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[健康教育:知识、社会表征与疾病]

[Health education: knowledge, social representation, and illness].

作者信息

Gazzinelli Maria Flávia, Gazzinelli Andréa, Reis Dener Carlos dos, Penna Cláudia Maria de Mattos

机构信息

Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

出版信息

Cad Saude Publica. 2005 Jan-Feb;21(1):200-6. doi: 10.1590/s0102-311x2005000100022. Epub 2005 Jan 28.

Abstract

This article discusses the theory and practice of health and education, beginning with the notion of the hegemony (in health education practice) of strategies linked to the notion that to grasp established knowledge always leads to the acquisition of new behaviors and practices. Five different axioms have oriented education and health practices, either juxtaposed or at different moments: (1) the notion of overcoming the determination of knowledge over practices; (2) the determination of representations over practices; (3) the analysis of representations within the traditional framework of right and wrong; (4) reciprocity between representations and practices; and (5) the importance of considering practices amenable to re-elaboration through representations, thus situating experience in understanding subjects' illness processes, as well as the way subjects culturally construct illness. The article highlights the need for a link between social representations and illness-as-experience in health education practices.

摘要

本文探讨健康与教育的理论及实践,开篇阐述了(健康教育实践中)与一种观念相关的策略霸权,该观念认为掌握既定知识总能带来新行为和实践的习得。有五条不同的公理主导着教育与健康实践,它们或是并列存在,或是在不同时刻发挥作用:(1)克服知识对实践的决定性影响的观念;(2)表象对实践的决定性影响;(3)在传统的对错框架内对表象进行分析;(4)表象与实践之间的相互作用;(5)考虑通过表象进行重新阐释的实践的重要性,从而将经验置于理解主体疾病过程以及主体对疾病进行文化建构的方式之中。本文强调了健康教育实践中社会表象与作为经验的疾病之间建立联系的必要性。

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