This article examines solidarity as both a promise and a problem in public health discourse. Against accounts that treat solidarity as a moral feeling, civic mood or exhortation to comply, it argues that solidarity becomes ethically meaningful only when it is tethered to action, institutional obligation and distributive consequence. The article develops this claim through a medical humanities reading of two epidemic archives: HIV/AIDS activism and COVID-19 governmental address. Reading AIDS Coalition to Unleash Power (ACT UP) repertoires in the USA, France and England, it shows how grief, anger and care were converted into targeted institutional pressure directed at governments, regulatory bodies, medical authorities and markets. Solidarity here appears not as sentiment but as a political technology for making abandonment visible and costly. The article then turns to COVID-19 speeches in France, the UK, the USA and Italy, where solidarity is repeatedly mobilised through war metaphors, unity claims and appeals to sacrifice. These addresses often recast public health failure as individual moral responsibility, making compliance the most visible sign of civic virtue while leaving institutional accountability comparatively underspecified. The article concludes that solidarity can be reclaimed only if it is constrained into obligation-talk: a language of enforceable duties, material supports, rights to care and institutional accountability. Where that constraint cannot hold, solidarity risks becoming an alibi for unequal vulnerability rather than a response to it.
There is an ongoing debate on the blurred lines of solidarity, inspired by a surge in solidarity collectives that accompany people on the move in Europe, in the aftermath of the so-called "refugee crisis" of 2015. Realizing that people racialized as migrants and refugees have been systematically objectified, either as "criminals" or "helpless victims" by the border regime, grassroots supporting people on the move experimented with more contentious and horizontal forms of solidarity. But how far did they actually go, to challenge the hierarchies of deservingness produced by increasingly harsh migration policies and border violences? Trying to shed light on some of the transformations and pitfalls that have impacted solidarity collectives, over time, I look back into my PhD fieldwork-a multi-sited ethnographic study, to revise its reflections on collective resistance. I argue that, over time, collectives are prone to struggle with conflict and friction, attempts of subalternization and co-optation, demanding new strategies of autonomy and political agency. These reflections aim to contribute to community psychology scholarship interested in studying the transgressive power of solidarity and allyship, which have the potential to regulate community resistance and power in hostile sociopolitical contexts.
The COVID-19 pandemic deepened the existing vulnerabilities marginalized South African communities face daily, and intensified risk factors for injury and violence while disrupting established prevention mechanisms. This paper will examine the transformative potential of networking, solidarity, and community activism spaces post-COVID in advancing violence prevention within the South African context, where communities continue to contend with structural disparities and enduring levels of interpersonal violence. Using a qualitative case study design, this study draws on individual interviews conducted in a local Western Cape community. Thematic analysis was employed. The findings illustrate how networking, solidarity-driven approaches and community activism spaces not only mitigated the immediate impacts of COVID-19 but also generated sustainable frameworks for community-led violence prevention. The findings call for a shift from top-down interventions to grounded, participatory, community-based strategies that position solidarity and collective agency as central to achieving safety, justice, and social transformation.
The European Union (EU) is advancing an interoperable data governance framework through the establishment of Common European Data Spaces (CEDS), fostering innovation, economic competitiveness, and the provision of personalised services. Beyond these goals, CEDS seem to reflect ambitions of digital sovereignty and strategic autonomy in the global data economy, aiming to position itself among global leaders in Artificial Intelligence (AI) development and innovation. This article critically examines these ambitions through the recently adopted European Health Data Space Regulation (EHDSR), a flagship initiative establishing common mechanisms that enables secondary use of health data for research, innovation, and public health responses. The analysis highlights tensions between the EU's pursuit of autonomy and its foundational principles of solidarity and international cooperation, especially regarding engagement with non-EU countries. While Article 114 of the Treaty on the Functioning of the EU (TFEU) underpins its current data space legislation, it limits the EU's capacity to achieve broader geopolitical objectives. The paper advances the concept of "data cosmopolitanism" as an extension of the solidarity principle, proposing a theoretical framework for a global approach to health data sharing that incorporates societal values such as social justice and equality in access to healthcare.
