Explaining illness and coping Flashcards
Sick-role behaviour
Parsons 1951
What is the “Sick-role behvaiour”?
a sociological construct that you carry out after being accepted and identified as sick and is governed by social expectations
Exemption from normal social roles – must be legitimised by an authority (e.g. mum/ course leader)
Exemption from responsibility for illness (e.g. sick must be looked after/ not your fault)
Illness is undesirable (e.g. want to get well)
Seek appropriate help (e.g. see a doctor, stay in)
Time limited (e.g. acute/ length illness)
Self regulation theory
Leventhal et al
1984
What is the self regulation theory?
Common sense model of illness including the framework of how we think/cope/treated.
SELF REGULATION MODEL OF ILLNESS
Stage 1
Illness representation (You think what the illness is, the cause of it, how long it will last, what symptoms will occur, your belief on how well the illness can be cured) or emotional representation of illness
Stage 2
Coping (you identify a coping behaviour which you think will return your health to normal
Stage 3
Appraisal (evaluate coping strategy – whether it worked or not)
Symptom perception
key to practise of effective medicine,
Goff et al 2000 found:
90% of ovarian cancer sufferers had symptoms but did not seek help
Beliefs about medicine
Horne 1999
Beliefs about medicine
Specific – necessity: beliefs that this medication improves health status (e.g. efficacy)
Specific – concerns: beliefs that this medication harmful (e.g. dependence, side-effects)
General – harms: beliefs about harms of all medications (e.g. all some form of poison)
General – overuse: beliefs professionals over-reliant on medication (e.g. over-prescription)
Adherence
active doctor-patient collaboration
Petrie et al 2011
sending texts to remind to take inhaler/scary consequences increased adherence by 10%
Ilness perception questionnaire
Moss-Morris et al 2002
