Social Final Flashcards
What is anthropology?
The study of human behaviour
Try to study and understand why ppl do what they do and what it means to them.
Study of what it is meant to be human.
Look at human culture and society.
What is occupational science?
- The systemic study of the human as an occupational being
- Guides consideration of the “form, function, meaning, and sociocultural and historical contexts of occupation.
Function is the why we do it. What is it achieving?
- Emphasis on the ability of humans throughout the lifespan to actively pursue and orchestrate occupations
What do occupations mean at different times and places and how can that change?
What are some questions that guide occupational science?
- What does the occupation mean? For whom?
- What is the experience of the occupation?
- What does the occupation help one to achieve? From whose perspective?
- Desires, abilities, pressures, expectations, values, outcomes, benefits, privileges, risks…
Western and UBC definitions of occupational science
Western - provides an interdisciplinary perspective on the complexities of human occupation and its contribution to health and well-being of individuals, communities and societies.
UBC - Occupational scientists study ways of measuring participation, develop new and innovative methods of intervention to help individuals engage in activities, and examine the impact of participation on an individual’s health and well-being
Purpose of the field is about the complexities of human occupation. Some branches are on measuring occupation.
What is society?
Life organized
- Collective ways of thinking about ways of doing and what we expect based on geographic location
- Large group of ppl who live together in an organized way, making decisions about how to do thinks and sharing the work that needs to be done.
- Enduring and cooperating social group whose members have developed organized patterns of relationships through interaction with one another
Collective ways of doing things.
Through societies we organize our relationships. Ppl have shared expectations about what is going to happen. In some societies making eye contact is perceived as being rude.
Cultures do morph and change and so do expectations in society. Some of the norms in society is due to culture but it also varies and changes.
How is society created and shaped?
Humanly created organization or system of interrelationships
- Dynamic process - shape and are shaped; enable or constrain actions
- Individually shaped, but often experienced as something broader than individuals and interactions.
Like culture, is humanly created. Is about how the relationships occur and happen but not as much about what we celebrate.
Everybody’s role in society helps to maintain it or change it.
Shaped by everyone’s behavior in that collective society.
Tend to experience society more so on a one on one level, even though we can see the collective (large group)
What is culture?
Traditions, customs, values, and innovations that govern behaviour and beliefs. Multiple cultures.
- Set of traditions, symbols, expectations, behaviours, “rules”
- Nurture NOT nature - passed down from one generation to another
- Learned behaviour as distinct from instinctual
- Distinguishes one society from another
- Language, values, expectations, behaviours and norms
- Always changing
Society is how we are organized and interact but this is more about the meaning and how we do it.
We learn culture from the moment we are born - not genetically in you.
Way that we speak, words that we use can reflect our culture.
In a lot of western cultures have a high level of independence.
Many cultures in a society and people can be a part of several
E.g., religious culture, school or work, family cultures.
Doesn’t matter what your culture is you are expected to act with the norms of that society and potentially of that culture.
Can be challenges to the historical way of doing things that change dominant culture.
Culture has a normative aspect to it that does suggest the way of acting, being and doing.
What is the historical aspect of culture?
Social heritage, traditions, customs passed on to future generations.
What is the behavioural aspect of culture?
Culture is shared, learned human behaviour, a way of life
What is the normative aspect of culture?
Culture comprises ideals, values, or “rules” for living
What is the functional aspect of culture?
Culture is the way humans solve problems of adapting to the environment or living together
e.g., at holidays is the expectation everyone brings their own dish and that helps people collectively celebrate.
What is the mental aspect of culture?
Culture is a complex of ideas, or learned habits, that inhibit impulses and distinguish people from animals.
What is the structural/symbolic aspect of culture?
Culture consists of patterned and interrelated ideas, symbols, or behaviours.
What is ethnocentrism?
Belief that “our” culture is better, natural, right, the only way to live
Other cultures and societies are viewed from the point of view of one’s own values and beliefs.
- Believes our culture and values are the best, so anyone with different beliefs aren’t as good. E.g., residential schools
What is cultural relativism?
