| Literature DB >> 33382870 |
Katie Powell1, Amy Barnes1, Rachel Anderson de Cuevas2, Clare Bambra3, Emma Halliday4, Sue Lewis5, Rory McGill2, Lois Orton2, Ruth Ponsford6, Sarah Salway7, Anne Townsend4, Margaret Whitehead2, Jennie Popay4.
Abstract
This article-third in a series of three-uses theoretical frameworks described in Part 1, and empirical markers reported in Part 2, to present evidence on how power dynamics shifted during the early years of a major English community empowerment initiative. We demonstrate how the capabilities disadvantaged communities require to exercise collective control over decisions/actions impacting on their lives and health (conceptualized as emancipatory power) and the exercise of power over these communities (conceptualized as limiting power) were shaped by the characteristics of participatory spaces created by and/or associated with this initiative. Two main types of participatory spaces were identified: governance and sense-making. Though all forms of emancipatory power emerged in all spaces, some were more evident in particular spaces. In governance spaces, the development and enactment of 'power to' emerged as residents made formal decisions on action, allocated resources and managed accountability. Capabilities for alliance building-power with-were more likely to emerge in these spaces, as was residents' resistance to the exercise of institutional power over them. In contrast, in sense-making spaces residents met informally and 'made sense' of local issues and their ability to influence these. These processes led to the development of power within capabilities and power to resist stigmatizing forms of productive power. The findings highlight the importance of designing community initiatives that: nurture diverse participatory spaces; attend to connectivity between spaces; and identify and act on existing power dynamics undermining capabilities for collective control in disadvantaged communities.Entities:
Keywords: collective control; communities; determinants of health; health equity; participation
Mesh:
Year: 2021 PMID: 33382870 PMCID: PMC8515175 DOI: 10.1093/heapro/daaa059
Source DB: PubMed Journal: Health Promot Int ISSN: 0957-4824 Impact factor: 2.483
Emancipatory power framework and empirical markers in each power dimension
| Definition | Power within: capabilities internal to a community supporting collective control/action | Power with: capabilities to build alliances and act with others to achieve common goals | Power to: capabilities to achieve desired ends; includes establishment of structures, procedures and opportunities for collective decisions/actions as well as outcomes of these | Power over: power over other institutions or exercise of power over a group of community members by another group |
| Empirical markers |
*Sharing existing skills/ expertise *Increasing efficacy/confidence in ability to act together *Expressions of shared values, interests and common identity *Developing new collective knowledge, skills and ‘know how’ *Recognition of need for breath/depth of community participation *Arrival at shared vision for area improvements |
*Recognition of potential benefits of working with others *Identifying opportunities to develop relationships and/or work with others *Establishing new, or re-shaping previously acrimonious, relationships with others *Inviting local agencies to participate in decision-making/action |
*Formation of new inclusive governance structures *Establishing formal practices/frameworks *‘Opening out’ to enable shared decision-making *Improved social, cultural or economic conditions through collective action by residents or influencing decisions of others |
*Changes in balance of power to the benefit of community groups *Local politicians/professionals excluded to retain control over decision-making *Lack of transparency in decision making/use of rules/procedures ‘excludes’ others |
Source: Ponsford et al. (Ponsford ).
Limiting power framework: forms of power limit collective control by communities
| Compulsory power | Direct and visible exercised by/through, e.g. police, local and national legislation |
| Institutional power | Less visible, exercised through organizational rules, procedures and norms, e.g. controlling information put into the public sphere, who is involved in decision-making |
| Structural power | Invisible, systematic biases embedded in social institutions; generating/sustaining social hierarchies of class, gender, ethnicity and resources, opportunities, social status. |
| Productive power | Invisible, operates through diffuse social discourses and practices to legitimate some forms of knowledge, while marginalizing others. Shapes meanings of different social identities. |
Source: Popay et al. (Popay ).
Characteristics of, and power dynamics within different types of participatory spaces in BL
| Type of space | Sub-type of space | Characteristics of the space | Most evident emancipatory powers developed | Most evident limiting powers resisted | ||
|---|---|---|---|---|---|---|
| Relational impetus | Temporal durability | Material narratives | ||||
| Governance spaces | Partnership, e.g. meetings associated with BL partnerships | Invited space, becoming more resident claimed over time | Opened up early, with regularized, scheduled participation | Increasingly shaped by the resident-led narratives developing in the resident space | Power to: capabilities to establish opportunities for collective decision-making and to exercise collective control | Institutional power: direct and visible power exercised by/through official channels, e.g. local agencies and professionals trying to control the agenda |
| Project, e.g. set up to deliver specific projects or tasks in BL action plans: ‘Tasking Groups’, ‘friends of’ green space groups | Claimed by resident Partnership members and BL workers | Opened up later in BL, participation ebbed and flowed depending on project | A narrative of ‘getting things done’ common | Power with: capabilities to build alliances and act with others to achieve common goals | ||
| Sense- making spaces | Resident, e.g. in community hubs, people’s homes, shops, on the street | Claimed by residents with no set agenda, grounded in residents’ interests | Regular spaces, but spontaneous participation | Where resident-led narratives developed | Power within: capabilities internal to a community supporting collective control/action | Productive power: invisible, systematic biases embedded in social institutions, e.g. stigmatizing narratives about the BL areas perpetuated by media and local agencies |
| Event, e.g. one-off/repeat events: fun days, community carnivals, shows, summer galas | Claimed by resident Partnership members and BL workers, motivated by interests in due process | Fleeting spaces with potentially broad participation | Collective understandings of the neighbourhood further developed/shared | Power with (particularly in terms of social connectivity): capabilities to build alliances and act with others to achieve common goals | ||