Caponi S
Departamento de Saúd Pública da Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Hist Cienc Saude Manguinhos. 1997;4(2):287-307. doi: 10.1590/s0104-59701997000200006.
Taking as a point of departure Canguilhem's view on the epistemological status of the concept of health, the article examines current begemonic concepts which see health as a question of balance and adjustment to the environment-including herein the conceptualization posed by the World Health Organization and the broad definition laid out during the 8th Health Conference. The basic goal of this examination is to show that what is defined in discursive statements constitutes an ongoing interaction with the metadiscursive statements more closely related to the world of institutions and institutional action. It is therefore argued that the adoption of a particular notion of health implies the selection of a particular direction in health care policies as well as the application of a particular set of intervention strategies regarding the lives and bodies of subjects.
本文以康吉莱姆关于健康概念的认识论地位的观点为出发点,审视了当前将健康视为平衡和适应环境问题的主流概念——其中包括世界卫生组织提出的概念化表述以及第八届健康大会上阐述的宽泛定义。此次审视的基本目标是表明,话语陈述中所定义的内容与更紧密关联机构世界和机构行动的元话语陈述构成了一种持续的互动。因此可以认为,采用特定的健康观念意味着在医疗保健政策中选择特定的方向,以及对有关主体的生活和身体应用特定的一套干预策略。