Promoção da Saúde e Medicalização: Notas Inquietantes em Conversas de Foucault com Canguilhem

Este artigo visa problematizar práticas de promoção de saúde no Brasil, a partir da história da saúde pública no país, em uma analítica da medicalização e da gestão higienista do hospital, da cidade, dos pobres e do Estado. Busca-se pensar como emerge junto com a saúde na atenção básica um modo de gerir a política pública de saúde como tática medicalizante dos corpos, do espaço, do hospital, da comunidade e das relações sociais. Interroga-se no seguinte ensaio temático um conjunto de práticas que operam um mecanismo biopolítico e de governo da vida e das existências por meio de intensa medicalização na atuação preventivista da saúde. Portanto, questiona-se o estilo de vida saudável na sociedade contemporânea a partir de uma estratégia medicalizadora do direito à saúde com Michel Foucault e Georges Canguilhem.Palavras-chave: Saúde. Medicalização. Práticas. Biopolítica. Prevenção. Health Promotion And Medicalization: Disturbing Notes In Talk Of Foucault With CanguilhemABSTRACTThis article aims to problematize health promotion practices in Brazil, based on the history of public health in the country, in an analysis of medicalization and hygienist management of the hospital, the city, the poor and the State. It seeks to think about how a way to manage public health policy emerges together with health in primary care as a medicalizing tactic of bodies, space, hospital, community and social relations. in the following thematic essay a set of practices that operate a biopolitical and government mechanism of life and existences through intense medicalization in preventative health action. Therefore, the healthy lifestyle in contemporary society is questioned based on a medicalizing strategy of the right to health.Keywords: Health. Medicalization. Practices. Biopolitics. Prevention.

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Health promotion, health education, and the public’s health

10.1093/med/9780198816805.003.0047 ◽

2021 ◽

pp. 335-350

Author(s):

Fran Baum

Keyword(s):

Public Health ◽

Health Promotion ◽

Health Education ◽

Core Values ◽

Health It ◽

Equity In Health ◽

History Of Public Health ◽

History Of ◽

Professional Dominance ◽

Precise Interpretation

Health promotion is a complex, ambiguous concept and set of practices. While many have linked it, primarily, to a revolution in health education, its roots go much deeper into the history of public health. It had its contemporary beginnings in the throes of the backlash against bureaucratic and professional dominance exemplified by the new social movements of the 1970s and 1980s. At its heart, health promotion is centred on the values and principles of equity, participation, and empowerment. These concepts are embedded in health promotion’s founding document, the Ottawa Charter for Health Promotion. However, exactly how these values are articulated is often ambiguous. In this chapter, the authors contend that health promoters must intensify their reflection on these core values and principles; particularly in the light of the tendency to slip back into a comfortable paternalism, which reinforces existing power imbalances. We are specifically concerned with the precise interpretation of health equity in health promotion.

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Failing to Professionalise, Struggling to Specialise: The Rise and Fall of Health Promotion as a Putative Specialism in England, 1980–2000

Medical History ◽

10.1017/mdh.2013.19 ◽

2013 ◽

Vol 57 (3) ◽

pp. 377-396 ◽

Cited By ~ 9

Author(s):

Peter Duncan

Keyword(s):

Public Health ◽

Health Care ◽

Health Promotion ◽

Twentieth Century ◽

Social Economic ◽

Policy And Practice ◽

History Of Public Health ◽

Political Influences ◽

History Of ◽

Significant Attention

AbstractSignificant attention has been paid to the history of public health in England during the final part of the twentieth century. Within this, however, the field that came to be known as specialist health promotion (SHP) has been relatively neglected. Between 1980 and 2000 those working in this field, generally known as health promotion specialists (HPSs), enjoyed a relative rise in policy and practice prominence before SHP was effectively abandoned by government and others charged with developing and sustaining public-health structures. This paper seeks to explain why the fall of SHP is important; to move towards explaining its rise and decline; and to argue for greater historical attention to be paid to an important but neglected field within health and health care. Essentially, SHP emerged from a set of loose and contingent practices known as health education. A range of important social, economic, organisational and political influences contributed to the slow construction of a putative specialism in health promotion, accompanied by the desire on the part of some (but not all) HPSs to ‘professionalise’ their role. Finally the projects of both specialisation and professionalisation failed, again as a result of then prevailing organisational and political influences. The importance of such a failure in a so-called era of public health is discussed. In the light of this, the paper concludes by briefly setting out an agenda for further research related to the history of SHP.

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