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Presented By: Center for Bioethics and Social Sciences in Medicine (CBSSM)

CBSSM Seminar—Is a Holistic Definition of Health too Dangerous?

Sean Valles, PHD- Michigan State Univeristy

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This presentation challenges the position that holistic definitions of health are too socially dangerous to use widely in biomedicine or public health practice. Holistic definitions of health, such as the World Health Organization’s definition of health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity,” have been criticized for a variety of reasons. My previous work has adopted and defended a variation on this definition. One key critique is that adopting such a definition creates social risks that are not introduced by narrower definitions of health. Critics argue that a broad holistic definition of health can serve as a grounding for healthism, the ideology that prioritizes health over all else and seeks to promote it through intrusive surveillance, oppressive moralistic judgments, and pervasive interventions into everyday life. For instance, wellness culture in the US has oppressively stigmatized people with fat bodies. I argue that the undesirable features of healthism are, unfortunately, equally compatible with narrower definition of health; this is illustrated in the debates over restrictive COVID-19 pandemic policies. I conclude by arguing that opposition to holistic definitions of health is also partly a misguided reaction to distrust in communities’ capacities to define and promote health/well-being in non-oppressive ways (e.g. concerns that communities will promote holistic sexual health/well-being in ways that are sexist or heterosexist).
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