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      Perspectivas conceptuales en salud mental y sus implicaciones en el contexto de construcción de paz en Colombia Translated title: Conceptual perspectives in mental health and their implications in the context of achieving peace in Colombia

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          Abstract

          Resumen Este artículo presenta una reflexión crítica sobre las perspectivas conceptuales en salud mental, en busca de nuevos sentidos para este concepto y sus implicaciones en el contexto de construcción de paz en Colombia. Para esto se realizó una revisión integrativa de la literatura, por medio de siete bases de datos bibliográficas y motores de búsqueda. Como resultado, se identificaron cinco perspectivas conceptuales de salud mental: 1) biomédica y conductual, 2) del bienestar y las potencialidades, 3) cultural, 4) psicosocial y 5) de la determinación social, cuyos fundamentos epistemológicos, sus aportes, críticas y limitaciones se describen en cada caso. Al encontrar mayor pertinencia en la propuesta de salud mental desde la salud colectiva/medicina social que desde la salud pública clásica para la construcción de paz en Colombia, se propone una mirada integral de la salud mental que tenga en cuenta su pertinencia socio-cultural desde una posición crítica y socio-histórica.

          Translated abstract

          Abstract This article presents a critical reflection on the conceptual perspectives in mental health, in the quest for new meanings for this concept and its implications in the context of achieving peace in Colombia. For this, an integrative review of the literature was conducted in seven bibliographic databases and search engines. As a result, five conceptual perspectives of mental health were identified: 1) biomedical and behavioral; 2) wellbeing and its potential; 3) cultural; 4) psychosocial; and 5) based on social determination, the epistemological foundations, contributions, criticisms, and limitations of which are described in each case. Finding more pertinence in the proposal of mental health from collective health/social medicine rather than from the classic public health for achieving peace in Colombia, a comprehensive view of mental health that takes into account its socio-cultural relevance from a critical and socio-historical position is proposed.

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          Most cited references37

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          Resilience and mental health.

          The relationship between disease and good health has received relatively little attention in mental health. Resilience can be viewed as a defence mechanism, which enables people to thrive in the face of adversity and improving resilience may be an important target for treatment and prophylaxis. Though resilience is a widely-used concept, studies vary substantially in their definition, and measurement. Above all, there is no common underlying theoretical construct to this very heterogeneous research which makes the evaluation and comparison of findings extremely difficult. Furthermore, the varying multi-disciplinary approaches preclude meta-analysis, so that clarification of research in this area must proceed firstly by conceptual unification. We attempt to collate and classify the available research around a multi-level biopsychosocial model, theoretically and semiotically comparable to that used in describing the complex chain of events related to host resistance in infectious disease. Using this underlying construct we attempt to reorganize current knowledge around a unitary concept in order to clarify and indicate potential intervention points for increasing resilience and positive mental health. 2010 Elsevier Ltd. All rights reserved.
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            Qualitative metasynthesis: Issues and techniques

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              Medicina social latinoamericana: aportes y desafíos

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                Author and article information

                Contributors
                Role: ND
                Journal
                csc
                Ciência & Saúde Coletiva
                Ciênc. saúde coletiva
                ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro, RJ, Brazil )
                1413-8123
                1678-4561
                2020
                : 25
                : 3
                : 929-942
                Affiliations
                [1] Medellín Antioquía orgnameUniversidad de Antioquia orgdiv1Facultad Nacional de Salud Pública orgdiv2Grupo de Investigación en Salud Mental Colombia
                Article
                S1413-81232020000300929 S1413-8123(20)02500300929
                10.1590/1413-81232020253.01322018
                f369a8f3-3cb4-48cc-9816-d26e51a5f923

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 15 October 2017
                : 06 August 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 63, Pages: 14

                Salud mental,Salud pública,Salud colectiva/medicina social,Conflicto armado,Paz,Mental health,Public health,Collective health/social medicine,Armed conflict,Peace

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