What question did this study set out to answer?

This research aims to explore how horizontal dimensions of power and action can address the legitimacy crisis in democratic institutions.

Horizontal and Vertical: The Dimensions of Power and Action

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Examines empowerment and participation in democratic institutions, highlighting trust issues in hierarchical agencies.

This research aims to explore how horizontal dimensions of power and action can address the legitimacy crisis in democratic institutions.
Case study analyzing childhood cancer in rural Appalachia
Focus on empowerment through freedom and participation
Examination of distrust towards hierarchical institutions
Identified how horizontal power structures can enhance participation
Clarified the role of nonparticipation and its implications
Proposed pathways for fostering trust and change in hierarchical structures

Loka Ashwood (2026) studied this question.

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