People think about health and illness in multifaceted ways, evidencing a conceptual complexity that corresponds to equally complex behaviours in relation to a diversity of healing practices. Stimulated by fieldwork in Lesotho and elsewhere, and engaging principally with Jürgen Habermas, we set out to introduce, explain and develop a conceptual innovation: healthworld. We argue that this notion describes and provides a key analytical tool for the field of health in its social context; a tool that can explain the empirical complexity of health beliefs (importantly, including religion) and behaviours, thereby illuminating possibilities for improving health practice and outcomes. Framed in relation to Habermas’s notion of lifeworld, the healthworld is identified as a distinctive ‘region’ of the lifeworld defined by a particular telos — that of comprehensive well-being, a lifeworld without dysfunction.
Barnes, L.L. and S.S. Sered (eds) (2004) Religion and Healing in America. Oxford: Oxford University Press.
2.
Barry, C.A., F.A. Stevenson, N. Britten, N. Barber and C.P. Bradley ( 2001) ‘Giving Voice to the Lifeworld. More Humane, More Effective Medical Care? A Qualitative Study of Doctor-Patient Communication in General Practice’, Social Science & Medicine53: 487-505.
3.
Berry, W. ( 2002) The Art of the Commonplace. Washington, DC: Shoemaker & Hoard.
4.
Casanova, J. ( 1994) Public Religions in the Modern World. Chicago: University of Chicago Press.
5.
Cleary-Guida, M.B., H.A. Okvat, M.C. Oz and W. Ting ( 2001) ‘A Regional Survey of Health Insurance Coverage for Complementary and Alternative Medicine: Current Status and Future Ramifications’ , The Journal of Alternative and Complementary Medicine7(3): 269-73.
6.
Cooke, M. ( 2001) ‘Meaning and Truth in Habermas’s Pragmatics’ , European Journal of Philosophy9(1): 1-23.
7.
Csordas, J. ( 1999) ‘Ritual Healing and the Politics of Identity in Contemporary Navajo Society’, American Ethnologist26(1): 3-23.
8.
Denier, Y. ( 2005) ‘Public Health, Well-being and Reciprocity’ , Ethical Perspectives: Journal of the European Ethics Network11(1): 41-66.
9.
Farmer, P. ( 2003) Pathologies of Power: Health, Human Rights and the New War on the Poor. Berkeley, CA: University of California Press.
10.
Flueckiger, J.B. ( 2006) In Amma’s Healing Room: Gender and Vernacular Islam in South India. Bloomington, IN: Indiana University Press.
11.
Foucault, M. ( 1980) Power/Knowledge: Selected Interviews and Other Writings 1972-1977. New York: Pantheon.
12.
Germond, P. and S. Molapo ( 2006) ‘In Search of Bophelo in a Time of AIDS: Seeking a Coherence of Economies of Health and Economies of Salvation’, Journal of Theology for Southern Africa126: 27-47.
13.
Greenhalgh, T., N. Robb and G. Scambler ( 2006) ‘Communicative and Strategic Action in Interpreted Consultations in Primary Health Care: A Habermasian Perspective’, Social Science & Medicine63: 1170-87.
14.
Gunderson, G. ( 2006) Leading Causes of Life. Memphis, TN : Le Bonheur Healthcare Center for Faith and Excellence .
15.
Habermas, J. ( 1987) The Theory of Communicative Action, Vol. 2: Lifeworld and System: A Critique of Functionalist Reason. Boston, MA: Beacon Press.
16.
Habermas, J. ( 1992) ‘Transcendence from Within, Transcendence in the World’, in D. Browning and F. Schüssler Fiorenza (eds) Habermas, Modernity and Public Theology, pp. 226-50. New York: Crossroad.
17.
Habermas, J. ( 1998) Between Facts and Norms: Contributions to a Discourse Theory of Law and Democracy. Cambridge, MA: MIT Press.
18.
Habermas, J. ( 2002) Religion and Rationality: Essays on Reason, God, and Modernity . Cambridge, MA: MIT Press.
19.
Hausmann-Muela, S., J.M. Ribera and I. Nyamongo ( 2003) Health-seeking Behaviour and the Health System Response . Disease Control Priorities Project, DCPP Working Paper No. 14.
20.
Heller, A. ( 1982) ‘Habermas and Marxism’, in J.B. Thompson and D. Held (eds) Habermas: Critical Debates. London: Macmillan.
21.
Hundt, G.L., M. Stuttaford and B. Ngoma ( 2004) ‘The Social Diagnostics of Stroke-like Symptoms: Healers, Doctors and Prophets in Agincourt, Limpopo Province, South Africa’, Journal of Biosocial Sciences36: 433-43.
22.
Institute of Medicine (2001) Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press.
23.
Janzen, J. ( 1992) Ngoma: Discourses of Healing in Central and Southern Africa . Berkeley, CA: University of California Press.
24.
