Hernández-Holguín Dora María
Grupo de Investigación en Salud Mental (GISAME), Facultad Nacional de Salud Pública, Universidad de Antioquia. Calle 70, 52-2. Medellín, Colômbia.
Cien Saude Colet. 2020 Mar;25(3):929-942. doi: 10.1590/1413-81232020253.01322018. Epub 2018 Aug 8.
This article presents a critical reflection on the conceptual perspectives in mental health, in the quest for new meanings for this concept and its implications in the context of achieving peace in Colombia. For this, an integrative review of the literature was conducted in seven bibliographic databases and search engines. As a result, five conceptual perspectives of mental health were identified: 1) biomedical and behavioral; 2) wellbeing and its potential; 3) cultural; 4) psychosocial; and 5) based on social determination, the epistemological foundations, contributions, criticisms, and limitations of which are described in each case. Finding more pertinence in the proposal of mental health from collective health/social medicine rather than from the classic public health for achieving peace in Colombia, a comprehensive view of mental health that takes into account its socio-cultural relevance from a critical and socio--historical position is proposed.
本文对心理健康的概念视角进行了批判性反思,旨在探寻这一概念的新内涵及其在哥伦比亚实现和平背景下的影响。为此,在七个书目数据库和搜索引擎中进行了文献综合回顾。结果,确定了心理健康的五个概念视角:1)生物医学和行为学视角;2)幸福及其潜力视角;3)文化视角;4)心理社会视角;5)基于社会决定因素的视角,每种视角的认识论基础、贡献、批评和局限性均有阐述。鉴于在哥伦比亚实现和平方面,从集体健康/社会医学而非经典公共卫生角度提出的心理健康建议更具相关性,本文提出了一种全面的心理健康观,即从批判性和社会历史立场考虑其社会文化相关性。