Module 1

Question 1

What are Frank’s 4 narratives of health?

Answer 1

Chaos, restitution, quest, and testimonial

Question 2

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.

Answer 2

Chaos stories

Question 3

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.

Answer 3

Quest stories

Question 4

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.

Answer 4

Testimonial

Question 5

The active character in a restitution story is the:

Answer 5

medication/biomedicine

Question 6

The common plot line of this narrative is ‘yesterday I was healthy, but today I am sick, but tomorrow I will be well again’.

Answer 6

Restitution

Question 7

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.

Answer 7

Language of distress

Question 8

This describes pain without purpose.

Answer 8

Suffering

Question 9

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.

Answer 9

Suffering

Question 10

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.

Answer 10

Structural suffering

Question 11

This describes pain with purpose. A holistic way of recovering from pain.

Answer 11

Healing

Question 12

This describes the process of going to a far place to understand a familiar place better.

Answer 12

Pilgrimage

Question 13

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.

Answer 13

Intersectionality

Question 14

This is the concept which describes the idea that there are multiple sources of expertise/knowledge of healthcare.

Answer 14

Healthcare pluralism

Question 15

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.

Answer 15

Social Model of Disability

Question 16

This is a model of disability which involves not only society as disabling, but also medical and material components that impact on our identity.

Answer 16

Predicament Model of Disability

Question 17

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.

Answer 17

Medicalisation

Question 18

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.

Answer 18

Bio power

Question 19

This describes the capacity to influence another or a social group enacted through wealth, violence, intimidation, status advantages, authority, responsibility, influence and creative control.

Answer 19

Social power

Question 20

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.

Answer 20

Contested diagnosis

Question 21

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.

Answer 21

Hierarchy of resort

Question 22

What are the 3 groups in the hierarchy of resort?

Answer 22

Lay, folk, and professional

Question 23

This describes a clash between phenomenological models or unhealthy and biomedical models of unhealthy. Basically, varying perspectives on health.

Answer 23

Epistemology

Question 24

What are the 3 dominant epistemological views on departure from health?

Answer 24

Biomedical, phenomenological, and social

Question 25

This is where both patient and health worker seek to influence the other.

Answer 25

Contested diagnoses

Question 26

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.

Answer 26

Health