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在健康促进干预参与者的健康寻求生活方式中协商的愉悦。

Negotiated pleasures in health-seeking lifestyles of participants of a health promoting intervention.

机构信息

National Institute for Health and Welfare, Finland.

出版信息

Health (London). 2010 Mar;14(2):115-30. doi: 10.1177/1363459309353292.

Abstract

Using focus group discussion data the present article examines argumentation around pleasure from food and physical activity among participants of a health promoting intervention. The article analyses the conflicts produced by pleasure-seeking and health enhancement, and the pursuits to solve these conflicts. Due to the discrepancy between the pleasure-seeking and health enhancement, pleasure was constructed not simply as a spontaneous experience but often as a planned and disciplined event. In respect of food, it was considered as appropriate to negotiate with different sources of pleasure and discipline one's inclination to simply follow one's taste. However, the tastiness of food was seen to have a value of its own and the need for pleasurable tastes was often experienced as beyond the individual's control. We term food related pleasures 'negotiated pleasures' stressing the diverse strategies used by individuals while negotiating between food related pleasures and their overall health-seeking lifestyle. In respect of physical activity, life resembled more a mosaic where passivity was occasionally interrupted with disciplined physical activity that seldom produced pleasure. The scarcity of pleasures from physical activity as well as from healthy foods is a challenge for health promoters. Instead of building more self-controlling and self-denying individuals, it could be fruitful to focus health promoters' attention to the enhancement of the experiences of pleasure. No matter how self-disciplined individuals are, if the dilemma of pleasure and health is not disentangled, lifestyle change will not last long.

摘要

本文利用焦点小组讨论的数据,考察了健康促进干预参与者中围绕食物和身体活动带来的愉悦感展开的争论。本文分析了追求愉悦感和促进健康之间产生的冲突,以及解决这些冲突的努力。由于追求愉悦感和促进健康之间存在差异,愉悦感的构建不仅仅是一种自发的体验,往往是一种有计划和自律的活动。在食物方面,人们认为可以通过协商来自不同来源的愉悦感,来约束自己仅仅追随个人口味的倾向。然而,食物的美味本身也具有一定的价值,而享受美味的需求往往超出了个人的控制。我们将与食物相关的愉悦感称为“协商后的愉悦感”,强调了个体在食物相关的愉悦感和整体健康生活方式之间进行协商时所使用的各种策略。就身体活动而言,生活更像是一幅马赛克,其中偶尔会出现被动,偶尔会穿插有纪律的身体活动,但很少会产生愉悦感。身体活动和健康食品带来的愉悦感稀缺,这对健康促进者来说是一个挑战。与其培养更多的自律和自我克制的个体,不如关注增强愉悦感的体验,这可能会更有成效。无论个体多么自律,如果不能解决愉悦感和健康之间的困境,生活方式的改变就不会持久。

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