Modules 1&2 Flashcards

1
Q

Who created the illness narratives?

A

Arthur Frank

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2
Q

Restitution narrative

A

Yesterday fine, today sick, tomorrow better. attractive story, uplifting (e.g pharmacy card)

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3
Q

chaos narrative

A

and then…and then…and then… whirlpool. (e.g homeless people recounts)

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4
Q

quest narratives

A

go through a journey of suffering and route to fix it and find a solutions (e.g comedians giving their alcoholism experiences in a funny way)

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5
Q

testimonials

A

stories that remove the bad parts of the illness, only mentioning the good parts. (e.g parkinsons patients. All 3 narrative types are testimony stories to a degree)

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6
Q

pilgrimage

A

going to a far place to understand a familiar one better. A journey to find something. e.g Deaf mexicans

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7
Q

iceberg model of health order. by whomst?

A

Kleinman:
Professional
Folk (traditional)
Layman (no skills. majority from here)

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8
Q

anthropologist OF medicine

A

an anthropologist who looks at trends and society in order to improve the healthcare systems currently in place.

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9
Q

Håkanson & Öhlén 2016 topic

A

homeless people narratives

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10
Q

outcome of homeless people reading

A

consistent story of chaos. author suggests a person centred approach. The definition of what a functioning body etc and suffering are all relative to circumstances of the participants. You need to be informed about living individual conditions and other aspects to treat patients better. Lacked control in HCPs hands. empathy

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11
Q

Anne E. Pfister In Press topic

A

mexican deaf kids

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12
Q

outcome of deaf kids reading

A

Their kids weren’t disabled and there wasn’t a ‘cure’ or ‘fix’. biomedical treatment didn’t help, so move away fro medical treatments and adapted to the environment of the children. travelling for health care

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13
Q

predicament of disability (deaf kids)

A

predicament of disability (Shakespeare) ie “disability results from the interplay of individual and contextual factors. In other words, people are disabled by society and by their bodies”.

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14
Q

contested diagnosis

A

a different opinion on whether someone is ill or not

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15
Q

nature of illness

A

illness is what we feel when we visit a doctor

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16
Q

disease

A

what you have when you leave the doctors

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17
Q

hierarchies of resort

A

order of who you seek relief of illness from (iceberg model)

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18
Q

health care pluralism

A

multiple sources of healthcare

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19
Q

health

A

ability to be sick and recover, and ability to continue living life with circumstances that become normal

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20
Q

Liggins 2018 topic

A

recovery vs healing

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21
Q

when is pain suffering?

A

when pain serves no useful purpose then it is suffering.

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22
Q

curing

A

physically getting rid of a disease

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23
Q

healing

A

mastering, overcoming suffering. regaining our voice is the basis of the mastery of suffering. changing mindset

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24
Q

suffering

A

a state of distress brought about by an actual or perceived threat to the integrity or existence of a person

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25
Q

relating the 3 stories to Liggins recovery reading

A

chaos - suffering
quest - journey to wellbeing
restitution - wellbeing, curing, healing

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26
Q

outcome of Liggins reading

A

during healing we become active from passive, making use of the objects available to us. psychiatric recovery needs to focus on healing for a richer goal.

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27
Q

intersectionality

A

disadvantages/opportunities caused by gender, race, status, class etc. many people are disadvantaged by multiple sources. Is mainly a negative thing

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28
Q

Bhopal is an example of

A

structural suffering. local govts and business leaders are prepared to sacrifice the poor for economic investment.

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29
Q

structural suffering

A

seemingly caused by nobody and unavoidable

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30
Q

individual suffering defined through…

A

interpretive models of health

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31
Q

structural suffering explained through…

A

political economy approaches to health

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32
Q

Ellis L. topic

A

dwarfism

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33
Q

Ellis L outcome

A

Other people and society consider them to be disabled, but they don’t personally. singling people out makes them feel worthless. pushing medicalisation where it isnt needed. only disabled if you need assistance, other times are not disabled.

