Lecture 1 - What is Health Psychology Flashcards

(41 cards)

1
Q

What is Health Psychology?

A

The study of how psychological influences contribute to health, illness, and reaction to illness

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2
Q

what is health psychology not

A

clinical psychology

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3
Q

What Might be Appealing about this

Discipline?

A

Applied discipline
• It’s really about BEHAVIOUR CHANGE!
• Can inform many real-life decisions

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4
Q

what is the WHO definition of health

A

WHO, 1948: “A complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”

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5
Q

This state of optimum health is called what

A

“wellness”.

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6
Q

What Health Psychologists Do

A

Health promotion and maintenance • Prevention and treatment of disease
• Research
• Analyze and improve health care system and health policies
• And many more possibilities

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7
Q

what do heath psychologists research

A
  • Etiology

* Epidemiology

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8
Q

what is etiology

A

(causes of disease)

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9
Q

what is epidemiology

A

(frequency/distribution/determinants of disease in a population)

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10
Q

Are the mind and the body part of the same system? • Or are the mind and the body two separate systems?

A

We have come full circle in answering these questions.

it started with it as one unit, then separate and now again it is one unit

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11
Q

what was the prehistoric period view of the mind and body

A

Early cultures: prehistoric and ancient Egypt
• Mind and body one unit
• Illness caused by evil spirits and Gods
• E.g., trephination

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12
Q

what was the ancient greek view of the mind and body

A

Proposed “humoral theory of illness”

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13
Q

who Proposed “humoral theory of illness”

A

Hippocrates

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14
Q

what is the humoral theory of illness

A

An imbalance of bodily fluids in the body: blood, black bile, yellow
bile, and phlegm in the body
• Said that disease is related to bodily factors but can also impact the mind
• ”good diet and lifestyle” as cure

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15
Q

what was the middle ages (500-1450) view of the mind and body

A
  • Return to supernatural and religious interpretations
  • Illness was punishment for sins
  • Priest was central to healing
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16
Q

what was the renaissance period known for

A

Beginning of the Biomedical Model

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17
Q

explain the view of the Renaissance Period: Beginning of the Biomedical Model

A
  • Religious approach less accepted with advancement of science
  • Disease usually viewed as result of natural causes
  • Reemergence of scientific approach
  • Mind-body became separate
18
Q

with the Renaissance Period, the mind and body were separate– who looked after the body and who looked after the mind

A

Physicians looked after the body

Theologians, philosophers look after the mind

19
Q

what is the biomedical model

A

Dualistic Approach – • Mind and body as separate

• Reliance on physical evidence as only basis for diagnosis and treatment

20
Q

did Freud contribute to some breakdown of the pure biomedical model

21
Q

what did Freud’s Psychoanalytic Theory involve

A

Conversion Hysteria

22
Q

what is Conversion Hysteria

A

unconscious conflicts can produce physical illness
• Unconscious conflict is converted into a symbolic physical symptom
• E.g. loss of vision

23
Q

what is the current view of the mind and body

A

Moving Towards the Biopsychosocial

Model of Disease

24
Q

explain the Biopsychosocial

Model of Disease

A

We now know (again) …
• Physical health is interwoven with psychological and social environment.
• The mind and the body cannot be separated in matters of health and illness.
• Treatment and prognosis are related to expectations and the patient-practitioner relationship
-> scientific methodologies to find evidence -> growing interest in holistic approach

25
what are the three parts of the Biopsychosocial | Model of Disease
biological, psychological, social
26
what is included in the biological part of the Biopsychosocial Model of Disease
* Genetic variability * Anatomy * Physiology * Germs, viruses * Toxins, etc.
27
what is included in the psychological part of the biopsychosocial Model of Disease
behavioural, emotional and cognitive systems
28
what is included in the social part of the biopsychosocial Model of Disease
* Family * Society * Social Networks * etc.
29
what are the two models of health care
Biomedical vs. | Biopsychosocial
30
what is the The Biomedical Model
(focus on disease) • All disease can be explained on the basis of aberrant somatic processes. • (Used to be) dominant model in medicine for the past 300 years
31
what is the The Biopsychosocial Model in Health Psychology
(focuses on the system) | • Health and disease are consequences of the interplay of biological, psychological, and social factors.
32
give a comparison of the biomedical model and the BPS model
Bio: reductionistic, single causal factor considered, assumed mind-body dualism, emphasizes illness over health BPS: microlevel as well as microlevel, multiple causal factors considered, mind and body inseparable, emphasizes both health and illness
33
How do biological, social, and psychological variables interact?
Systems theory
34
what is the systems theory
• All levels of organization in any entity are linked to each other • Change in any one level will affect change in all other levels E.g., smoking
35
what are the Clinical Implications of the BPS Model
* Diagnosis and treatment must consider all three factors | * The patient-practitioner relationship is extremely important
36
The BPS Model in Action: Understanding addictive behaviours... explain how biological mechanisms, psychological processes and social influences influence alcohol abuse (behaviour)
bio: genetic predispositions, alcohol sensitivity Social influences: stressful events, culture/environment that promotes excessive drinking, individualistic culture that encourages self blame for personal behaviour Psychological processes: negative thinking, self-defeating beliefs
37
Why did Health Psychology Rise in Prominence? (3 reasons)
More Behaviour-Related Diseases and increased acceptance of psychologists, Psychological techniques fit new health consciousness trend and desire for participation.
38
INTERHEART study (2004): Nine risk factors account for 90% of the world's cardiovascular disease:
* Smoking * Bad cholesterol (LDL, triclycerides) * High blood pressure (hypertension) * Diabetes * Size of waistline (abdominal obesity) * Psychosocial factors (e.g. depression and stress) * Lack of fruits and vegetables * Lack of physical exercise * Level of alcohol consumption
39
Increased recognition of the value of behaviour change experts’ insights and interventions how?
• Treatment effectiveness of CBT – lifestyle changes • Stronger focus on psychological, social factors that contribute to disease • Preventability of diseases through lifestyle changes • Shift from focus on cure to prevention • Chronic diseases treatment requirements • Help with adjustment • Help with treatment/self-care • Help families cope -> Stronger integration of health psychology knowledge into medical practice
40
4 Key Issues - Recap
* By 1980s, better understanding of mind-body relationship. * Behaviour stronger and stronger contributor to illness in developed countries. * More and more techniques available to change behaviour and improve health. * Fits with current trend on health consciousness and desire for participation.
41
Today - Recap
* What is health psychology? * Historical development * How did the view of the mind-body relationship change over time? * Lead to discussion of: * Biomedical vs. Biopsychosocial Model * Why has health psychology risen in prominence over the past 30 years?