Developing pictorial conceptual metaphors as a means of understanding and changing the Australian health system for Indigenous people

Fredericks, Bronwyn, Clapham, Kathleen, Bessarab, Dawn, Dudgeon, Patricia, Bainbridge, Roxanne, Ball, Rowena, Thompson (Longbottom), Marlene, Andersen, Clair, Adams, Mick, Collard, Len, Duthie, Deb, & Daniels, Carolyn (2015) Developing pictorial conceptual metaphors as a means of understanding and changing the Australian health system for Indigenous people. ALARj, 21(1), pp. 77-107.

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Abstract

This paper describes the development of Pictorial Conceptual Metaphors, created out of a literature review on gendered Indigenous health and wellbeing that depicts the inherited effects of the ‘system’ past, present and future. The Pictorial Conceptual Metaphors are pictures that were created to tell the story of colonisation and its inherited and ongoing impacts on Indigenous people’s health and wellbeing. Aboriginal historical experiences, past, present and future are briefly overviewed in order to unpack and communicate to readers the significance and impact of these experiences on Aboriginal health, and ultimately, to bring about understanding to initiate change within the Australian health system. Systemic racism, embedded in the Australian health system, excludes and discriminates against Indigenous peoples through a lack of cultural consideration resulting in a cumulative and ongoing negative effect on Indigenous people’s health (Dudgeon et al. 2014; Fredericks 2008; Marmot 2011; Queensland Government 2012). Systemic action research identifies actions and processes in large systems such as health and education in order to bring about systemic change. Our intention to highlight the systemic changes needed in the Australian health system to improve Indigenous people’s health and wellbeing require us to understand the processes involved in bringing about systemic change. For this to occur, we needed to ‘see the system’ in order to identify the system dynamics in operation. The Pictorial Conceptual Metaphors are the first step in ‘seeing the system’; they illustrate the past and the present, and identify the preferred future for Indigenous health and wellbeing outcomes

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ID Code: 87036
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Action Research, Collaborative Relationships, Indigenous, NIRAKN, Pictorial Conceptual Model
ISSN: 1326-964x
Divisions: Current > QUT Faculties and Divisions > Chancellery
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2015 ALARA Association Inc.
Deposited On: 31 Aug 2015 05:52
Last Modified: 15 Jan 2016 00:57

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