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Antonio Gramsci and Pierre Bourdieu: ‘Whiteness’ and Indigenous Healthcare

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The Palgrave Handbook of Social Theory in Health, Illness and Medicine

Abstract

Race acts as a powerful social and cultural force in countries colonised by Western nations where Indigenous or First Nation peoples often remain disadvantaged across all socio-economic indicators including education, health, employment and housing (Browne 2005; Walters and Saggers 2007). In Australia, Moreton Robinson (2009:xix) describes ‘White Anglo-Australian cultural and racial dominance’ as the ‘invisible omnipresent norm’. It is rarely interrogated or seen as a difference, instead it is the benchmark by which differences from that norm are measured, valued and often ignored. Power relations based on race can reproduce inequalities and discriminate against Indigenous people, yet often remain ‘natural, normal and unmarked’ (Moreton Robinson 2009:183), including in healthcare. Mainstream healthcare delivered to Indigenous people in post-colonial countries is located within a racialised social structure where the ideas, values and practices of the dominant, racial and cultural group are accepted as the norm (Kowal 2008; Moreton Robinson 2009).

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References

  • Acciaioli, G.L. (1981) ‘Knowing What You Are Doing: A Review of Piene Bourdieu’s Outline of a Theory of Practice’ Canberra Anthropology IV(1):23–51.

    Google Scholar 

  • AHMAC (2012) Health Performance Framework 2012 Report. Australian Health Ministers’ Advisory Council: Canberra.

    Google Scholar 

  • Artuso, S.; Cargo, M.; Brown, A. and Daniel, M. (2013) ‘Factors Influencing Health Care Utilisation Among Aboriginal Cardiac Patients in Central Australia: A Qualitative Study’ BMC Health Services Research 13(83) http://www.biomedcentral.com/1472–6963/13/83 [accessed 10 December 2013].

  • Bates, T. (2002) ‘Gramsci and the Theory of Hegemony’ in Martin, J. (ed.) Antonio Gramsci: Critical Assessments of Leading Political Philosophers. Routledge: London, pp. 245–262.

    Google Scholar 

  • Boffa, J. (2008) ‘Cancer Care for Indigenous Australians’ Medical Journal of Australia 188(10):560–561.

    Google Scholar 

  • Bourdieu, P. (1970) ‘The Berber House or the World Reversed’ Social Science Information 9:151–170.

    Article  Google Scholar 

  • Bourdieu, P. (2004) Outline of a Theory of Practice. Cambridge University Press: Cambridge.

    Google Scholar 

  • Bourdieu, P. and Wacquant, L. (2002) An Invitation to Reflexive Sociology. Polity: Cambridge.

    Google Scholar 

  • Bourdieu, P.; Chamborderon, J.-C. and Passeron, J.-C. (1991) The Craft of Sociology: Epistemological Preliminaries. Walter de Gruyter: Berlin and New York.

    Book  Google Scholar 

  • Browne, A.J. (2005) ‘Discourses Influencing Nurses’ Perceptions of First Nations Patients’ Canadian Journal of Nursing Research 27(4):62–87.

    Google Scholar 

  • Burgess, D.; van Ryn, M.; Dovidio, J. and Saha, S. (2007) ‘Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology’ Journal of General Internal Medicine 22(6):882–887.

    Article  Google Scholar 

  • Carson, B.; Dunbar, T.; Chenhall, R. and Bailie, R. (eds.) (2007) Social Determinants of Indigenous Health. Allen and Unwin: Sydney.

    Google Scholar 

  • Coory, M.; Green, A.; Stirling, J. and Valéry, P. (2008) ‘Survival of Indigenous and Non-Indigenous Queenslanders After a Diagnosis of Lung Cancer: A Matched Cohort Study’ Medical Journal of Australia 188(10):5 62–566.

    Google Scholar 

  • Davidson, P.M.; McGrath, S.; DiGiacomo, M.; Thompson, S.C.; Bessarab, D.; Newton, P.J. and Durey, A. (2012) ‘The Experience of Lung Cancer in Aboriginal and Tones Strait Islander Peoples and What It Means for Policy, Service Planning and Delivery’ Australian Health Review 37(l):70–78.

    Google Scholar 

  • Downing, R.; Kowal, E. and Paradies, Y. (2011) ‘Indigenous Cultural Training for Health Workers in Australia’ International Journal for Quality in Health Care (April 4): 1–11.

