The meanings of health and illness are constituted according to the particularities of the social, cultural and historical context. It was observed in Cabrera (Nariño-Colombia) that health and the criteria of normality and pathology are not exclusive, establish an integration of their "being well" by adding the spiritual component and community participation. It is clear that they do not fragment the welfare state of a person as is customary from the biomedical model: physical health, the organic, the doctor; and psychological health to the psychiatris