Secker J
Centre for Mental Health Services Development, King's College London, UK.
Health Educ Res. 1998 Mar;13(1):57-66. doi: 10.1093/her/13.1.57.
Health promotion is generally agreed to be underpinned by a set of principles which distinguish it from other disciplines and professions. This paper takes these principles as the starting point for a review of the literature of mental health promotion. The aim is to clarify the ways in which mental health and mental health promotion are currently conceptualized, in order to identify areas where health promotion can make a unique contribution to complement that of other interest groups. In the first section, it is suggested that current definitions of mental health are inadequate for health promotion practice in that they either equate health with the absence of illness or present a culturally skewed, individualized and 'expert'-led version of what it means to be mentally healthy. The second section then traces the implications of these definitions as they emerge from the literature relating to mental health promotion practice. The paper concludes with a discussion of some ways in which health promotion specialists might begin to develop a mental health promotion agenda which is more consistent with health promotion principles.
人们普遍认为,健康促进是基于一套原则,这些原则使其有别于其他学科和专业。本文以这些原则为出发点,对心理健康促进文献进行综述。目的是阐明当前心理健康和心理健康促进的概念化方式,以便确定健康促进可以做出独特贡献的领域,以补充其他利益集团的贡献。在第一部分中,有人指出,目前的心理健康定义不足以用于健康促进实践,因为它们要么将健康等同于没有疾病,要么呈现出一种文化上有偏差、个性化且由“专家”主导的心理健康含义版本。第二部分接着追溯这些定义在与心理健康促进实践相关的文献中所产生的影响。本文最后讨论了健康促进专家可以开始制定更符合健康促进原则的心理健康促进议程的一些方法。