Every culture has to be seen on its own terms, can’t judge others
The perspective that perspectives, behaviours and values should be considered based on a person’s culture and not be judged using the criteria of others
Relativism - don’t judge people (if it works for them great) and what they do in terms of our culture, rather in terms of their own. Can be problematic b/c some practices will NOT align with your moral views. Implies you can’t make moral judgements.
What is organizational culture?
Shared values, beliefs, expectations and daily experiences among members of an organization.
- Emerges through interactions, shapes, experiences, defines how members act, think and behave.
- Can be “unspoken” or explicit
- Can be critical to health, wellbeing and safety
- Organizational culture can erode someone’s sense of self.
What are social determinants of health?
Forces that affect someone’s ability to reach health/well-being
We are not solely responsible for achieving our own health
Living conditions are more or as responsible for our health than medical services and lifestyle choices
The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries
What are proximal determinants of health (Indigenous peoples)? Examples
The most obvious and direct
-Early childhood development, income, social status, education, working conditions
Proximal – lack of safe drinking water, family culture (e.g., sole parent family, multi-generational, housing conditions).
What are intermediate determinants of health (Indigenous peoples)? Examples
Systems that connect proximal and distal determinants
- Systems like health care, education, justice, labour markets, kinship networks, language, ceremonies
Intermediate – ceremony, language
What are distal determinants of health (Indigenous peoples)? Examples
Deeply embedded historical, political, ideological, economic, social foundations
Distal: Indian Act, Residential Schools
Colonialism, bias and stigma (emerges in many ways in some of the longstanding pieces).
What does the natural environment affect?
- Health directly
- Indirectly affect social factors that are determinants of health
Direct effect – quality of air and water
Environment we are exposed to is impacted by social factors.
What are ecological determinants of health?
Climate Change
Ecotoxicity
Resource depletion
Species Extinction
Ocean health
Many ecological determinants intersect with human-made challenges
Is environment a social determinant of health?
Idea of one health – if we make the environment a social DOH we make it about us instead of the environment
The health of the earth/planet is a key determinant in itself – not just b/c we need it.
It’s probably both. We are attuned to the environment, the natural as well as physical.
What are the determinants of health (17)?
- Income/Income distribution
- Education
- Unemployment/Job Security
- Employment and Working Conditions
- Early Childhood Development
- Food Insecurity
- Housing
- Social Exclusion
- Social Safety Net
- Health Services
- Geography
- Disability
- Indigenous Ancestry
- Gender
- Immigration
- Race
- Globalization
Income SDH
- Income associated with mental health (low income have poorer outcomes)
- Income is associated with physical health (lower income associated with diabetes)
- Consider pervasive and systemic poverty - a lack of opportunity and social capital
Education SDH
- A positive (self-rated) health effect for education was detected in a Canadian study focusing on changes in School Leaving Age (SLA) laws
- Education (less than high school) is associated with fair or poor self rated health (6.39 and 4.87 times more likely than post graduate education in women and men respectively)
Unemployment SDH
- Prevalence of poor self-rated health is consistently higher in people unemployed (10.8% - 14.6%) compared to people who are employed (~5.6-6.0%)
- Provincial unemployment rates positively associated with rates of depression
Varies what comes first….
Hard to maintain a job when you are homeless or housing insecure. Homeless shelter is not usually conducive to being able to maintain a job.
Employment & Working Conditions SDH
- Temporary foreign workers face inequities that affect their mental health, occupational hazard exposure, and challenges accessing health services
- Workers reporting psychosocial job stressors reported higher probably of burnout, stress and cognitive strain
- Health and Safety and labour laws
-Foreign workers are often here without their families, live in aggregate living.
-There is a clear link between job stressors and burnout.
-These workers work in conditions they know aren’t safe but they don’t have a lot of options.
Early Childhood Development SDH
- Family, neighborhood and community SES is linked to early child development outcomes.
- World Health Organization: early childhood development strongly linked to other determinants of health
Factors that impact ppl’s well-being in early childhood have longer term implications for their health.
How impacted early child development is by income, education, etc. have implications on opportunities given to children in early lives which impacts their capacity for health and well being later on.
Access to quality child care is another thing. Difference in provinces and rural urban – want affordable and high quality.
