CHAPTER 10 – HEALTH AND MEDICINE
Video: David Rosenhand
o 1972 – pseudopatients in “the Thud experiment”
o “On Being Sane in Insane Places” (Science, 1973)
o Experiment illustrated the dangers of dehumanization through labeling
in psychiatric institutions.
Is based on the view that medical practices and beliefs are intensely social.
o Affect healing process.
o Sociological factors (i.e. race, gender, ethnicity) will affect your
treatment by the medical professions.
The Sick Role
Talcott Parsons introduced the concept of the suck role un his book The Social
o The ‘sick role’ is the set of expectations that go along with what a sick
person can expect from society.
o Structural Functionalist perspective.
o Should be exempted from normal social responsibilities
o Should be taken care of instead of having to take care of themselves
o Are socially obligated to try to get well
o Are socially obligated to seek technically competent help
Ivan Emke (2002): added expectations
o Today people are more responsible for their illness
o They’re expected to limit their demands on the health system
Social Course of Disease
Disease goes through a natural course of development
Likewise, a disease also goes through a social course – affected by
sociological factors that a person deals with in the process of being treated.
Social Determinants of Health
“People’s health largely depends on the social conditions in which they live
Bertolt Brecht, 1938
Application of standard principles and practices of Western scientific
discipline in the diagnoses and treatment of symptoms of illness and disease. Biomedical Model of Health
Holistic Model of Health
Social determinants included – complimentary to biomedic