The notions of health and illness are a challenge of great complexity in terms of theoretical, methodological and intervention within the idiographic frame. The approach of the idiographic science considers that every psychological process (but in general every process, from organic to the social and cultural ones) is characterized by a contextual, situated and contingent dynamics. This dynamics is always characterized by a never-ending opening of its cycles and a great variability. Conditions of stagnation and hypostatization are characteristic of all forms of disease (physical, mental and social) that sclerotize relational links between people and their environments. In semiotic terms, rigid definitions of statistic and normative notions of health and illness are reified and hypostatized forms. The notion of health and illness, indeed, defined and interpreted in terms of "state" and not of process, meets the immediate paradox of being an indicator of normativity by reason of which we risk a proliferation of new and potentially infinite forms of "deviation". A process of medicalization occur and its effect engenders a deep difficulty in the process of sensemaking of one’s own experience of health and illness. Health and illness are processes that presents oscillation in the same way of any subjective developmental process that present moments of crisis and rupture in order to re-organize new forms of relationship with the environment. Conceptual tenets of psychological scaffolding (ownership, cum-sensum and and decision sharing) are presented in their functions in order to promote a semiotic expansion of meaning making processes of healthcare relationship and subjective experience. Health promotion is therefore not a process based on the definition of standards and general categories on the basis of which typifying the states of health. Rather, it has to be considered a contextual and situated process, on a large scale, aimed at generating a culture of the health as a resource for individuals and communities and to promote skills needed to transform standardized notions in resources and developmental goals.

Health and disease. From reification to semiotization of their processes of signification. From medicalising discourse to situated practices

DE LUCA PICIONE, RAFFAELE;DICE', FRANCESCA;FREDA, MARIA FRANCESCA
2016

Abstract

The notions of health and illness are a challenge of great complexity in terms of theoretical, methodological and intervention within the idiographic frame. The approach of the idiographic science considers that every psychological process (but in general every process, from organic to the social and cultural ones) is characterized by a contextual, situated and contingent dynamics. This dynamics is always characterized by a never-ending opening of its cycles and a great variability. Conditions of stagnation and hypostatization are characteristic of all forms of disease (physical, mental and social) that sclerotize relational links between people and their environments. In semiotic terms, rigid definitions of statistic and normative notions of health and illness are reified and hypostatized forms. The notion of health and illness, indeed, defined and interpreted in terms of "state" and not of process, meets the immediate paradox of being an indicator of normativity by reason of which we risk a proliferation of new and potentially infinite forms of "deviation". A process of medicalization occur and its effect engenders a deep difficulty in the process of sensemaking of one’s own experience of health and illness. Health and illness are processes that presents oscillation in the same way of any subjective developmental process that present moments of crisis and rupture in order to re-organize new forms of relationship with the environment. Conceptual tenets of psychological scaffolding (ownership, cum-sensum and and decision sharing) are presented in their functions in order to promote a semiotic expansion of meaning making processes of healthcare relationship and subjective experience. Health promotion is therefore not a process based on the definition of standards and general categories on the basis of which typifying the states of health. Rather, it has to be considered a contextual and situated process, on a large scale, aimed at generating a culture of the health as a resource for individuals and communities and to promote skills needed to transform standardized notions in resources and developmental goals.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/657491
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