Reconfiguring Vulnerability and Dis/Ability: An Agential Realist Exploration to Disentangle Vulnerability Effects in Austria's COVID-19 Response.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Oliver Koenig, Sabine Mandl, Simon Reisenbauer
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引用次数: 0

Abstract

This article examines how vulnerability emerged, evolved and was contested during Austria's COVID-19 response, by attending to the entangled realities of people with dis/abilities. Using a posthumanist, agential realist lens and a diffractive methodology, the research explores how vulnerability is not a fixed state but a dynamic process shaped by material and discursive practices. It introduces the concept of 'vulnerability effects' to articulate that vulnerabilities are simultaneously a product of and a catalyst for material and discursive practices within systems of dis/ability and crisis response. Drawing on Carol Thomas's distinction between disablism and impairment effects, the analysis moves beyond binary framings to capture how vulnerabilities are simultaneously produced by systemic inequalities and contested through creative acts of resistance. Through the narratives of participants navigating institutional restrictions, inaccessible environments and intersecting crises, the article illustrates how debilitating conditions and activist affordances intra-act, shaping the possibilities for agency and resilience. The findings reveal the fluid, context-dependent and performative nature of vulnerability, challenging static paradigms in crisis response. By reframing vulnerability as relational and emergent, the article calls for inclusive and response-able approaches to policy and social structures that address systemic neglect and promote equitable opportunities.

重新配置脆弱性和残疾/能力:在奥地利 COVID-19 应对行动中析出脆弱性效应的代理现实主义探索。
本文通过关注残疾人/残疾人的复杂现实,探讨了脆弱性在奥地利应对COVID-19期间是如何出现、演变和受到质疑的。本研究采用后人类主义、代理现实主义的视角和衍射方法,探讨了脆弱性如何不是一种固定状态,而是由物质和话语实践塑造的动态过程。它引入了“脆弱性效应”的概念,阐明脆弱性同时是残疾/能力和危机反应系统中物质和话语实践的产物和催化剂。根据卡罗尔·托马斯对残疾和损害效应的区分,她的分析超越了二元框架,捕捉到脆弱性是如何同时由系统性不平等产生的,并通过创造性的抵抗行动得到挑战。通过参与者应对制度限制、难以接近的环境和交叉危机的叙述,文章说明了衰弱的条件和活动家如何促进行为内部,塑造能动性和弹性的可能性。研究结果揭示了脆弱性的流动性、情境依赖性和表演性,挑战了危机应对中的静态范式。通过将脆弱性重新定义为相关性和突发性,文章呼吁对政策和社会结构采取包容和负责任的方法,以解决系统性忽视并促进公平机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
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