Health Psych Final

Front 1

Patient Consumerism

Back 1

extra knowledge outside of doctor’s office; patients can look up information on the internet (WebMD, etc), this has pros(increased knowledge)/cons(undermines doctor)

Front 2

Advertising

Back 2

ads in doctors office, relationship with certain companies (will promote certain brands over others), patients become exposed to medication info (tv ads) and can then ask about them as treatment options

Front 3

Managed Care

Back 3

insurance company & doc relationship- gives the doctor incentive to make visits shorter, encourage patients to take certain tests and discourage them from taking others (esp if they are expensive)

Front 4

emerging technologies

Back 4

patients have to go to different offices for different tests. Its hard because the patient interacts with several health providers (nurses, techs, receptionists) but its helpful for the doctor to be able to look at the results and figure out whats going on without having to discuss it with the patient in great detail

Front 5

occupational segregation

Back 5

because the patient talks to so many people, info can fall through the cracks especially if there is a lack of communication. But technology can help-ex. pharmacists have access to the list of all the medications you are taking and will be aware if there is any dangerous medicine interaction

Front 6

conflicting goals

Back 6

patients have to go to different offices for different tests. Its hard because the patient interacts with several health providers (nurses, techs, receptionists) but its helpful for the doctor to be able to look at the results and figure out whats going on without having to discuss it with the patient in great detail

Front 7

desire for info. study (ludwik)

Back 7

high high information seekers- who were shown an 8 minute video and were less anxious because they were comforted by the in depth education. Those who were shown a short video (3.5 min) were more anxious
Low info seekers- long (8 min) they were more anxious and short they were less anxious

Front 8

avoiding burnout study

Back 8

To avoid burnout:
switching off (how and when to stop being too invested in patient)
focus on other things in life aside from work (family, hobbies)
think about identity as a doctor (someone who saves lives, etc)

Front 9

Maslachs 3 components of provider burnout

Back 9

Emotional Exhaustion-you are no longer emotionally invested, you begin to zone out
Depersonalization
Emotional Distancing

Front 10

The Sick Role

Back 10

· Expectations (Rights)-these rights are NOT always granted
o Exempt from normal social roles-not obligated to do certain everyday things, but with these rights there are also responsibilities (you MUST make the effort to get better)
o Not held responsible for condition
o Has the right to be taken care of
· Duties (Obligations)- you MUST take care of yourself
o Exemptions are temporary and condition upon attempts to “get well”
o Sick person must seek competent help and participate in recovery
· Vulnerability and Deviance

Front 11

illness as identity threat

Back 11

1)illness becomes a part of who I am
2) persons identity is eclipsed by illness (more positive)
3) self has been lost due to the illness (negative)
4)self worth tied to illness

Front 12

risk factor

Back 12

variable associated with increased risk of disease/infection (not using a condom)

Front 13

risk taking

Back 13

engaging in risky behavior with harmful consequences

Front 14

biological based theories of risk-taking

Back 14

Hormones & puberty- onset of puberty, increased levels of testosterone
Brain-doesn’t catch up as fast as hormones; not as developed

Front 15

driving video game study

Back 15

young adults had to make quick decisions not to crash

Front 16

psychologically based theories of risk-taking

Back 16

Cognition-adolescents are optimistically biased
Personality- sensation seeking characteristics
Disposition- self-esteem, depression, locus of control

Front 17

environmentally based theories of risk-taking

Back 17

Family- parental modeling and monitoring
Peers- greater influence than parents on adolescent risk
Society

Front 18

levels of intervention

Back 18

Individual- addresses psychological factors (i.e. self-esteem)
· Community- systems intervention; (i.e. sex ed)
· Group
· Structural

Front 19

challenges for sexual health research

Back 19

Funding- political (if funding is cut so is the research)
Societal Norms Around Sex- difficult for people to discuss. If people are willing to discuss we have to understand that they vary psychologically from those not willing to discuss
Social Desirability-participants might lie about behavior; difficult to perceive who wants to be perceived in what way
Research with Adolescents- its important to get to people before the habit develops

Front 20

missing discourse of desire

Back 20

study by Michelle Fine, when we discuss sex we don’t really talk about desire. Sexuality develops and we don’t know how to deal with overwhelming desire

Front 21

3 types of work

Back 21

Illness work (symptoms and treatment)- work directly related to the illness (i.e. administering meds, doctor appointments etc.)
Everyday life work (adaptation and adjustment)- household chores and responsibilities (errands, caring for children etc. )
Biographical work (reconceptualization of self and relationships)- preserving the ill individuals self (who they were before the illness, and making sure they aren’t known as this “sick” person)

Front 22

caregiving burden

Back 22

Caregiving goes beyond tasks- it becomes a lifestyle and part of your everyday routine
Strain of emotional labor- it can become too much for you to handle and takes a psychological toll on you
Caregiving as Identity Threat- can negatively impact everyday aspects of life (you start to fall behind in what you otherwise wouldn’t have before you became a caregiver)

Front 23

goals of caregiving

Back 23

Identifying what is best for the patient
Conflict between patients’ needs and caregiver needs

Front 24

institutionalization of caregiving

Back 24

Infantilization- treating the ill person like an infant
· Directives- telling and commanding them what to do (things related to illness)
· Deception- making them believe things about illness that aren’t true or hiding important information related to the illness about them
· Coercion
o Distraction
o Behavior Modification
· Pharmacological restraint

Front 25

biopsychosocial model

Back 25

health and illness comes as a result of the interaction between psychological, social and biological factors

Front 26

health psychology

Back 26

scientific study of psychological, social and behavioral aspects of health and illness

Front 27

4 goals of health psych

Back 27

(1) understand reason, promotion and maintenance of health
(2) prevent, treat, diagnose and rehabilitate physical and mental illness
(3) study psychological, social , emotional and behavioral factors in physical and mental illness
(4)*most controversial*-improve health care system and policy