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Health Promotion and the Personal Conduct of (Everyday) Life

Health Promotion and the Personal Conduct of (Everyday) Life. Kasper A. Kristensen Research Centre for Health Promotion Assistant Professor, PhD Roskilde University kak@ruc.dk. Main Points. The Rising field of health promotion

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Health Promotion and the Personal Conduct of (Everyday) Life

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  1. Health Promotion and the Personal Conduct of (Everyday) Life Kasper A. Kristensen Research Centre for Health Promotion Assistant Professor, PhD Roskilde University kak@ruc.dk

  2. Main Points • The Rising field of health promotion • Researching health and practices of health promotion in everyday life • Points of concern

  3. The risingfield of health promotion • A historical surge in concepts and practices of health • Moral and political debates • Core institutions • Ways of life • Forms of subejctivity • Put into practice • Policies • Organizational changes • Health Care • Private market of health goods and services • Intimate evaluation of self and others • Individual strategies for health

  4. “Health” as a contested concept • The greater good? • Medicine, hygiene and social planning • Suspect? • Power/Knowledge • Inequality, exclusion and domination • Government/Regulation • Technological, rational and individualized reasoning • Battlefield of the bodies and of the selves

  5. Absence of disease • historical influence of the medical science • Pathogenic perspective (Antonovsky) • Biomedicine (Rose)

  6. A ”positive” health concept • The good life, care for the self (philosophical/religious) • “A complete state of well-being” (UN, 1946) • Antonovsky: Salutogenesis • Life quality

  7. ”A ressource for everyday life” • Health: “To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective for living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.” (Ottawa Charter; WHO, 1986) • Health Promotion: “Health promotion is the process of enabling people to increase control over, and to improve, their health….[] Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life styles to well being “ (Ottawa Charter; WHO, 1986)

  8. Practice and theory in health promotion • Field of Practice (McQueen) • Policy Area • Pragmatic • Behavioral, cognitive • Administrative, community • Field of Theory • Perspective/Orientation • Micro • Individual • Macro • Community, national

  9. Researching health and practices of health promotion in everyday life • Where the individualengageswith the social world • Domain of subjectiveexperience and activity • The domain of reproductive/productivelifeprocesses • Social culturalpatterns of activities • Ctr: • Health behavior • Health Habits • Lifestyle • The domain of the practitioner • Wherepracticesarereceived and have an impact • A place for critique/counteractivity

  10. Points of concern • The question of perspective? • The question of participation? • The question of scale? • The assumption of regularity?

  11. The question of perspective • Privileged observer? • 1st person perspectives • embodied experience • Chronic pain • Capacity to reach individual goals (Wackerhausen, 1994)

  12. The question of participation • Participation in social structures of practice (Dreier, 2009) • Ressource for everydayliving: • Manage social participation • Stress • Psychosocialconflicts • Mental health • Participation • Resources, social rights, recognitions

  13. The question of scale Time: • 24/7 timescale • The social reproduction, social organization, rituals • Growth and production • Experiences, activities over larger timescales • - competencies • - struggles • - illness • - recovery/rehabilitation • Subjective horizon of significance

  14. The question of scale II Space: • The place-/setting-/institutionbound • Local, immediate, context • Mobility • Disability • Being in place/moving in and through places • Migration • Pathways to marginalization

  15. The assumption of regularity • Routine • Habit • Taken for granted • Projects! • Life long learning • Career • Success/failure • Health promotion: • Making everyday life into a project! • Sustaining change after the project

  16. The personal conduct of life • The personal conduct of life (Holzkamp, 1998, Dreier, 2008, Kristensen, 2008) • Building a theory and methodology that researches health and practices of health promotion in peoples lives from a • 1st person perspective • Participation in social structures of practice • following experiences and activities of growth and learning over time and space • Projects, variations and conflicts in daily life

  17. A worst case scenario? • Expert privileged perspective • Locally confined • 24/7 discipline • Individualized • Habitual/Regularity

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