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农村社会学

农村大病患者家庭韧性发展过程的空间透视——基于一个异地就医家庭聚集地的田野调查

2024-05-13 作者: 胡翔凤,刘启明

【作者简介】胡翔凤,中国农业大学人文与发展学院博士研究生,主要研究方向为农村社会 保障、社会治理;刘启明,中国农业大学人文与发展学院副教授、博士生导师,主要研究方向 为农村社会保障、农村公共管理与公共政策。

【文章来源】《社会建设》2023年第6期

【内容提要】流动家庭的韧性发展涉及不同的空间、主体和资源。本文基于一个异地就医家庭聚集地的田野调查,以空间视角历时性探究农村大病患者家庭的韧性发展过程。能动层的空间生产聚焦于大病风险冲击初期家庭的积极行动,家庭在精神空间、社会空间和物质空间生产中缓解家庭的心理压力、社交障碍和经济压力;赋能层的空间嵌入是多元保障主体在家庭难以抵抗长期大病风险侵袭的情况下发挥其作用,从制度的空间嵌入、组织的空间嵌入和关系的空间嵌入的就地适应中观察家庭韧性的发展;创造层的空间重塑是作为“兜底”者的家庭对多元保障主体有限赋能的回应,家庭在重塑关系网络保障空间中推动群体团结,在重塑社会组织保障空间中增强社会互动,在重塑大病风险治理空间中促进政策认知。从空间视角的三个维度能窥探到不同保障主体之间的互动特征,多元保障主体的互动形式、互动形态和互动策略对家庭韧性发展具有显著影响。

【关键词】风险冲击;家庭韧性;空间生产;空间嵌入;空间重塑

【全文链接】https://shjs.ruc.edu.cn/CN/Y2023/V10/I06/26


The Development Process of Resilience in Rural Families with Seriously Ill Members: A Spatial Perspective and Field Investigation Based on a Gathering Place of Families Seeking Medical Treatment in Relocated Places

Hu Xiangfeng Liu Qiming

Abstract: The resilience development of mobile families involves different spaces, subjects and resources. Based on a field survey of a settlement for families seeking medical treatment in relocated places, this study aims to explore theprocess of resilience development among rural families with seriously ill patients from a spatial perspective. The spatial production of the dynamic layer focuses on the positive action of the family in the early stage of the impact of serious illness risk. The family relieves the family’s psychological pressure, social barriers and economic pressure in the production of spiritual space, social space and material space. The spatial embedment of the empowerment layer is the exertion of the role of the multi-guarantee subjects under the long-term risk of serious illness, exploring the development of family resilience from the local adaptation of the spatial embedding of system, organization and relationship. The spatial remodeling of the creative layer is the response of the family as the “bottom pocket” to the limited empowerment of multiple security subjects. The family promotes group unity in reshaping the security space of the relationship network, enhances social interaction in reshaping the security space of social organizations, and promotes policy cognition in reshaping the space of serious illness risk management.From the three dimensions of the spatial perspective, we can see that the interaction characteristics among multiple security subjects are obvious. The interaction modes, forms, and strategies of multiple security subjects have a significant impact on the development of family resilience.

Keywords: risk attack; family resilience; space production; space embedded; space remodeling.

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