Salud Mental

Normality and mental health: The ethical dimension


Fernando Lolas Stepke


This article applies the concept of normality, in both its descriptive and normative connotations, to the field of mental health, emphasizing its ethical undertones in different cultural and situational contexts. Ethics is defined as the linguistic justification of morals, and bioethics is characterized by arguments based on dialogical, discursive, and deliberative processes. Bioethical decision-making influences human relationships and has implications for diagnosis, prognosis, interventions, and evaluation of therapeutic results and outcomes. Normality in mental health should be reformulated on bioethical principles to avoid being a source of stigma and discrimination, at a time when human diversity and cultural change impose a redefinition of conceptual boundaries and depathologization of different forms of behavior and experience.
Normality, mental health, ethics, bioethics, discrimination, stigma


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Armstrong, T. (2005). The myth of the normal brain: embracing neurodiversity. AMA Journal of Ethics, 17(4), 348-352. doi: 10.1001/journalofethics.2015.17.4.msoc1-1504

Canguilhem, G. (1966). Le Normal et le Pathologique. París: PUF.

Catita, M., Águas, A., & Morgado, P. (2020). Normality in medicine: a critical review. Philosophy Ethics, and Humanities in Medicine, 15(1), 3. doi. 10.1186/s13010-020-00087-2

Foucault, M. (2007). El poder psiquiátrico. Buenos Aires: Fondo de Cultura Económica.

Jäger, F. (2018). A Social Psychological Concept of Normality - An examination of the emergence, perpetuation and shift of unnoticed standards, and their influence on behavior and social dynamics. Jena: Friedrich-Schiller University.

Lolas, F. (1988a). Mehrdimensionale Medizin. Medizinethische Materialien. Heft 21. Bochum: Zentrum für Medizinische Ethik.

Lolas, F. (1988b). The psychophysiological triad and verbal system in the study of affect and emotion. Psychopathology, 21(2-3), 76-82. doi: 10.1159/000284546

Lolas, F. (1997). Psycholexicology: Psychiatric discourse and nosological entities. Psychopathology, 30(4), 241-244. doi: 10.1159/000285053

Lolas, F. (2001). Normatividad fisiológica y nocividad ambiental: aspectos bioéticos de las metáforas científicas. Acta Bioethica, 7(2), 205-212.

Lolas, F. (2002). Bioethics and psychiatry: a challenging future. World Psychiatry, 1(2), 123-124.

Lolas, F. (2009). The axiological dimension in psychiatric diagnosis. Acta Bioethica, 15(2), 148-150.

Lolas, F. (2014). Psychiatry Ethics. In H. Ten Have (Ed.). Encyclopedia of Global Bioethics. Springer. doi: 10.1007/978-3-319-05544-2_355-1

Rost, M. (2021). “To Normalize is to Impose a Requirement on an Existence.” Why Health Professionals Should Think Twice Before Using the Term “Normal” With Patients. Journal Bioethical Inquiry, 18, 389-394. doi: 10. 1007/ s11673- 021- 10122-2

Rost, M., Favaretto, M., & De Clercq, E. (2022). Normality in medicine: an empirical elucidation. Philosophy, Ethics, and Humanities in Medicine, 17, 15-29. doi: 10.1186/s13010-022-00127-z