Problems of the Healthy Lifestyle Discourse

Strategies for the prevention of disease and the promotion of health have a long history of individual-level interventions with the promotion of 'healthy lifestyles' being the primary target. The focus at an individual level devoid of social context has provoked a sociological critique of the prevailing healthy lifestyle discourse. This critique emphasises the social causes of health-related attitudes and behaviours in society, and the ideology of individual responsibility and 'victim blaming' that an individualist approach entails. At the same time, the prevailing notion of 'health' has been scrutinised within the framework of health promotion stressing a definition emphasising well-being and quality of life. This 'positive' definition of health broadens the possible reach of 'healthy lifestyles'. Theoretical models emphasising structural aspects of the lifestyle construct have been produced. In this article, it is argued that while these models are based on the work of Bourdieu and his concept of habitus, they nevertheless overlook the importance of power and symbolic dominance in relation to the construction of 'healthy' and the understanding of lifestyles.