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28 Cards in this Set

  • Front
  • Back

Patterns of disease and death in the 21st century

infectious VS chronic


escalating costs of medical care

infectious diseases

acute illnesses caused by harmful matter or microorganisms (bacteria/viruses)

chronic illness

- degenerative illnesses that develop or persist over a long period of time (HD, cancer, stroke)



what is the leading cause of deaths now in the 21st century? WHY

- chronic


1. ppl live longer and chronic affects older ages


2. growth of industrializstion = increased stress

reasons for escalating costs of medical care

- lifestyles contribute to health probs


- public and private health insurance programs bear this burden

what is health according to WHO and when was it established

1948 - its a complete state of physical, social, and mental well being not just the absence of illness/injury

what is the wellness/illness continuum

- health and illness are related concepts where there is death at one end and optimal health at the other


- its based on physical conditions (blood pressure) and lifestyle (amount of exercise)

The biomedical model


- what is it



- includes the genetic materials and processes by which we inherit characteristics from out parents


- includes the function and structure of someones physiology


- its the dominant paradigm of the medical profession



what are the 3 characteristics of the biomedical model

reductionistic


single factor


mechanistic



reductionistic

- illness if caused by biochemical imbalances -and/or neurophysiological abnormalities


- everything is reduced to its biological component (helps give a treatment)

single-factor

- only biological factors are considered


- mind and body are separate components and the mind doesnt play an important role in disease

mechanistic

body is like a machine thats fixed by replacing or removing the ailing part or destroying the foreign body thats causing the prob

problems w the biomedical model

- doesnt account for everything


- ppl w the same illness have diff progressions


- hypertension and depression rated are not identical in monozygotic twins



evolving views of diseases

- anatomical pathology (16th - 18th century)


- tissue pathology (late 18th century)


- cellular pathology (19th century)


- germ theory (19th century)



anatomical pathology

- 16th-18th century


- disease is localised in anatomy


- autopsies showed that change in organ = related to symptoms of illness


- Galen: discovered illnesses could be localized



tissue pathology

- late 18th century


- specific tissues could become diseased while others stay healthy (nearby)



cellular pathology

- 19th century


- life resides in cells and so cells must be the place to look for disease


- disease seen as the cells response to abnormal stimuli leading to cell malfunction/malnourishment leading to cell death

germ theory

- 19th century


- there are particles in the air that cannot be seen that cab cause disease


- began w the work of louis pasteur w his discovery of vaccines (immunity = exposure to small amounts of bacteria)



The biopsychosocial model

- the favoured paradigm of health psychology


- proposes that all 3 factors affect and are affected by the persons health



biopsychosocial model can be characterised as:

- multidimensional = has bio, psycho, social influences


- a general systems model = they all interact to create the important act of play


- intuitive = its common sense, youll look at lived exp's to see which phenomena was affected (ex. person dying shortly after their partner dies)



psychological component of the biopsychosocial model

- behaviors = things that ppl could do to help (exercise)


- emotions = subjective feeling that affects and is affected by our thoughts, behaviours and physio (happier ppl are less disease-prone, more likely to take care of their health, recover faster from illness)


- cognitions = ppls thoughts and how they think of things (thinking of stress as good or bad)


- personality = stable and enduring pattern of thinking, doing and behaving)



the biopsychosocial model (interplay of world and person)

[world (social factors): society community family <->


[ the person (psych factors - exp and behavior): cognitionn emotion motivation


<->


[bio factors (genetics and physio): organs tissues cells]]]

Biopsychosocial Framework

approach used to describe and explain how bio, psycho, social factors combine and interact to influence physical and mental health

(3 ) clinical implications of the biopsychosocial model

- an interdisciplinary team approach to assessment and diagnosis


- prevention and treatment efforts should consider all 3 factors


- acknowledgement of the benefits of the patient-practitioner relationship can improve treatment

health psychology

study of behavioral, cognitive, emotional factors that influence the:


- maintenance of health


- development of illness and disease


- course of illness or disease


- patients and fams response to the illness/disease



health psychologists may work in

private practices (specific) or hospitals (general)

ImportantContributions of Psychology to Health

- Reliableand valid assessment techniques


- Commitmentto keeping people healthy rather than treating them when they become ill.


- Solidfoundation of scientific methods for studying health-related behaviours.


- Evidence-basedstrategies for changing behaviours that affect health and illness.

health psych research

- stress & immune function : stressed immune system = V NKC activity = ^ viruses


- Mindfulness and meditation-based stress reduction and psoriasis: mindfulness = ^ recovery


- group therapy & breast cancer: psychotherapy = lived longer