Up to Midterm Exam Flashcards
Sociological Imagination
C. Wright Mills
Understand your biography
understand your place in social structure
understand your place in history
Rudolph Virchow
1847 Biologist
Noticed social and economic conditions associated with typhus fever
Lobbied to improve public health conditions
Stated that medicine was a Social Science not biological reductionism
—– is a subfield of sociology
Medical sociology
Emile Durkheim
France (1858-1917)
Father of Sociology
Proponent of functionalism and empiricism
(society was so be studied)
Karl Marx
Germany/England (1818-1893)
Conflict theory
society is changed through class conflict
Max Weber
Germany (1864-1920)
Science of Social action and Interpretive Sociology
humans attach to actions and the use of historical comparative analysis
regulations associated with modern society
Erving Goffman
US 1922-1982 "institutional control" assylum guy Symbolic Interactionism Life is theatre that we must act in to get along. Break that and it gets weird. Interaction rule and stigma
Symbolic Interactionism
emphasized the linguistic and gestural communication and its subjective understanding
1900-1940’s Foundational Work
Social Survey Research Develops
- Focus on health and living conditions
- Sociologists worked in charitable organizations
Parsons
1939
sick role
wrote about medical professions
1950’s-1960’s Medical Sociology
Government and private funding of basic research
National Institute of Mental health
ASA ( American sociological association)
Section membership
JHSB Journal of Health and Social Behavior (official ASA journal)
Two Roles for a sociologist interested in medicine
Sociology of medicine (microcosm of society) (race and ethnic relations between patients and doctors)
Sociology in Medicine (applied research) Manocchia
Scientific Method
- Define the issue or problem
- Cite the literature and theory for how it has been studied to date
- Imply theoretical framework and new ground
- Propose hypotheses
- Gather data and test hypotheses (observations)
- analyze data
- Make generalizations from the results
- Comment on expansion in the field
Wheel of research
Define the issue—Literature&theory—-hypothesis—–observation–analyze data—generalizations
Sociological Methods
Survey research Content analysis Observational Research --direct observation --participant observation Experimental research Use of existing statistics
Functionalism
Durkheim
Macro
society is a system of interrelated parts
it works by maintaining equilibrium
Institutions like medicine function to serve society
Conflict Theory
Marx/Weber
Macro
Society is different groups that struggle to obtain resources
It works by conflict causing change
Institutions like medicine are built and supported by the powerful to maintain power
Interpretive Sociology
Weber
Macro and Micro
Society is dominant Groups that assert authority over others
It works by authority differing over time
Institutions like medicine reflect the type of authority in society
Symbolic Interactionalism
Weber Mead Blumer Goffman
Micro
Society is people attaching symbolic meaning to situations
It works by sharing meanings evolving over time
Institutions like medicine our shared meanings create agreement on their being in use
Sociological Explanation of the History of Medicine
who- actors/authority/power/class in society
what - organizational arrangements and technological advancements
where - society, culture and nations
when - historical political economic and social context
why - implications of development ob society - social change
Trephination
drilling a hole in their head
Shaman
1st physician
Intermediary between gods and the sick
Imhotep
first physician of Egypt (2655-2600 BC)
Papyrus Ebers
documents
rule medicine: remedies, incantations, and surgical techniques (1550 BC)
Code of Hammurabi
document
1st set of medical guidelines found in Mesopotamia
Ancient Societies: India
Theoretical approach
Vedic medicine: up-to 800 B.C.
magical practices to treat disease
Brahamanistic: 800-1000 B.C.
known for producing medical writings
The body had three forces: air phlegm and spirit
Sophisticated surgical practices: reconstructive surgery, extraction of cataracts and dental surgery without anesthesia
Ancient Societies: Greece
Apollo Sun God: God of health and medicine
Apollo’s son Aesculapius: Greek god of health
Asklepieia were created for physicians and healers/priests to practice (first known medical center in the world that we know of)
Hippocrates**
460-370 BC
known as the Father of Medicine
Humoral Theory of Disease
-Blood, yellow and black bile, phlegm
– Keep these in balance: diet and activity
- keep it all in check and you’ll be good
-taught compassion and ethical treatment associated with medicine (Do no harm, explain what’s going to happen, patients choice)
Ancient Societies: Rome
735BC-475AD
Asclepiades (124 or 129-40 B.C.)
