The mouse gave life to the mountain: Gramsci and health promotion

Health Promot Int. 2015 Sep;30(3):746-55. doi: 10.1093/heapro/dau002. Epub 2014 Feb 12.

Abstract

Health promotion and salutogenesis are embodied in people's everyday lives and in their stories. The assumptions of these scientific theories are similar to Gramsci's theory for better wellbeing in a community, where praxis and capacity building for reflective practice is the way forward for an equal global change. By explaining the road for transformation through narratives, particularly fables, Gramsci manages to reach people from all walks of life, from academics to children. One of these fables, the mouse and the mountain, is here presented as a trigger to health promotion action and as a metaphor for salutogenic thinking. The narrative paradigm for health promotion is the context within which the analogies among 'the mouse's plan', health promotion theory, the salutogenic model, empowerment as well as the practitioners' opinions and experience are discussed and presented. In so doing, a 'storytelling bridge' is created between academics, practitioners and other stakeholders from the health, social and pedagogical arenas in knowledge construction environments. Hence, the article confers the possible contribution of Gramsci's educational perspective within health promotion by presenting a practical example of the use of narratives for capacity building. This is described through the interpretation of the same story in a hypothetical speech told by different storytellers, communicating their personal vision of the mouse's plan and so create a narrative-centered health promotion communication for meaning-making and for embracing theories among scholars and practitioners.

Keywords: capacity building; competencies; narrative; salutogenesis.

MeSH terms

  • Attitude of Health Personnel
  • Communication
  • Health Promotion / organization & administration*
  • Humans
  • Leadership
  • Narration*
  • Philosophy, Medical
  • Power, Psychological*
  • Professional Role
  • Program Development
  • Program Evaluation
  • Socioeconomic Factors