Food Insecurity SDH
- People with food insecurity face higher mortality rates (2.31 greater likelihood of death for severely food insecure individuals) compared to people who are feed secure
- Food insecurity is affected by geography (province or territory), household income, source of household income, education, household structure, etc
- Food insecurity is affected by geo (province vs. territory, rural vs urban, household structures, income and education)
- Foodbanks were created for a stop gap but have become staple in our communities.
Housing SDH
- Housing needs classified as inadequate, unsuitable (crowded), unaffordable, unacceptable, core housing need; ~1/3 of Canadian households live in housing need
- Homelessness contributes to poor health outcomes in numerous ways
Social Exclusion SDH
Social exclusion: the inability to participate fully in society
- High social exclusion associated with adverse mental health outcomes across EU and OECD countries
- Social exclusion – could be idea of stigma. It’s when ppl aren’t able to participate. High social exclusion (e.g., ppl who are just out of incarceration or serious mental illness, disabilities) is associated with adverse mental health outcomes.
Social Safety Network SDH
- Accessing income support
- Denial by design
- ID, paperwork as barrier
- We think about things like accessing income support – not always easy and some components of the system to apply for Ontario works (ODSP) is so fraught it feels like it is designed to deny not support.
- Need ID so if homeless or a refugee is hard to get ID you need to fill out paperwork, requires literacy ppl don’t have
Less than 25% of what their previous salary was is the benefit ppl get in Canada.
On average, benefits we give in Canada is less than 20% of what is considered minimum to live.
Access to Health Services SDH
- Most striking for vulnerable populations
- Lack of primary care / limits to chronic disease supports
- Immigrant families face systemic barriers in accessing healthcare and navigating systems
Geography SDH
- Physical Environmental factors (e.g., pollution, density, neighbourhoods, winter weather) may affect health significantly
-Rural / remote / Northern locations affect access to other factors that affect health (food, education, housing).
-Green space is associated with positive environmental outcomes (air quality, flood mitigation), and improvements in human health
Disability SDH
- People with disabilities have 2-3 times rate of unmet health care needs compared to people without disabilities
-Children with a disability are more likely to grow up in families with lower SES
Have higher unmet needs for health care than those without.
Reciprocal relationship between child with disability and SES – might cost more and ppl make sacrifices, but ppl who live in poverty are also more likely to have children with health challenges.
Public spending on incapacity – disability benefits and workplace injury benefits. Canada is low in the % of GDP we spend (less than 1%).
People live without devices they might benefit from
Indigenous Ancestry SDH
-Unique stressors
-Socio-political, historical context of colonization
-Inter-generational trauma
-Systemic racism & discrimination
-Economic disadvantage
-Substandard housing conditions, water issues
-Food insecurity in remote regions
-Limited access to healthcare services
-Consider diversity within/across communities
There are so many factors that affect the health/well-being of Indigenous peoples calling it indigenous ancestry as a DOH might be minimizing.
Data supports ppl who are first nations/Metis face inequities that affect health outcomes when compared to non-indigenous people.
The uniqueness of stressors is part of the reason it’s separate from race.
It’s not the genetics of male vs female for example that is the contributor, it’s how societies understand people and difference and how power over has implications on people’s health.
Gender SDH
Sex does NOT equal gender
-Women tend to make lower wages than men, creating inequities that affect health
-Health conditions vary based on gender (e.g., suicide rates, cardiovascular conditions etc.)
-Folks who are transgender – more discrimination, depression, difficulties accessing care.
Males have higher suicide rates
Immigration SDH
-Lack of immigration status contributes to stigmatization, criminalization, fear of deportation, healthcare avoidance / tenuous employment
-Healthy immigrant effect: health status of immigrants declines over time once people arrive in Canada
-Immigration status intersects with other determinants of health (race, country of origin, gender, education, geography, time since immigration, stress)
When ppl arrive in Canada as immigrants their self-reported health status is better than the average Canadian, but it declines over time once people arrive. Can be related to social isolation, stigma, income, employment factors. All determinants are overlapping. Immigration status intersects with other DOH. Once ppl come to Canada where do they move to? This has implications. Time since immigration is a factor on the healthy immigration effect.
