Modules 1&2 Flashcards
Who created the illness narratives?
Arthur Frank
Restitution narrative
Yesterday fine, today sick, tomorrow better. attractive story, uplifting (e.g pharmacy card)
chaos narrative
and then…and then…and then… whirlpool. (e.g homeless people recounts)
quest narratives
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)
testimonials
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)
pilgrimage
going to a far place to understand a familiar one better. A journey to find something. e.g Deaf mexicans
iceberg model of health order. by whomst?
Kleinman:
Professional
Folk (traditional)
Layman (no skills. majority from here)
anthropologist OF medicine
an anthropologist who looks at trends and society in order to improve the healthcare systems currently in place.
Håkanson & Öhlén 2016 topic
homeless people narratives
outcome of homeless people reading
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
Anne E. Pfister In Press topic
mexican deaf kids
outcome of deaf kids reading
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
predicament of disability (deaf kids)
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”.
contested diagnosis
a different opinion on whether someone is ill or not
nature of illness
illness is what we feel when we visit a doctor
disease
what you have when you leave the doctors
hierarchies of resort
order of who you seek relief of illness from (iceberg model)
health care pluralism
multiple sources of healthcare
health
ability to be sick and recover, and ability to continue living life with circumstances that become normal
Liggins 2018 topic
recovery vs healing
when is pain suffering?
when pain serves no useful purpose then it is suffering.
curing
physically getting rid of a disease
healing
mastering, overcoming suffering. regaining our voice is the basis of the mastery of suffering. changing mindset
suffering
a state of distress brought about by an actual or perceived threat to the integrity or existence of a person
relating the 3 stories to Liggins recovery reading
chaos - suffering
quest - journey to wellbeing
restitution - wellbeing, curing, healing
outcome of Liggins reading
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.
intersectionality
disadvantages/opportunities caused by gender, race, status, class etc. many people are disadvantaged by multiple sources. Is mainly a negative thing
Bhopal is an example of
structural suffering. local govts and business leaders are prepared to sacrifice the poor for economic investment.
structural suffering
seemingly caused by nobody and unavoidable
individual suffering defined through…
interpretive models of health
structural suffering explained through…
political economy approaches to health
Ellis L. topic
dwarfism
Ellis L outcome
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.
panopticon theory defintion
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)
disablism thoery
theory that disabled people are worth less than others
visual culture theory
where pleasure is sought by people with visual technology (e.g cameras taking photos of dwarves)
social model of disability
people are disabled by society not by their differences themselves
biopower
how social norms affect the way we think and feel. (how health knowledge affects us, having power over others)
group level example of biopower
gender bias in anotomy textbooks
individual level example of biopower
technologies of the self, how do you conform to
standards.