Skip to main content

Advertisement

Log in

Of what use (or harm) is a positive health definition?

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Aim

The terminology used in the professional health care and in health science is partly unclear. One reason lies in the integration of aspects like well-being, functionality, or life-quality in the term health. This text aims to provide a convincing theoretical line of argument to define health more clearly.

Subject and methods

The term “health” is analysed by means of the sociological systems theory, which is also a constructivist distinction theory. In this context, Antonovsky’s ‘health ease/dis-ease continuum’ is being modified to a ‘health/health-impairment continuum’ in order to comprise not only physical disease and mental disorders but also injuries.

Results

There are countless physical diseases, mental disorders, and other health impairments with clearly defined symptoms. On the other hand, aspects like well-being, other positive emotions, a good life-quality, or a high functionality may be important protection factors or a consequence of good health. As positive health symptoms, they blur the health definition and foster the tendency to indicate negative emotions as mental disorders to be treated by means of psychotherapy and medication.

Conclusion

There are theoretical and ethical reasons to define health merely as the absence of disease and other health impairments.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Antonovsky A (1979) Health, stress and coping. Jossey-Bass, San Francisco

  • Bandini J (2015) The medicalization of bereavement: (Ab)normal grief in the DSM-5. Death Stud 39(6):347–352. doi:10.1080/07481187.2014.951498

    Article  PubMed  Google Scholar 

  • Caplan PJ (1995) They say you’re crazy: how the world’s most powerful psychiatrists decide who’s normal. Addison-Wesley, Reading, UK

    Google Scholar 

  • Cohen S, Alper CM, Doyle WJ, Treanor JJ, Turner RB (2006) Positive emotional style predicts resistance to illness after experimental exposure to rhino virus or influenza A virus. Psychosom Med 68(6):809–815. doi:10.1097/01.psy.0000245867.92364.3c

    Article  PubMed  Google Scholar 

  • Cosgrove L, Wheeler EE (2013) Industry’s colonization of psychiatry: ethical and practical implications of financial conflicts of interest in the DSM-5. Fem Psychol 23(1):93–106. doi:10.1177/0959353512467972

    Article  Google Scholar 

  • Daly MC, Bound J (1996) Worker adaptation and employer accommodation following the onset of a health impairment. J Gerontol Soc Sci 5IB(2):S53–S60. doi:10.1093/geronb/51B.2.S53

    Article  Google Scholar 

  • Fantuzzi C (2014) The sound of health. Front Immunol 5:1–3. doi:10.3389/fimmu.2014.00351

    Article  Google Scholar 

  • Gadamer HG (1993) Über die Verborgenheit der Gesundheit: Aufsätze und Vorträge [On the hiddenness of health: essays and presentations]. Suhrkamp, Frankfurt, Germany

  • Huber M, Knottnerus JA, Green L, Van der Horst H, Jadad AR, Kromhout D, Leonard B, Lorig K, Loureiro MI, Van der Meer J, Schnabel P, Smith R, Van Weel C, Smid H (2011) How should we define health? BMJ 343:d4163. doi:10.1136/bmj.d4163

    Article  PubMed  Google Scholar 

  • Kaplan HB (2013) Reconceptualizing recilience. In: Goldstein S, Brooks RA (eds) Handbook of resilience in children, 2nd edn. Springer, New York, pp S 39–S 55

  • Labisch A (1992) Homo Hygienicus: Gesundheit und Medizin in der Neuzeit [Homo hygienicus. health and medicine in the modern era]. Campus, Frankfurt, Germany

  • Luhmann N (1990) Der medizinische code [The code of the medicine system]. In: Luhmann N (Hrsg.) Soziologische Aufklärung, Konstruktivistische Perspektiven. Westdeutscher Verlag, Opladen, GermanyS 183–195

  • Luhmann N (1994) Die Wissenschaft der Gesellschaft [The science of society] 2. Aufl. Suhrkamp, Frankfurt, Germany

  • Luhmann N (1995) Social systems. Stanford University Press, Stanford, CA

    Google Scholar 

  • Marcuse H (1964) One-dimensional man: studies in the ideology of advanced industrial society. Beacon, Boston, MA

    Google Scholar 

  • Parsons T (1991) The social system. Routledge, London

    Google Scholar 

  • Pelikan JM (2009) Differentiation of specific function systems for health care and for health promotion or: do we live in the ‘health society’? ÖZS 34(2):28–47. doi:10.1007/s11614-009-0011-x

    Article  Google Scholar 

  • Seedhouse D (2001) Health: the foundations for achievement, 2nd edn. Wiley, Chichester, UK

  • Seligman MEP (2008) Positive health. Appl Psychol Int Rev 2008(57):3–18. doi:10.1111/j.1464-0597.2008.00351.x

    Article  Google Scholar 

  • Simon FB (1999) The other side of illness. In: Baecker D (ed) Problems of form. Stanford University Press, Stanford, CA, S 180–197

  • Spitzer RL (1981) The diagnostic status of homosexuality in DSM-III: a reformulation of the issues. Am J Psychiatr 138:210–215. doi:10.1176/ajp.138.2.210

    Article  CAS  PubMed  Google Scholar 

  • Still GF (2006) Some abnormal psychical conditions in children: excerpts from three lectures. J Atten Disord 10(2):126–136. doi:10.1177/1087054706288114

    Article  PubMed  Google Scholar 

  • Westerhof GJ, Keyes CLM (2010) Mental illness and mental health: the two continua model across the lifespan. J Adult Dev 2010(17):110–119. doi:10.1007/s10804-009-9082-y

    Article  Google Scholar 

  • World Health Organisation WHO (ed) (1998) Health promotion glossary. WHO, Geneva. http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf. Accessed 21 Jan 2016

  • World Health Organisation WHO (ed) (2009) Milestones in health promotion: statements from global conferences. WHO, Geneva. http://www.who.int/healthpromotion/Milestones_Health_Promotion_05022010.pdf. Accessed 21 Jan 2016

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Hafen.

Ethics declarations

There was no funding of this text.

Conflict of interest

Martin Hafen declares that he has no conflict of interest.

Ethical approval

This article does not contain any studies with animals performed by any of the authors.

This article does not contain any studies with human participants or animals performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hafen, M. Of what use (or harm) is a positive health definition?. J Public Health 24, 437–441 (2016). https://doi.org/10.1007/s10389-016-0741-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-016-0741-8

Keywords

Navigation