Category: Article

The unbearable heaviness of climate coloniality

By Farhana Sultana

The extremely uneven and inequitable impacts of climate change mean that differently-located people experience, respond to, and cope with the climate crisis and related vulnerabilities in radically different ways. The coloniality of climate seeps through everyday life across space and time, weighing down and curtailing opportunities and possibilities through global racial capitalism, colonial dispossessions, and climate debts. Decolonizing climate needs to address the complexities of colonialism, imperialism, capitalism, international development, and geopolitics that contribute to the reproduction of ongoing colonialities through existing global governance structures, discursive framings, imagined solutions, and interventions. This requires addressing both epistemic violences and material outcomes. By weaving through such mediations, I offer an understanding of climate coloniality that is theorized and grounded in lived experiences.

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‘My Dad Was, Is a Soldier’: Using Collaborative Poetic Inquiry to Explore Intergenerational Trauma, Resilience, and Wellbeing in the Context of Forced Migration

By Lydia Wanja Gitau, Achol Arop and Caroline Lenette

The topics of intergenerational trauma, resilience, and wellbeing as they relate to forced migration are receiving more attention in the arts and health literature. Yet, we know very little about how refugee-background young adults manage their psychosocial wellbeing when they grow up surrounded by stories of conflict, loss, and trauma. Achol has been writing poetry to represent and amplify the narratives of those around her (parents, family, and the South Sudanese community in Sydney, Australia). These stories are central elements of her lived experience and the diverse experiences of her community. Using collaborative poetic inquiry, this paper identifies key themes in one of her poems, My dad was, is a soldier, to illustrate how poetry is an important artistic mode of expression that can improve our understanding of intergenerational trauma, resilience, and wellbeing. Rather than conveying interview data through research poems, we place Achol’s poem at the centre of our collaborative poetic inquiry to gain new insights into refugee lived experiences. This paper contributes to contemporary debates on how artistic means enrich our knowledge of psychosocial wellbeing through trauma-informed, culturally safe, and decolonial research methods.

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Troubling Objectivity: The Promises and Pitfalls of Training Haitian Clinicians in Qualitative Research Methods

By Pierre Minn

Building research capacity is a central component of many contemporary global health programs and partnerships. While medical anthropologists have been conducting qualitative research in resource-poor settings for decades, they are increasingly called on to train “local” clinicians, researchers, and students in qualitative research methods. In this article, I describe the process of teaching introductory courses in qualitative research methods to Haitian clinicians, hospital staff, and medical students, who rarely encounter qualitative research in their training or practice. These trainings allow participants to identify and begin to address challenges related to health services delivery, quality of care, and provider-patient relations. However, they also run the risk of perpetuating colonial legacies of objectification and reinforcing hierarchies of knowledge and knowledge production. As these trainings increase in number and scope, they offer the opportunity to reflect critically on new forms of transnational interventions that aim to reduce health disparities.

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Epistemic injustice in academic global health

By Himani Bhakuni and Seye Abimbola

This Viewpoint calls attention to the pervasive wrongs related to knowledge production, use, and circulation in global health, many of which are taken for granted. We argue that common practices in academic global health (eg, authorship practices, research partnerships, academic writing, editorial practices, sensemaking practices, and the choice of audience or research framing, questions, and methods) are peppered with epistemic wrongs that lead to or exacerbate epistemic injustice. We describe two forms of epistemic wrongs, credibility deficit and interpretive marginalisation, which stem from structural exclusion of marginalised producers and recipients of knowledge. We then illustrate these forms of epistemic wrongs using examples of common practices in academic global health, and show how these wrongs are linked to the pose (or positionality) and the gaze (or audience) of producers of knowledge. The epistemic injustice framework shown in this Viewpoint can help to surface, detect, communicate, make sense of, avoid, and potentially undo unfair knowledge practices in global health that are inflicted upon people in their capacity as knowers, and as producers and recipients of knowledge, owing to structural prejudices in the processes involved in knowledge production, use, and circulation in global health.

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From decolonizing knowledge to postimperialism A Latin American Perspective

By Gustavo Lins Ribeiro

To open new disciplinary imaginings, we must reinvigorate the relationship between utopian and anthropological thought. This is already underway in efforts to decolonize knowledge. Though such efforts have different emphases, they are located within a field of ideological and utopian struggles that must be understood in the context of imperialism-colonialism, of subalternized subject positions, and of the armed and cognitive struggles that imperialism-colonialism has entailed. Based on my Latin American positionality, I analyze the decolonization of anthropological knowledge as part of this wider field and of the discipline’s history of reexamining itself. In a critical dialogue with postcolonial and decolonial thought, I propose postimperialism as a framework that aims to deimperialize the world, overcoming the hierarchical positions between hegemonic and nonhegemonic anthropologies. Moreover, a postimperial research program would entail studying how global elites’ power affects those who struggle to end an unfair regime that is destroying the planet.

