Interfase epistemológica entre Salud y Reproducción Social

Abstract

The purpose of this work is to re-think the concept of health as a competence belonging to social knowledge vis a vis the present overwhelming medical health concept. First in this work, which focus is in mental health, the health concept is proposed as a product of complex processes of interchange with the context related with the biological life and the way of living. Then follow some epistemological notes around health knowledge, based in Juan Samaja’s theory, and it is argued that it is possible to identify a particular inter-phase between the process health-diseaseheath care and social reproduction. The concepts of historic transformation are proposed as helpful criteria to contextualize the health situation and life conditions notions en the network organized by the reproductive process dimensions (biological, subjective, social, economic, and political) and correspondent interested disciplines. Next, the notions of ‘normal’ or ‘pathologic’ are questioned. A special emphasis is placed in the action of the representations of what is normal upon intentional action to diminish pressures originated in factors capable to produce changes in what is socially represented as normal. Finally are presented some reflections about norms meaning and the relationships between meaning, history and narrative. A conclusion is drawn from previous arguments: the conditions derived from these relationships do not make a scientific pretension invalid, but are expressions of its complexity