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POPH192 > Modules 1&2 > Flashcards

Modules 1&2 Flashcards

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1
Q

Who created the illness narratives?

A

Arthur Frank

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2
Q

Restitution narrative

A

Yesterday fine, today sick, tomorrow better. attractive story, uplifting (e.g pharmacy card)

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3
Q

chaos narrative

A

and then…and then…and then… whirlpool. (e.g homeless people recounts)

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4
Q

quest narratives

A

go through a journey of suffering and route to fix it and find a solutions (e.g comedians giving their alcoholism experiences in a funny way)

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5
Q

testimonials

A

stories that remove the bad parts of the illness, only mentioning the good parts. (e.g parkinsons patients. All 3 narrative types are testimony stories to a degree)

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6
Q

pilgrimage

A

going to a far place to understand a familiar one better. A journey to find something. e.g Deaf mexicans

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7
Q

iceberg model of health order. by whomst?

A

Kleinman:
Professional
Folk (traditional)
Layman (no skills. majority from here)

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8
Q

anthropologist OF medicine

A

an anthropologist who looks at trends and society in order to improve the healthcare systems currently in place.

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9
Q

Håkanson & Öhlén 2016 topic

A

homeless people narratives

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10
Q

outcome of homeless people reading

A

consistent story of chaos. author suggests a person centred approach. The definition of what a functioning body etc and suffering are all relative to circumstances of the participants. You need to be informed about living individual conditions and other aspects to treat patients better. Lacked control in HCPs hands. empathy

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11
Q

Anne E. Pfister In Press topic

A

mexican deaf kids

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12
Q

outcome of deaf kids reading

A

Their kids weren’t disabled and there wasn’t a ‘cure’ or ‘fix’. biomedical treatment didn’t help, so move away fro medical treatments and adapted to the environment of the children. travelling for health care

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13
Q

predicament of disability (deaf kids)

A

predicament of disability (Shakespeare) ie “disability results from the interplay of individual and contextual factors. In other words, people are disabled by society and by their bodies”.

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14
Q

contested diagnosis

A

a different opinion on whether someone is ill or not

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15
Q

nature of illness

A

illness is what we feel when we visit a doctor

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16
Q

disease

A

what you have when you leave the doctors

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17
Q

hierarchies of resort

A

order of who you seek relief of illness from (iceberg model)

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18
Q

health care pluralism

A

multiple sources of healthcare

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19
Q

health

A

ability to be sick and recover, and ability to continue living life with circumstances that become normal

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20
Q

Liggins 2018 topic

A

recovery vs healing

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21
Q

when is pain suffering?

A

when pain serves no useful purpose then it is suffering.

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22
Q

curing

A

physically getting rid of a disease

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23
Q

healing

A

mastering, overcoming suffering. regaining our voice is the basis of the mastery of suffering. changing mindset

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24
Q

suffering

A

a state of distress brought about by an actual or perceived threat to the integrity or existence of a person

