The coloniality of power in Uganda's Nakivale Refugee Settlement: struggling for humanitarian authority amidst the 2018 corruption scandal.

This paper addresses the complexity of studying the coloniality of humanitarianism and present-day relationships of power and authority in refugee settings. Building on 13 months of fieldwork, it presents an ethnographic account of the 2018 refugee corruption scandal in Uganda and the Nakivale Refugee Settlement. The core of this paper's argument is based on a grounded analysis of how 'the saga' not only exposed corruptive practices in the country's refugee programme, but also the meanings of being 'human' and what this implies for making claims to humanitarian authority. The paper asserts that the way in which the scandal unravelled in the (inter)national media, and how it affected sociopolitical tensions in the camp, revealed a deeply fraught conception of both human and humanitarian duality, embedded in a coloniality of power. Ultimately, power imbalances, frictions, and conflicts between national, international, and refugee actors highlighted a deep-rooted and historical struggle for humanity and legitimate humanitarian authority.

Erotic Imagination in Latin America: Reflections on Sexual Fantasies and Coloniality.

Latin America comprises 20 countries and 14 dependent territories throughout the Western Hemisphere. It is a diverse and plural region in terms of its geography, cultures, languages, and historical experiences, with fifteenth-century colonialism as a common denominator. Two areas in which the lingering effects of coloniality seem clearly ever-present are the realms of gender and sexuality. The latter encompasses sexual fantasies, a subject of focus in this article. The examination of sexual fantasies remains a ripe area for future research, particularly throughout the Global South, where its linkages to coloniality should be explored in detail. To contribute to this larger and long-term goal, we implemented an online qualitative study designed to document the sexual fantasies of Spanish-speaking individuals living in the Latin American region. We developed a data-gathering form that included open-ended questions to document sexual fantasies. The form was available through the JotForm online platform that was linked to the study webpage entitled "A Calzón Quita'o." We conducted a thematic analysis to identify response patterns. Three main categories emerged from: (1) spatiotemporal references, (2) multiple partners, and (3) power, control, and rough sex. We relied on perspectives linked to ongoing discussions about coloniality to analyze the thematic content in the participants' responses regarding their sexual fantasies. The findings highlight the existing tensions between the reproduction of-and resistance to-the norms associated with gender roles and their embodiment within the framework of the gender binary inherited from coloniality.

Toward a globally inclusive knowledge base on adolescent development: A charge to the Majority World and a plea for epistemic and paradigmatic pluralism.

Ongoing internal dialog on the limitations of Euro-American developmental science has opened up space to explore how best to work toward a knowledge base that is adequately representative of the values, cultures, epistemic traditions, and lived experiences of peoples, nations, and regions around the world. So far, recommendations for the advancement of a global developmental science have focused preponderantly on (1) methodological considerations and (2) an architecture to support cross-disciplinary international collaborative inquiry and/or enhance research capacity building for Majority World scholars and institutions. In this commentary, instead of focusing on specific contributions to the Special Issue, I make a case for an explicit commitment to field-building within Majority World contexts as the primary gap-closing path toward the cultivation of a global developmental science knowledge base. I begin with a worldwide population analysis to demonstrate the magnitude of geopolitical, eco-cultural, and epistemic imbalances inherent in the shaping of Euro-American developmental science. In tandem with the Special Issue's central theme, I draw on scholarship from the fields of history, sociology, and political economy to link decolonial theory to the advancement of a global developmental science. Finally, I explore ways in which exemplary research establishments already engaged in prolific inquiry and research training may be ideal candidates to support field-building and help to advance multidisciplinary inquiry within an ethos of epistemic and methodological pluralism.

The Coloniality of drug prohibition.

