We were teaching about empowerment today on
our Masters course in Public Health – Health Promotion here at Leeds Met. My
colleague Dr. James Woodall was, as part of the session, asking students to
critique a paper he and two other colleagues had written. The paper questions whether
‘empowerment’ has lost its radical roots and is now used too casually and
without precise definition. (Woodall et al 2011)
Power is a key concept that we dissect when
we discuss empowerment, and this inevitably leads to a discussion of
powerlessness. Powerlessness,
according to Solomon (1976) comes from three potential sources: firstly there
are systems which systematically deny powerless groups opportunities to take
action; secondly there are the negative images which oppressed people have of
themselves, a form of self-oppression, and thirdly there are the negative
experiences which oppressed people undergo in their everyday interactions with
systems, institutions or the media.
In this week where Barack Obama has been
re-elected (Hurrah!) it’s interesting to think about the effect of such an
election on power structures and empowerment. When he was elected first time
around, black people all over the world were delighted – what a message – to
see a black man as the President of the world’s most powerful country, meaning
that for the first time, a black man was the most powerful person in the world.
(That depends, of course, on how much power you think a President can have,
given the forces of capitalism and conservatism in the USA). In terms of the
second of Solomon’s sources of powerlessness, Obama’s victories have had a huge
impact on positive images and thus on dismantling self-oppression.
Marginalized people – and health promotion
is principally concerned with those who are marginalized – have been able to
use the election system to their advantage. This doesn’t happen often. In the
election that took place this week, for once, the white, male majority did not
get their candidate of choice. Exit polls show that 45% of men and 55% of women
voted for Obama; of white men, 35% voted for him and 42% of white women. 87% of
black men and 96% of black women and 65% of Latino men and 76% of Latino women voted
for Obama. In terms of ‘race’ alone, 39% of white voters voted for Obama, 93%
of African Americans, 71% of Latinos and 73% of Asians. Those earning less than
$50,000 were more likely to vote for Obama – 60% as opposed to 44% of those
earning over $100,000.
So all in all, poorer, female, black,
Hispanic and Asian people were able to make their vote count and to elect
someone who they felt would represent their interests. This is essential if one
of the key outcomes of empowerment – systems change – is to happen. It also
resonates with the first of Solomon’s points about sources of powerlessness,
that systems operate to exclude certain groups in a systematic way. There is a
good chance, with a second term, that Obama will be able to bring about permanent
systems change. The implementation of the reform of health services must be a
major plank of this systems change. One thing which seemed to make a difference
this time around was persuading those who don’t normally vote, to get out and
make sure they did. They stopped Mitt
Romney doing what he had pledged to do in cutting after school programmes, job
training programmes, Head Start, Planned Parenthood and other social projects
which primarily target the marginalized. Now, we have a President who has
pledged to invest in education, tackle climate change, reform immigration
policy; this means for example, that the eleven million undocumented immigrants
might be able to gain a path to citizenship. I don’t agree with all aspects of
America’s foreign policy but I’m certain it will be a lot more enlightened than
it would have been if a Republican had got into the White House.
No doubt Obama will not be able to be as
radical as he’d like, given the opposition of Republicans, but in terms of
empowerment, it’s a great stride forward.
The change of leadership in China, also
happening this week, gives hope that the two most influential countries in the
world could take us into a different era of politics.
References:
Solomon,
B.B. (1976) Black Empowerment: Social
Work in Oppressed Communities, Columbia University Press, New York
Woodall, J., Warwick-Booth, L., Cross. R. (2012) Has empowerment
lost its power? Health Education Research. 27 (4), 742-745.
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