    Google Scholar 

  • Durey, A.; Thompson, S.C. and Wood, M. (2011) ‘Time to Bring Down the Twin Towers in Poor Aboriginal Hospital Care: Addressing Institutionalised Racism and Misunderstandings in Communication’ Internal Medicine Journal 42(1): 17–22.

    Article  Google Scholar 

  • Eades, S. (2000) ‘Reconciliation Social Equity and Indigenous Health’ Medical Journal of Australia 172(10): 468–469.

    Google Scholar 

  • Femia, J. (2002) ‘Hegemony and Consciousness in the Thought of Antonio Gramsci’ in Martin, J. (ed.) Antonio Gramsci: Critical Assessments of Leading Political Philosophers. Routledge: London, pp. 263–286.

    Google Scholar 

  • Forgacs, D.E. (1988) A Gramsci Reader: Selected Writings 1916–1935. Lawrence and Wishart: London.

    Google Scholar 

  • Germov, J. (2002) Second Opinion. Oxford University Press: Melbourne.

    Google Scholar 

  • Goodkind, J.; Ross-Toledo, K.; John, S.; Hall, J.L.; Ross, L.; Freeland, L.; Coletta, T; Becenti-

    Google Scholar 

  • Fundark, E.; Poola, C; Begay-Roanhorse, R. and Lee, C. (2010) ‘Promoting Healing and Restoring Trust: Policy Recommendations for Improving Behavioral Health Care for American Indian/Alaska Native Adolescents’ American Journal of Community Psychology 46:386–394.

    Article  Google Scholar 

  • Gramsci, A. ([1971] 1999) Selections from the Prison Notebooks (translated by Q. Hoare and G. N. Smith). International Publishers: New York.

    Google Scholar 

  • Gundogan, E. (2008) ‘Conceptions of Hegemony in Antonio Gramsci’s Southern Question and the Prison Notebooks’ New Proposals: Journal of Marxism and Interdisciplinary Inquiry 2(l):45–60.

    Google Scholar 

  • Hall, S. (1986) ‘Gramsci’s Relevance for the Study of Race and Ethnicity’ Journal of Communication Inquiry 10(2):5–27.

    Article  Google Scholar 

  • Jenkins, R. (1993) Pierre Bourdieu. Routledge: London.

    Google Scholar 

  • Johnstone, M.-J. and Kanitsáki, O. (2009) “The Spectrum of “New Racism” and Discrimination in Hospital Contexts’ Collegian 16(2):63–69.

    Article  Google Scholar 

  • Johnstone, M.-J. and Kanitsáki, O. (2010) ‘The Neglect of Racism as an Ethical Issue in Health Care’ Journal of Immigrant Minority Health 12(4):489–495.

    Article  Google Scholar 

  • Jones, C. (2000) ‘Levels of Racism: A Theoretic Framework and a Gardener’s Tale’ American Journal of Public Health 90(8): 1212–1215.

    Article  Google Scholar 

  • Kowal, E. (2008) “The Politics of the Gap: Indigenous Australians, Liberal Multiculturalism, and the End of the Self-Determination Era’ American Anthropologist 110(3):338–348.

    Article  Google Scholar 

  • Larson, A.; Coffin, J.; Gilles, M. and Howard, P. (2007) ‘It’s Enough to Make You Sick: The Impact of Racism on the Health of Aboriginal Australians’ Australian and New Zealand Journal of Public Health 31(4):322–328.

    Article  Google Scholar 

  • Marx, K. ([1867] 1999) Capital. Oxford University Press: Oxford.

    Google Scholar 

  • McDermott, D. (2012) ‘Can We Educate out of Racism?’ Medical Journal of Australia 197(1):15.

    Google Scholar 

  • McGibbon, E.; Mulaudzi, R; Didham, P.; Barton, S. and Sochan, A. (2014) ‘Towards Decolonising Nursing: The Colonisation of Nursing and Strategies for Increasing the Counter-Narrative’ Nursing Inquiry 21(3): 179–191.

    Article  Google Scholar 

  • Mitchell, J. (2007) ‘History’ in Carson, B.; Dunbar, T; Chenhall, R. and Bailie, R. (eds.) Social Determinants of Indigeous Health. Allen and Unwin: Sydney, pp. 41–64.

    Google Scholar 

  • Moreton Robinson, A. (2009) Talkin’ up to the White Woman. University of Queensland Press: Brisbane, Australia.

