Health Promotion and the Personal Conduct of Everyday Life

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					Health Promotion and the Personal
    Conduct of (Everyday) Life

               Kasper A. Kristensen
       Research Centre for Health Promotion
              Assistant Professor, PhD
                Roskilde University
                    kak@ruc.dk
Main Points

 THE RISING FIELD OF HEALTH PROMOTION


 RESEARCHING HEALTH AND PRACTICES OF HEALTH
 PROMOTION IN EVERYDAY LIFE

 POINTS OF CONCERN
THE RISING FIELD OF HEALTH
PROMOTION
 A historical surge in concepts and practices of health

 Moral and political debates
   Core institutions
   Ways of life
   Forms of subejctivity


 Put into practice
   Policies
   Organizational changes
   Health Care
   Private market of health goods and services

 Intimate evaluation of self and others
    Individual strategies for health
“Health” as a contested concept
 The greater good?
   Medicine, hygiene and social planning


 Suspect?
   Power/Knowledge
     Inequality, exclusion and domination
   Government/Regulation
       Technological, rational and individualized reasoning



 Battlefield of the bodies and of the selves
Absence of disease

 historical influence of the medical science


 Pathogenic perspective (Antonovsky)


 Biomedicine (Rose)
A ”positive” health concept

 The good life, care for the self (philosophical/religious)


 “A complete state of well-being” (UN, 1946)


 Antonovsky: Salutogenesis


 Life quality
”A ressource for everyday life”
 Health:
  “To reach a state of complete physical, mental and social well-being, an
  individual or group must be able to identify and to realize aspirations, to
  satisfy needs, and to change or cope with the environment. Health is,
  therefore, seen as a resource for everyday life, not the objective for living.
  Health is a positive concept emphasizing social and personal resources,
  as well as physical capacities.” (Ottawa Charter; WHO, 1986)

 Health Promotion:
  “Health promotion is the process of enabling people to increase control over,
  and to improve, their health….[] Therefore, health promotion is not just
  the responsibility of the health sector, but goes beyond healthy life styles to
  well being “ (Ottawa Charter; WHO, 1986)
Practice and theory in health
promotion
 Field of Practice              Field of Theory
  (McQueen)
 Policy Area                    Perspective/Orientation


                                 Micro
 Pragmatic                        Individual
   Behavioral, cognitive
   Administrative, community    Macro
                                   Community, national
Researching health and practices of
health promotion in everyday life
 Where the individual engages with the social world
 Domain of subjective experience and activity
 The domain of reproductive/productive life processes
 Social cultural patterns of activities
   Ctr:
          Health behavior
          Health Habits
          Lifestyle
 The domain of the practitioner
 Where practices are received and have an impact
 A place for critique/counteractivity
Points of concern
 The question of perspective?
 The question of participation?
 The question of scale?
 The assumption of regularity?
The question of perspective

 Privileged observer?
 1st person perspectives


 embodied experience
   Chronic pain


 Capacity to reach individual goals (Wackerhausen, 1994)
The question of participation
 Participation in social structures of practice (Dreier, 2009)


 Ressource for everyday living:
   Manage social participation
     Stress
     Psychosocial conflicts
     Mental health


 Participation
   Resources, social rights, recognitions
The question of scale
Time:
 24/7 timescale
 The social reproduction, social organization, rituals
   Growth and production
   Experiences, activities over larger timescales
     - competencies
     - struggles
     - illness
     - recovery/rehabilitation

 Subjective horizon of significance
The question of scale II
Space:
 The place-/setting-/institutionbound
   Local, immediate, context


 Mobility
   Disability


 Being in place/moving in and through places
   Migration
   Pathways to marginalization
The assumption of regularity
 Routine
 Habit
 Taken for granted


 Projects!
   Life long learning
   Career
   Success/failure

   Health promotion:
     Making everyday life into a project!
   Sustaining change after the project
The personal conduct of life
 The personal conduct of life (Holzkamp, 1998, Dreier, 2008,
  Kristensen, 2008)
 Building a theory and methodology that researches health and
  practices of health promotion in peoples lives from a
   1st person perspective
   Participation in social structures of practice
   following experiences and activities of growth and learning over
    time and space
   Projects, variations and conflicts in daily life
A worst case scenario?
 Expert privileged perspective
 Locally confined
 24/7 discipline
 Individualized
 Habitual/Regularity

				
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posted:12/10/2012
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