Medical Sociology Exam 2

Front 1

Commitment Mechanisms

Back 1

Kanter
1) Charisma (Weber)
2) Geographical Separation
3) Invasion of Privacy
4) Destruction of Private Property Rights
5) Use of Rituals

Front 2

Durkheim's Types of Suicide

Back 2

1) Egoistic = lonely
2) Altruistic = overwhelmed by social connections
3) Anomic = sudden
4) Fatalistic = hopeless

Front 3

Illness Career Model Stages and Paths

Back 3

1) Symptoms => General Objective Criteria => 2) Sick Role => Physician Legitimation => 3) Patient Role => Treatment => 4) Recovery

Front 4

Sick Role

Back 4

-Must be contingent and temporary

2 Rights
1) Role-Release
2) Non-Responsibility

2 Obligations
1) Undesirability
2) Help Seeking

Front 5

Practitioner Role

Back 5

1) Achievement Orientation
2) Functional Specificity
3) Affective Neutrality
3) Collectivity Orientation

Front 6

Malingering

Back 6

When you take on the rights of the sick role, but not the obligations

Front 7

2 Functions of the Ideal Type

Back 7

1) We can compare the ideal hopeful to the reality and see where problems lie.

2) We can use the ideal type to measure social change in terms of time.

Front 8

2 Resorts to Moral Explanation

Back 8

1) Severity (+)

2) Curability (-)

Front 9

Generalized Objective Criteria

Back 9

1) Lay Prognosis
2) Severity
3) Curability
3) Well-Role Expectations
4) Frequency of Occurence

Front 10

Social Filters of Pain

Back 10

1) Ethnicity
2) Social Class
3) Social Supports
4) Role Obligations

Front 11

Classic Study of Pain and Ethnicity

Back 11

-Zbrowski
-Neurological Pain
-Found clear patterns of difference in response to pain
-Fit common stereotypes

Front 12

Modern Study of Pain and Ethnicity***

Back 12

-Marbach and Lipton
-Facial Pain Clinic
-Brought Race into the Picture

Front 13

Wolff's Study

Back 13

-set out with the goal of disproving studies on the relationship between pain and ethnicity

-claimed that this relationship was spurious

-believed that the relationship was biological or genetic

-found that the relationship was SOCIOLOGICAL

Front 14

Illness Career Model Outcomes

Back 14

1) Enter the Sick Role
2) Return to Normal Roles
3) "Overshoot the Mark"
4) "Undershoot the Mark"

Front 15

Classic Study on Social Class and Illness

Back 15

- Koos
- subjects were upper, lower, and middle class
- asked whether or not certain symptoms would require a visit to a doctor
- medical utilization by upper class was much greater

Front 16

Modern Study on Social Class and Illness

Back 16

- Whitehall (Great Britain)
- separated workers into manual and non-manual
- manual CHD mortality rate increasing
- overall mortality decreasing for both groups
- overall mortality rates higher in manual

Front 17

Marmot and Theorell

Back 17

WORK CHARACTERISTICS are best explanation of mortality rate differences between social classes

Front 18

Original Model of Class, Work, and CHD

Back 18

social class => psycho-social conditions at work => stress => CHD

- Thought that those in the upper class would have higher mortality rates due to stress and pressure in the workplace

-WRONG-

Front 19

Revised Model of Class, Work, and Health Perceptions

Back 19

Social Class => Resources Available at Work => Mismatch => Stress => "Cheap" Coping => Mental Health, CHD, Back Pain

-Social Class determines the types of resources you have at work

Front 20

The Stress Paradigm: Stressors, Social Supports, and Illnesses

Back 20

Stressors
1) Life Events
2) Role Strains

Social Supports
1) Appraisal
2) Informational
3) Instrumental
4) Financial

Illnesses
1) Physical Morbidity
2) Psychological Morbidity
3) Mortality

Front 21

2 Effects of Social Supports on Coping

Back 21

DIRECT
-People with a lot of social support tend to have fewer life events and role strains

INDIRECT
- Social Supports help people deal with stress resulting from role strains and life events

Front 22

Spuriousness

Back 22

Variables that are statistically related to each other, but have no causal relationship