Abstract
This chapter discusses González Rey’s contribution to the field of human health. Different from dominant perspectives, human health is not understood as the opposite of disease, or as an attribute, but as the quality of life processes. Firstly, González Rey’s critiques of dominant approaches to human health are highlighted, especially its instrumental character focused on individual processes and social adaptation. Secondly, González Rey’s works in the 1980s and 1990s are highlighted. Over this time, he developed the idea that somatic diseases represent integral disorders of individuals, challenging fragmented, and rationalist approaches. He emphasized the generative character of emotions that could cause damage to health, in an articulated way with his understanding of personality at that time. Finally, the value of González Rey’s current Theory of Subjectivity for the field of human health is discussed, by articulating its main concepts in an alternative representation of human health. The Theory of Subjectivity is presented as a non-rationalist critical perspective, oriented to construct simultaneously singular complex representations of human health processes and professional actions. In this perspective, history, culture and politics are articulated without neglecting the value of the individual for social processes.
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Notes
- 1.
The concept of subject from the las moment of González Rey’s work will be presented and discussed in the last topic of this chapter. This concept was introduced in 1989 (González Rey & Mitjáns Martínez, 1989) as a theoretical way to overcome a determinist understanding of personality. Human action is not seen as a result of personality, but as a result of the individual who is immersed in the experience. From this perspective, human action is not configured a priori as a result of a psychological structure.
- 2.
In different texts, González Rey use the term “non-healthy personality” and even “neurotic personality” to refer to stable psychologic formations and functions that are articulated to dominant states of distress.
- 3.
“The symbolic refers to all those processes that replace, transform, synthesize, systems of objective realities in human realities that are only intelligible in culture” (Mitjáns Martínez & González Rey, 2017, p. 55).
- 4.
From this theoretical perspective, education represents a dialogical process geared towards the creation of new life possibilities that favour new processes of development (Mitjáns Martínez & González Rey, 2017).
- 5.
Subjective development expresses a motivated process that is emancipated from biological needs and adaption, representing the creative capacity of human beings, which is inseparable from the cultural dimension in which we live. It results from the articulation of different subjective configurations in multiple social spaces from where human actions emerge (González Rey & Mijtáns Martínez, 2017b). “One subjective configuration is a driving force of subjective development when it includes the development of new subjective resources that allow the individual to make relevant changes in the course of a performance, relations or other significant lived experiences leading to changes that define new subjective resources” (González Rey et al., 2017, p. 318).
References
Arrais, A. (2005). A configuração subjetiva da depressão pós-parto: para além da padronização patologizante [The subjective configuration of postpartum depression: Beyond pathologizing standardization]. PhD Thesis, University of Brasilia.
Basaglia, F. (1985). As instituições da violência [Institutions of violence]. In F. Basaglia (Ed.), A Instituição Negada: relato de um hospital psiquiátrico [The denied institution: Report of a psychiatric hospital] (3rd ed., H. Jahn, Trad., pp. 34–72). Rio de Janeiro: Edicoes Graal.
Breilh, J. (1999). Saúde na sociedade: guia pedagógico sobre um novo enfoque do método epidemiológico [Health in society: Pedagogical guide on a new approach to the epidemiological method]. Rio de Janeiro: Cortez.
Canguilhem, G. (2012). Writings on medicine. New York: Fordham University Press.
Carvalho, S. R. (2005). Saúde coletiva e promoção da saúde: sujeito e mudança [Collective health and health promotion: Subject and change]. São Paulo: Hucitec.
Cooper, D. (1967). Psychiatry and anti-psychiatry. London: Tavistock Publications Limited.
Costa, J. M. (2016). Subjetividade, educação física e saúde mental: desdobramentos educativos em face á emergência dos sujeitos nos Centros de Atenção Psicossocial - CAPS [Subjectivity, physical education and mental health: Educational developments in the emergence of the subjects in the Centers of Psychosocial Attention - CAPS]. Ph.D. Thesis, University of Brasília, Brazil.
Costa, J. M., & Goulart, D. M. (2015). A saúde humana como produção subjetiva: aproximando clínica e cultura [Human health as subjective production: Bringing clinics and culture together]. Psicologia & Sociedade, 27, 240–242.
Foucault, M. (2006). History of madness. London and New York: Routledge.
Foucault, M. (2008). The birth of biopolitics: Lectures at the Collège de France, 1978–1979. UK: Palgrave Macmillan.
Gergen, K. (1994). Realities and relationship. Cambridge: Cambridge University Press.
González Rey, F. (1988). La psicología: reflexiones sobre su lugar en el campo de la salud [Psychology: reflections on its place in the field of health]. Revista Cubana de Psicología, 5(3), 55–60.
González Rey, F. (1991a). Personalidad y salud humana [Personality and human health]. Revista Cubana de Psicología, 7(2), 75–82.
González Rey, F. (1991b). Problemas epistemológicos de la Psicología [Epistemological problems of Psychology]. México: Colefio de Ciencias y Humanidades/Plantel Sur/Unam.
González Rey, F. (1993). Personalidad, salud y modo de vida [Personality, health and way of life]. Mexico: UNAM Iztacala.
González Rey, F. (1997). Epistemología Cualitativa y Subjetividad [Qualitative epistemology and subjectivity]. Sao Paulo: Educ.
González Rey, F. L. (2003). Sujeito e subjetividade: uma aproximação histórico-cultural [Subject and subjectivity: A cultural-historical approach]. São Paulo: Pioneira Thomson Learning.
