exam 3 Flashcards

1
Q

modern view of health

A

recent trend of incorporating holistic elements into more traditional views of health

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2
Q

exercise as medicine view

A

can improve mental health, quality of life, and well-being

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3
Q

a good life involves

A

having the capacity to pursue the goods that one has good reasons to value

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4
Q

self- determination theory

A

competence, autonomy, relatedness

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5
Q

capabilities approach

A

1) autonomy to achieve well-being is primary moral importance
2) well-being should be understood in terms of people’s capabilities and functionings

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6
Q

exercise & autonomy: children

A

increases self esteem and cognitive capacities

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7
Q

exercise & autonomy: young adults

A

helps develop life skills, improve health, and strengthen social networks

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8
Q

exercise & autonomy: older adults

A

independence, health, and social relationships

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9
Q

autonomy etymological analysis

A

“auto” self
“nomos” rule or law

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10
Q

heteronomy

A

state of being ruled or under the sway of another

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11
Q

autonomy common conception

A

self-governing behavior that promotes independence

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12
Q

autonomy relational conception

A

the result of the interaction between the individual and its context

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13
Q

autonomy definition

A

self-governing behavior that is free from both controlling interferences by others and from certain limitations such as lack of rational judgement

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14
Q

autonomy similar definition

A

the capacity to be one’s own person, to live one’s life according to reasons and motives that are taken as one’s own and not the product of manipulative or distorting external forces

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15
Q

most widespread view of autonomy

A

defines the autonomous individual as one who does as one pleases
“self-sufficiency”
“standing on one’s own two feet”

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16
Q

east vs west

A

east- your life is part of a whole (collectivism)
west- one’s life belongs to oneself (individualism)

17
Q

3 conditions for an action/plan to be autonomous

A

1) voluntarily chosen
2) without controlling influences (ext. factors)
3) with understanding (comprehension of risk vs reward)

18
Q

individuals ___ autonomy by removing what ____ allow them to make their choices

A

gain, does not

19
Q

individuals gain internal autonomy by enhancing their ____ capabilities

A

decision-making

20
Q

examples of external aspects

A

socioeconomic conditions, environmental threats, other people’s choices

21
Q

examples of internal aspects

A

movement, read and think critically, understand one’s situation

22
Q

freedom from interference and understanding

A

nobody is fully autonomous from interference
nobody is fully capable of understanding everything

23
Q

autonomy results from balancing…

A

external influences and internal capacities for action

24
Q

There is no contradiction between exercising autonomy and subjecting oneself to an authority because

A

in principle, there is nothing wrong with following a medical authority or accepting govt intervention

25
autonomous conflict arises when:
individual autonomy is completely negated individuals don't enjoy a substantial degree of autonomy
26
what does respect mean for autonomy
acknowledging persons' values and decision-making rights and enabling them to act autonomously
27
two types of obligations:
negative: autonomous individuals should not be subjected to controlling constraints by others positive: we must foster autonomous decision-making
28
instrumental model
prescribe option that best serves the health professional's interests patient values are completely irrelevant patients are a means to the healthcare professional's ends
29
paternalistic model
healthcare professionals use their skills to identify best medical treatment and restore them to health healthcare prof provide info and try to convince patients to undergo it patients still make choice, but are expected to follow advice
30
paternalism criticism
justified when patient unresponsive other than this hardly justifiable
31
informative model
healthcare professionals provide patients with all relevant information patients select best intervention for them informed consent key provide info & perform interventions
32
informative model criticism
healthcare professionals lack a caring approach don't consider patient's particular contexts patients are expected to know their preferences well and be fully capable of deciding what is best giving financial transaction
33
interpretive model
healthcare professionals examine both health and lifestyle they interpret/contextualize different options patient ultimately decides healthcare profs do not question
34
interpretive model criticism
technical specialization prevents professionals from developing all skills necessary limited time healthcare professionals might impose their values on patients could turn into paternalism
35
deliberative model
healthcare professionals discuss w patients the best course of action to take together evaluate options and choose patients given options and opportunity to critically evaluate them w an expert
36
deliberative model criticisim
misconstrues the prof-patient relationship not all treatments depend on patient values patients seek healthcare not moral deliberation or advice could turn into paternalism
37
lowest to highest degree of autonomy
instrumental paternalism informative interpretive deliberative