Models of illness and triggers to consultation

Question 1

define illness

Answer 1

The experiences of disease, relates to a way of being for the individual concerned

Question 2

define sickness

Answer 2

The social role a person with illness or sickness takes or is given in

Question 3

define disease

Answer 3

A biological part or process is functioning at a level below the normal; an abnormality in structure, is diagnosed by an expert

Question 4

compare illness and disease

Answer 4

a physician diagnoses a patient with an illness
this diagnosis alters the patents behaviour and a social state is added to a biophysiological state
physician creates illness

Question 5

describe parson’s sick role

Answer 5

Patterns of behaviour defined as appropriate for people who are

Question 6

what are the factors in parson’s sick role

Answer 6

Rights: excused from normal activities are responsibilities, regarded as being in need of care absolved of responsibility for their illness
Obligations: want to get well (sick role is temporary), seek professional advice and cooperate with it

Question 7

what are the sectors of health care system according to Kleinman?

Answer 7

Popular sector: beliefs, choices and decisions, roles, relationships, interaction, symbols, behaviour (estimated 70-90% of health care occurs)
Professional sector: western (orthodox) medicine
Folk sector: traditional medicine

Question 8

what are the triggers of consultation according to Zola?

Answer 8

a. The occurrence of an interpersonal crisis
b. Perceived interference with vocational or physical activity
c. Perceived interference with social or personal relations
d. Sanctioning
e. Temporalizing of symptoms

Question 9

what are the barriers to consultation

Answer 9

a. Anxiety
b. Embarrassment/ stigma
c. Lack of awareness/ uncertainty
d. Competing social demands
e. Problematic doctor-patient interaction
f. Structural barriers
g. Tendency to normalise symptoms