There have been several recent commentaries which have highlighted the relevance of the postcolonial perspective to drug prohibition and called for the decolonisation of drug policy (Daniels et al., 2021; Hillier, Winkler & Lavallée, 2020; Lasco, 2022; Mills, 2019). While these are significant interventions in the field, sparse drugs scholarship has engaged more directly with well-developed literature and concepts from Critical Indigenous Studies (Moreton-Robinson, 2016) and Indigenous Standpoint Theory (Moreton-Robinson, 2013; Nakata, 2007) and reflected on its applicability to the drug and alcohol field. In contrast to the postcolonial perspective, which understands colonisation as a historical event with contemporary impacts, Indigenous scholarship conceptualises colonisation as an active and ongoing part of how the settler-state continues to impose itself. From this vantage point I explore coloniality as a system of power and reflect on the way prohibition acts as a key arm of the settler-colonial state. The paper explores the way concepts like vulnerability, marginality, overrepresentation, disproportionality and addiction involve colonial violence, knowledge practices and narratives which are central to the way coloniality is maintained and continues to assert itself in contemporary settler societies.

Critical perspective on infodemic and infodemic management in previous Ebola outbreaks in Uganda.

This research investigates the complex dynamics of Uganda's recent Ebola outbreaks, emphasizing the interplay between disease spread, misinformation, and existing societal vulnerabilities. Highlighting poverty as a core element, it delves into how socioeconomic factors exacerbate health crises. The study scrutinizes the role of political economy, medical pluralism, health systems, and informal networks in spreading misinformation, further complicating response efforts. Through a comprehensive analysis, this study aims to shed light on the multifaceted challenges faced in combating epidemics in resource-limited settings. It calls for integrated strategies that address not only the biological aspects of the disease but also the socioeconomic and informational ecosystems that influence public health outcomes. This perspective research contributes to a better understanding of how poverty, medical pluralism, political economy, misinformation, and health emergencies intersect, offering insights for future preparedness and response initiatives.

Uma psicanálise negra: desobediências ontológicas e epistêmicas de psicólogas e psicanalistas racializadas / A black psychoanalysis: ontological and epistemic disobediences of racialized psychologists and psychoanalysts / Un psicoanálisis negro: desobediencias ontológicas y epistémicas de psicólogas y psicoanalistas racializadas

Resumo: A partir de uma perspectiva decolonial, o objetivo da pesquisa foi compreender os lugares do negro na Psicanálise atualmente. Para isto, foram realizadas 13 entrevistas semiestruturadas com psicólogas e psicanalistas negras com prática clínica. A partir de análise categorial-temática, identificamos quatro categorias: escolha da Psicanálise, articulações entre Psicanálise e relações raciais, descobrindo-se negra e a cor da Psicanálise e das (não) psicanalistas. Diante do reconhecimento das limitações da Psicanálise, foi a experiência vivida do negro o motor de deslocamento ontológico que viabilizou desobediências epistêmicas configuradas na articulação da Psicanálise com teorias sociais. Este resultado evidencia o entrelaçamento da colonialidade do saber e do ser na matriz colonial do poder e enfatiza a desobediência ontológica como via fundamental para práticas psis antirracistas.

Resumen: Desde una perspectiva decolonial, el objetivo de la investigación fue comprender los lugares de las personas negras en el Psicoanálisis hoy. Para ello, se realizaron 13 entrevistas semiestructuradas a psicólogas y psicoanalistas negras con práctica clínica. A partir de un análisis categorial-temático identificamos cuatro categorías: elección del Psicoanálisis, articulaciones entre Psicoanálisis y relaciones raciales, descubrirse negra y el color del Psicoanálisis y de las (no) psicoanalistas. Dado el reconocimiento de las limitaciones del Psicoanálisis, fue la experiencia vivida por las personas negras el motor del desplazamiento ontológico que permitió la desobediencia epistémica configurada en la articulación del Psicoanálisis con las teorías sociales. Este resultado resalta el entrelazamiento de la colonialidad del conocimiento y el estar en la matriz colonial de poder y enfatiza la desobediencia ontológica como un camino fundamental hacia las prácticas psi antirracistas.

Abstract: From a decolonial perspective, the aim of the research was to understand the places of black people in Psychoanalysis today. For this, 13 semi-structured interviews were carried out with black psychologists and psychoanalysts with clinical practice. From a categorical-thematic analysis, we identified four categories: choosing Psychoanalysis, articulating Psychoanalysis and racial relations, discovering oneself as black and the color of Psychoanalysis and of (non) psychoanalysts. Given the recognition of Psychoanalysis's constraints, it was the lived experience of black people that was the engine of ontological displacement that enabled epistemic disobedience configured in the articulation of Psychoanalysis with social theories. This result highlights the intertwining of the coloniality of knowledge and being in the colonial matrix of power, emphasizing ontological disobedience as a fundamental path to anti-racist psychological practices.

