2003
DOI: 10.1097/00012272-200307000-00007
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Empowerment as Treatment and the Role of Health Professionals

Abstract: This article argues that the concept of empowerment has been co-opted by health professionals and redefined as an intervention to produce compliance. Patients are considered empowered by health professionals only if they make the correct choices as defined by the health care provider. Patients are not informed about all possible choices and are not free to make their own choices for their own reasons. Empowerment is a coercive strategy that is justified by its outcomes and creates dependent populations.

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Cited by 38 publications
(40 citation statements)
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“…The conceptual difference between blame and responsibility is based on the separation of the responsibility for the problem from the responsibility for the solution (Powers, 2003). Prospective or forward-looking responsibility is about taking responsibility for present actions and future consequences.…”
Section: Conceptual Considerationsmentioning
confidence: 99%
“…The conceptual difference between blame and responsibility is based on the separation of the responsibility for the problem from the responsibility for the solution (Powers, 2003). Prospective or forward-looking responsibility is about taking responsibility for present actions and future consequences.…”
Section: Conceptual Considerationsmentioning
confidence: 99%
“…In the case of the SPCS, negatively worded items such as "Most public officials wouldn't listen to me no matter what I did" may be more relevant to constructs such as depressive realism (Alloy & Abramson, 1988;Msetfi, Murphy, Simpson, & Kornbrot, 2005) than intrapersonal PE. Efforts to enhance the validity of the SPCS are needed because they may improve the quality of research and evaluation studies that measure PE, a fundamental concept in community psychology and other fields such as social work (Itzhaky & York, 2002), education (Cummings, 1997), nursing (Powers, 2003) and public health (Minkler & Wallerstein, 2003).…”
mentioning
confidence: 99%
“…A hallmark of bureaucracy is clear and transparent standards with explicit job requirements, whereas NPM argues for a more flexible approach. The emphasis on teamwork, empowerment, and informal and social competencies in Clinical Microsystems may give the illusion of a flat organization and a sense that influence is widely spread when, in fact, influence becomes strictly conditional; in order to exercise influence, an individual must behave in a prescribed way and display the appropriate attitudes (Powers, 2003), such as being collaborative and flexible.…”
Section: New Public Management: Changing Forms Of Organizational Controlmentioning
confidence: 99%