A living systems perspective on health

被引:11
作者
Forrest, Christopher B. [1 ,2 ,3 ,4 ]
机构
[1] Childrens Hosp Philadelphia, Philadelphia, PA 19004 USA
[2] Univ Penn, Dept Pediat, Philadelphia, PA 19104 USA
[3] Univ Penn, Dept Hlth Care Management, Philadelphia, PA 19104 USA
[4] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
DISEASE; AUTOPOIESIS; ALLOSTASIS; COHERENCE; COGNITION; SENSE; LIFE;
D O I
10.1016/j.mehy.2013.11.040
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Absence of a theoretical basis for defining health has made it an elusive concept and problematic to measure. This deficiency has precluded a clear delineation of the content of health science as a field. In this manuscript I use a living systems theoretical perspective to distinguish the parts and emergent properties of health. I term the parts of health, "assets," which include the dimensions of energetics, restoration, mind, reproduction, and capabilities. Health assets interact at the level of the whole person to form integrated and emergent capacities that enable adaptation to environmental challenges, satisfaction of needs, attainment of life goals, and survival. Healthy individuals live long and adapt to and thrive within their environments. As more is learned about the interrelationships among health assets, their influences, their consequences, and how they interact to produce integrated functional capacities, a theoretically grounded and empirically informed ontology of health will emerge. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:209 / 214
页数:6
相关论文
共 66 条
[21]   Autopoiesis and cognition [J].
Bourgine, P ;
Stewart, J .
ARTIFICIAL LIFE, 2004, 10 (03) :327-345
[22]  
Capra F., 1996, The web of life: A new scientific understanding of living systems
[23]  
Charter O, 1 INT C HLTH PROM, P17
[24]  
Daniels Norman., 1985, Just Health Care
[25]  
Dubos Rene., 1965, MAN ADAPTING
[26]  
Dubos Rene., 1968, So Human an Animal
[27]  
Editors Lancet, 2009, LANCET, V373, P781
[28]  
Engel G.L., 1962, PSYCHOL DEV HLTH DIS
[29]   Towards a new developmental synthesis: adaptive developmental plasticity and human disease [J].
Gluckman, Peter D. ;
Hanson, Mark A. ;
Bateson, Patrick ;
Beedle, Alan S. ;
Law, Catherine M. ;
Bhutta, Zulfiqar A. ;
Anokhin, Konstantin V. ;
Bougneres, Pierre ;
Chandak, Giriraj Ratan ;
Dasgupta, Partha ;
Smith, George Davey ;
Ellison, Peter T. ;
Forrester, Terrence E. ;
Gilbert, Scott F. ;
Jablonka, Eva ;
Kaplan, Hillard ;
Prentice, Andrew M. ;
Simpson, Stephen J. ;
Uauy, Ricardo ;
West-Eberhard, Mary Jane .
LANCET, 2009, 373 (9675) :1654-1657
[30]  
Holland J.H., 1995, Hidden Order: How Adaptation Builds Complexity