Collège d'études mondiales, Paris, France.
London School of Economics and Political Science, London, UK.
Health Promot Pract. 2020 Jul;21(4):499-509. doi: 10.1177/1524839920912407. Epub 2020 Apr 14.
Reflexivity has emerged as a key concept in the field of health promotion (HP). Yet it remains unclear how diverse forms of reflexivity are specifically relevant to HP concerns, and how these "reflexivities" are interconnected. We argue that frameworks are needed to support more systematic integration of reflexivity in HP training and practice. In this article, we propose a typology of reflexivity in HP to facilitate the understanding of reflexivity in professional training. Drawing from key theories and models of reflexivity, this typology proposes three reflexive positions (ideal-types) with specific purposes for HP: reflexivity in, on, and underlying action. This article illustrates our typology's ideal-types with vignettes collected from HP actors working with reflexivity in North America and Europe. We suggest that our typology constitutes a conceptual device to organize and discuss a variety of experiences of engaging with reflexivity for HP. We propose the typology may support integrating reflexivity as a key feature in training a future cadre of health promoters and as a means for building a responsible HP practice.
反思已经成为健康促进（HP）领域的一个关键概念。然而，目前尚不清楚反思的多种形式如何与 HP 关注点具体相关，以及这些“反思”如何相互关联。我们认为，需要有框架来支持在 HP 培训和实践中更系统地整合反思。在本文中，我们提出了健康促进中的反思类型学，以促进对专业培训中反思的理解。该类型学借鉴了反思的主要理论和模型，提出了三种具有特定 HP 目的的反思立场（理想类型）：行动中的反思、行动上的反思和行动背后的反思。本文通过从北美和欧洲从事反思工作的 HP 行为者那里收集的案例，来说明我们的类型学的理想类型。我们认为，我们的类型学构成了一种概念工具，可以组织和讨论与 HP 相关的各种反思体验。我们提出，该类型学可以支持将反思作为培训未来健康促进者的一个关键特征，并作为建立负责任的 HP 实践的一种手段。
