HealthPsych Session 7 Flashcards Preview

Semester 3 > HealthPsych Session 7 > Flashcards

Flashcards in HealthPsych Session 7 Deck (31):
1

What might cultural identity be based on?

Heritage
Individual circumstances
Personal choice
Language
Race
Ethnicity
Occupation
Age
Socio-economic status
Physical abilities

2

Why is a dynamic definition of culture used clinically?

So pts can define which aspect of their culture is relevant at any point allowing for a change in clinical contexts, different life stages and clinical presentation itself

3

What is multiculturalism?

Diversity of ethnicity

4

Why is diversity important to healthcare?

Increasing diversity of populations
Pt-centred approach gives better outcomes
Huge disparities in care accessed
Disparities in aggression of interventions
Differential outcomes

5

What is diversity?

Range of difference relating to individual circumstances

6

What problems may arise considering diversity in healthcare?

Lack of knowledge
Self protection/denial (differences not significant)
Fear of unknown/new
Time pressure

7

What do problems with recognising diversity in healthcare lead to?

Pt-provider relationships affected by misunderstanding of expectations
Miscommunication
Non compliance
Rejection of HCP
Conflict/isolation in staff groups

8

Perceptions of what aspects of service presentation can be influenced by culture ?

Mental health
Certain symptoms and behaviours
Potential services and those pts will accept
Tx and management pts find acceptable
Issues of access

9

What problems may young people experience elated to culture?

Pressures to conform to: family religion, expected gender roles, social norms, family expectations
Sexual orientation
Impending forced marriages
Reconciling culutre in public and private domains

10

What is the gender binary model?

Males look and act masculine
Females look and act feminine
Clearly distinguished by anatomy --> intersex if not possible

11

What are societal norms?

Belief systems about what is normal, acceptable and ideal

12

What is gender identity?

Internal perception and experience of a person's own gender

13

What is gender expression/role?

Way a person lives in society and interacts with others

14

What does transgender mean?

Umbrella term for those whose gender identity and or expression differs from their birth sex

15

What is described by the term transsexual?

Someone who feels a consistent and overwhelming desire to transition and fulfil their life as a member of the opposite sex +/- gender reassignment

16

What common feature do transvestites and cross-dressers share?

Gender identity tends to be the same as their birth sex

17

What is sexual orientation?

Term for what gender you are attracted to which can be life long from an early age or vary over time

18

What is sexual identity?

How people describe themselves e.g. gay/lesbian/bisexual (polite terms but some people prefer no labels)

19

What is sexual behaviour?

MSM or WSW

20

How does discrimination lead to poorer health?

Increases stress
Decreases self esteem
Isolation
Increased conflict --> physical and stress experiences
Subculture with associated -ve health behaviours
Distrust of authorities
Discriminatory healthcare

21

Why are mental health problems not reported in gender reassignment cases?

Fear of rejection for surgery

22

What mental health needs do LGBT pts have?

Increased levels of stress-related mental health problems

23

Which LGBT pts experience more anxiety, depression and suicidality than lesbians and gay men?

Bisexuals
Transgender

24

What substance use health needs do LGBT pts have?

Increased rates of smoking, alcohol and recreational drug use

25

Why do lesbians need PAP smear tests?

Many have had sex with men and HPV can be transmitted between women

26

What are MSM pts at increased risk of developing?

Anal cancer, risk doubles if HIV +ve

27

Which STIs are more common amongst MSM?

HIV and symphysis

28

Why aren't all gay/bi men at high risk of STIs?

Depends on lifestyle factors e.g. condom use, number of sexual partners

29

Do WSW contract STIs of they have only had sex with women in the last 5 years?

Yes

30

What can be done in practise to help when seeing LGBT pts?

Validate pt's gender identity and do not pathologise/moralise
Confidentiality
Respect
Don't rely on pts to educate you
Distinguish between pts problems and their identity
Be careful using pronouns and with other aspects of language

31

How is culture defined?

By each person in relationship to the group(s) they identify with. There must be active engagement but it is a dynamic process