Desnortear, aquilombar e o antimanicolonial: três ideias-força para radicalizar a Reforma Psiquiátrica Brasileira / Bewilderment, aquilombar, and the antimanicolonial: three ideas to radicalize Brazilian Psychiatric Reform

Resumo Este artigo é parte de uma pesquisa que buscou cartografar saberes e fazeres antirracistas em saúde mental por meio do acompanhamento das práticas de três coletivos de profissionais trabalhando na/com a rede de atenção psicossocial na cidade de São Paulo, o que possibilitou caracterizar suas estratégias de intervenção. Buscando contribuir para sua conceitualização, delineamos, por meio da revisão da literatura descolonial, três ideias-força que nos permitem dar corpo à descolonização da Reforma Psiquiátrica: o desnortear, que, em diálogo com Achille Mbembe e Frantz Fanon, nos convida à afirmação da loucura e da negritude - sem, no entanto, estabelecer fixações; o antimanicolonial, que se dá no fomento do exercício livre e contracultural de imaginar diásporas, em relação com as proposições de Édouard Glissant, Paul Gilroy e Lélia Gonzales quanto a uma (des)orientação atlântica na qual elementos da diáspora negra e da América Latina possam ressignificar negritude e desrazão; e o aquilombar, como práxis libertária que tem em sua gênese os quilombos como metáfora viva da radicalização das relações nas diferenças, a partir do quilombismo de Abdias do Nascimento, da quilombagem de Clóvis Moura, do (k)quilombo de Beatriz Nascimento e do devir quilomba de Mariléa de Almeida.

Abstract This article is part of a study aimed to map antiracist knowledge and practices in mental health by monitoring the practices of three collectives of professionals working in/with the psychosocial care network in the city of São Paulo, allowing us to characterize their intervention strategies. To contribute to the conceptualization of this article, through a review of the decolonial literature, three major ideas have been outlined that have allowed us to give substance to the decolonization of Psychiatric Reform: bewilderment, which, in dialogue with Achille Mbembe and Frantz Fanon, invites us to affirm madness and blackness without, however, establishing fixations; the antimanicolonial, which occurs in the promotion of the free and countercultural exercise of imagining diasporas, in light of that proposed by Édouard Glissant, Paul Gilroy, and Lélia Gonzales regarding an Atlantic (de)orientation in which elements of the black diaspora and Latin America can re-signify blackness and unreason; and aquilombar, as a liberatory praxis whose genesis lies in the quilombos as a living metaphor for the radicalisation of relationships in differences, based on Abdias do Nascimento's quilombismo, Clóvis Moura's quilombagem, Beatriz Nascimento's (k)quilombo, and Mariléa de Almeida's devir quilomba.

Do Narcisismo das Pequenas Diferenças ao Gozo Narcísico / From the Narcissism of Small Differences to Narcissistic Jouissance / Del Narcisismo de las Pequeñas Diferencias al Goce Narcisista

A proposta desse ensaio é retomar a incursão de Freud, a partir da Primeira Guerra Mundial, na fonte do sofrimento que vem das relações entre os humanos, indicando a novidade que significou o conceito de narcisismo das pequenas diferenças na apreensão dos movimentos coletivos que declaram uma inócua expressão de hostilidade ao outro, ou os que promulgam ações destrutivas e mortíferas contra o outro eleito como seu inimigo absoluto. Com o advento da pulsão de morte, Freud redimensiona o conceito de narcisismo das pequenas diferenças e introduz a ideia de que a satisfação das pulsões que atingem a mais cega fúria de destruição, está conectada a um gozo [Genuß] narcísico. Esse gozo, na leitura de Lacan, é um mal porque comporta um mal à alteridade. É com esse legado que nos propomos pensar a extensão da psicanálise ao discurso decolonial e outros discursos contra hegemônicos, através do diálogo interdisciplinar, na leitura das linguagens de ódio que enfrentamos em nossa época.