González Rey, F. (2007). Psicoterapia, subjetividade e pós-modernidade: uma aproximação histórico-cultural [Psychotherapy, subjectivity and post modernity: A cultural-historical approach]. Sao Paulo: Pioneira Thomson Learning.
González Rey, F. (2009). Historical relevance of Vygotsky’s work: Its significance for a new approach to the problem of subjectivity in psychology. Outlines: Critical Practice Studies, 11, 59–73.
González Rey, F. (2011). Subjetividade e saúde: superando a clínica da patologia [Subjectivity and health: Overcoming the clinic of pathology]. Sao Paulo: Cortez.
González Rey, F. (2015). A saúde na trama complexa da cultura, das instituições e da subjetividade [Health in the complex web of culture, institutions and subjectivity]. In F. González Rey & J. Bizerril (Eds.), Saúde, cultura e subjetividade: uma referencia interdisciplinary [Health, culture and subjectivity: An interdisciplinary reference] (pp. 9–34). Brasília: UniCEUB.
González Rey, F. (2016). Advancing on the topics of the social and subjectivity from a cultural-historical approach: Moments, paths and contradictions. Journal of the Theoretical and Philosophical Psychology, 36, 175–189. https://doi.org/10.1017/CCOL0521831040.
González Rey, F. (2019). Subjectivity as a new theoretical, epistemological, and methodological pathway within cultural-historical psychology. In F. L. González Rey, A. Mitjáns Martínez, & D. Goulart (Eds.), Subjectivity within cultural-historical approach: Theory, methodology and research (pp. 21–36). Singapore: Springer.
González Rey, F., & Mitjáns Martinez, A. (1989). La personalidad: su educación y desarrollo. Habana: Editorial Pueblo y Educación.
González Rey, F., & Mitjáns Martínez, A. (2017a). Subjetividade: epistemologia, teoria e método [Subjectivity: Epistemology, theory and method]. Campinas: Alínea.
González Rey, F., & Mitjáns Martínez, A. (2017b). El desarrollo de la subjetividade: una alternativa frente a las teorias del desarrollo psíquico [The development of subjectivity: An alternative to the theories of psychic development]. Papeles de Trabajo sobre Cultura, Educación y Desarrollo Humano, 12(2), 3–20.
González Rey, F., Mitjans Martinez, A., Rossato, M., & Goulart, D. M. (2017). The relevance of subjective configurations for discussing human development. In M. Fleer, F. González Rey, & N. Veresov (Eds.), Perezhivanie, emotions and subjectivity: Advancing Vygotsky’s legacy (pp. 217–243). Singapore: Springer.
Goulart, D. M. (2017). The psychiatrization of human practices worldwide: Discussing new chains and cages. Pedagogy, Culture & Society, 25(1), 151–156. https://doi.org/10.1080/14681366.2016.1160673.
Goulart, D. M. (2019). Subjectivity and critical mental health: Lessons from Brazil. London: Routledge.
Goulart, D. M., & González Rey, F. (2016). Mental health care and educational actions: From institutional exclusion to subjective development. European Journal of Psychotherapy & Counselling, 18(4), 367–383. https://doi.org/10.1080/13642537.2016.1260617.
Goulart, D., Mitjáns-Martínez, A., & Esteban-Guitart, M. (2020). The trajectory and work of Fernando González Rey: Paths to his theory of subjectivity. Studies in Psychology, 41(1), 9–30.
Haley, J. (1963). Marriage therapy. Archives of General Psychiatry, 8, 213–234.
Jourard, S., & Landsman, T. (1987). La personalidad saludable [The healthy personality]. Mexico: Trillas.
Lazarus, R., & Folkman, S. (1994). Stress, appraisal, and coping. New York: Springer.
Meichenbaum, D. (1977). Cognitive-behaviour modification: An integrative approach. New York: Plenum.
Mitjáns Martínez, A. (2020). Fernando González Rey’s work: Its genesis and development. In D. M. Goulart, A. Mitjáns Martínez, & M. Adams (Eds.), Theory of subjectivity within a cultural-historical perspective: González Rey’s legacy. Singapore: Springer.
Mitjáns Martínez, A., & González Rey, F. (2017). Psicologia, educação e aprendizagem escolar: avançando na contribuição da leitura cutural-histórica [Psychology, education and school learning: Advancing the contribution of cultural-historical Reading]. São Paulo: Cortez.
Mori, V. D. (2009). Estudio de las configuraciones subjetivas en pacientes con cancer e hipertensión: una aproximación a la salud en una perspectiva histórico-cultural [Study of subjective configurations in patients with cancer and hypertension: an approach to health from a historical-cultural perspective]. Ph.D. Thesis, Universidad de San Carlos de Guatemala.
Murray, M., Nelson, G., Poland, B., Maticka-Tindale, E., & Ferris, L. (2004). Assumptions and values of community health psychology. Journal of Health Psychology, 9(2), 323–333.
Silva, G. F. (2016). Cuidados Paliativos e subjetividade: ações educativas sobre a vida e o morrer [Palliative Care and subjectivity: educational actions on life and dying]. Ph.D. Thesis, University of Brasília, Brazil.
Tosquelles, F. (2001). Las enseñanzas de la locura [The teachings of madness]. Madrid: Alianza.
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Goulart, D.M. (2021). Human Health and Subjectivity: History, Development and Unfolding. In: Goulart, D.M., Martínez, A.M., Adams, M. (eds) Theory of Subjectivity from a Cultural-Historical Standpoint. Perspectives in Cultural-Historical Research, vol 9. Springer, Singapore. https://doi.org/10.1007/978-981-16-1417-0_14
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