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34
Q

panopticon theory defintion

A

the idea that power and knowledge comes from looking at others, and think that they are superior if they are looking down on others outside the norm (dwarfism)

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35
Q

disablism thoery

A

theory that disabled people are worth less than others

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36
Q

visual culture theory

A

where pleasure is sought by people with visual technology (e.g cameras taking photos of dwarves)

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37
Q

social model of disability

A

people are disabled by society not by their differences themselves

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38
Q

biopower

A

how social norms affect the way we think and feel. (how health knowledge affects us, having power over others)

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39
Q

group level example of biopower

A

gender bias in anotomy textbooks

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40
Q

individual level example of biopower

A

technologies of the self, how do you conform to

standards.

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41
Q

technologies of the self meaning

A

practises that we do to be responsible for our health and to be considered a good citizen. poor health makes us feel immoral

42
Q

Edmond and Jette 2018 topic

A

Fitbit

43
Q

Esmond and Jette outcome

A

people scrutinise themselves to meet standards so much that they become machines. reinforces identities. most easily used by middle class people, promoted for all though. e.g you cant use a fitbit if you don’t have the body to walk 10k steps a day, you don’t have a safe place to be active, you don’t have the appearance of someone who can walk without causing suspicion.

44
Q

what 2 axes does biopower operate on

A

group and individual, and potentially others.

45
Q

Salamonsen & Ahlzén 2018 topic

A

CAM (complementary and alternative medicine)

46
Q

Salamonsen & Ahlzén outcome

A

CAM is becoming more popular in wealthy countries as patients are dissatisfied with treatment and interactions with HCPs as it focuses more on medicalisation of life rather than just the illness. Problem is that doctors are more knowledgeable, CAM is unregulated and often expensive.

47
Q

Limitations of Salamonsen & Ahlzén reading

A

Parts are the reading are oversimplified and fail to consider some aspects while arguing (not balanced)

48
Q

epistemology definition

A

the branch of philosophy that deals with the theory of knowledge, and the justification of it

49
Q

Medically unexplained symptoms vs contested diagnoses

A

MES = both doc and patient think something is wrong but cant pinpoint the problem.. Contested = only one (doctor/patient) thinks something is wrong.

50
Q

Naldemerci 2018 patient centred care benefits

A
  • Neurogenic = alternative communication methods builds trust.
  • Psychiatric = caregiver may help make decisions
  • Migrants in aged care = Involving family, translators. recognising culture, language etc.
51
Q

Abel Tasman saw NZ in

A

1642

52
Q

James Cook came to NZ in

A

1769

53
Q

summary of 1800s in NZ

A

big increase in settlers, whalers and sealers. trade began, food for tools. More trade to Aus

54
Q

when was the first christian missionary established in NZ and by who

A

1814, Samuel Marsden.

55
Q

What did William Hobson do

A

Drafted treaty, 544 signatures, also established Westminster style govt in NZ

56
Q
  1. Håkanson & Öhlén 2016 topic
  2. Anne E. Pfister In Press topic
  3. Liggins 2018 topic
  4. Ellis L. topic
  5. Esmond and Jette 2018 topic
  6. Salamonsen & Ahlzén 2018 topic
A
  1. homeless ppl
  2. deaf kids
  3. recovery vs healing
  4. dwarfism
  5. fitbit
  6. CAM
57
Q

maori population 1800s vs 1900s

A

100k vs 42k

58
Q

what year did pakeha population overtake maori?

A

1857, pakeha @ 59k, maori @ 56k

59
Q

george grey arrives in NZ

A

1845

60
Q

what did grey do in NZ

A

General assembly w no maori representation. Blamed maori as rebellious to take their land. 1900 = 3/4 of land is crown acquired

61
Q

What year did maori get into parliament

A

1867 (4/72 seats)

62
Q

Northern seat

A

Dr Te Rangi Hiroa (1909-1914)

63
Q

Eastern seat

A
Apirana Ngata (lawyer) 
1905-1943
64
Q

Western seat

A

Dr Maui Pomare (1911-1930)

65
Q

Southern seat

A

Dr Eruera Tirikatene

1932-1967

66
Q

What century was Ratana movement and what did he do.