The decriminalization of surgical and medical abortion in many Australian jurisdictions has led to discussions about the systemic and moral barriers to accessing abortion services. This article reflects on Conscientious Objection (CO), as one of such barriers in abortion services in Australia. Two broad positions are identified in the moral disagreement between a patient's legal right to abortion and a doctor's right to conscientiously object to providing such service: (1) pro-conscientious protection and (2) anti-conscientious protection. While each of these positions motivates different courses of action that may independently count as right, a fundamental ethical challenge is resolving the disagreement in ways that both positions are jointly satisfiable. This article argues that (1) and (2) are prima facie flawed as they may perpetuate medical paternalism, psycho-social and moral distress, medical abandonment, moral standing diminution, and reproductive injustice, which considerably impact both patient and physician to varying degrees. This article suggests an Ethic of Solidarity (ES) as an important relational anthropological frame that inspires some compromise in the moral disagreement. When the virtues of solidarity, such as cooperation, sharing, and reciprocity, are applied to the dilemma between respecting a patient's right or doctor's professional conscience in abortion service encounters, inclinations toward interchangeable compromises emerge. This article concludes that an ES is worth taking seriously in the CO debate in Australia and beyond.
This study examines the Refugee Olympic Team (ROT) within the broader context of the modern Olympic Games and the global refugee crisis. While the initiative is frequently framed as a symbol of hope and global solidarity, its broader psychosocial and institutional implications remain underexplored. Using an interpretivist qualitative research design, the study conducted qualitative document analysis and thematic analysis of 26 institutional documents, United Nations reports, and international media sources published between 2009 and 2025. The analysis was guided by the Athletic Career Transition Model (ACTM). The findings show that the ROT provides meaningful symbolic recognition and transition resources by fostering visibility, belonging, hope, and resilience among displaced athletes. However, the analysis also reveals that institutional and media representations frequently construct refugee athletes as exceptional "model migrants," thereby reinforcing selective inclusion, conditional acceptance, and pressure to perform as idealised symbols of refugee success. The study highlights the dual character of the Refugee Olympic Team as both a supportive transition space aligned with Sustainable Development Goal 16 and a politically mediated initiative shaped by institutional narratives, structural constraints, and asymmetrical power relations. By integrating ACTM with critical sport-for-development perspectives, this article contributes to scholarship on sport, forced migration, and psychosocial well-being while offering a more explicit psychological interpretation of refugee athletes' adjustment, coping, and career transition experiences.
During the United Kingdom's (UK' first COVID-19 lockdown, the Clap for Carers ritual was framed as a national act of gratitude for healthcare workers. For ten weeks, millions clapped, banged pots and cheered from their homes - yet for many National Health Service (NHS) workers, this display of public appreciation sat uneasily with their lived realities. This article examines the Clap for Carers as a complex and contested phenomenon, drawing on mainstream and social media discourse (2020-2024) and interviews with NHS clinicians conducted during a period of historic strike action (2023-2024). It explores how the ritual, although presented as a spontaneous outpouring of solidarity, reinforced divisions between the public and healthcare workers, transforming staff into symbols rather than addressing their material needs. The study situates the Clap within the cultural and political history of the NHS, highlighting its entanglement with narratives of national identity, duty and resilience. Clinicians' testimonies reveal the emotional and ethical burdens of their role, resisting the wartime rhetoric of sacrifice and instead pointing to experiences of moral injury and systemic neglect. As the UK emerges from the pandemic, this article asks how public narratives of care, crisis and gratitude shape the realities of healthcare work - and what is at stake when symbolic gestures replace meaningful support.