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Coloniality of Power and Coloniality of Gender: Sentipensar the Struggles of Indigenous Women in Abya Yala from Worlds in Relation

By Carmen Cariño and Alejandro Montelongo González

In this work I reflect, from the concepts of coloniality of power (Quijano 2007a) and coloniality of gender (Lugones 2008), key elements to sentipensar,2 the struggles of Indigenous women on the continent in defense of life in their territories. It is not new for Indigenous women to mobilize together with their peoples to defend the land-territory-life, but in recent years their participation has become more visible to the extent that the threat to the territories also involves fundamental elements for the reproduction of life that previously had not been of interest to capital. In this context my interest is focused on the ways in which the women of the territories create and resist from other ontologies in defense of life.

Thinking the reality of our countries from the coloniality of power and the coloniality of gender implies, among other things, taking as a baseline the existence of structures of domination, exploitation, and extermination that have been reproduced over the last five centuries in Abya Yala, and that have led to the imposition of a world classification that denies the existence of other worlds that inhabit these territories, and that have been persecuted, massacred, made invisible, but that exist and re-exist (Albán 2013).

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Working With Embroideries and Counter-Maps: Engaging Memory and Imagination Within Decolonizing Frameworks

By Puleng Segalo, Einat Manoff, and Michelle Fine

As people around the world continue to have their voices, desires, and movements restricted, and their pasts and futures told on their behalf, we are interested in the critical project of decolonizing, which involves contesting dominant narratives and hegemonic representations. Ignacio Martín-Baró called these the “collective lies” told about people and politics. This essay reflects within and across two sites of injustice, located in Israel/Palestine and in South Africa, to excavate the circuits of structural violence, internalized colonization and possible reworking of those toward resistance that can be revealed within the stubborn particulars of place, history, and culture. The projects presented here are locally rooted, site-specific inquiries into contexts that bear the brunt of colonialism, dispossession, and occupation. Using visual research methodologies such as embroideries that produce counter-narratives and counter-maps that divulge the complexity of land-struggles, we search for fitting research practices that amplify unheard voices and excavate the social psychological soil that grows critical analysis and resistance. We discuss here the practices and dilemmas of doing decolonial research and highlight the need for research that excavates the specifics of a historical material context and produces evidence of previously silenced narratives.

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Upholding “Colonial Unknowing” Through the IRB: Reframing Institutional Research Ethics

By Sheeva Sabati

This article considers the institutionalization of research ethics as a site of “colonial unknowing” in which the racial colonial entanglements of academic research and institutions are obscured. She examines the origin stories situating Institutional Review Boards (IRBs) as a response to cases of exceptional violence, most notably the Tuskegee syphilis experiment, within an otherwise neutral history of research. She then considers how the 2018 revisions to the Common Rule extend “colonial unknowing” by decontextualizing the forms of risk involved in social and behavioral research. She situates these complicities as necessary starting points toward anticolonial research ethics of “answerability.”

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Where is knowledge from the global South? An account of epistemic justice for a global bioethics

By Bridget Pratt and Jantina de Vries

The silencing of the epistemologies, theories, principles, values, concepts and experiences of the global South constitutes a particularly egregious epistemic injustice in bioethics. Our shared responsibility to rectify that injustice should be at the top of the ethics agenda. That it is not, or only is in part, is deeply problematic and endangers the credibility of the entire field. As a first step towards reorienting the field, this paper offers a comprehensive account of epistemic justice for global health ethics. We first introduce several different conceptions of justice and decolonisation in relation to knowledge, purposefully drawing on work emanating from the global South as well as the global North. We then apply those conceptions to the global health ethics context to generate a tripartite account of the layers of epistemic justice in the field: who is producing ethics knowledge; what theories and concepts are being applied to produce ethics knowledge; and whose voices are sought, recorded and used to generate ethics knowledge. These layers reflect that the field spans conceptual and empirical research. We conclude by proposing that, going forward, three avenues are key to achieve greater epistemic justice at each layer and to help decolonise global health ethics: namely, understanding the problem, dialogue and structural change.

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Rethinking and Decolonizing Theories, Policies, and Practice of Health from the Global South

By Oscar Feo Istúriz, Gonzalo Basile, and Neil Maizlish

This article states the need to decolonize the theories, policies, and practices that dominate health, and reflects on the necessity for a new epistemology built from the Global South. This allows rethinking health with a new categorical framework, which incorporates socially determined health and life, with the optic of reaching the highest conceivable degree of living well/well-living. We put forth that the epistemic bases of epidemiology and the implementation of health systems tend to reproduce a coloniality of power and of established health knowledge. Health systems are viewed as an accumulation of reforms based on theories and policies of the Global North imposed on Latin America and the Caribbean. These systems have been built as bureaucratic, biomedicalized, treatment-oriented, and commercialized health systems that are perceived as external to societies and that reproduce mistreatment, violence, and racism. We make the argument to rethink, remake, and decolonize the theories and practices that govern both epidemiology and health systems, and, from the South, develop strategic processes for building health sovereignty as the vision for the reconstruction of hope and social justice.

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