An Ethic for Health Promotion: Rethinking the Sources of Human Well-BeingOxford University Press, 2000 M01 20 - 232 pages What are the goals of health promotion and the most apropriate means of achieving them? The prevailing view is that these goals are to prolong life and reduce mortality rates. Since the leading causes of morbidity and mortality are now largely attributable to lifestyle behaviors--smoking, diet, exercise, etc.--the means of achieving reductions in heart disease, cancer, strokes, diabetes and other chronic conditins are to identify more effective techniques for changing people's behavior. Virtually all health promotion research is currently directed towards accomplishing this objective. But at what cost? As researchers strive for more effective ways to change people's behavior, what are the implications for individual autonomy, integrity, and responsibility? Buchanan sets out to explain why a science of health promotion is neither imminent or estimable. He argues that health promotin is inescapably a moral and political endeavor and that goals more befitting the realization of human well-being are to promote self-knowledge, individual autonomy, integrity, and responsibility through putting into practice more democratic processes of self-direction and mutual support in civil society. |
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Page vi
... determining " causes " to the exclusion of questions about the meaning , morality , and purposes of human be- havior . A discussion of the ethical pitfalls returns to the point of questioning the instrumental interest in controlling ...
... determining " causes " to the exclusion of questions about the meaning , morality , and purposes of human be- havior . A discussion of the ethical pitfalls returns to the point of questioning the instrumental interest in controlling ...
Page 3
... determining the causes of " lifestyle " diseases and for developing interventions to prevent them . This commitment is most conspicuously evident in the research protocols of the National Institutes of Health , which provide the ...
... determining the causes of " lifestyle " diseases and for developing interventions to prevent them . This commitment is most conspicuously evident in the research protocols of the National Institutes of Health , which provide the ...
Page 11
... determining the most effective means to a given end , to the neglect and det- riment of the evaluation of the ends themselves . As the sociologist Philip Selznick states , " Reason is instrumental when it abdicates responsibility for ...
... determining the most effective means to a given end , to the neglect and det- riment of the evaluation of the ends themselves . As the sociologist Philip Selznick states , " Reason is instrumental when it abdicates responsibility for ...
Page 12
... determining this meaning scientifically . " 37 We know more and more about deter- mining the means to an end , but less and less about distinguishing which ends are worth pursuing . Science can explain the world by making it predictable ...
... determining this meaning scientifically . " 37 We know more and more about deter- mining the means to an end , but less and less about distinguishing which ends are worth pursuing . Science can explain the world by making it predictable ...
Page 20
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Contents
1 | |
2 Contemporary Threats to Health | 23 |
3 The Limits of Science | 49 |
4 Iatrogenesis in Health Promotion | 71 |
5 Practical Reason | 85 |
6 Health and WellBeing | 102 |
7 Civility Trust and Community WellBeing | 119 |
8 A New Way of Practice | 133 |
9 Justice Caring Responsibility | 154 |
Notes | 171 |
References | 191 |
Index | 209 |
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Common terms and phrases
achieve action alcohol Aristotle autonomy baseline survey become Bellah causes CEPA chapter choices civil society claims community members concept concerns defined discussion drug abuse empowerment ethical evaluation example exercise experience field of health framework Glanz goals groups Health Behavior Health Belief Model Health Education health problems health promotion health promotion research heart disease Holyoke human behavior human well-being hypotheses idea identified individual infant mortality institutional instrumental reason integrity interventions issues judgment kind Latino living means and ends modern moral National Nichomachean Ethics North Karelia objectives one's person philosopher phronesis political positivist practical reason practitioners prevention procedures professional programs public health questions relationships responsibility Rimer risk factors Sandel science of health scientific method self-efficacy Selznick sense situation smoking Social Learning Theory social marketing social practices studies Taylor tion trust types understanding United States Surgeon values that matter