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Intergenerational solidarity between grandparents and grandchildren is a longstanding tradition that strengthens family bonds and supports the psychological wellbeing of older adults, particularly within Asian families. Drawing on theories of lifespan development, social connectedness, and narrative identity, an intergenerational reminiscence program was developed to promote emotional well-being and deepen generational connections among Asian American families. This study qualitatively examined the reflections of 12 grandparent-grandchild dyads who completed the program. Grandparents participated in six weekly, one-hour guided life review and reminiscence sessions, conducted either in person or online and facilitated by grandchildren. Following the intervention, individual interviews were conducted with the dyads. Interview data were analyzed using Braun and Clarke's six-step thematic analysis approach. Three themes emerged describing participants' experiences with intergenerational storytelling and learning. The first, engagement with family history and stories, captured participants' enjoyment of sharing and discovering family narratives, uncovering previously unknown histories, and building curiosity about their ancestry. The second theme, transmission of wisdom and life lessons, reflected the intergenerational sharing of career guidance, practical life advice, perspectives on resilience, and strengthened appreciation for personal circumstances. The third theme, intergenerational and cultural understanding, highlighted increased awareness of generational differences, respect for cultural and personal viewpoints, and strengthened emotional bonds. The findings align with cultural transmission theory, intergenerational solidarity theory, and psychological theories of reminiscence and identity formation. Reflections from both grandparents and grandchildren suggest that intergenerational reminiscence effectively fosters closer relationships across generations by revisiting family history and cultural roots. Lessons learned and recommendations for future culturally responsive interventions with Asian American families are discussed.
People build communality to resist oppressive conditions, serving their communities to collectively thrive. Sense of community (SOC) often implies group membership, creating a SOC-diversity dialectic that may promote out-group exclusion. Based on Indigenous perspectives from Latin America, communality expands on SOC to include resisting oppression and promoting liberation, surpassing group membership borders. Communality builds collective power through service grounded in a deep responsibility for collective well-being. Our study analyzed 58 semi-structured interviews with Latinx people with ties to immigrant communities in California, exploring how they foster communality. We utilized relational consensus analysis and reflexive thematic analysis. Results highlight how participants build communality by serving their communities. Immigrant people organize to enact change in work and school settings, nurturing allyship and intersectional solidarity across identity borders and levels of fundamental risk. Their pursuit of collective thriving involved advocating to counter systemic prejudice and promoting life-affirming practices. Participants were committed to show up for the overall community, including those who may still exert power to harm. Amid increasing polarization and systemic hatred, interviewees nurtured solidarity entanglements to pursue justice and co-create conditions of thriving for all.
Electronic medical record (EMR)-based quality improvement (QI) tools for cirrhosis care require accurate patient identification. Combining administrative and EMR data may enhance cirrhosis identification. This study aims to validate the Alberta code set (a hybrid code set using both administrative and EMR data) for identifying patients with cirrhosis. Twelve high-performing ICD-10 codes (Alberta code set) were evaluated using a cohort of 719 chart review-confirmed cirrhosis patients. Validation was performed in an independent cohort of 913 consecutively admitted patients at four Albertan hospitals (two tertiary and two non-urban). Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were obtained with a 95% CI. Two other code sets (Shearer and SoLiDaRity-10) were also validated using administrative-only, EMR-only, or hybrid data. Using administrative data alone, the Alberta code set showed a sensitivity of 78.9%, specificity of 97.4%, PPV of 80.4%, and NPV of 97.2%. With hybrid data, sensitivity improved to 87.2% and NPV to 98.2%, while specificity (96.5%) and PPV (77.2%) remained similar. Urban sites showed higher sensitivity (86.2% and 91.7%) than non-urban sites (70% and 82.1%), likely attributed to coding practice variability. The Shearer and SoLiDaRity-10 code sets also demonstrated high sensitivity (86.2% and 83.5%, respectively) and similar specificity (96.6 and 97.1, respectively) when using hybrid data rather than either admin data or EMR data alone. A hybrid administrative and EMR-based approach effectively identifies in-patient cirrhosis cases across health care settings and holds promise to support QI and research for cirrhosis patients. Cirrhosis is a serious medical condition that needs regular medical care and often leads to repeat hospitalizations for patients. To treat and study it effectively, hospitals need to accurately identify patients who have cirrhosis. However, this can be challenging because there is no single test to diagnose cirrhosis and given patient information is stored in different places, such as administrative databases (for billing and hospital records), while other details are stored in electronic medical records. This study tested whether combining both types of information better identifies patients with cirrhosis as compared with just one of these methods. We tested the accuracy of a set of 12 medical codes for cirrhosis used in Alberta to determine how accurate they were at identifying patients with cirrhosis. The codes were tested in a random group of patients admitted at four hospitals across the province to see how well each method worked. We found that using both hospital and medical record data together gave the most accurate results, especially in big-city hospitals where record-keeping is more detailed. This combined approach helps doctors and researchers track patient care, improve treatments, and provide better care for people living with liver disease.
