Lay Beliefs Flashcards

1
Q

What are the differences between the medical and the social model of interpreting a disability?

A

Medical:
This holds the theory that disability is a deviation from medical norms and that disadvantages are a direct consequence of impairment and disabilities. It also says that it needs medical intervention to cure or to help.
Social:
This is the theory that problem are a product of environment and failure of the environment to adjust. This also believes that disability is a form of social oppression and that political action and social change are needed.

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2
Q

What are the criticisms of the medical model of disability?

A

It has a lack of recognition of social and psychological factors
It encourages stereotyping and stigmatising language

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3
Q

What are the criticisms of the social model of disability?

A

The body is left out
Overly drawn view of society
It has a failure to recognise bodily realities and the extent to which these are solvable socially.

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4
Q

What is the difference between impairment, disability and handicap? (The words used in the international classification of impairments, disabilities or handicaps - ICIDH)

A

(If disease was arthritis…)
Impairment: concerned with abnormalities in the structure or functioning of the body. (stiff joints)
Disability: concerned with performance of activities (hard to walk)
Handicap: concerned with broader social and psychological consequences of living with impairment and disability. (find a job?)

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5
Q

What are the problems with using the words impairment, disability and handicap to describe disability? (Known as the international classification of impairments, disabilities or handicaps.)

A

Use of the word ‘handicap’ is problematic because of its connotations
It implies the problems are intrinsic or inevitable
It embodies many features of the medical model.

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6
Q

What are lay beliefs?

A

lay health beliefs are the rules and meanings that different social groups use to order their lives and make sense of their experience of health and illness.

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7
Q

What effect do lay beliefs have?

A

Lay beliefs means that different peoples definition of health and illness vary and that there may be a gap between their beliefs and medical knowledge. These concepts are social embedded and complex so, they can impact on peoples behaviour and there compliance with treatment. This means that doctors should try and be understanding of different beliefs and approach things differently because of this.

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8
Q

What are the three different definitions of health?

A

Negative definition - health is the absence of illness
Functional definition - health is the ability to do certain things
Positive definition - health is the state of wellbeing and fitness

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9
Q

What two distinct things to people want to understand, causing them to turn to lay beliefs?

A

People want to understand why and how illness happens and, they want to understand why it happened to a particular person at a particular time (using a combination of personal, familial and social sources of knowledge to come up with a theory…).

Many people observe and generate hypotheses from the people around us.

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10
Q

What is the interface between lay and medical beliefs?

A

The public are surrounded by professional concepts so difficult for lay understandings to develop independently.
But, professional concepts interpreted and made sense of in light of everyday life experience.

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11
Q

What is health behaviour?

A

health behaviour is activities undertaken for the purpose of maintaining health and preventing illness.

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12
Q

What is illness behaviour?

A

Illness behaviour is the activity id an ill person to define illness and seek solution

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13
Q

What is sick role behaviour?

A

Sickness behaviour is the formal response to symptoms inc seeking formal help and the it is the actions of a person as a patient.

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14
Q

Why is smoking more prevalent among lower socioeconomic groups?

A
This  is because people of a higher social class are more likely to have a positive definition of health so they are more likely to focus on long term investments. This means that quitting smoking is a rational choice. 
However, in lower socioeconomic groups, the incentives for quitting are less clear because they focus in improving there immediate environment. This means that smoking is a more rational choice because it is a coping mechanism and a more rational behaviour.
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15
Q

What influences illness behaviour? (8)

A
Culture 
Visibility or salience of symptoms 
Extent to which symptoms disrupt life
Frequency and persistence of symptoms 
Tolerance threshold 
Information and understanding 
Availability of resources 
Lay referral
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16
Q

What is the lay referral system?

A

This is the chain of advice seeking contacts which the sick make with other lay people prior too or instead of seeking help from healthcare professionals. -up to 3/4 of those visiting a doctor have first discussed their symptoms with another person.

17
Q

Why is lay referral important?

A

It is the reason people might have delayed seeking help
It influences how, why and when people consult a doctor
It influences your role as their doctor
Influences their use of health services (which ones they use) and medication Influences if / what time of alternative medication

18
Q

What are the three broad groups of patients who take have medication?

A

deniers and distancers
acceptors
pragmatists

19
Q

What are deniers and distancers?

A

These make up over half the sample. These patient have either denied having the illness at all or denied having the ‘proper’ illness.
They claim their symptoms do not interfere with everyday life.
They use complex or drastic strategies to hide it.
Taking medication relied on accepting their illness identify - they don’t take drugs or attend clinics.

20
Q

What are the implications of different attitudes towards taking medicine for medical professionals?

A

Medication behaviour is tied to peoples beliefs about their condition, social circumstances and threat to identity.
The ‘irrational’ use of medicine is deeply embedded in complex social identities that have to be manages
The meaning of symptoms for patients may be different from those for professionals.