By David R. Buchanan

ISBN-10: 019513057X

ISBN-13: 9780195130577

What are the objectives of wellbeing and fitness promoting and the main apropriate technique of attaining them? the present view is that those pursuits are to lengthen existence and decrease mortality premiums. because the prime reasons of morbidity and mortality are actually mostly caused by way of life behaviors--smoking, nutrition, workout, etc.--the technique of attaining rate reductions in center sickness, melanoma, strokes, diabetes and different persistent conditins are to spot more advantageous ideas for altering people's habit. almost all healthiness promoting learn is at the moment directed in the direction of reaching this aim. yet at what price? As researchers try for more advantageous how one can switch people's habit, what are the results for person autonomy, integrity, and accountability? Buchanan units out to give an explanation for why a technological know-how of overall healthiness merchandising is neither impending or estimable. He argues that wellbeing and fitness promotin is inescapably an ethical and political exercise and that ambitions extra befitting the conclusion of human wellbeing and fitness are to advertise self-knowledge, person autonomy, integrity, and accountability via placing into perform extra democratic approaches of self-direction and mutual help in civil society.

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Extra info for An Ethic for Health Promotion: Rethinking the Sources of Human Well-Being

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A convenient marker for dating the start of the second revolution in public health is the release of the United States Surgeon General's Report on Smoking and Health in 1964, which documented the health consequences of smoking on cancer, heart disease, and other major illnesses. As the impact of human behaviors in chronic disease processes came to be more fully appreciated, the center of public health attention shifted once again, this time from the agent to the host. 28 AN ETHIC FOR HEALTH PROMOTION Across the country, the results of another well-known study, started in 1964 at the Human Population Laboratory (HPL) in Alameda County, California, added to the growing weight of evidence demonstrating the impact of host behaviors on the leading causes of morbidity and mortality.

But when one is concerned with normative questions in the social world, ends cannot be characterized independently of the means. For instance, one can achieve honesty only by acting honestly. Likewise, one becomes courageous by doing courageous deeds. This book argues that well-being is just such a normative value, where means and ends are inseparable. Conceptually, this book introduces a framework of "virtues" to move away from the separate, independent, means-ends ra- Disquietudes 21 tionality characteristic of current thinking in the field and to indicate the inextricable relationship between means and ends in social life.

Used with permission, Greenwald, et al. (1987). Nationwide Prevention and Health Services Programs 34 AN ETHIC FOR HEALTH PROMOTION a lower ranking. Interventions that have not been tested following these protocols are not considered satisfactory for dissemination. After proving the efficacy of the intervention under investigation, the results are then disseminated nationally. This research framework prescribes the practice of health promotion. In experimental research, researchers formulate hypotheses about relationships between cause and effect.

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