This study combines the Unified Theory of Acceptance and Use of Technology (UTAUT) and the Dual Process Model (DPM) to construct a model for understanding the adoption of digital remembrance communities. By expanding the DPM, in-depth consideration of the perceived benefits of bereavement is introduced to analyze user behavior more comprehensively. The study also highlights the role of emotional solidarity in digital remembrance and takes it as a regulating variable to observe the role of digital communities in people's dynamic responses to death. A sample of 807 bereaved people from Macao and Jiangsu province of China is used to verify the research hypothesis model. Results show that UTAUT variables significantly predict usage intention; loss-oriented coping and perceived benefits mediate the relationship between technology acceptance and intention; and emotional solidarity strengthens key paths. The findings offer theoretical insight into digital mourning behaviors and practical guidance for designing supportive online bereavement platforms.
This study uses a matched-guise test to examine attitudes toward informal address in Uruguayan Spanish, which features two competing pronouns (tú, vos), their associated verb forms (tienes 'you haveT' vs. tenés 'idV'), and mixed combinations (TT, VV, TV). The analysis compares perceptions in Montevideo and Rocha. Two Montevideo speakers (one male, one female) were evaluated by raters from Montevideo (N = 82) and Rocha (N = 75) on attributes related to status, solidarity, and perceived national and regional identity. A cumulative link mixed-effects model showed that all variants were perceived as Uruguayan. Montevideo raters judged VV as the most Uruguayan, followed by TV, whereas Rocha raters showed no significant differences among variants for the male guise, but perceived the TT female guise as most Uruguayan. In both locations, TT increased perceptions of speakers as less from Montevideo and more from Rocha. Gender effects emerged: the female speaker was perceived as less from Rocha and more from Montevideo than the male when using VV, indicating heightened sensitivity to women's address choices. Rocha raters evaluated the female VV guise as less proper (correcta) than the male and the female TV guise as more disagreeable (antipática). These patterns suggest intersecting forms of prestige: VV and TV carry metropolitan prestige, while TT holds local covert prestige linked to authenticity, solidarity, and resistance to change. This study demonstrates the enduring role of informal address as a regional marker and the importance of speaker gender in attitudinal research.
Madagascar has been seriously affected by climate change with a particular impact on population health, wellbeing, and livelihoods. The country is prone to cyclones with floods as immediate consequences creating a cascade of crises. This study aims to understand how stakeholders (state and Non-Governmental Organisations) engage with communities to respond to cyclone-related shocks, how communities themselves respond, and what factors facilitate or hinder these partnerships. This qualitative study collected data though In-Depth Interviews (IDIs) from community members, Key Informant Interviews (KIIs) from stakeholders, and Focus Group Discussions (FGDs) from community members in Ambanja district of Madagascar. Data collection was guided by a realist-informed approach collecting data specific to Context, Mechanisms, and Outcome (CMO) of community engagement and involvement (CEI) for the response to cyclone-related crises. Data were presented as narrative summaries before going thorough framework analysis. This study identifies three pathways enabling community resilience. First, timely cyclone early-warning communication from trusted stakeholders from local actors and supporting Non-Governmental Organisations (NGOs) facilitates community involvement and saves lives during cyclone events. Second, embedded NGOs who are committed to working with communities play a pivotal role in building trust and delivering jointly long-term interventions essential for sustained resilience. Third, existing community social capital-including local knowledge, labour and solidarity networks-represents vital yet underutilised resources for effective intervention design. However, two fundamental challenges systematically undermine resilience-building efforts. Most significantly, the predominance of short-term partnerships means that only a few NGOs engage in long-term interventions, leaving substantial community needs unmet and limiting resilience to survival rather than at levels to thrive. Additionally, ignoring local knowledge and social norms leads to waste of resource through non-sustainable interventions, exemplified by water facilities that were rapidly destroyed because stakeholders failed to incorporate community insights about flood-resistant design. Whilst communities possess considerable adaptive capacity, and strong social solidarity, greater resilience requires sustained institutional commitment to longer-term engagement and support to address community needs. This needs a systematic integration of existing community knowledge and networks, rather than continued reliance on short-term, externally designed interventions that neither build upon local strengths nor address underlying vulnerabilities.
