Health promotion claims to be empowering. However, this claim is not without major problematic contradictions and inconsistencies. The way in which health promotion is also controlling is identified in this article. To understand why the discourse of health promotion is traversed by this empowering/controlling contradiction, the discourse is critically analyzed, revealing a parallel with the structure of the discourse of marketing. Health promotion, rather than fulfilling its promise of empowerment, effectively constructs the individual subject as a “health consumer” in accordance with the model of consumer capitalism.
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References
1.
DannC.Up From Under: Women and Revolution in New Zealand 1970–1985. Allen & Unwin, Wellington, 1985.
2.
CalvertS.The women's health movement. Broadsheet80: 26–30, 1980.
3.
Report on the Conference on Women and Health. Unpublished conference report. Wellington, 1978.
4.
EppJ.Achieving Health For All: A Framework for Health Promotion. Paper presented at the first International Conference on Health Promotion, Ottawa, 1986.
5.
de LaceyA.Community Groups Working for Health: Issues and Experiences. Department of Health, Special Report No. 68. Management Services Research Unit, Wellington, 1984.
6.
de LeeuwE.Health Promotion: Scope, Background and Prospects. No. 19 De Maastrichtse G.V.O. Cahiers. University of Limberg, Maastricht, 1987.
7.
KickbuschI.Issues in health promotion. Health Promotion1: 437–442, 1987.
8.
KillB.Health Promotion in New Zealand: Public Policy and Community Action. Paper presented at the Health Promotion Seminar, Auckland Medical School, May 10, 1987.
9.
AllisonK. R.Coordinating Health Public Policy. An Analytic Literature Review and Bibliography. University of Toronto, 1988.
10.
BaileyA.Community development theory and practice. Community Forum6(5): 1–4, 1980.
11.
KamienM.Commentary: Behavioural science is not spoken here—where are the interpreters?Community Health Stud. 8: 223–228, 1984.
12.
Sanson-FisherR.Commentary: Behavioural science and its relation to medicine—a need for positive action. Community Health Stud. 9: 275–283, 1985.
13.
LeeC.OwenN.Behaviourally-based principles as guidelines for health promotion. Community Health Stud. 9: 131–138, 1985.
14.
American Psychological Association. Task force on health research, contributions of psychology to health research: Patterns, problems and potentials. Am. Psychol.31: 263–274, 1976.
15.
MatarazzoJ. D.Frontiers for a new health psychology. Am. Psychol.35: 807–817, 1980.
16.
RaeburnJ. M.Community houses—the development and evaluation of community houses and primary prevention programmes in Auckland and Northland. In Social Science Research Foundation Committee Seminar Series on Social Research, edited by JohnstonJ. A.ScotneyT., pp. 34–37. Social Sciences Research Fund Committee, Wellington, 1983.
17.
RaeburnJ. M.Mental health promotion in the community: How to do it. Community Mental Health N.Z.2: 22–33, 1985.
18.
RaeburnJ. M.A View from the Community. Paper presented at Prospects for Health Promotion in New Zealand: Public Policy and Community Action, Auckland, May 11, 1987.
19.
TonesB. K.Health education and the ideology of health promotion: A review of alternative approaches. Health Educ. Res.1: 3–12, 1986.
20.
Ottawa Conference Report, First International Conference on Health Promotion. Health Promotion1: 443–162, 1987.
21.
RaeburnJ. M.AtkinsonJ. M.A low-cost community approach to weight control: Initial results from an evaluated trial. Prev. Med.15: 391–402, 1986.
22.
KatzA. H.BenderI. E.The Strength in Us: Self-Help Groups in the Modern World. Franklin-Watts, New York, 1976.
23.
LabontéR.Social inequality and healthy public policy. Health Promotion1: 341–351, 1986.
24.
RaeburnJ. M.Do we want to be healthy? Lifestyles, health and politics in New Zealand. N.Z. Sci. Rev.40: 95–98, 1983.
25.
MahlerH.Keynote address to the Second International Conference on Health Promotion. In Report on the Adelaide Conference, Healthy Public Policy. Adelaide, 1988.
MaddoxG. L.Modifying the social environment. In Oxford Textbook of Public Health, Vol. 2: Processes for Public Health Promotion, edited by HollandW. W.DetelsR.KnoxG., pp. 19–31. Oxford University Press, Oxford, 1985.
28.
LabontéR.PenfoldS.Canadian perspectives in health promotion: A critique. Health Educ., April 1981, pp. 4–9.
29.
HancockT.Lalonde and beyond: Looking back at ‘A New Perspective on the Health of Canadians.’. Health Promotion1: 93–100, 1986.
30.
LevinL. S.Every silver lining has a cloud: The limits of health promotion. Soc. Policy18: 57–60, 1987.
31.
MilioN.Promoting Health Through Public Policy. Canadian Public Health Association, Ottawa, 1986.
32.
KennerC.Whose Needs Count? Community Action for Health. Bedford Square Press, London, 1984.
33.
BasagliaF.Reorienting Health Services. Background paper presented at the First International Conference on Health Promotion, Ottawa, 1986.
34.
Cohen-SolalJ.Learning and Coping. Background paper presented at the First International Conference on Health Promotion, Ottawa, 1986.
35.
MilzH.Reorienting Health Services. Background paper presented at the First International Conference on Health Promotion, Ottawa, 1986.
36.
Ottawa Charter for Health Promotion. Charter endorsed at the First International Conference on Health Promotion, Ottawa, 1986.
37.
GraceV. M.The Marketing of Empowerment and the Construction of the Health Consumer: A Critique of Health Promotion in New Zealand. Doctoral dissertation, University of Canterbury, 1989.
38.
StarkW.The politics of primary prevention in mental health: The needs for a theoretical basis. Health Promotion1: 179–218, 1986.
39.
CaswellS.Drink-driving: The role of structural measures in primary prevention. Community Health Stud. 10: 317–322, 1986.
40.
MilioN.Multi-sectoral policy and health promotion: Where to begin?Health Promotion1: 129–132, 1986.
41.
CrawleyH.Promoting health through public policy. Health Promotion2: 213–216, 1987.
42.
GlassK.SchmidtW.Law and health promotion with particular reference to lifestyles: A comparative research study in Europe. Health Promotion2: 85–90, 1987.
43.
Adelaide Conference Working Paper, Health Public Policy—Issues and Options. Paper for the Second International Conference on Health Promotion, Adelaide, April 1988.
44.
HawkeB. (Prime Minister of Australia). Healthy public policy: The political commitment. Address to the Second International Conference on Health Promotion. In Report on the Adelaide Conference, Healthy Public Policy. Adelaide, 1988.
45.
KickbuschI.Health promotion: A global perspective. Can. J. Public Health77: 321–326, 1986.
46.
McKnightJ. L.Well-being: The new threshold of the old medicine. Health Promotion1: 77–80, 1986.
47.
DruckerP. F.Management and the world's work. Harvard Business Rev., September/October 1988, pp. 65–76.
48.
FossL.RothenbergK.The Second Medical Revolution: From Biomedicine to Info-medicine. New Science Library, Shambala, Boston, 1987.
49.
LaschC.The Culture of Narcissism. W. H. Norton, New York, 1979.