Kale, R. ( 1995) ‘Traditional Healers in South Africa: A Parallel Health Care System’, British Medical Journal310: 1182-5.
25.
Karpf, T.,J.T. Ferguson , R. Swift and J.V. Lazarus (eds) (2008) Restoring Hope: Decent Care in the Midst of HIV/AIDS. London: Palgrave Macmillan.
26.
Kim, J. ( 2006) ‘Beyond Paradigm: Making Transcultural Connections in a Scientific Translation of Acupuncture’, Social Science & Medicine62: 2960-72.
27.
Kim, J.Y.,J.V. Millen , A. Irwin and J. Gershman (eds) (2000) Dying for Growth: Global Inequality and the Health of the Poor. Monroe, ME: Common Courage Press.
28.
Koenig, H.G., M.E. McCollough and D.B. Larson (eds) ( 2001) Handbook of Religion and Health. Oxford : Oxford University Press.
29.
Liddell, C., L. Barrett and M. Bydawell ( 2005) ‘Indigenous Representations of Illness and AIDS in Sub-Saharan Africa’, Social Science & Medicine60: 691-700.
30.
McGuire, M. ( 1991) Ritual Healing in Suburban America. New Brunswick, NJ: Rutgers University Press.
31.
Mann, M. ( 1986) The Sources of Social Power, Vol. 1: A History of Power from the Beginning to AD 1760. Cambridge: Cambridge University Press.
32.
Marx, K. and F. Engels ( 1970) The German Ideology. London: Lawrence & Wishart.
33.
Mendieta, E. ( 2002) ‘Introduction’, in J. Habermas, Religion and Rationality: Essays on Reason, God, and Modernity, pp. 1-36. Cambridge, MA: MIT Press.
34.
Mshana, G., K. Hampshire, C. Panter-Brick, R. Walker and The Tanzanian Stroke Incidence Project Team ( 2007) ‘Urban-Rural Contrasts in Explanatory Models and Treatment-seeking Behaviours for Stroke in Tanzania’, The Journal of Biosocial Sciences40: 35-52.
35.
Nussbaum, M.C. ( 1995) ‘Human Capabilities, Female Human Beings’ , in M.C. Nussbaum and J. Glover (eds) Women, Culture and Development: A Study of Human Capabilities, pp. 61-104. Oxford: Clarendon Press.
36.
Pickering, A. ( 1995) The Mangle of Practice. Chicago: University of Chicago Press.
37.
Ragland-Sullivan, E. ( 1986) Jacques Lacan and the Philosophy of Psychoanalysis. Chicago: University of Illinois Press.
38.
Ricoeur, P. ( 1984) Time and Narrative, Vol. 1. Chicago : University of Chicago Press.
39.
Ricoeur, P. ( 1992) Oneself as Another. Chicago: University of Chicago Press.
40.
Scambler, G. (ed.) (2001) Habermas, Critical Theory and Health. London: Routledge.
41.
Scambler, G. ( 2002) Health and Social Change: A Critical Theory. Buckingham: Open University Press.
42.
Scambler, G. and P. Higgs ( 1999) ‘Stratification, Class and Health: Class Relations and Health Inequalities in High Modernity’, Sociology33(2): 275-96.
43.
Sen, A. ( 1999) Development as Freedom. New York: Random House.
44.
Shoko, T. ( 2007) Karanga Indigenous Religion in Zimbabwe: Health and Well-being . London: Ashgate.
45.
Stevenson, F.A., K. Cox, N. Britten and Y. Dundar ( 2004) ‘A Systematic Review of the Research on Communication between Patients and Health Care Professionals about Medicines: The Consequences for Concordance’, Health Expectations7: 235-45.
46.
Thomas, K.J., J.P. Nicholl and P. Coleman ( 2001) ‘Use and Expenditure on Complementary Medicine in England: A Population-based Survey’, Complementary Therapies in Medicine9(1): 2-11.
47.
Todres, L., K. Galvin and K. Dahlberg ( 2007) ‘Lifeworld-led Healthcare: Revisiting a Humanising Philosophy that Integrates Emerging Trends’, Medicine, Health Care and Philosophy10: 53-63.
48.
Turner, B.S. ( 1996) The Body and Society: Explorations in Social Theory, 2nd edn. London: Sage .
49.
Turner, B.S. and C. Samson ( 1995) Medical Power and Social Knowledge. London: Sage.
50.
Unschuld, P. ( 1987) ‘Traditional Chinese Medicine: Some Historical and Epistemological Reflections’, Social Science & Medicine24: 1023-9.
51.
Williams, G. and J. Popay ( 2001) ‘Lay Health Knowledge and the Concept of the Lifeworld’ , in G. Scambler (ed.) Habermas, Critical Theory and Health, pp. 25-44. London: Routledge.
52.
Williams, S.J. ( 2003) ‘Beyond Meaning, Discourse and the Empirical World: Critical Realist Reflections on Health’, Social Theory & Health1: 42-71.
