal with, cannot break out of, cannot mobilise against, cannot seek justice for, cannot redress, cannot avoid, cannot reverse and...

  • Symbolic violence
    Symbolic violence
    The concept of symbolic violence was first introduced by French sociologist Pierre Bourdieu to account for the tacit almost unconscious modes of cultural/social domination occurring within the every-day social habits maintained over conscious subjects....

  • Lawsuit
    Lawsuit
    A lawsuit or "suit in law" is a civil action brought in a court of law in which a plaintiff, a party who claims to have incurred loss as a result of a defendant's actions, demands a legal or equitable remedy. The defendant is required to respond to the plaintiff's complaint...


External links

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