Pore Theory of Disease: very popular (took the humoral theory and put it all together)
Restore harmony based on diet, exercise and bathing
Major contribution to Public Health
Convinced Julius Caesar to release Greek slave doctors in 46 BC
Galen: Greek physician (124-199AD)
Followed Hippocratic medicine, was a prolific writer
huge anatomy contributions and contributions to circulatory and surgical knowledge
anatomy contributions using animals vs. humans (his theories were uncontested until 1600AD)
Believed in Pneuma: spirits circulated the body
Medieval Period
500-1500AD
Monastic Medicine
– medicine controlled by early christian church
– disease tested one’s faith: Gods punishment
– Disease had patron saints
– religious causes and religious cures
Secular healers condemned but used
Arabic Medicine
- Built teaching hospitals
- prestige given to physicians
- link between greek and renaissance medicine
Avicenna
980-1076 AD
– Canon of Medicine is known for the discovery of contagious diseases and sexually transmitted diseases, the introduction of quarantine to limit the spread of infectious diseases, the introduction of experimental medicine and clinical trials
Scholastic Medicine
1130 AD church forbade monks practicing medicine
Secular clergy and universities developed to teach medicine
Bubonic plague killed millions in Europe
The Black Death
estimated to have killed 30 to 60 percent of Europes population, reducing the population by 25-50 million people
Ancient Societies: China
Cosmetic theory of the Ring and Yang: maintaining the balance in the body is the goal
Nei Ching
wrote 1st canon of internal medicine in China
Wang Shuhe wrote the Pulse Classic where…
obstruction of balance can be detected through pulse of observation
Compendium of materials Medica
1500s AD Great Pharmacopoeia: a pharmaceutical text written my Li Shizhen during the ming dynasty that has 53 volumes (plants, animals, materials, with medicinal properties)
Hydrotherapy
Take cold baths for fever
Acupuncture
Needles will affect distribution of Yin and Yang
Renaissance Medicine (1500-1600)
Andreas Vesalius (1514-1564) --- refuted Galen's ideas about anatomy --- Brussels doctor banned from Medicine Paracelsus (1493-1541) -- Critiqued hippocrates humoral theory -- god revealed medical truths -- focused on astrology and apothecary therapy
Apothecaries
dispenses theraputic agents
Scientific Medicine 1600s
Bacon: natural explanation of ideas Descartes: laid basis for a science of physiology William Harvey 1578-1657 --circulation of blood in the body --proved through experiments -- proved heart pumped blood
1700’s: Age of Enlightenment
Modern concept of pathology: disease causation
Giovanni Batista Morgagni (1682-1771) anatomical concept of disease to specific physical pathology or disturbance of organs
Emergency of Public Health and Preventative Medicine
– focus on unsanitary conditions
– Smallpox Prevention: Edward Jenner (1749-1823) Inoculated people against the disease using cowpox
1800’s: Recognition of Social Problems and Societal Health Impacts
Inventions led to industrial England and Europe then US Social problems and Birth of Sociology -- urbanization/overcrowding -- poverty -- sanitation: food and water
1800’s: Key Medical Developments
Cell theory: every living cell comes from another living cell (from R. Virchow)
Germ Theory of Disease
– Louis Pasteur (1822-1895) significance of micro-organisms and spread of disease
Robert Koch (1843-1910) furthered the work of Pasteur and discovered bacteria for anthrax and tuberculosis
Progress in Surgery
– localize nature of disease
– ability to control pain
– ability to prevent infection
Medicine in America
Cotton Mather (1664-1728) reverend, focused anatomy and had his role in the Salem Witch Trials and vaccination in Boston
U Penn Hospital: 1751 and first college in 1765
My first to license medicine 1760
Four med schools in US 1800: Penn Columbia Harvard and Dartmouth
Benjamin Rush: signed dec of independence
- -wrote about medical observations
- -help understanding of yellow fever
- -treated addiction and alcoholism
- -Father of American Psychiatry
Ascent of Medical Authority in US
Clara Barton (American Red Cross)
Lister: Anti-Septic carbolic Acid to assist surgery 1867
Roentgen’s Xray discoveries 1890
Discovery of The Germ Theory
Flexner Report in 1910
– AMA gains oversight of training (council of medical education)
More theory: Ascent of Medical authority in US
Paul Starr PhD, Sociologist (Weberian view)
- wrote the social transformation of American Medicine
- -Medicine evolved as science evolved
Vincente Navarro, MD (Marxist view)
- certain class of people are the powerful
- those in medicine rose to the top individually and through corporations because they are the dominant class in society
- group decides where to spend medical resources
Official sub divisions
ASA
Funding
social survey research
Bloodletting
purposefully draining someones blood
part of the reason why GW died
Egypt
Had specialists like modern science
Rod of Aesculapius
Serpent and staff Serpent meaning- shedding of skin (renewal) how physicians deal with life and death medical remedies can both help and hurt Staff meaning- priestish resurrection and healing walking stick for traveling physicans
1800s: Recognition of Social Problems
Inventions led to Industrial Revolution
• First in England and Europe then innovation spread to the United States
• Social Problems and Birth of Sociology
Urbanization / Overcrowding
– Poverty
– Sanitation: the health consequences of clean water and safe food
1800s: Key Medical Developments
Cell theory
every living cell comes from another living cell
Germ Theory of Disease
– Louis Pasteur (1822-1895): significance of
micro-organisms and the spread of disease
– Robert Koch (1843-1910): furthered the work of Pasteur and discovered bacteria for anthrax and tuberculosis
Progress in Surgery (1800’s)
– Localized nature of disease – Ability to control pain
– Ability to prevent infection
Medicine in America
– Cotton Mather (1663-1728): reverend, focused on anatomy and had his role in the Salem Witch Trials
First Institutions of Medicine in America
• U Penn Hosp: 1751 and first college 1765 • NY first to license medicine 1760
– Benjamin Rush
(1746-1813): signed Dec. of Independence • wrote about medical observations
• help understanding of yellow fever
• treated addiction and alcoholism
– Father of American Psychiatry
– Thomsonianism
(S.Thompson 1769-1843)
• disease from insufficient heat
– Homeopathy
(S.Hahneman1755-1843)
• cure spirits in the body through drugs
– Clara Barton (American Red Cross)
Civil War: triage and treatment on mass scale
Driven by science resulting in medical advances
– Lister: Anti-Septic Carbolic Acid assist surgery 1867
– Roentgen’s X-ray discoveries 1890s
• First Nobel Prize in Physics`
Ascent of Medical Authority in US
• Flexner Report in 1910 (dude who checked up on med schools progress)
– AMA gains oversight of training
• Council on Medical Education
• Paul Starr, PhD, Sociologist
Wrote the Social Transformation of American Medicine
(1983)
• Medicine evolved as science evolved
• Gain of professional authority in society
• They gained cultural authority over time to influence
economic and political power as the public agreed to
• Vincente Navarro, MD
• A certain class of people are the powerful • Those in medicine rose to the top individually and through corporations because they are the dominant class in society • This is why medicine does not focus on key problems all the time – this group decides where to spend medical resources
Social Epidemiology I
• Focuses on causes and distribution of diseases and impairments within pops