The purpose of this essay is to resume Freud's incursion, from the First World War, on the source of the suffering that comes from the relationships between humans, indicating the novelty that meant the concept of narcissism of small differences in the apprehension of collective movements that declare an innocuous expression of hostility to the other, or those who enact destructive and deadly actions against the other chosen as their absolute enemy. With the advent of the death drive, Freud re-dimensions the concept of narcissism of small differences and introduces the idea that the satisfaction of drives that reach the blindest fury of destruction is connected to a narcissistic jouissance [Genuß]. This jouissance, in Lacan's reading, is an evil because it entails an evil to alterity. It is with this legacy that we propose to think about the extension of psychoanalysis to the decolonial discourse and other counter-hegemonic discourses, through interdisciplinary dialogue, in the reading of the languages of hate that we face in our time.

El propósito de este ensayo es retomar la incursión de Freud, desde la Primera Guerra Mundial, sobre el origen del sufrimiento que proviene de las relaciones entre los humanos, señalando la novedad que significó el concepto de narcisismo de las pequeñas diferencias en la aprehensión de los movimientos colectivos que declaran una expresión inocua de hostilidad hacia el otro, o los que ejecutan acciones destructivas y mortíferas contra el otro elegido como su enemigo absoluto. Con el advenimiento de la pulsión de muerte, Freud redimensiona el concepto de narcisismo de las pequeñas diferencias e introduce la idea de que la satisfacción de las pulsiones que alcanzan la más ciega furia de destrucción está ligada a un goce narcisista [Genuß]. Este goce, en la lectura de Lacan, es un mal porque implica un mal a la alteridad.Es con este legado que nos proponemos pensar la extensión del psicoanálisis al discurso decolonial y otros discursos contrahegemónicos, a través del diálogo interdisciplinario, en la lectura de los lenguajes de odio que enfrentamos en nuestro tiempo.

A Questão da Identidade: Uma Articulação entre Psicanálise e Estudos Decoloniais / The Issue of Identity: An Articulation Between Psychoanalysis and Decolonial Studies / El Tema de la Identidad: Una Articulación entre Psicoanálisis y Estudios Decoloniales

A identidade é um tema de grande relevância política e social na atualidade, seja quando tratamos de movimentos minoritários que buscam reconhecimento e direitos, seja pelo crescimento de movimentos reacionários que se fundam em identidades que excluem a diferença e promovem comportamentos sociais hostis a sujeitos alterizados. No campo psicanalítico, por vezes, se trata a questão identitária como alheia às nossas discussões, utilizando-se o argumento de que trabalhamos com identificações em vez de identidades e encerrando-se, apressadamente, o debate. Com este artigo, pretendemos afirmar a importância do tema da identidade para a psicanálise e discutir, junto aos estudos decoloniais, maneiras de pensar a questão que levem em conta os seus aspectos problemáticos e, ao mesmo tempo, coloquem em evidência modos de relação com as identidades que se direcionam para a relacionalidade e para o enfrentamento dos mecanismos de dominação do mundo contemporâneo. Buscamos, para tanto, tocar nas especificidades dos processos identitários nos contextos marcados pelos efeitos da colonialidade do poder e investigar como as obras freudiana e lacaniana podem fornecer caminhos para pensar a identidade de acordo com o direcionamento proposto por este estudo.

Identity is a highly relevant political and social theme in contemporary times, whether we are discussing minority movements seeking recognition and rights, or the growth of reactionary movements that are founded on identities that exclude difference and promote social behaviors hostile to marginalized subjects. In the psychoanalytic field, the issue of identity is sometimes treated as irrelevant to our discussions, using the argument that we work with identifications instead of identities and hastily ending the debate. With this article, we intend to assert the importance of the theme of identity for psychoanalysis and discuss, together with decolonial studies, ways of thinking about the issue that take into account its problematic aspects while highlighting modes of relationship with identities that are directed towards relationality and confronting the mechanisms of domination in the contemporary world. To this end, we aim to touch on the specificities of identity processes in contexts marked by the effects of the coloniality of power and to investigate how the works of Freud and Lacan can provide pathways for thinking about identity in accordance with the direction proposed by this study.

