RESUMO
There has been an increased focus on utilizing critical consciousness-focused interventions to address complex, multidimensional socio-cultural problems, particularly health inequities. These interventions usually incorporate a critical dialogue component. However, there's little guidance on how to implement, facilitate and evaluate critical dialogue to develop critical consciousness (i.e., reflecting and acting on sociopolitical inequities). This conceptual paper: 1) introduces critical dialogue and the tools used to implement critical dialogue from the literature; 2) details the development of the Community Wise intervention to present how Community Wise incorporated a critical dialogue component; 3) provides a brief overview of a proposed framework of critical consciousness development that the critical dialogue component of Community Wise could support; 4) provides an anecdotal exploration of the critical dialogue sessions used in the first pilot test of the intervention through the proposed framework of Transformative Consciousness; and 5) suggests practice guidelines for group work that incorporates facilitated critical dialogue.
RESUMO
This article explores how intrapersonal and structural oppression may impact treatment and the recovery process of 23 self-identified African American women with histories of incarceration and substance use. Using a critical consciousness (CC) framework and content-based thematic analysis, researchers systematically coded and extracted themes and patterns from focus group data to evaluate how marginalizing processes-such as race-based discrimination-impact treatment, the therapeutic relationship, and service provision. Results indicate that participants' health and treatment were negatively impacted by oppressive factors, specifically the oppressive process of silencing. The authors discuss research and practice implications.