I think this concept might help me too … in my case, the disempowerment is sometimes structural, but empowerment is possible – with knowledge that empowerment is possible – which is part of the structural oppression. In some ways, there can be this transition … a transition from oppression to empowerment which I think is a really interesting thing in the context of patient health literacy and how it can, if understood in the right context, help someone move from oppressed to empowered.