A

20th Century. 1900-1930
Petition for treaty to be enshrined in law. Wins all 4 parliament seats. Gets social welfare measure for Maori, and addressees maori problems in coalition with Labour (Michael Joseph Savage).

67
Q

Taha wairua

A

spiritual world

68
Q

Taha kikokiko

A

physical world

69
Q

What report was passed in 1960

A

Hunn report (Jack Hunn)

70
Q

What year was the Hunn report passed

A

1960

71
Q

What did the Hunn report say

A

Encouraged maori to give up their land and encouraged integration. Pepper potting housing policy.

72
Q

2 maori social movements in 1960s

A

Integration and growth of urban maori becoming activists

73
Q

What year was David Ausubel’s book

A

The Fern and the Tiki, 1960. Bad race relations

74
Q

Te Whare Tapa Wha designed and when

A

First Maori health model, 1984, by Mason Durie

75
Q

Components of te whare tapa wha

A

Taha tinana
taha wairua
taha whanau
taha hinengaro

76
Q

Te wheke designed by who

A

Rose Pere

77
Q

Components of Te Wheke

A

Octopus
Head = whanau
Eyes = waiora (family and individual well being)
Arms = spirituality, hinengaro, whanaungatanga, mauri, identity, breath of life from ancestors, open expression of emotion.

78
Q

Meihana model designed when

A
  1. taught in NZ medical schools
79
Q

Meihana design

A

Double hulled waka (2 person job)
Whanau, wairua, tinana, hinengaro, environment, collective wellbeing.
Water is navigation (of disease journey) ocean currents (maori world view) and four winds (colonisation, migration, racism etc)

80
Q

Polynesia includes

A

samoa, tonga, tuvalu

81
Q

melanesia includes

A

vanuatu, solomon islands, papua new guinea

82
Q

micronesia includes

A

palau, kiribati, marshall islands

83
Q

push and pull factors 3 main types

A

Economic, environmental, socio-cultural

84
Q

diaspora

A

Large group of people of similar heritage. Actively maintain connections

85
Q

Stats for pacific peoples

A

2.6 as likely to be in hardship
Earn $160/week less
16% unemployment rate (vs 5%)
Twice as likely to commit suicide when young
life expectancy for males is 4.8 years shorter and women 4.4 years shorter

86
Q

What did Krishnan describe pacific peoples as in 1992

A

“an entrenched underclass”

87
Q

significance of pacific health models quote

A

“Nothing else maters to pacific people than the health, wellbeing and future success of our children. Our community’s future is inextricably linked to their health and success”

88
Q

Fonua model design and origin

A
Tongan. Archery target. 
individual/spiritual
family
local
national
global
89
Q

pacific culture is …

A

dynamic

90
Q

fonofale model design and origin

A

House. Samoan (+ pacific lol)
Family is base.
pillars = physical, mental, spiritual, and other factors
roof = culture
surroundings = time, context, environment

91
Q

Remittance

A

money sent home

92
Q

migration

A

Movement from one place to another, involving a permanent move from home for over a year

93
Q

colonial relationships between pacific and west

A

independence, dependences, compacts of free association

94
Q

Types of migration

A

circular, labour, inland to coast, rural to town, external, internal, international, climate change displacement, crimmigration, RSE scheme (seasonal), Kula migrations.

95
Q

Ethnicity

A

Force that influences and organises individual understandings of reality and groupings

96
Q

what % of NZ population is pacific

A

7.4%

97
Q

Blooms taxonomy levels and direction

A
top:
create
evaluate
analyse
apply
understand
remember

(want to travel upwards)

98
Q

pacific health models

A
kakala
fa'afaletui
ta and va
fonua model
fonofale model
te vaka atafaga
tivaevae
99
Q

dependence examples

A

Tokelau, (NZ) new caledonia, french polynesia, guam, american samoa

100
Q

Free association examples

A

cook islands & niue (NZ)

palau, marshall islands