La identidad es un tema de gran relevancia política y social en la actualidad, ya sea cuando tratamos de movimientos minoritarios que buscan reconocimiento y derechos, o por el crecimiento de movimientos reaccionarios que se basan en identidades que excluyen la diferencia y promueven comportamientos sociales hostiles hacia sujetos alterizados. En el campo psicoanalítico, a veces se trata la cuestión de la identidad como ajena a nuestras discusiones, utilizando el argumento de que trabajamos con identificaciones en lugar de identidades y cerrando el debate precipitadamente. Con este artículo, pretendemos afirmar la importancia del tema de la identidad para el psicoanálisis y discutir, junto con los estudios decoloniales, maneras de pensar la cuestión que tengan en cuenta sus aspectos problemáticos y, al mismo tiempo, pongan en evidencia modos de relación con las identidades que se dirigen hacia la relacionalidad y hacia el enfrentamiento de los mecanismos de dominación del mundo contemporáneo. Buscamos abordar las especificidades de los procesos identitarios en los contextos marcados por los efectos de la colonialidad del poder e investigar cómo las obras freudiana y lacaniana pueden proporcionar caminos para pensar la identidad de acuerdo con la orientación propuesta por este estudio.

Rights, not rescue: trafficking (in)securities at the sport mega-event.

We examine the impact of fantasies used in the redevelopment of sport mega-event cities on host communities; particularly as related to the male-dominated FIFA World Cup and forced prostitution. We start with a discussion of event fantasies, particularly those that circulate in relation to humanitarian aid and the alleged involvement of women and children in forced labour and sexual exploitation. We trace these fantasies across several FIFA host cities since the 2006 FIFA World Cup, hosted in Germany, to leverage continual and perpetuate attention (and profit) through the non-profit industrial complex. These fantasies have facilitated and coordinated collaborative consensus amongst state authorities and allies to act in a meaningful manner even as the evidence of forced prostitution is still scant-while the realities of people that continue to be subjected to violent and exploitative labour in the construction of stadia, athlete recruitment, or equipment and apparel industries are seldom addressed. We do this to question the lived impact of policies and personalities of rescue on people engaged, consensually, in erotic labour within host cities, that are often made target of rescue intervention. The figure of the proverbial sex slave, as a highly racialized and hypersexualized trope, is mobilized through the sport mega-event to further police the bodies of all women in labour and migration. We end with a cautious message to future host cities, particularly cities implicated in the 2026 FIFA World Cup within Mexico, Canada, and the United States, of the highly-profitable and politically-advantageous rhetoric of damsel in distress.

Racism, Activity, and Passivity in the Analytic Dyad: A Fanonian Meditation.

Frantz Fanon's reception within psychoanalysis has been hindered by an interpretive "snag" that vexes discussions of his work and relevance. This "snag" misleadingly situates Fanon's clinical approach as necessarily outside, or antithetical to, treatment as conceived and practiced in the Freudian tradition. As a result, analytic educators, students, and therapists are prone to position Fanon on one side of a conceptual boundary and "analytic neutrality" on the other. This reading is not only misguided but detrimental to the healing potential and continued development of psychoanalysis. A closer look at one of Fanon's oft-repeated rallying cries, in which its context is examined and its intent unpacked, allows for a disambiguating of "analytic neutrality" and affords a number of takeaways that can help readers recognize the stakes of Fanon's contributions to psychoanalysis and appreciate their pertinence for dyadic clinical treatment. A major implication is the importance for psychoanalysis, in both pedagogy and clinical practice, to take coloniality (the continued legacies of colonial domination, including especially white supremacy) far more seriously.

Winter's Topography, Law, and the Colonial Legal Imaginary in British Columbia.

