Lecture 3 - the journeys we make

Question 1

Illness definition Cassell (1976)

Answer 1

illness is what we feel when we go to visit a doctor and disease is what we have aTer we have been to the doctor’s office and we are on our way back home

Question 2

Illness definition Helman (2007)

Answer 2

illness can be thought of as a type of misfortune which brings on a subjec6ve experience of physical and emo6onal changes which are generally confirmed by other people

Question 3

Illness definition Kleinman (1989)

Answer 3

to become
temporarily demoralised with one’s world

Question 4

What is the language of distress

Answer 4

Acts as a bridge between subjective experiences of impaired well being and social acknowledgement of them

Question 5

What is healthcare pluralism

Answer 5

Kleinman suggests there are multiple sources of expertise/knowledge of health care. 3 sectors - lay, folk, professional. Professional being tiny tip of iceberg, other 2 sectors below the surface of our attention most of the tim

Question 6

Outline the hierarchy of resort

Answer 6

The hierarchy in which people follow the categories of healthcare pluralism, with professionalism neither first or last

Question 7

Define contested diagnosis

Answer 7

show the mul/direc/onal direc/onal flow of interpre/ve work in ‘doing’ health and illness and it gets poli/cal – eg you consider yourself ill but few agree you have a disease

Question 8

Disease definition Canguilhem (1991)

Answer 8

disease is a departure from the norm established by biomedical authority’ and to which the practice of medicine seeks to return the client

Question 9

Health definition Canguilhem (1991)

Answer 9

What characterises health is the possibility of transcending the norm which defines the momentary normal, the possibility of tolerating infractions of the habitual norm and instituting new norms in new situations

Question 10

Simple health definition

Answer 10

Health is the capacity to become sick and to recover, contextually dependant and not at all about becoming normal - instead it is the capacity to continue living your life in a wide array of different circumstances which become normal to you

Question 11

Pilgrimage definition

Answer 11

The process of going to a far place to understand a familiar place better