In the past decades, social scientists have interrogated the racialized machinations of social space. Ahmed (2007), for example, speaks of the 'Whiteness of space', wherein White bodies 'are what lags behind', sinking into the background and 'cohering to form the edges of spaces (pg. 156,157)', but non-White bodies are fated to be noticed and to be uncomfortably incoherent in space. This research examines the deep entanglements of racialized bodies and space, focusing on two recent 'disruptions' of space: the January 6th Capitol attack and the Gaza solidarity encampments. We examined media sources and employed a critical discursive analysis to detail how the occupation of space is categorized and constructed, paying specific attention to how racialized assumptions get discursively (re)produced. We observed that the acts of violence on January 6th, through discursive reproductions of habitus, were imbued with/in White innocence-a habitus not afforded to those involved in the Gaza solidarity encampments. For those participating in the encampments, a habitus of banal terrorism was linguistically and spatially reproduced, whereby the surveillance of the physical space of non-White and Muslim bodies was routinized. We consider these results within the context of existing critical psychological studies of Whiteness, discourse and race scholarship.
Armed conflicts in Africa disrupt physical and mental healthcare, yet ethical frameworks guiding interventions remain underdeveloped and rarely grounded in local political, cultural, and global realities. Mental health, chronically underfunded, is further devastated by conflict. This paper advances a human rights ethics approach to safeguarding health rights. Integrating Martha Nussbaum's capabilities approach, John Rawls's difference principle, and the African value of ubuntu, it focuses on mental health while assigning responsibilities to global actors whose economic policies fuel conflict. It reframes destruction of health infrastructure, cultural stigma, and weak accountability as violations of dignity and justice, not logistical challenges. Subsidiarity assigns primary responsibility to local actors; international actors bear a duty of solidarity, including addressing upstream conflict drivers. Restoring mental health services empowers individuals and communities-agency is central to healing. Short-term actions include integrating mental health into emergency responses, scaling community-based care, and launching culturally grounded anti-stigma campaigns. Long-term, resilient health systems and accountability, through the African Court on Human and Peoples' Rights and targeted international measures that avoid civilian harm-can hold violators responsible, even governments. Grounded in a coherent, locally situated human rights ethics, even fragile settings can advance the right to health, affirming dignity and solidarity as non-negotiable in war.
During the Covid-19 pandemic, the importance of having a National Health Service (NHS) became clear, and the commitment of healthcare workers was expressed with admiration and solidarity. However, contrary to expectations, in the years that followed, there was no provision to allocate a growing share of GDP to this sector, reform community medicine and the training and placement of general practitioners, or introduce financial and regulatory measures to benefit medical and nursing staff. The issue of health and the functioning of the NHS is now a major public concern. This factor, the need to activate the facilities funded by the National Recovery and Resilience Plan (particularly the Case della Comunità), and the approaching end of the legislative term have prompted several stakeholders to submit proposals that touch on multiple aspects of the NHS. This article examines seven documents or legislative proposals presented over the past four years, highlighting their different approaches to several key issues: the financing of the NHS, the public-private relationship, and the organization of local healthcare. It also highlights how healthcare reform is a type of intervention that involves personnel and facilities, and therefore cannot be proposed without adequate funding and a clear understanding of how to secure resources.