This article examines how images of nature, weather, and topography disclose a politics of recognition (who is visible/invisible) invested in a burgeoning criminal justice milieu, where punishment of wrongdoing became increasingly racialized in British Columbia during the early confederation period of Canada's history. Drawing from archived court documents and colonial writing, it examines dominant environmental metaphors and tropes that structured this politics of recognition within the colonial legal imaginary. I argue that images and understandings of topography, nature, weather, and seasons shaped the background enactment of law in early Canadian lawmaking practices. By examining these natural tropes, this article seeks to understand the contours of a contextually specific colonial legal imaginary as a vital component for entry into the criminal justice system. This colonial legal imaginary predisposes certain groups, and particularly Indigenous peoples, as subject to the constraining power of law, thereby fueling the growth of crime control industries over the last 150 years.

Racialised capitalism, decoloniality and the university: an exploration of the colour line and colonial unreason in higher education.

Over the last decade, there has been an increase in calls to address important questions on race and decolonisation within the university, administratively, pedagogically, and socially. This study investigates the relationship between the university, the coloniser, and the colonised during the colonial era and the afterlife. It aims to demonstrate that the university has made the act of abstraction and theorisation central across disciplines in a way that shears theoretical principles from the historical contexts they emerge from, distancing them from the purposes, people, and interests they were meant to serve, as well as the populations they were meant to dispossess and disempower. The study provides a conceptual framework for deconstructive analysis of the university's pedagogical operations and societal function with the view to elucidate the university's colonial and racial blind spots, notably, with a reliance on disciplinary narratives from development, international relations, and international law to offer tentative answers to the questions of decolonial praxis, the decolonial scholar, and coloniality in the contemporary university.

Cuidado em Saúde e mulheres negras: notas sobre colonialidade, re-existência e conquistas / Health care and black women: notes on coloniality, re-existence, and gains

Resumo Refletimos sobre a saúde da mulher negra como parte integrante do enredo produzido pelo exercício do poder na colonialidade, e as forças que atuam no sentido da definição e imposição do lugar de subalterna, pois que informada pela noção objetificada e racializada de corpo. Mulheres negras estão substancialmente representadas nos piores indicadores de saúde. Propomos olhar o campo da saúde coletiva, em especial problematizando a dimensão do cuidado, enquanto tecnologia política, social e intersubjetiva, cujos encontros com o corpo estético-político da mulher negra são atravessados por experiências singulares de exclusão. Mas, para além do sofrimento, falamos também de agência e resistência, bem como da construção de uma agenda de luta a partir do protagonismo de negras/os.

Abstract We reflect on Black women's health as part of a narrative produced by the exercise of coloniality and the forces that contribute toward defining and imposing the place of a subaltern since the objectified and racialized body notion informs it. Black women are represented in the worst health indicators. We propose to look at collective health from the perspective of care as a political, social, and intersubjective technology, in whose encounters with the aesthetic-political body of Black women are traversed by unique exclusion experiences. Moving beyond suffering, we also address agency, resistance, and the construction of an agenda of struggle based on the Black people's leading roles.

The pernicious whiteness of coloniality in elementary science classrooms: the multigenerationality of subtractive schooling in El Sur de Tejas, Aztlán.

Our study traces the pernicious whiteness of coloniality in elementary science classrooms in El Sur de Tejas, Aztlán. Our research method was an ethnographic case study that enabled us to explore participants' identities within bioregional contexts. In our findings, we emphasize the pernicious whiteness of coloniality via the participants' personal and professional identity tensions. Through our analysis, we subjunctively begin to outline what we call the multigenerationality of subtractive schooling.

Nuestro estudio rastrea la blanquitud perniciosa de la colonialidad en las aulas de las escuelas primarias de ciencia en el Sur de Téjas, Aztlán. Enmarcamos nuestro estudio enfatizando las literaturas recientes de la blanquitud y la teoría crítica de raza Latina. Nuestro método de investigación es un estudio de caso etnográfico que nos permite explorar las identidades de los participantes dentro de contextos biorregionales. Nuestros hallazgos enfatizan la perniciosa blanquitud de la colonialidad a través de las tensiones de identidad personal y profesional de los participantes. A través de nuestro análisis, comenzamos a delinear subjuntivamente lo que llamamos la multigeneracionalidad de la escolarización subtractiva.

Addressing coloniality of power to improve HIV care in South Africa and other LMIC.

