Module 1 Flashcards
What are Frank’s 4 narratives of health?
Chaos, restitution, quest, and testimonial
This narrative of health usually involves chronic, long term conditions with less certainty of effectiveness of medicine or a cure. It always gets worse and is characterised by: “and then… and then…”.
-people have no distance from their illness in their life. People are consumed by their illness.
Chaos stories
This story-line provides a departure date, an initiation period and then a return; like stages of a journey. The self is constructed heroically and the main character learns the integrity of suffering.
Quest stories
These stories press others to witness and to believe the person’s experience by excluding information that contradicts their storyline. So it does not include anything that will antagonise the main character or their experience.
Testimonial
The active character in a restitution story is the:
medication/biomedicine
The common plot line of this narrative is ‘yesterday I was healthy, but today I am sick, but tomorrow I will be well again’.
Restitution
This can act as a bridge between the subjective experiences of impaired well-being and the social acknowledgement of them. It can be very distinct between different cultures.
Language of distress
This describes pain without purpose.
Suffering
According to Cassell, this is a state of distress brought abut by an actual or perceived threat to the integrity or continued existence of the whole person. It stretches beyond physical pain.
Suffering
This is a term that describes the complex outcome of hierarchies, privilege, politics, economic systems, beaurecracies and resource inequalities that allow some people to identify others are less worth of support and attention, which result in disparities.
Structural suffering
This describes pain with purpose. A holistic way of recovering from pain.
Healing
This describes the process of going to a far place to understand a familiar place better.
Pilgrimage
This describes the enhancement and diminution of our life chances according to our biographical attributes and how they can overlap, cancel and reinforce each other.
Intersectionality
This is the concept which describes the idea that there are multiple sources of expertise/knowledge of healthcare.
Healthcare pluralism
This is a model of disability that states how society is disabling. It involves societal norms and how these norms impact that may impact the life chances of certain groups of people.
Social Model of Disability
This is a model of disability which involves not only society as disabling, but also medical and material components that impact on our identity.
Predicament Model of Disability
This is when medicine enroaches onto aspects of one’s life that were historically not recognised as benign subject to the oversight and control of biomedical specialists.
Medicalisation
This is a form of social power in which we resist or embrace ideals of health. This is when social power operates in urbanised societies, not through physical force, but persuasively and almost unnoticed.
Bio power
This describes the capacity to influence another or a social group enacted through wealth, violence, intimidation, status advantages, authority, responsibility, influence and creative control.
Social power
This is essentially when others think that you have a disease but you yourself consider you are just one more variation of how to be normal. This may get political.
Contested diagnosis
This describes the idea of how people approach seeking relief for a specific medical condition from different groups of healthcare professionals within the medical community.
Hierarchy of resort
What are the 3 groups in the hierarchy of resort?
Lay, folk, and professional
This describes a clash between phenomenological models or unhealthy and biomedical models of unhealthy. Basically, varying perspectives on health.
Epistemology
What are the 3 dominant epistemological views on departure from health?
Biomedical, phenomenological, and social
This is where both patient and health worker seek to influence the other.
Contested diagnoses
This is a conduit for the expression and flow of power and allows us to demonstrate our worth and value and also to provide a set of standards against which we constantly measure ourselves.
Health
