Multiversity of Health

This Journal has moved to  http://journalofhealth.co.nz/.

 

Multiversity of Human Health

Conventional ‘scientific’ studies of interaction with our surroundings and environment have conditioned us to understand quantifiable entities and relationships. This means we understand more easily observable realities than what cause them. For example, an individual’s health is viewed to be governed directly by the individuals’ behaviour (such as smoking, drinking and dietary habits) and thus for all intents and purposes individuals are held directly responsible for adverse health outcomes. However, a collection of individuals form a community and society that creates cultural and political variations, which means that the processes that govern an  individuals’ health are themselves governed by other processes resulting from the social and physical environment, see Fig. 1.

Fig 1 Processes

While, direct relationships can be visualised between some processes, not all have a direct relationship with health. For example, any relationship between primary industries and health are often visualised through the food and economy systems. The reverse may also be true. For example, any relationship between economy and health could be through its direct relationship with the agriculture and food systems. These relationships are not static: a change in environment, or, policy change in another country will affect the processes, some directly and others indirectly through other processes and over time. This in turn will have an impact on polices such as care systems (health, social and welfare), see Fig. 2.

Fig 2 Processes Over Time

In other words the inter- and between and over time process activities are not directly measureable and hence become non-entity ‘realities’ as random effects or chance effects. However, the possibility that we may never be able to translate them into observable realities does not mean indirect relationships do not exist and should be dismissed – but we can investigate the various relationships to provide some guidance and inform the process of policy making.

The models in Figs. 1 & 2 facilitate visualisation by placing the process of interest at the centre in relation to other processes. For example, if transport is the subject of an investigation, then this is the central process and all the other processes are its satellites. It must be noted that each satellite is a central process in its own right and with its own satellites. This is the Good Life model approach – see (Shahtahmasebi, 2006).

As an example, consider the case of a biochemist researching cyanobacteria (blue-green algae) whose research had been confined to the lab until she became involved with the Good Life model (Fig. 1 & 2). To use this mode she needed to move the ‘environment’ process to the centre with other processes acting as satellites. In order for the biochemist to visualise this process, the biochemist was encouraged to visually document her activities thus linking her small samples of water with the wider environment and human behaviour. Her insight into what and why she was researching changed from her isolation in the lab to multidimensional and multidisciplinary research that informed decision making which can be seen in the following pictorial comments.

A change of research environment after adopting the Good Life Model: selected pictures

Picture 1 – River X: for the researcher the sample was no longer a test tube of water in the lab… it is a dynamic environment …

 picture 1

Picture 2 – River X (the sample) supports the food system…

 picture 2

 

Picture 3 – [by the side of the same river] The food system polluting the ecosystem…

picture 3

 

Picture 4 – River X: deliberate pollution by humans

picture 4

 

Picture 5 – River X (the sample): effects of pollution on the ecosystem where it is used recreationally: Periphyton Mats

picture 5

 

Picture 6 – River X (the sample): A source of family outings/recreation

picture 6

 

Picture 7 – River X (the sample): A source of recreation and fun!

picture 7

Soon after viewing these pictures the researcher recognised the interconnectedness of the various processes and realised that any policy action must be developed not just by those assumed guilty of polluting the waterways (dairy farmers) but by the whole community.

 

REFERENCES

Shahtahmasebi, S. (2006). The Good life: A holistic approach to the health of the population. TheScientificWorldJournal, 6, 2117-2132. doi: 10.1100/tsw.2006.341

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