Race and SDH
-Race and racism contribute to health disparities in Canada, and are experienced as structural and interpersonal discrimination
-People who are Black and Indigenous report twice the odds of being treated with less courtesy and respect than others; reporting frequent discrimination associated with 68% higher odds of having a chronic condition
-Over 50% of people of colour households in Canada live in homes which are not affordable, inadequate, and unsuitable compared to 28% of non-racialized households
Globalization SDH
-Trade, investment liberalization has benefited wealthy countries (largely at the expense of other countries)
-Asymmetrical distribution of power and resources may increase healthy inequity in some communities
-COVID demonstrated challenges with governance, implementation of globalization principles
-Considering “glocal” issues – the interplay between and global and local factors (what issues re SDH should be addressed in our own country? How can we decolonize approaches to global health?)
Globalization is often reported as the idea of a rising tide lifts all boats. There is a POV put forward that when there is increased globalization it improves economy everywhere but the truth is rich countries got richer and largely at the expense of poorer and medium class countries
Some countries poor are as rich as other countries rich.
What ppl said should happen in terms of covid – countries hoarded their resources. Globalization maybe isn’t so global.
Glocal – when we think
about DOH, we need to think about global and local issues. What issues should be addressed in our own country and how can we think about decolonizing global health. Rich countries want to come in and improve health in countries that are lower resources (patronizing and can be seen as power over rather than power sharing). Glocal encourages us to think on multiple levels.
DOH and occupation
Is occupation a determinant of health? OR
Are determinants of health factors affecting occupational participation? OR
Can occupation be both a determinant of health AND an outcome affected by SDH?
Some occupations that are not helpful (smoking, drug use) could be a DOH. Occupation relates to working conditions and social inclusion.
We know someone’s education affects occupations in which they are able to engage (more opportunities). Occupational participation also affects occupational participation.
Can think of the SDOH in terms of occupation – a lot of them affect occupation
Can be a DOH. Does engaging in meaningful occupation influence your health. Yes. Is also impacted by health. There are inequities in people’s opportunities for occupation. Is also occupational deprivation.
Is occupation a DOH? Yes. Is it impacted by social and env DOH? Yes.
What are the 8 ways to address barriers of SDOH?
- Remove funding barriers
- Adopt a One System approach
- Shift power dynamics
-Rebalance the focus - Listen to what matters
- Collect the right data
- Harness collective action
- Mobilize knowledge
One system approach – although we have social, health and education systems in the country they intersect. Even in health we have primary, emergency, acute care but if we could think of these as one system then we would be better off.
What can OTs do to respond to determinants of health?
Client as Community
Population health and Health promotion models
- Ottawa Charter for Health Promotion and DoLiveWell
Advocacy in partnership with communities / groups
Thinking about the community as your client can be a useful way to think about what you might do to address DOH in a community.
Ottawa Charter – an international document. A model that helps ppl think about the determinants of health and how it can improve health in communities. Not just talking about health services, building health public policy, community infrastructure that supports health and well-being.
DoLiveWell – framework developed by OTs. A population health, health promotion framework with an occupation lens. Idea is what you do everyday matters. Highlights importance of thinking about occupation as a DOH.
Advocacy with not for
What is psych?
New science - most advances in the last 150 years.
Study of the mind and behaviour
Philosophical roots
Memory, free will, nature vs. nurture, attraction
What are the 4 goals of psych?
Describe…
Explain…
Predict…
Change…
…Human Behaviour
Where do we see psych?
Media/advertisement
Communication
Leadership
Health behaviours
Politics
Clinically
What is behaviourism (general)?
-Watson
- Learning theory –> learning thru conditioning
-Learning is a long term change in behaviour that is based on experiences
- Stimulus (s) –> Behaviour (b)–> Response (r)
- E.g., Loud thunder –> fear –> shake/hide
- Behaviour viewed as a response to a particular stimulus
- Outcome: reinforce behaviours
Looks at behavior as it links to learning theory. Learning is a long term change. And behavior is based on continuous experiences
Connection to a stimulus in the env impacts your responses
Personality is individual but linked to environment (not focused on innate behavior)
Only concerned with observable stimulus that can be studied in observable ways
What are some underlying assumptions of behaviourism?
