The Ghost Is the Machine: How Can We Visibilize the Unseen Norms and Power of Global Health?; Comment on “Navigating Between Stealth Advocacy and Unconscious Dogmatism: The Challenge of Researching the Norms, Politics and Power of Global Health”
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
In his recent commentary, Gorik Ooms argues that “denying that researchers, like all humans, have personal opinions … drives researchers’ personal opinion underground, turning global health science into unconscious dogmatism or stealth advocacy, avoiding the crucial debate about the politics and underlying normative premises of global health.” These ‘unconscious’ dimensions of global health are as Ooms and others suggest, rooted in its unacknowledged normative, political and power aspects. But why would these aspects be either unconscious or unacknowledged? In this commentary, I argue that the ‘unconscious’ and ‘unacknowledged’ nature of the norms, politics and power that drive global health is a direct byproduct of the processes through which power operates, and a primary mechanism by which power sustains and reinforces itself. To identify what is unconscious and unacknowledged requires more than broadening the disciplinary base of global health research to those social sciences with deep traditions of thought in the domains of power, politics and norms, albeit that doing so is a fundamental first step. I argue that it also requires individual and institutional commitments to adopt reflexive, humble and above all else, equitable practices within global health research.
Ooms G. Navigating between stealth advocacy and unconscious dogmatism: the challenge of researching the norms, politics and power of global health. Int J Health Policy Manag. 2015;4(10):641-644. doi:10.15171/ijhpm.2015.116
World Health Organization Commission on Social Determinants of Health. Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health—Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008.
Shiffman J. Knowledge, moral claims and the exercise of power in global health. Int J Health Policy Manag. 2014;3(6):297-299. doi:10.15171/ijhpm.2014.120
Rushton S, Williams OD. Frames, Paradigms and Power: Global Health Policy-Making under Neoliberalism. Glo Soc. 2012; 26:147-167.
Jamison DT, Summers LH, Alleyne G, et al. Global health 2035: a world converging within a generation. Lancet. 2013;382(9908):1898-1955. doi:10.1016/s0140-6736(13)62105-4
Donald C. Cole, Suzanne Jackson and Lisa Forman, “What approaches can schools of public health take in engaging in global health? A conceptual synthesis and reflection on implications” (submitted to Global Public Health, November 2015).
Krieger N. Epidemiology and the web of causation: has anyone seen the spider? Soc Sci Med. 1994;39(7):887-903. doi:10.1016/0277-9536(94)90202-x
Bakker I, Gill S, eds. Power, Production and Social Reproduction. London: Macmillan-Palgrave; 2003.
Lee K. Revealing power in truth; Comment on “Knowledge, moral claims and the exercise of power in global health.” Int J Health Policy Manag. 2014;4(4):257-259. doi:10.15171/ijhpm.2015.42
Rushton S. The politics of researching global health politics: Comment on “Knowledge, moral claims and the exercise of power in global health.” Int J Health Policy Manag. 2015;4(5):311-314. doi:10.15171/ijhpm.2015.42
Sultana F. Reflexivity, positionality and participatory ethics: negotiating fieldwork dilemmas in international research. ACME: An International E-Journal for Critical Geographies. 2007;6(3):374-385.