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What is the illness iceberg?
a poor use of alliteration
for every patient that presents to the clinic with a disease, there are numerous patients who don't. (corollary to this concept: access to healthcare should improve health, but it doesn't as people don't seek help until symptoms are severe)
Describe the difference between disease, illness and sickness (aka illness behaviour)
- disease: pathological unhealthy condition; physical or mental, caused by accident or injury
- illness: personal experience of somebody who feels ill
- illness behaviour/sickness: actions taken by someone when they feel unwell
thus illness is your feeling; sickness is your action (or inaction)
Define lay health beliefs. How have health services changed in their approach to lay health beliefs?
Complex, experiential and logical way a person think about health, usually embedded in a social context. (contains an individuals own version of what is rational)
traditionally, health services tried to correct these faults in knowledge (but better knowledge doesn't necessarily lead to better health....i think...)
People's response to symptoms is ______ contextualized.
What are two frameworks that attempt to explain this?
Mechanic's variables, and Zola's triggers
What are Mechanic's variables?
- visisible and recognizable symptoms
- seriousness of symptoms
- distrurbance in lifestyle
- frequency of symptom appearance
- pain threshold
- familiarity of the disease
What are Zola's triggers?
- Family problems (interpersonal stress)
- interference with social activities
- interference with physical activities
- sanctioning by others who insist help be sought
Zola's help seeking model
- Perception of symptoms->
- Accomodation of symptoms->
- Breakdown of accomodation due to Zola's triggers->
- Decision to seek help (Lay referral/visit G.P./alternate treatment or self-medication
Define stigma. Name some clusters of stigma
Discrediting of an individual or group leading to exclusion of normal social interaction (when the individual is disqualified, then the reaction of others marks their social identity)
- Physical disability
- mental disability
How does stigma affect a person? How does stigma of a disease affect a person?
- A person being stigmatized has to manage other's expectations in order to mange their sense of self
- medical conditions that carry stigma can be barriers to seeking help, or reduce compliance.
What are some general concepts from the obesity video?
- Obesity stimatizing led people with obesity to eat even more
- obesity correlated with workplace bias (women experienced more workplace bias at lower levels of obesity)
What are public and private accounts of illness?
what you relate to your friends about an illness or how you feel about an illness, is different than what you portray in public or what you tell your doctor.