Notes from the Debate on “Expanded Concept of Health” in Brazil: Ethical-Political Implications and Contextual Mobilization
- 1 Departamento de Medicina, Universidade Regional de Blumenau, Blumenau, Brazil
Abstract
Recent history shows that conceptual issues can undertake potent mobilization in concrete actions of everyday life, as was the case of the debate in Brazil on “expanded concept of health” in the 1980s. It is possible to claim that discussion’s ethical-political aspects had implications for the process that led to the constitution, and implementation of the Sistema único de Saúde —SUS 1 in 1990. Based on such assumptions, I develop a theoretical essay aiming to bring part of the rich conceptual discussions on health and disease accumulated in Brazilian Public Health. In the first two topics, I analyze two classic books, “ A doen ç a ” 2 by Berlinguer (1988) and “ O que é saúde ?” 3 by Almeida-Filho (2011), trying to show the differentiated contribution that such works develop with respect to interpretations and contextualization that “health” and “disease” can be offer—in addittion to the biomedical paradigm. Featured categories are addressed in these works, which allow further dialogue with relevant issues of everyday life. Lastly, I argue that the incorporation of conceptual problematizations can bring important contributions related to practices health care, especially in terms of physical education integration’s in the spheres of public health services.
- Almeida-Filho, N. (2011). O que é saúde? Rio de Janeiro: Fiocruz. https://doi.org/10.7476/9788575413432
- Berlinguer, G. (1988). A doença. São Paulo: Cebes/Hucitec. http://www.docvirt.com/docreader.net/docreader.aspx?bib=CEBESLIVROS&Pasta=A
- Breilh, J. (2010). Epidemiología: Economía política y salud (7th ed.). Quito: Casa Editorial.
- Canguilhem, G. (1991). The Normal and the Pathological. New York: Zone Books.
- Conrad, P. (2007). The Medicalization of Society: On the Transformation of the Human Conditions into Treatable Disorders. Baltimore: The Johns Hopkins University.
- Dejours, C. (2015). A loucura do trabalho (6th ed.). São Paulo: Cortez.
- Engels, F. (1976). La situación de la clase obrera en Inglaterra. Madrid: Akal.
- Illich, I. (1982). Medical Nemesis: The Expropriation of Health. New York: Pantheon.
- Lewis, A. (1998). A saúde como conceito social. Physis, 8, 151-174. https://doi.org/10.1590/S0103-73311998000100009
- Moura, D. (1989). Saúde não se dá, conquista-se. São Paulo: Hucitec.
- Nogueira, R. P. (Ed.). (2010). Determinação social da saúde e reforma sanitária. Rio de Janeiro: Cebes.
- Rigo, L. C., Pardo, E. R., & Silveira, T. T. (2019). Hable consigo mismo: Aportes de un plan de inmanencia ética, estética y política de los conceptos de salud. In: Bagrichevsky, M. (Ed.), Salud, cuerpo y sociedad (pp. 28-53). Blumenau: Instituto Federal Catarinense.
- Sfez, L. (1994). La sante parfaite: Critique d’une nouvelle utopie. Paris: Seuil.