From care to self-monitoring? Debates on the uses of eHealth in mental health
DOI:
https://doi.org/10.48160/18517072re53.136Keywords:
ehealth, mental health, digital technologies, expert knowledge, social epistemologyAbstract
This paper presents an analysis on the promotion of health interventions based on digital technologies, known as eHealth, in the field of mental health. To this end, I propose, from a social epistemology approach, the relevance of reviewing not only the functioning, scope and effectiveness of these digital technologies, but also reflecting on the notion of mental health to which the promotion of these instruments and devices is adapted. In the first section I present and point out some data on the scope of eHealth. In the second section I review two types of evaluations of eHealth, one of an internal nature proposed by public health and one of an external nature, proposed by the critical studies of digital health suggested by the sociologist Debora Lupton. In the third and final section I analyze, following Lupton's criticisms, how eHealth promoted from spaces such as the Global Mental Health project encourages a discursive medicalization and fosters an individual approach to mental health promotion and care that is detrimental both to the social determinants of mental health and to other care options that are exempt from the use of biomedical language, such as support groups.
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