- All behaviour is learned from the environment
- At birth mind is blank slate
- Classical or operant conditioning - Psychology should be viewed as a science
- Theories: empirical data
- Observable and measurable variables
- Behaviour = purely objective
- Goal = predict/control behaviour - Observable behaviour is key
- Little difference between learning in humans and animals
- Behaviour results from stimulus-response
What is operant conditioning and who did it?
Skinner
Subject learns behaviour by associating it with consequences.
Voluntary behaviour changed through consequences (reinforcement or punishment)
What is classical conditioning and who did it?
Pavlov (dog study)
Classical conditioning is a type of learning in which a neutral stimulus comes to elicit a response after it is paired with a stimulus that naturally brings about that response
Subject learns to associate 2 unrelated stimuli with each other. Learning through association
Pairs natural stimulus with unconditioned stimulus to produce involuntary response.
After repeated pairings, neutral stimulus becomes conditioned stimulus, triggering conditioned response.
E.g., a fear response - dentist
Generally is involuntary in nature.
What is methodological behaviourism?
-Watson (1913)
-Objective science of behaviour
- Predict and control behaviour
- No man vs animal behaviour difference
- Mind is blank at birth
Is more the roots of behaviorism
What is radical behaviourism?
- B.F. Skinner (1930s)
- Analyzes internal mental events in behaviour
- Organisms have innate behaviours (genes/biology)
Agreed goals between the 2 types of behaviorism - ability to observe/predict behavior but there is analysis of more internal mental states and that we do have innate behaviors (genes/bio comes into play)
Who are notable behaviourists?
Skinner, pavlov, Watson
Reinforcement vs punishment and what is it part of?
Operant conditioning
Reinforcement increases behaviour
- Positive = reward after behaviour
- Negative = removing something unwanted
Punishment discourages behaviour
Strengths of behaviourism and 2 things that came out of it?
Foundation of various evidence-based behavioural therapies:
1. Systematic desensitization - classical conditioning for anxiety (e.g., gradual exposure)
2. Aversion therapy - operant conditioning for substance misuse (e.g., alcohol + nausea-inducing meds)
Emphasizes objective, measurable experiments
Acknowledges environmental effects on behaviour (as it radicalized)
Experimental methods for causal relationships
Limitations of behaviourism
Does NOT account for individual personality traits or types
Nomothetic NOT idiographic: generalizes behaviours, lacks focus on unique individual patterns.
- Nomothetic - unable to be understood/described in terms of patterns
Idiographic - individual instances of a behaviour
Assumes behaviour is mainly learned by observation
Reductionist: simplifies complex phenomena, neglects cognitive and biological influences on behaviour
- Radical isn’t as reductionist
How has behaviourism shaped rehab?
Numerous therapy approaches e.g., behaviour modification
- Change problematic thoughts and behaviours
-Reinforce desired behaviours
Applied across environments to shape behaviour
- Education
- Relationships
- Aggression
Several mid range theories applied in rehab (e.g., social learning approach theory)
Experiments ++ to support theories and dissemination to clinical practice
What is temporal contiguity?
In classical conditioning
For associations to be made the two stimuli had to be presented close together in time.
What is psychodynamic theory (general)?
Between 1890s-1930s
Sigmund Freud
-Behaviour: driven by internal drives, especially unconscious, interactions and conflicts within one’s personality
Theories are clinically-derived
Applied to a range of human behaviours
- E.g., child development, abnormal psych, personality
Human behavior based on interaction between our drives and forces within a person. Unconscious aspects.
What are the basic assumptions of psychodynamic theory?
- All behaviour is DETERMINED and has a CAUSE
- Behaviour and feelings affected by UNCONSCIOUS MOTIVES
- Personality is made up of 3 parts: ID, EGO, and SUPER-EGO
- Adult BEHAVIOURS ROOTED IN CHILDHOOD EXPERIENCES
What did Freud believe?
