Lecture 3 - Journeys Flashcards
Testimony stories
WITNESS illness but do not tell the whole story
because our memories are able to bear only so much
Illness define
Cassel
“illness is what we feel when we visit a doctor
disease is what we have after seeing doctor”
Patient’s perspective- Is Suffering and misfortune,
HCP perspective - is Disease
Illness define
Helman
Type of misfortune which brings on a subjective experience of physical and emotional changes which confirmed by other people
To ‘successfully’ be ill we need to share view of what is considered “abnormal” in order to exhibit the symptoms of illness.
Illness define
Kleinman
become temporarily demoralised with one’s world
“language of distress” acts as
bridge between subjective experiences of impaired well being and social acknowledgment of them.
“language of distress” expresses
incl examples
physiological, psychological and social meanings
ie Papua New Guineans in the Sepik River, Southland Farmers, the Italian ladies from Woollongong
“language of distress” culturally distinctive examples
‘crawling ants’ in Nigeria,
‘steaming bones’ in Chinatown in Sydney,
Kleinman health care pluralism
multiple sources of knowledge of health care
iceberg model
Kleinman 3 sectors of health care
iceberg model
lay,
folk
professional (tip. not 1st nor last)
layers blurred.
people follow through them in a hierarchy of resort to seek relief from illness
Canguilhem disease and health define
disease is departure from norm established by biomedical authority’ and where practice medicine seeks to return the client
Canguilhem disease and health define (simple)
health is capacity to become sick and recover,
Not about becoming ’normal’ –instead capacity to continue living life in different circumstances which become normal to YOU
Contested illnesses both directions
consider yourself ill but few agree you have a disease
Others think you have disease but you consider you are just one more variation of how to be normal (ie successfully living with mental health issues or perhaps with deafness
What does Anne E. Pfister.
“Predicament and Pilgrimage: Hearing Families of Deaf Children in Mexico City” explore?
contested nature of a diagnosis.
Difference between medicalized versions of deafness as deficit and ‘tragic’, Need of fixing Deaf which is a cultural identity and way of life with its own language of signing and completely ordinary.
What does Anne E. Pfister.
“Predicament and Pilgrimage: Hearing Families of Deaf Children in Mexico City” explain?
Lives of parents of deaf children being framed around a pilgrimage in which they achieved self awareness and insight through a series of great hardships ‘‘voyages in search of support, information & services’
Spoke of disillusionment with biomedical approaches to Deafness and relief in finding the bilingual school.
Defining pilgrimage (Turner 1969)
Process of going to far place to understand a familiar place better’
