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Łukasz Kaczmarek, IP UAM, 2010-2011
Your health today – psychological perspectives on physical and mental well-being Łukasz Kaczmarek, IP UAM,
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Easy Polish Choroba [Hoe-rho-bah] 1. Illness, sickness 2. Damn!
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Easy Polish Zdrowie [Z-draw-v-eh] 1. Health 2. Cheers!
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Organization Interactive lecture: brief tasks, questions, doubts.
Attendance – 80% Exam: test of knowledge – open-ended questions. Literature: A list of articles TBD
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MODELS OF HEALTH: THE BIOMEDICAL MODEL
Biomedic model: Darwin, The Origin of Species, 1856. Body as a machine, part of the nature Treatment: fixing what is broken removing foreign objects Health = lack of disease Patient is a passive receipient of the treatment Ignores behavioral and psychological risk factors
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MODELS OF HEALTH: THE BIOMEDICAL MODEL (Ogden, 2007)
What causes illness? Diseases come from outside the body and cause physical changes Internal involuntary physical changes Who is responsible? Individuals not responsible for their illness (victims) How should illness be treated? Changing physical state by vaccination, surgery, etc. Who is responsible for treatment? Medical professionalists
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MODELS OF HEALTH: THE BIOMEDICAL MODEL (Ogden, 2007)
What is the relationship betwen health and illness? Two different qualities (either healthy or ill) What is the „mind-body” relationship? Independence (mind-body split) The role of psychology in health & illness? Remeding consequences (e.g. depression)
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Illness ideology & medicalization of everyday life (Maddox, 2005)
Premenstrual emotional change = premenstrual dysphoric disorder Not wanting sex often enough = Hypoactive sexual desire disorder Not wanting sex at all = sexual aversion disorder Failure to maintain „adequate erection… that causes marked distress or interpersonal difficulty = male erectile disorder Failure for women to attain or maintain „an adequate lubrication or swelling response of sexual excitement” + distress + interpersonal difficulty = sexual arousal disorder
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MODELS OF HEALTH: HEALTH PSYCHOLOGY (Ogden, 2007)
What causes illness? Multitude factors Biopsychosocial model of health and illness Who is responsible? Individuals responsible for their health How should illness be treated? The whole person (biopsychosocial) Who is responsible for treatment? Patients share responsibility
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Breaking mind-body split: Positive emotions and common cold (Cohen, et al., 2003)
Who? 354 healthy volunteers, age 18-54 Emotional style: 7 evening telephone interviews Infection: subjects were given nasal drops containing rhinovirus Observation: 6 days quarantine
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A brief discussion Consider the last time you were physically ill (e.g. flu, headache, cold, etc.). Which factors other than biological ones may have contributed to your illness?
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MODELS OF HEALTH: HEALTH PSYCHOLOGY (Ogden, 2007)
What is the relationship between health and illness? Continuum What is the „mind-body” relationship? Holistic (whole-person) approach; separate but in interaction The role of psychology in health & illness? Identification of factors contributing to aetiology
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HEALTH AS A POSITIVE STATE
Health – „A state of complete physical, mental and social well-being and not merely the absence of disease.” (World Health Organization, 1947)
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The complete state model of mental health and illness (Keyes, Lopez, 2007)
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Psychological well-being (Keyes, Lopez, 2007)
Self-acceptance „When I look at the story of my life, I am pleased with how things have turned out so far.” Personal growth „For me, life has been a continuous process of learning, changing, and growth.” Purpose in Life „Some people wander aimlessly through life, but I am not one of them.” Environmental Mastery I am good at managing the responsibilities of daily life Autonomy I have confidence in my own opinions, even if they are different from the way most other people think. Positive Relations With Others People would describe me as a giving person, willing to share my time with others.
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Social well-being (Keyes, Lopez, 2007)
Social Acceptance: I believe people are kind Social Actualization (ie. society is positive) The world is becoming a better place for everyone. Social Contribution I have something valuable to give to the world. Social Coherence I find it easy to predict what will happen next in society. Social Integration My community is a source of comfort
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Mandala of health - human ecosystem Heszen, Sęk, 2007
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Health decision and consequences
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1723 km
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266 km
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Industrial pollution: Carbon disulfide = higher blood pressure
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BUT! BEWARE OF HEALTHISM
Preoccupation with your health (mostly physical) leading to distress, loss of autonomy, spontaneity and creativity. WRONG: The sense of health as the main value
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Easy Polish Choroba [Hoe-rho-bah] 1. Illness, sickness 2. Damn!
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Easy Polish Zdrowie [Z-draw-v-eh] 1. Health 2. Cheers!
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