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Épistémologie, sociologie, santé publique : tentative de clarification

Abstract : The only proper solution to confusion is clarification. Rather than take sides in a heated and confusing polemic, this article aims first to clarify the issues involved, and second, to show how sociology can contribute to public health expertise. In the first part, I analyze the triple context of the ideological rigidification of the field of mental health. In the second, epistemological part, I shed light on two underlying and unseen problems: the interconnection of facts and values, and the distinction between wholes and ensembles. The comparison of two reports, one by the "Haute Autorité de santé" (HAS) and the other by Inserm, illustrates these two problems. The HAS report was written from the perspective of wholeness, whereas the one by Inserm is based on the notion of “ensemblism”. The consequence is that the HAS report can be used as a basis for establishing policies, whereas the Inserm report can not, because it provides only a list of decontextualized measures. A public health report should clarify possible choices to allow for informed decision-making.
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Submitted on : Monday, December 13, 2021 - 12:02:22 PM
Last modification on : Wednesday, December 15, 2021 - 3:23:36 PM

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Alain Ehrenberg. Épistémologie, sociologie, santé publique : tentative de clarification. Neuropsychiatrie de l'Enfance et de l'Adolescence, 2007, 55 (8), pp.450-455. ⟨10.1016/j.neurenf.2007.07.015⟩. ⟨hal-03477055⟩



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