Biopsychosocial Model, Society, And Culture Flashcards
Biopsychosocial approach
A framework that illuminates the importance of psychological and sociological study for success in medical school and in practice of medicine
BPS approach expands upon the traditional biomedical approach, which focuses narrowly on the physical aspects of illness
Illness cannot be understood by only examining biological factors
1. Illness is determined by a variety of influences, rather than a single cause
2. The causes and effects of illness can be examined at multiple levels in the life of an individual. Factors that determine course of illness exist at more than one level simultaneously and no single level provides the whole picture
How does the biopsychosocial approach describe the presentation of a person’s disease or biological state?
Patients start the process of diagnosis by presenting their narrative of how the symptoms developed
Psychological processes also affect how the individual interprets and translates biological processes
An individual exists at the intersection of social and biological (a person is both the largest unit of the organism and the smallest unit of society)
In the BPS, what happens when we leave out the non-biological factors from the development of illness?
Biomedical approach leaves important variables unexplained and unexamined
How would the BPS approach affect the treatment of a patient with cirrhosis of the liver?
In a simple biomedical approach treatment would just involve the treatment of the liver through pharmaceutical or surgical means
BPS would look at the root cause of the cirrhosis, for example AUD
Patient’s alcohol consumption would need to be addressed and treatment would involve attention to related psychosocial factors (housing situation and stress level)
What are the levels of organization in the biopsychosocial model?
Biosphere > Society-Nation > Culture-Subculture > Community > Family > Two-Person > Person (experience & behavior) > Organs / Organ systems > Tissues > Cells > Organelles > Molecules > Atoms > Subatomic particles
Models
Useful representations of scientific phenomena
Never a perfect representation, and the limitations of each model must be considered
Helpful for drawing conclusions about the phenomena itself
Theories
Formed or modified to explain the results of studies and guide the design of new studies
Provides conceptual framework for understanding objects of study
Validity of a theory can be supported or undermined by the results of research
Can also be evaluated in terms of how well it contributes to development of new research and practical applications
How have models and theories in psychology changed over time?
Multiple competing viewpoints have waxed and waned in popularity and clinical acceptance over time
Psychoanalytic school of thought has declined while cognitive theories have gained popularity
Each school of thought continues to be studied and modified and no single theory dominates psychology
In what ways do the theories on social functions vary?
Major theories differ in the extent to which they assume that individuals can influence society, the level of society studied, the degree of harmony or discord in social relations, and their strengths and weaknesses
Social constructionism
Adds to the idea of scientific models as representations of reality
Human actors construct or create “reality”, rather than discovering a reality that has inherent validity
Beliefs and shared understandings of individuals create social realities
- Some believe all reality, even what some consider objective natural phenomena, has no inherent meaning beyond human beliefs
- Moderates believe two categories: brute facts and institutional facts
Brute facts: physical realities that exist outside of human input (gravity)
Institutional facts: only exist as a function of society’s structures and beliefs (gravitational force involving the larger planet bc not an observable fact)
How could social constructionism be used on the MCAT in the context of understanding illness?
Diagnosis of illness requires agreed upon set of criteria
Gap between biological or physiological reality of medical condition and societally created meaning of diagnosis
I.e. in the DSM (Diagnostic and Statistical Manual of Mentor Disorders) diagnostic categories and disorders are periodically revised according to new research and changing conceptualizations of mental illness
Symbolic Interactionism
Related to social constructionism in that it allows for social determination of shared realities
Focuses on a smaller scale of interaction between individuals and in small groups (patient-physician)
Through social interactions, individuals develop shared meanings and labels for various symbols - terms, concepts, or items that represent specific meanings by accepted convention
E.g. “drug addict” has socially determined symbolic meanings, ranging for criminal tendencies to clinical mental illness
How do shared symbols in symbolic interactionism allow for smooth societal interactions?
Permit reasonable expectations of how people will behave and what constitutes appropriate responses
Behaviors influenced by social roles can be defined through symbolic interactionism: symbols that have a large effect on behavior and identity
How does symbolic interactionism allow for change within symbolic meanings?
People actively create meaning through their social interactions, allowing for human agency in creating and changing meaning
Meaning of a symbol can change in a particular interaction where people come up with different interpretations of an environmental stimulus or social situation
What are some criticisms for symbolic interactionism?
Useful for examining social functioning at level of interpersonal interactions, but criticized for leaving out larger societal forces that undeniably have an effect on people’s lives
Functionalism
Factions of society work together to maintain stability
Claims that society is a system that consists of different components working together (think of organs working together in an organism as a metaphor)
Society contains distinct institutions that contribute to functioning and maintain equilibrium in the face of environmental demands
Disruptions: Interacting systems respond as needed to get back to previous state
Actions of individuals and groups in society can be analyzed by asking how they contribute to long-term societal stability
Conflict Theory
Views society in terms of competing groups that act according to their own self-interests, rather than according to need for societal equilibrium
Social groups naturally come into conflict as their interests collide and society changes over time due to continual competition for resources and power
Views human actions as driven by larger forces of inequality, but leaves motivations and choices of individuals unexamined
Feminist Theory
Considered a particular type of conflict theory
Examines social inequities between men and women
What are some weaknesses of functionalism?
Cannot explain social life on the micro scale
Useful perspective for considering processes that contribute to social stability, but cannot explain societal changes
- Assumes stability is the ideal
What are some weaknesses of Conflict Theory?
Cannot explain social life on the micro scale
Argues that stability is undesirable for the social groups that are oppressed by the self-interests of the powerful and that change will inevitably occur
Explains how societies change over time, but fails to recognize stability in society
Does not leave room for types of social agreement and collaboration between individuals and groups that are addressed by symbolic interactionism and functionalism
What are the two broad categories that sociological theories can be placed into?
Macrosociology: focuses on broad social structures that affect society
- Social constructionism, functionalism, conflict theory, and feminist theory
Microsociology: focuses on smaller scale of social interactions between individuals
- Symbolic interactionism
Rational Choice Theory
Assumes that people’s actions are dictated by a rational consideration of alternatives
Individuals choose action most likely to bring some type of profit
Exchange Theory
Applies basic principles of rational choice theory to social interactions
Behaviors within relationships are determined by expectations of reward or punishment
- Scale of individuals and relationships (microsociological)
Also assume that large societal structures are built from small-scale rational decisions
Cannot explain the choices of individuals that appear to be irrational or not in their best interest
Culture
All of the beliefs, assumptions, objects, behaviors, and processes that make up a shared way of life
Individuals in a culture tend to share common values, learned behaviors, and approaches to life, has pervasive effect on worldview
When immersed in culture, assume that that culture’s way of doing things is normal and natural, but can learn about own cultural assumptions through interactions with other cultures
Differing perspectives can be due to cultural differences