Freud’s psychoanalysis –> Psychodynamic theory
-Goal: illuminate repressed thoughts & feelings to strengthen the ego
- Applied to child development, abnormal psychology and unique individual patterns
Revolutionary concepts:
-Most mental activity is unconscious
- Both conscious and unconscious motivations shape us
What are the 3 parts of the mind?
Id, Ego, Superego
Saw the ID as the rudimentary type of behavior that looks at your basic needs. Things that require immediate gratification. BASIC INSTINCTS. Leads to our pleasure principle. Instincts, devil, your wants in life.
Superego - pride and guilt, if you repress it you feel pride and if you don’t then you feel guilt . MORALS & VIRTUES. Morality, angel, you doing the right thing in life.
Ego - rational part of you. Driven by REALITY. Satisfying needs by balancing external and internal drives. Reality, human, your reality in life.
What part of the mind is conscious?
Ego
What are Freudian slips?
Small imbalances in egos could lead to Freudian slips
- Repressed unconscious urges surface through a “slip of the tongue”
E.g., you say to an overbearing relative “I’m so sad you’re here” (Id - primitive response) when you intended to say “I’m so glad you’re here (ego).
What are defence mechanisms?
Freud as well
Defence mechanisms: unhealthy or unconscious behaviours meant to bring down anxiety, resulting from power struggle between the egos
Examples include
- Denial
- Reaction formation
- Projection
- Repression
- Dissociation
- Regression
- Displacement
- Acceptance
What are the 5 stages of psychosexual development?
- Oral (0-1 (maybe 1.5)) - erogenous zone = mouth
- Anal (1-3) - erogenous zone = anus
- Phallic (3-6) - erogenous zone = genitals
- Latency (6-12) - erogenous zone = none
- Genital (12+) - erogenous zone = genitals
Explain the stages of psychosexual development.
-Tension from libido (sexual) buildup
- Pleasure from its release
- Developmental stages based on tension/pleasure dichotomy
- Maladaptive behaviours: failure to progress through stages through to adulthood (e.g., smoking)
- Id - produces pleasure seeking urges in erogenous zones –> drives psychosexual stages
- Stage transitions fuelled by libido and survival instincts
Attention that you are trying to fight and overcome and this tension comes from the libido and there is a buildup of it over time.
Goal is to experience pleasure or release from this tension
Maladaptive behaviors results from failing to progress through the stages.
Who are the names in psychodynamic theory?
- Freud
- Erickson
What did Erickson do?
8 stages of psychosocial development
- Proposed 8 predetermined stages of psychosocial development
- Each stage presents a psychosocial crisis impacting personality
- Outcomes can positively or negatively shape development
What are the 8 stages of psychosocial development and ages?
- Trust vs. mistrust (0-1.5)
- Autonomy vs. shame (1.5-3)
- Initiative vs guilt (3-5)
- Industry vs. inferiority (5-12)
- Identity vs role confusion (12-18)
- Intimacy vs isolation (18-40)
- Generativity vs stagnation (40-65)
- Ego integrity vs despite (65+)
What are the strengths of psychodynamic theory?
- Influenced theories like attachment & stages of development
- Emphasized importance of childhood mental health
- Bridged nature/nurture debate: e.g., adults personality combines innate drives & experiences
Limitations of psychodynamic theory
Freud
- Theory explains doesn’t predict behaviour: “unfalsifiable”
- Prone to confirmation bias
- Oversimplifies the mind: id, ego, superego, psychosexual stages
Psychodynamic approach:
- Neglects meditational processes (like thinking)
- Under-emphasized biological/genetic factors
- Overly deterministic, limits free will
- Case studies are subjective and hard to generalize
What is attachment theory?
Part of psychodynamic theory
Attachment: Bowlby viewed attachment as “a lasting connectedness between human beings” or an “emotional bond”
- Early attachment formed in infancy
- Attachments formed through repeated act of “attachment traditions” between child and caregiver (e.g., mother)
- Different attachment styles
Attachment theory part of Developmental psych, which falls under the umbrella of the grand theory of Psychodynamic theory
Freud attributed the development of attachment to the satisfaction of the child’s instinctual drives by the mother.