Lecture 3: The Journeys We Make Flashcards
What is Sontag’s explanation of illness?
everyone who is born holds dual citizenship, in the kingdom of the well and the kingdom of the sick. Although we prefer to use only the good passport, sooner or later each of us is obliged to identify ourselves with that other place
What is Cassel’s definition of illness?
what we feel when we go to the doctor and disease is what we have after we have visited the doctor’s office and are on our way home
What is Helman’s definition of illness?
- a type of misfortune which brings on a….
a type of misfortune which brings on a subjective experience of physical and emotional changes which are generally confirmed by other people
What is Kleinman’s definition of illness?
- to become….
to become temporarily demoralised with one’s world
What does the language of distress act as?
the bridge between the subjective experiences of impaired well being and social acknowledgement of them
What are the hierarchies of resort?
the way people go in a characteristic pattern to seek treatment
What is the iceberg model of health care provision?
three sectors of health care (lay, folk and professional) arranged in an iceberg shape with the professionals at the tiny tip and the other two below the surface of our attention
What is the order of the iceberg model of health care provision?
- professionals
- folk healers
- lay people
In the iceberg model of health care provision, what is meant by the “professionals”? Give 3 examples
All paid people that require a certain level of approved competency and their practice needs to be authorised by an official body. This includes doctors, Chinese healers and Arabic systems of curing.
In the iceberg model of health care provision, what is meant by the “folk healers”?
A folk healer is an unlicensed person who practices the art of healing using traditional practices, herbal remedies and even the power of suggestion. People who you would not pay with money so as not to offend them but you are indebted to them. For example, you might make them a give (eg. piece of cloth) or do them a favour in return for their services.
In the iceberg model of health care provision, what is meant by the “lay people”? Give 3 examples
People who you do not pay, they do not have any formal accreditation but their assessment is very important to you. Examples of lay people are people who you ask about their symptoms to see if you have the same thing (such as neighbours), hairdressers that are low level therapists, and people who study medicine.
What is health care pluralism?
the multiple sources of expertise in healing and healthcare in any society
What is Canguilhem’s definition of disease?
- a departure from the norm….
a departure from the norm established by biomedical authority and to which the medicine seeks to return the client
What is Canguilhem’s definition of health?
The capacity to become sick and to recover. It is contextually dependent and not all about becoming normal - instead it is the capacity to continue living your life in a wide array of different circumstances which have become normal to YOU
What is contested illness/diagnosis?
When you have a disease or a condition but people do not treat you any differently or make any allowances for the fact that you are unwell, or when you have an illness/condition that you live with and are coping with but people treat you differently
