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The ethics of Community Empowerment: tensions in health promotion theory and practice

机译：赋予社区权力的伦理：健康促进理论和实践中的紧张关系

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The concepts of community participation, empowerment and capacity building are central tenets of contemporary health promotion theory. They reflect the view that health and well-being are shaped by a wide range of social, economic, political and organisational forces that are outside the control of individuals. Despite its theoretical appeal, the practice of Community Empowerment is ethically contentious and can produce ethical dilemmas for health promotion practitioners. In this paper we relate these dilemmas to theoretical considerations, and argue that the empowerment of communities should be understood as a means rather than an end. This leads us to argue for the adoption of what we call a Reflective Equilibrium Community Empowerment approach, which draws on both "top-down" and "bottom-up" methods to help resolve the ethical tensions in health promotion programmes.
机译：社区参与，授权和能力建设的概念是当代健康促进理论的核心原则。他们反映了以下观点：健康和福祉受到个人无法控制的广泛社会，经济，政治和组织力量的影响。尽管有理论上的吸引力，但社区授权的做法在道德上存在争议，并且可能对健康促进从业人员产生道德上的困境。在本文中，我们将这些困境与理论考虑联系起来，并认为赋予社区权力应被理解为一种手段，而不是目的。这导致我们争论采用所谓的“反思性均衡社区赋权”方法，该方法同时利用“自上而下”和“自下而上”的方法来帮助解决健康促进计划中的道德紧张问题。

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