Parales-Quenza Carlos J
Departamento de Psicología, Universidad Nacional de Colombia.
Rev Salud Publica (Bogota). 2008 Aug-Oct;10(4):658-66. doi: 10.1590/s0124-00642008000400016.
This article uses the concept of anomie for understanding public mental-health issues and constructing strategies aimed at promoting health and preventing disease. Studying anomie involves many definitions and approaches; this article conceptualises anomie as dérréglement or derangement and as a total social fact as its effects and consequences are pervasive across all areas of human experience. The article suggests the pertinence of the concept to public health based on several authors' observations depicting Latin-America as being a set of anomic societies and Colombia as the extreme case. Current definitions of mental health in positive terms (not just as being the absence of mental illness) validate the need for considering anomie as an indicator of public mental health. The article proposes that if anomie expresses itself through rules as basic social structure components, then such rules should also be considered as the point of intervention in promoting mental health.
本文运用失范概念来理解公共心理健康问题,并构建旨在促进健康和预防疾病的策略。对失范的研究涉及诸多定义和方法;本文将失范概念化为失调或紊乱,并将其视为一种全面的社会事实,因为其影响和后果在人类经验的所有领域都普遍存在。基于几位作者将拉丁美洲描述为一系列失范社会且哥伦比亚为极端案例的观察,本文表明该概念与公共卫生的相关性。当前以积极方式(不仅仅是作为没有精神疾病)对心理健康的定义证实了将失范视为公共心理健康指标的必要性。本文提出,如果失范通过作为基本社会结构组成部分的规则表现出来,那么这些规则也应被视为促进心理健康的干预点。