Internal Colony or Internal Periphery?

Walls, David

doi:10.2307/j.ctt1xp3n1t.28

Cited by 20 publications

(6 citation statements)

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“…The purchase of the local hospital by a nonlocal, for-profit entity is an example of what sociologist David Walls describes as “internal colonialism,” a phenomenon that has occurred in Appalachia for decades when dominant, outside industrial entities establish control in the region and prevent autonomous development and progress. 22 Viewed through an internal colonialism lens, 22 an event such as the hospital’s purchase, and the subsequent termination of the labor and delivery department, could foster rural Appalachian residents’ distrust of people who are perceived as outsiders.…”

Section: Discussionmentioning

confidence: 99%

Loss of Obstetric Services in Rural Appalachia

Efird¹,

Dry²,

Seidman³

2021

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Background As rural hospitals across the United States increasingly downsize or close, the availability of inpatient obstetric services continues to decline in rural areas. In rural Appalachia, the termination of obstetric services threatens to exacerbate the existing risk of adverse birth outcomes for women and infants, yet less is known about how the cessation of these services affects the broader community. Purpose The purpose of this paper is to explain how the loss of local obstetric services affects perceptions of healthcare among multi-generational residents of a remote, rural Appalachian community in western North Carolina. Methods An interdisciplinary team of researchers conducted a thematic analysis of health-related oral history interviews (n=14) that were collected from local residents of a rural, western North Carolina community during the summer of 2019. Results The closure of a local hospital’s labor and delivery department fostered (1) frustration with the decline in hospital services, (2) perceived increases in barriers to accessing healthcare, and (3) increased medical mistrust. Implications Findings suggest that the loss of obstetric services in this rural Appalachian community could have broad, negative health implications for all residents, regardless of their age, sex, or ability to bear children. Community-specific strategies are needed to foster trust in the remaining healthcare providers and to increase access to care for local residents. Results serve as formative research to support the development of interventions and policies that effectively respond to all community members’ needs and concerns following the loss of obstetric services in remote Appalachian communities.

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Section: Discussionmentioning

confidence: 99%

Loss of Obstetric Services in Rural Appalachia

Efird¹,

Dry²,

Seidman³

2021

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“…West Virginia exports 79% of the coal it produces beyond its borders (Energy Information Administration, 2010). The social choices made regarding CRM can be situated generally within the political economy of modern capitalism, but the particulars are determined by the history of the region as an extractive periphery (Bunker, 2007; Dunaway, 1996; Walls, 1978).…”

Section: Methodsmentioning

confidence: 99%

“…The vantage point of capital brings into focus only those narrower aspects of the problem that impinge on the accumulation process. As an internal periphery, Appalachia’s people and resources have always been viewed by capital as expendable, and capital has never hesitated to liquidate them should it perceive doing so to be in its interests and power (Dunaway, 1996; Walls, 1978). In contrast, the vantage point of ecology provides the basis for a broader materialist critique.…”

Section: The Social Metabolism Of Mountaintop Removal and Its Metabolic Riftsmentioning

confidence: 99%

Coal River’s Last Mountain

Wishart

2012

Organization & Environment

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A failed proposal to substitute wind energy for mountaintop removal coal mining provides a valuable case study illustrating the weakness of theoretical approaches that neglect class relations and the analytical strength of Marxist ecology for understanding the processes of environmental degradation. The latter's strength is shown in its illumination of the ways in which class relations in the coalfields are tied to capitalism's metabolic rift and how this rift shapes political struggle and developmental path dependencies. Using Marx's approach of successive abstractions, the interrelated drivers and consequences of mountaintop removal mining in the Coal River Valley are analyzed from three vantage points: the perspective of ecology, of capital, and of human development. The destructiveness involved in this type of coal production reveals the ways in which capitalism depends on an après moi le déluge regime, discounting the future, and thus barring sustainable human development.

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“…17 Die Folge sind Wertschöpfungssysteme und Abhängigkeitsbeziehungen, die bis heute bestehen und neue räumliche stein jedoch ein, dass einzelne Staaten jeweils durch eine spezifische Mischung an Produktionsaktivitäten -zentrumsähnliche Aktivitäten, die durch den Export von Kapitalgütern bzw. hochwertigen Dienstleistungen und den Import von Primärgütern gekennzeichnet sind, oder peripherieähnliche Aktivitäten, bei denen das Verhältnis genau umgekehrt ist -strukturiert sind (Wallerstein 1985;Lee 2009: 271 ff.). In Zentrumsstaaten überwiegen zentrumsspezifische, in Peripheriestaaten periphere Aktivitäten und in der Semiperipherie existiert eine heterogene Mischung beider Formen (vgl.…”

Section: Die Studie: Forschungsdesign Empirische Basis Und Befundeunclassified

Abgehängt im Aufschwung

Schmalz,

Hinz,

Singe

et al. 2023

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Es erscheint paradox: Die Arbeitslosigkeit in Deutschland erreichte vor der Corona-Krise ein historisches Tief, die Wirtschaft feierte Exportrekorde. Dennoch hat der Boom viele Menschen nicht erreicht. Gerade in strukturschwachen Regionen und Städten ist dieser Widerspruch ausgeprägt. Diese Orte gelten als abgehängt, aufgrund des Bevölkerungsrückgangs zeichnet sich keine Verbesserung der Situation ab. Im Leben vieler Menschen macht sich Unzufriedenheit breit. Angesichts niedriger Entlohnung und mangelnder Mitsprachemöglichkeiten am Arbeitsplatz radikalisieren sich Ungerechtigkeitsempfindungen. Die empirische Studie nimmt diese Dynamiken am Beispiel Ostthüringens, einer strukturschwachen und schrumpfenden Region, in den Blick. https://creativecommons.org/licenses/by/4.0/deed.de

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Internal Colony or Internal Periphery?

Cited by 20 publications

References 0 publications

Loss of Obstetric Services in Rural Appalachia

Loss of Obstetric Services in Rural Appalachia

Coal River’s Last Mountain

Abgehängt im Aufschwung

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