Surplus Powerlessness

Timely in subject and original in perspective, Nurturing Hidden Resilience in Troubled Youth challenges what popular media refer to as a 'youth problem.'

This book assembles a wide range of explanatory perspectives on social inequalities in health. Everywhere in the world, those with less advantage die younger and suffer more illness than the wealthy. Decades of research have documented this reality and yet we lack a comprehensive understanding of the mechanisms through which social circumstances ultimately influence the biological processes that lead to disease. Explanations have been proposed from various disciplines – economics, psychology, behavioral science, geography, and neuroscience – and each sheds light on parts of the overall process. But very few texts assemble these insights into an overall explanatory paradigm. Through a review of concepts and theories from a wide range of disciplines, the author outlines how these may be woven together to offer a more complete picture of how social influences 'get under the skin' to affect health and disease. As well as understanding individual health, the book assembles explanations for social disparities in health. It concludes with a proposal for a set of explanatory models that cross disciplinary boundaries. Topics explored include: Social Inequalities in Health Explanation and Causal Models for Social Epidemiology Social and Economic Theories to Explain Patterns of Disease Biological Pathways Linking Social Determinants to Health Theoretical Models of Health Behavior Work Environment and Health Social Networks, Social Support and Health Positive Influences on Health: Coping and Control The Relationship Between Personality and Health Understanding Health Determinants: Explanatory Theories for Social Epidemiology is a textbook for graduate students in epidemiology, health sciences, health policy, and psychology, as well as social science students who are studying health. It will also be of interest to general readers, and can serve as a reference for researchers in epidemiology and the health sciences who are planning studies of the social determinants of health. The book reviews theories that could be tested in such studies.

′This book, written from an international perspective and thus eminently readable by a wider audience, draws on the author′s considerable experience and is amply supplied with a good range of illustrations from real-life practice...The logical structure and accessible style makes this a useful addition to the personal library of anyone who has an interest in "bottom-up" empowerment-based approaches to health promotion′ - RCN Research Headlines ′The author draws on a wealth of personal experiences in the field, giving the book both readability and credibility. Good examples from different international contexts, illustrated in relevant case studies, let the reader relate theory to practice and bring the concepts to life. The author takes the central thrust of health promotion for the past few decades and unravels it for the reader in a clear, comprehensive way′ - Health Matters In health promotion, the concept of power can be defined as the ability to create or resist change, and this is an important foundation for individual and community health. By enabling people to empower themselves, health promoters can provide the capacity for the individual or community to change their lives and their living conditions, and therefore their health. Health Promotion Practice explores the issue of how such an approach to health promotion practice can improve a community′s success towards achieving healthier conditions through its own actions. Placing empowerment at the heart of health promotion practice, and offering advice for health promoters who accept the challenge to work in such a way, Health Promotion Practice defines key concepts of health, health promotion and community empowerment. It also: Introduces readers to a ′social′ model of health promotion practice, one that attempts to get at the underlying social determinants of disease; Helps readers understand the importance of power relations and their transformation in this practice; Introduces readers to a new `community capacity-building′ approach to plan, implement and evaluate health promotion programmes. Health Promotion Practice is an invaluable resource to students and practitioners of health promotion who want to help empower the communities that they work with.

The closing of local mines and factories collapsed the economic and social structure of Ivanhoe, Virginia, a small, rural town once considered a dying community "on the rough side of the mountain." Documenting the creative survival techniques developed by Ivanhoe citizens in the aftermath, It Comes from the People tells how this community organized to revitalize the town and demand participation in its future. Photos, interviews, stories, songs, poems, and scenes from a local theater production tell how this process of rebuilding gradually uncovered the community's own local theology and a growing consciousness of cultural and religious values. A significant aspect of this social transformation in Ivanhoe, as in many rural areas, was the emergence of women as leaders, educators, and organizers, developing new approaches to revive the economy and the people simultaneously. This book is unusually open about the difficult process faced by outside researchers working with community members to describe community life. It discusses the inherent dilemmas frankly and presents a model for those who engage in community studies and ethnographic research. Author note: Mary Ann Hinsdale is Associate Professor of Religious Studies at Boston College. Helen M. Lewis is Interim Director of the Appalachian Center at Berea College in Kentucky. S. Maxine Waller is President of the Ivanhoe Civic League and directs community-based student volunteer programs in Virginia.