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25
relating the 3 stories to Liggins recovery reading
chaos - suffering quest - journey to wellbeing restitution - wellbeing, curing, healing
26
outcome of Liggins reading
during healing we become active from passive, making use of the objects available to us. psychiatric recovery needs to focus on healing for a richer goal.
27
intersectionality
disadvantages/opportunities caused by gender, race, status, class etc. many people are disadvantaged by multiple sources. Is mainly a negative thing
28
Bhopal is an example of
structural suffering. local govts and business leaders are prepared to sacrifice the poor for economic investment.
29
structural suffering
seemingly caused by nobody and unavoidable
30
individual suffering defined through...
interpretive models of health
31
structural suffering explained through...
political economy approaches to health
32
Ellis L. topic
dwarfism
33
Ellis L outcome
Other people and society consider them to be disabled, but they don't personally. singling people out makes them feel worthless. pushing medicalisation where it isnt needed. only disabled if you need assistance, other times are not disabled.
34
panopticon theory defintion
the idea that power and knowledge comes from looking at others, and think that they are superior if they are looking down on others outside the norm (dwarfism)
35
disablism thoery
theory that disabled people are worth less than others
36
visual culture theory
where pleasure is sought by people with visual technology (e.g cameras taking photos of dwarves)
37
social model of disability
people are disabled by society not by their differences themselves
38
biopower
how social norms affect the way we think and feel. (how health knowledge affects us, having power over others)
39
group level example of biopower
gender bias in anotomy textbooks
40
individual level example of biopower
technologies of the self, how do you conform to | standards.
41
technologies of the self meaning
practises that we do to be responsible for our health and to be considered a good citizen. poor health makes us feel immoral
42
Edmond and Jette 2018 topic
Fitbit
43
Esmond and Jette outcome
people scrutinise themselves to meet standards so much that they become machines. reinforces identities. most easily used by middle class people, promoted for all though. e.g you cant use a fitbit if you don't have the body to walk 10k steps a day, you don't have a safe place to be active, you don't have the appearance of someone who can walk without causing suspicion.
44
what 2 axes does biopower operate on
group and individual, and potentially others.
45
Salamonsen & Ahlzén 2018 topic
CAM (complementary and alternative medicine)
46
Salamonsen & Ahlzén outcome
CAM is becoming more popular in wealthy countries as patients are dissatisfied with treatment and interactions with HCPs as it focuses more on medicalisation of life rather than just the illness. Problem is that doctors are more knowledgeable, CAM is unregulated and often expensive.
47
Limitations of Salamonsen & Ahlzén reading
Parts are the reading are oversimplified and fail to consider some aspects while arguing (not balanced)
48
epistemology definition
the branch of philosophy that deals with the theory of knowledge, and the justification of it
49
Medically unexplained symptoms vs contested diagnoses
MES = both doc and patient think something is wrong but cant pinpoint the problem.. Contested = only one (doctor/patient) thinks something is wrong.
50
Naldemerci 2018 patient centred care benefits
- Neurogenic = alternative communication methods builds trust. - Psychiatric = caregiver may help make decisions - Migrants in aged care = Involving family, translators. recognising culture, language etc.
51
Abel Tasman saw NZ in
1642
52
James Cook came to NZ in
1769
53
summary of 1800s in NZ
big increase in settlers, whalers and sealers. trade began, food for tools. More trade to Aus
54
when was the first christian missionary established in NZ and by who
1814, Samuel Marsden.
55
What did William Hobson do
Drafted treaty, 544 signatures, also established Westminster style govt in NZ
56
2. Håkanson & Öhlén 2016 topic 3. Anne E. Pfister In Press topic 4. Liggins 2018 topic 5. Ellis L. topic 6. Esmond and Jette 2018 topic 7. Salamonsen & Ahlzén 2018 topic
2. homeless ppl 3. deaf kids 4. recovery vs healing 5. dwarfism 6. fitbit 7. CAM
57
maori population 1800s vs 1900s
100k vs 42k
58
what year did pakeha population overtake maori?
1857, pakeha @ 59k, maori @ 56k
59
george grey arrives in NZ
1845
60
what did grey do in NZ
General assembly w no maori representation. Blamed maori as rebellious to take their land. 1900 = 3/4 of land is crown acquired
61
What year did maori get into parliament
1867 (4/72 seats)
62
Northern seat
Dr Te Rangi Hiroa (1909-1914)
63
Eastern seat
``` Apirana Ngata (lawyer) 1905-1943 ```
64
Western seat
Dr Maui Pomare (1911-1930)
65
Southern seat
Dr Eruera Tirikatene | 1932-1967
66
What century was Ratana movement and what did he do.
20th Century. 1900-1930 Petition for treaty to be enshrined in law. Wins all 4 parliament seats. Gets social welfare measure for Maori, and addressees maori problems in coalition with Labour (Michael Joseph Savage).
67
Taha wairua
spiritual world
68
Taha kikokiko
physical world
69
What report was passed in 1960
Hunn report (Jack Hunn)
70
What year was the Hunn report passed
1960
71
What did the Hunn report say
Encouraged maori to give up their land and encouraged integration. Pepper potting housing policy.
72
2 maori social movements in 1960s
Integration and growth of urban maori becoming activists
73
What year was David Ausubel's book
The Fern and the Tiki, 1960. Bad race relations
74
Te Whare Tapa Wha designed and when
First Maori health model, 1984, by Mason Durie
75
Components of te whare tapa wha
Taha tinana taha wairua taha whanau taha hinengaro
76
Te wheke designed by who
Rose Pere
77
Components of Te Wheke
Octopus Head = whanau Eyes = waiora (family and individual well being) Arms = spirituality, hinengaro, whanaungatanga, mauri, identity, breath of life from ancestors, open expression of emotion.
78
Meihana model designed when
2007. taught in NZ medical schools
79
Meihana design
Double hulled waka (2 person job) Whanau, wairua, tinana, hinengaro, environment, collective wellbeing. Water is navigation (of disease journey) ocean currents (maori world view) and four winds (colonisation, migration, racism etc)
80
Polynesia includes
samoa, tonga, tuvalu
81
melanesia includes
vanuatu, solomon islands, papua new guinea
82
micronesia includes
palau, kiribati, marshall islands
83
push and pull factors 3 main types
Economic, environmental, socio-cultural
84
diaspora
Large group of people of similar heritage. Actively maintain connections
85
Stats for pacific peoples
2.6 as likely to be in hardship Earn $160/week less 16% unemployment rate (vs 5%) Twice as likely to commit suicide when young life expectancy for males is 4.8 years shorter and women 4.4 years shorter
86
What did Krishnan describe pacific peoples as in 1992
"an entrenched underclass"
87
significance of pacific health models quote
"Nothing else maters to pacific people than the health, wellbeing and future success of our children. Our community's future is inextricably linked to their health and success"
88
Fonua model design and origin
``` Tongan. Archery target. individual/spiritual family local national global ```
89
pacific culture is ...
dynamic
90
fonofale model design and origin
House. Samoan (+ pacific lol) Family is base. pillars = physical, mental, spiritual, and other factors roof = culture surroundings = time, context, environment
91
Remittance
money sent home
92
migration
Movement from one place to another, involving a permanent move from home for over a year
93
colonial relationships between pacific and west
independence, dependences, compacts of free association
94
Types of migration
circular, labour, inland to coast, rural to town, external, internal, international, climate change displacement, crimmigration, RSE scheme (seasonal), Kula migrations.
95
Ethnicity
Force that influences and organises individual understandings of reality and groupings
96
what % of NZ population is pacific
7.4%
97
Blooms taxonomy levels and direction
``` top: create evaluate analyse apply understand remember ``` (want to travel upwards)
98
pacific health models
``` kakala fa'afaletui ta and va fonua model fonofale model te vaka atafaga tivaevae ```
99
dependence examples
Tokelau, (NZ) new caledonia, french polynesia, guam, american samoa
100
Free association examples
cook islands & niue (NZ) | palau, marshall islands

POPH192 (1 decks)

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