lecture 7 (ch 10/11) Flashcards
WHO definition of disability
restriction or inability to peform an activity in manner or within range considered normal for human being, mainly resulting from impairment
3 dimensions of disability according to WHO
impairment in persons body structure or function or mental functioning
activity limitation (difficulty seeing, hearing, etc)
participation restrictions in normal daily activities
does impairment always mean someone is disabled
no
impairment
loss or abnormality of body structure or functioning
are ppl w disabilities a minority group
yes
3 weaknesses of social model
denies bodily experience of disability
does not challenge authority of medicine
assumes that the experience of disability is the same for everyone
good things about the social model
physical environment changes and attitude changes
illness behaviour
process of defining, interpreting and responding to symptoms and deciding what action to take
factors influencing if person seeks medical care
finances
effectiveness
available time/energy
people likely to seek medical help if..
its severe
visible
causes a barrier
have positive attitude toward healthcare providers
initial sense of relief
certainty of a diagnosis is better than not knowing whats wrong
biographical disruption
michael bury
when confronted w serious or life threatening condition, an individual:
becomes aware of ways in which body asserts itself in daily life
questions taken for granted explanatory frameworks
begins to respond and mobilize resources that are sensitive to their altered situtation
narrative reconsutruction
stories that one tells abt ones experience w illness that act not only as form as self repair but also make it possible to create bonds and shared meaning w others
3 types of stories under narrative reconstruction
restitution story
- celebrates triumph over illness, achieved thru both medical intervention and personal perseverance of person who has been healed (happy ending)
chaos story
- story of suffering
quest story
- story that seeks meaning in illness, whether or not recovery is even attainable
becoming aware of the body under biographical disruption
illness as interruption
- something happens temporarily and gets removed
illness as intrusion
- illness progresses and one is forced to pay more attention to body and change daily routine to cope with illness
illness as immersion
- illness takes over and controls all aspects of life
- leaves no time for other aspects of living
responding and mobilizing resources aspect of biographical disruption
using conventional health care
dealing with service agencies
turning to alternatives (internet, self help, etc)
symbolic interactionism
we act towards things on the basis of meaning that they have for us, where those meanings are both created and modified thru interactions with others
2 types of stigma
discredited stigma
- attribute that makes one visibly diff
- may try to compensate for initial loss of status
discreditable stigma
- an attribute that makes one secretly diff, but would lead to rejection if secret was revealed
- may try to hide or worry abt secret becoming known to critical people
5 diff strategies for self presentation
passing
- hide illness from others
disclosing
- selective disclosure; disclose to certain ppl u are comfy with
covering
- deflect attention from condition
deviance disavowal;
- try to prove they are no diff from others
challenging;
- construct differences in a way that makes deviant those who discriminate against them
- society discriminates against person w illness
issues with concept of stigma
attribute implies that the designation has validity
assumes stigma is central to that persons self concept
