"这就是以艺术为引领的结果":为社会健康辩护。

IF 1.2 0 HUMANITIES, MULTIDISCIPLINARY Journal of Medical Humanities Pub Date : 2024-12-01 Epub Date: 2024-10-08 DOI:10.1007/s10912-024-09895-5
Andrea Charise, Nicole Dufoe, Dirk J Rodricks
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引用次数: 0

摘要

就像医学和健康人文领域的其他关键术语--同理心、创造力和反思等等--健康已经成为一个黄鼠狼词,充斥着优化、责任和自我感知的语言。尽管存在着其他的词汇--福祉和生活质量,但这些选择通常会优先考虑学术研究(通常是心理学研究)、医疗机构和经济国家机器的目标,而不是人本身。考虑到这些问题,为什么还要为健康辩护呢?我们提出了一个以历史为依据、以理论为动力、以实践为指导的框架,来重新审视社会健康(这一概念最早是在 20 世纪 50 年代末定义的)。自比尔-海特勒(Bill Hettler)的 "六角形 "模型(1980 年)以来,社会健康的定义已包括对他人的相互尊重以及合作行为的假设,但在当代的定义和用法中,审美领域却明显缺失,而我们与阿马蒂亚-森(Amartya Sen)和玛莎-努斯鲍姆(Martha Nussbaum)等哲学家一样,都将审美领域视为人类的核心能力。艺术参与的关系可能性如何才能不仅被理解为促进个人健康的手段,而且被理解为社会健康的方法和结果?我们提出,社会健康的最终前提是集体的健康与其所产生的关系相遇的力量之间的相互作用。我们将一个重要的实践范例--社区艺术参与--作为社会健康的载体和场所。最后,我们简要介绍了加拿大的一个范例,并提出了具体建议,以抓住关键机遇,推进由艺术主导、学术界和社区合作伙伴共同参与的社会健康计划。
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"This Is What You Get When You Lead with the Arts": Making the Case for Social Wellness.

Like other key terms in the medical and health humanities-empathy, creativity, and reflection, to name just a few-wellness has become a weasel word, rife the language of optimization, duty, and self-perception. While alternative vocabularies exist-well-being and quality of life among them-these options usually privilege the objectives of academic (often psychological) research, health institutions, and the economic state apparatus, rather than people themselves. In mind of these concerns, why attempt to make a case for wellness at all? We present a historically informed, theoretically driven, praxis-guided framework for a renewed vision of social wellness (a concept first defined in the late 1950s). While definitions since Bill Hettler's "hexagonal" model (1980) have included mutual respect for others and the assumption of cooperative behaviors, conspicuously absent from contemporary definitions and usage is any mention of the aesthetic realm, which we-alongside philosophers like Amartya Sen and Martha Nussbaum-take as a central human capability. How can the relational possibilities of arts engagement be understood as not just a means of promoting individual wellness, but also as a method and outcome of social wellness? We propose that social wellness is ultimately premised on the interplay between wellness of the collective and the strength of the relational encounters it engenders. We turn to a key practice paradigm-community arts engagement-as both a vehicle for and site of social wellness. With brief reference to a Canadian exemplar, we conclude with concrete recommendations for addressing critical opportunities for advancing arts-led social wellness initiatives involving academic and community partners.

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来源期刊
Journal of Medical Humanities
Journal of Medical Humanities HUMANITIES, MULTIDISCIPLINARY-
CiteScore
1.90
自引率
11.10%
发文量
33
期刊介绍: Journal of Medical Humanities publishes original papers that reflect its enlarged focus on interdisciplinary inquiry in medicine and medical education. Such inquiry can emerge in the following ways: (1) from the medical humanities, which includes literature, history, philosophy, and bioethics as well as those areas of the social and behavioral sciences that have strong humanistic traditions; (2) from cultural studies, a multidisciplinary activity involving the humanities; women''s, African-American, and other critical studies; media studies and popular culture; and sociology and anthropology, which can be used to examine medical institutions, practice and education with a special focus on relations of power; and (3) from pedagogical perspectives that elucidate what and how knowledge is made and valued in medicine, how that knowledge is expressed and transmitted, and the ideological basis of medical education.
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