A workshop "A Social Ecological Framework for Exploring Gender, Sexuality and Health"


 A workshop entitled "A Social Ecological Framework for Exploring Gender, Sexuality and Health" was conducted on December 26, 2011 at the Que Huong 4 Hotel by the Center for Creative Initiatives in Health and Population (CCIHP). The workshop focused on Dr. Urie Bronfenbrenner’s Ecological Theory of Development- a sociocultural view of development (1917 - 2005). He was a renowned Russian-born American psychologist, known for his work in child development.  It is a theory that views an individual’s development within the social context of five environmental systems, namely the: Microsystem, Mesosystem, Exosystem, Macrosystem, and Chronosystem all of which contribute to forming one’s development starting at childhood.


Professor Michael Lim Tan was the keynote speaker of the workshop; he  is famous in the field of medical anthropology in the Philippines and throughout the world. He is Dean of Social Sciences and Philosophy at the University of Philippines. In addition, Professor Tan is a founding member of the Association of Gender, Sexuality and Health in Southeast Asia and is also actively involved in nongovernmental organizations. He is the author of many books and articles on beliefs related to health, sexuality, reproductive health, and health policy.


The workshop used Dr. Bronfenbrenner's ecological theory as a framework for exploring more in-depth gender and sexuality, and relationships between individuals, family, community, state; this also included the application of its  approach to programs and policies. For example, the concept of "self", “identity”, "masculine" and "feminine" are never limited to an individual level but relate to interactions at various levels (e.g., interaction of individuals with their family milieu and larger environments of a peer group, school, community; it also includes their ideology, cultural values and beliefs). In other words, an individual is influenced by numerous variables both within one’s immediate proximity such as family and  school, peers, and within one’s broader more distant social settings such as legal services, mass media, neighbors; the individual is also influenced by attitude and ideology of a culture.


Professor Tan reviewed the five levels of Dr. Bronfenbrenner’s ecological theory previously described. According to Professor Tan, Dr. Bronfenbrenner does not discuss the level of individual psychology, though many psychologists have utilized the theory to help individuals change their behavior. Professor Tan also has indicated that medical psychologists have recognized that social factors and social conventions such as peer groups and the concept of "body" are notions that should be explored in depth and placed in the relationship of the various layers of society. These notions should be used differently with theoretical frameworks to analyze self-esteem, self-efficacy, and locus of control.


At the Microsystem level in Dr. Bronfenbrenner's framework, the individual is not viewed as a passive recipient, rather as an active agent interacting with family, friends, school, neighborhood, religious organizations, health services, etc., in their environment.  Researchers need to find out more about the relationship between parent and child, the relationship of spouses, or the notion of a partner who is a prostitute or sex worker and how this perception affects the relationships and the degree of violence between partners in their relationships.  This level has been commonly used in socio-cultural research.


At the Mesosystem level in Dr. Bronfenbrenner's framework, emphasis is placed on relationships between Microsystems. Researchers need to study more relationships between family experiences and school experiences, between school and religious organizations, and between experience in a family context and peer relationship. For example, if parents rejected their children, these children may have difficulty in developing positive relationships with teachers. What do these experiences mean for policy makers and for establishing programs on sex education, reproductive health, and relationships within the system?. For this reason we need to observe the behavior in various settings to portray the complete picture of whom one is in order to understand an individual’s development.  


At the Exosystem level (e.g, workplaces, parks, recreation centers, policy) in Dr. Bronfenbrenner's framework, influences often go beyond an individual. If the individual is constantly being influenced by negative elements in those contexts, his/her relations with family members will become problematic.  Another example, these days, is that young people in the labor market often receive high wages and are able to work independently; however, they appear not to achieve self-sufficiency, that is, they may not have faith in themselves or they may be more likely to give up when they encounter obstacles. Dr. Tan suggested that researchers need to find out more about the experiences of young people relative to work, of the vulnerable (e.g, both women and the disabled), or about cultural modification of immigrant groups like Vietnamese in the U.S.


At the Macrosystem level, Dr. Bronfenbrenner (1986, 1995, 2000; Bronfenbrenner & Moris, 1998) refers to cultural issues in the environment, such as behavior patterns, beliefs, and all other elements of a cultural group that is transferred from generation to generation. Researchers need to study what ideological concepts shape gender and sexuality, inequality in sexuality and other issues associated with social justice. There are problems that need to be addressed further such as including sexual nationalism (application of nationalistic rhetoric and ideology to gender and sexuality), civil rights and position, ideology of a nation, the state's role in a political economy, and the impact of media on youth.


Finally, the Chronosystem involves the patterning of environmental events and transitions over the course of an individual’s life, particularly significant events, transitional periods, as well as socio-historical contexts that one has undergone. For example, to understand the stages of human development, we need to understand the biological aspects of sexuality throughout one’s life from childhood to young adulthood. Researchers need to question the female/male binary model and analyze it in relation to government policies and programs.


To help the participants make sense of the entire theoretical model, Professor Tan summarized the five systems by showing us a diagram of Dr. Bronfenbrenner’s Ecological Theory of Development. He also asked the attendees to express any final thoughts, questions, or concerns that they may have. Some in the audience expressed their interest in using the model for future research while others said that this approach seemed applicable to other inquiries such as how the role of history affects the ideology of the Vietnamese government or the contemporary ideology of the youth. The workshop ended fairly late, however, the attendees were happy and grateful to Professor Tan for contributing his precious time and sharing his knowledge with everyone in the audience. We expressed our profound gratitude to him and are looking forward to his upcoming presentation next year.

By Doan Thi Ngoc

Link: A Social Ecological Framework for Exploring Gender, Sexuality and Health in Vietnam

http://gas.hoasen.edu.vn/en/gas-page/workshop-social-ecological-framework-exploring-gender-sexuality-and-health-0#


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