    Google Scholar 

  • Paradies, Y. (2006) ‘Defining, Conceptualizing and Characterizing Racism in Health Research’ Critical Public Health 16(2): 143–157.

    Article  Google Scholar 

  • Paradies, Y. and Cunningham, J. (2009) ‘Experiences of Racism among Urban Indigenous Australians: Findings from the Druid Study’ Ethnic and Racial Studies 32(3):548–573.

    Article  Google Scholar 

  • Paradies, Y. and Cunningham, J. (2012) ‘The Druid Study: Explaoring Mediating Pathways between Racism and Depressive Symptoms among Indigenous Australians’ Social Psychiatry Psychiatric Epidemiology 47:165–173.

    Article  Google Scholar 

  • Paradies, Y. and Williams, D. (2008) ‘Racism and Health’ in Heggenhougen, K. and Quah, S. (eds.) International Encyclopedia of Public Health. First edition. Academic Press: San Diego, CA. pp. 574–583.

    Google Scholar 

  • Pease, B. (2010) Undoing Privilege: Unearned Advantage in a Divided World. Zed Books: London.

    Google Scholar 

  • Pon, G. (2009) ‘Cultural Competency as the New Racism: An Ontology of Forgetting’ Journal of Progressive Human Services 20(1): 59–71.

    Article  Google Scholar 

  • Russell, L. (2013) ‘Reports Indicate That Changes Are Needed to Close the Gap for Indigenous Health’ Medical Journal of Australia 199(11): 1–2.

    Google Scholar 

  • Saggers, S. and Gray, D. (2007) ‘Defining What We Mean’ in Carson, B.; Dunbar, T.; Chenhall, R. and Bailie, R. (eds.) Social Determinants of Indigenous Health. Allen and Unwin: Sydney, pp. 1–20.

    Google Scholar 

  • Sakamoto, I. (2007) ‘An Anti-Oppressive Approach to Cultural Competence’ Canadian Social Work Review 24(1): 105–114.

    Google Scholar 

  • Shahid, S.; Finn, L. and Thompson, S.C. (2009) ‘Barriers to Participation of Aboriginal People in Cancer Care: Communication in the Hospital Setting’ Medical Journal of Australia 190:574–579.

    Google Scholar 

  • Simon, R. (1982) Gramsci’s Political Thought: An Introduction. Lawrence and Wishart: London

    Google Scholar 

  • van Ryn, M. (2002) ‘Research on the Provider Contribution to Race/Ethnicity Disparities in Medical Care’ Medical Care 40(1 Supplement): 1140–1151.

    Google Scholar 

  • Walter, M. and Butler, K. (2013) ‘Teaching Race to Teach Indigeneity’ Journal of Sociology 49(4):397–410.

    Article  Google Scholar 

  • Walters, M. and Saggers, S. (2007) ‘Poverty and Social Class’ in Carson, B.; Dunbar, T.; Chenhall, R. and Bailie, R. (eds.) Social Determinants of Indigenous Health. Allen and Un win: Sydney, pp. 87–104.

    Google Scholar 

  • White, K. (2002) An Introduction to the Sociology of Health and Illness. Sage: London.

    Book  Google Scholar 

  • Williams, R. (1994) ‘Selections from Marxism and Literature’ in Dirks, N.; Eley, G. and Ortner, S. (eds.) Culture, Power and History: A Reader in Contemporary Social Theory. Princeton University Press: Princeton, NJ. pp. 585–608.

    Google Scholar 

  • Yeates, K.; Cass, A.; Sequist, T.; McDonald, S.; Jardine, M.; Trpeski, L. and Ayanian, J. (2009) ‘Indigenous People in Australia, Canada, New Zealand and the United States Are Less Likely to Receive Renal Transplantation’ Kidney International 76(6):659–

    Google Scholar 

  • Ziersch, A.; Gallaher, G.; Baum, F. and Bentley, M. (2011) ‘Responding to Racism: Insights on How Racism Can Damage Health from an Urban Study of Australian Aboriginal People’ Social Science and Medicine 73(7): 1045–1053.

    Article  Google Scholar 

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© 2015 Angela Durey

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Durey, A. (2015). Antonio Gramsci and Pierre Bourdieu: ‘Whiteness’ and Indigenous Healthcare. In: Collyer, F. (eds) The Palgrave Handbook of Social Theory in Health, Illness and Medicine. Palgrave Macmillan, London. https://doi.org/10.1057/9781137355621_12

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