David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Public Health Ethics 5 (2):140-153 (2012)
There are several strategies to promote health in individuals and populations. Two general approaches to health promotion are behavior change and empowerment. The aim of this article is to present those two kinds of strategies, and show that the behavior-change approach has some moral problems, problems that the empowerment approach (on the whole) is better at handling. Two distinct ‘ideal types’ of these practices are presented and scrutinized. Behavior change interventions use various kinds of theories to target people’s behavior, which they do through information, persuasion, coercion and manipulation. Empowerment is a collaborative method where those ‘facilitated’ participate in the change process. Some ethical problems with the behavior-change model are that it does not sufficiently respect the right to autonomy of the individuals involved and risks reducing their ability for autonomy, and that it risks increasing health inequalities. Empowerment, on the other hand, respects the participant’s right to autonomy, tends to increase the ability for autonomy, as well as increasing other coping skills, and is likely to reduce inequalities. A drawback with this approach is that it often takes longer to realize.
|Keywords||Autonomy Behavior change Empowerment Goals Health promotion ethics Public health ethics Quality of life|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
John Rawls (1971/2005). A Theory of Justice. Harvard University Press.
L. W. Sumner (1996). Welfare, Happiness, and Ethics. Oxford University Press.
James Griffin (2008). On Human Rights. Oxford University Press.
Jean-Paul Sartre (1956/1994). Being and Nothingness. Distributed by Random House.
Citations of this work BETA
P. -A. Tengland (2012). Behavior Change or Empowerment: On the Ethics of Health-Promotion Strategies. [REVIEW] Public Health Ethics 5 (2):140-153.
Per-Anders Tengland (2015). Does Amphetamine Enhance Your Health? On the Distinction Between Health and “Health-Like” Enhancements. Journal of Medicine and Philosophy 40 (5):484-510.
J. Loss, V. Lindacher & J. Curbach (2014). Do Social Networking Sites Enhance the Attractiveness of Risky Health Behavior? Impression Management in Adolescents' Communication on Facebook and its Ethical Implications. Public Health Ethics 7 (1):5-16.
J. Owens & A. Cribb (2013). Beyond Choice and Individualism: Understanding Autonomy for Public Health Ethics. Public Health Ethics 6 (3):262-271.
Thomas Hove (2014). Ethical Influence in Health Promotion: Some Blind Spots in the Liberal Approach. Public Health Ethics 7 (2):134-143.
Similar books and articles
Per-Anders Tengland (2008). Empowerment: A Conceptual Discussion. Health Care Analysis 16 (2):77-96.
Brian Howieson (2013). Mutuality, Empowerment and the Health-Wealth Model: The Scottish Context. [REVIEW] Health Care Analysis 21 (2):71-84.
A. Braunack-Mayer & J. Louise, The Ethics of Community Empowerment: Tensions in Health Promotion Theory and Practice.
Lenny R. Vartanian & Joshua M. Smyth (2013). Primum Non Nocere: Obesity Stigma and Public Health. [REVIEW] Journal of Bioethical Inquiry 10 (1):49-57.
Lineke B. E. Hal, Agnes Meershoek, Frans Nijhuis & Klasien Horstman (2012). The 'Empowered Client' in Vocational Rehabilitation: The Excluding Impact of Inclusive Strategies. [REVIEW] Health Care Analysis 20 (3):213-230.
D. S. Goldberg (2012). Social Justice, Health Inequalities and Methodological Individualism in US Health Promotion. Public Health Ethics 5 (2):104-115.
Norah Mulvaney-Day & Catherine A. Womack (2009). Obesity, Identity and Community: Leveraging Social Networks for Behavior Change in Public Health. Public Health Ethics 2 (3):250-260.
Marc Le Menestrel & Henri-Claude de Bettignies (2002). Processes and Consequences in Business Ethicaldilemmas: The Oil Industry and Climate Change. [REVIEW] Journal of Business Ethics 41 (3):251-266.
Katharine Kolcaba (1994). Health Maintenance as Responsibility for Self. Philosophy in the Contemporary World 1 (2):19-24.
S. M. Carter, C. Klinner, I. Kerridge, L. Rychetnik, V. Li & D. Fry (2012). The Ethical Commitments of Health Promotion Practitioners: An Empirical Study From New South Wales, Australia. Public Health Ethics 5 (2):128-139.
Marc Le Menestrel, Sybille van Den Hove & Henri-Claude De Bettignies (2002). Processes and Consequences in Business Ethical Dilemmas: The Oil Industry and Climate Change. Journal of Business Ethics 41 (3):251 - 266.
Hanne Hollnagel (2000). From Risk Factors to Health Resources in Medical Practice. Medicine, Health Care and Philosophy 3 (3):255-262.
Truls I. Juritzen, Eivind Engebretsen & Kristin Heggen (2013). Subject to Empowerment: The Constitution of Power in an Educational Program for Health Professionals. Medicine, Health Care and Philosophy 16 (3):443-455.
Added to index2012-09-22
Total downloads72 ( #57,296 of 1,792,839 )
Recent downloads (6 months)1 ( #464,764 of 1,792,839 )
How can I increase my downloads?