We describe the appropriateness and potential for effectiveness of three strategic approaches for improving HIV care in South Africa: community-based primary healthcare, local/community-based stakeholder engagement, and community-engaged research. At their core, these approaches are related to overcoming health inequity and inequality resulting from coloniality of power's heterogenous structural processes impacting health care in many low- and middle-income countries (LMIC). We turn to South Africa, a middle-income country, as an example. There the HIV epidemic began in the 1980s and its ending is as elusive as achieving universal healthcare. Despite impressive achievements such as the antiretroviral treatment program (the largest in the world) and the country's outstanding cadre of HIV experts, healthcare workers and leaders, disadvantaged South Africans continue to experience disproportionate rates of HIV transmission. Innovation in global public health must prioritize overcoming the coloniality of power in LMIC, effected through the imposition of development and healthcare models conceived in high-income countries (HIC) and insufficient investment to address social determinants of health. We advocate for a paradigm shift in global health structures and financing to effectively respond to the HIV pandemic in LMIC. We propose ethically responsive, local/community-based stakeholder engagement as a key conceptual approach and strategy to improve HIV care in South Africa and elsewhere. We join in solidarity with local/community-based stakeholders' longstanding efforts and call upon others to change the current status quo characterized by global public health power concentrated in HIC.

Anti-colonial thought and global social theory.

From the late 1980s onward, global social theory has been introduced to a new perspective variously called indigeneity, endogeneity, Orientalism, Eurocentrism, post-colonial, decolonial, and Southern sociology/social sciences. This study argues that the above-mentioned trends should be collectively termed anti-colonial social theory as all of these explore the relationship between colonialism and knowledge production. The study divides the growth of anti-colonial social theory in terms of two phases and relates it to changing geopolitics of the 20th century. It argues that these distinct trends manifest a united stance in its ontological-epistemic articulation. It also argues that anti-colonial social theory can play a relevant role in a knowledge system divided through colonial/imperial relationships, given its theorization on the same.

Coloniality and Ethnic Variation in Psychological Distress Among US Latinx Immigrants.

To address ethnic variation and potential cross-cultural measurement error in diagnostic criteria, this study extends on the racialized ethnicities framework to examine how Latinxs' self-reported psychological distress differ among ethnic groups. Utilizing data from the National Health Interview Survey, logistic regression models and partial proportional odds models assessed differences in likelihood of self-reporting frequent anxiety, depression, and psychological distress among Mexican, Puerto Rican, Cuban, Dominican, and Central and South American immigrants. Membership in Caribbean Latinx ethnic groups, and the Puerto Rican ethnic group in particular, was significantly associated with higher predicted probabilities of frequent anxious and depressive feelings, and severe psychological distress, relative to membership in non-Caribbean Latinx ethnic groups. This work highlights the need for research on Latinxs to disaggregate among ethnic groups, and proposes the existence of a gradient of exposure to the psychosocial consequences of US coloniality that might explain some of these variations.

On leaving: Coloniality and physician migration in Puerto Rico.

Puerto Rico (PR) has a growing physician migration problem. As of 2009, the medical workforce was composed of 14,500 physicians and by 2020 the number had been reduced to 9,000. If this migration pattern continues, the Island will not be able to meet the recommended physicians per capita ratio proposed by the World Health Organization (WHO). Existing research has focused on the personal motivations for movement to, or permanence in, a particular setting, and social variables that encourage physicians to migrate (e.g., economic conditions). Few studies have addressed the role of coloniality in fostering physician migration. In this article we examine the role of coloniality and its impact on PR's physician migration problem. The data presented in this paper stem from an NIH-funded study (1R01MD014188) that aimed to document the factors associated with physician migration from PR to the US mainland and its impact on the Island's healthcare system. The research team used qualitative interviews, surveys, and ethnographic observations. This paper focuses on the data from the qualitative interviews with 26 physicians who had migrated to the USA and ethnographic observations, which were collected and analyzed between September 2020 and December 2022. The results evidence that participants understand physician migration as a consequence of three factors: 1) the historical and multidimensional deterioration of PR, 2) the idea that the current healthcare system is rigged by politicians and insurance companies, and 3) the specific challenges faced by physicians in training on the Island. We discuss the role of coloniality in fostering these factors and how it serves as the backdrop for the problem faced by the Island.