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Lecture 8

Lecture 8

5 Pages
84 Views
Winter 2011

Department
Sociology
Course Code
SOC102H1
Professor
Teppermann
Lecture
8

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Lecture 8: HEALTH INEQUALITIES AND STIGMATIZATION
-Health outcomes are a significant indicator of a more serious underlying problem health problems are
shaped by inequalities e.g. wealth, poverty, race, gender biases etc.
- Mental illness is a paradoxical issue enormous consequences on life its extraordinarily common, but
people treat it as though its uncommon and they stigmatize people with mental illness as thought its
bizarre
-Some people say addictions are a subtype of mental illness addictions illustrate very clearly the connection
between normal and not-so-normal life the boundary between abnormal and normal is easily crossed
-Doctors hold control in our society over the allocation of blame courts of law also hold some control over
blame more commonly, issues of blame are addressed as issues of health for e.g. cant write test because
grandma sick/died/having operation, etc medical notes medical profession is like king Solomon -
determine whats a good excuse and whats not
-In earlier civilizations, ministers and the church made decisions on guilt or innocence
-The sick role Talcott Parsons sickness is a social role that permits people to disobey the socially
defined rules of proper behaviour ... excuse or calls for forgiveness for the failure to fulfil normal social duties
described sickness as a temporary medically sanctioned form of deviant behaviour deviant in the sense
that it enables you to do or not do things that are not usual the job of the doctor is to pass on whether you
are legitimately claiming sickness or whether youre violating your social responsibilities unique in having
that kind of position
-Associated with sickness are certain rights and responsibilities 1) temporarily exempted from normal
and social roles 2) sick person has a right to be cared for others are morally responsible for taking care
of you 3) these rights also imply responsibilities the doctor makes an assessment checkup part of
having these rights is the responsibility to try and get well if that rule is violated then you forfeit your
moral right to be sick
-Likewise the sick person has a duty to seek technically competent help from a suitably qualified professional
and to cooperate in the recovery process we doctors are the people who knows whats what intense
relationship between doctor and patient patient has to be obedient
-The goal of this is to control deviance in our society part of a process that makes sure people behave
properly doctors are designated to assess peoples health on a rational basis
-Problems with this theory in modern society: 1) not everyone who is biologically sick wants to be regarded as
such or relieved of their duties 2) second, model assumes an ideal patient and ideal doctor it describes
how the patient-doctor relationship are similar or different inappropriate to say that in every instance, the
process of entering the sick role works the same way all sorts of factors determine if a doctor will declare
someone to be sick Cultural and class dynamics that influence the decision process reality is that lots of
people dont get satisfactory treatment from doctors
www.notesolution.com
-3) doctors often hold people responsible for their illness e.g. addiction problems, obesity doctors are
making judgements and assessing blame and moral worth, and in some instances, they can say, I dont think
I can help you out there
- 4) this model of the relationship is very good for temporary afflictions like cold or broken arm, etc, but not
very good for chronic conditions or where its hard to identify the source of the problem e.g. mental
illness, diabetes, obesity hard for doctors to say Ill let you stay home for the next five years and all
increasingly, the diseases people have are chronic
-One of the problems that doctors face is that Patients often dont do what theyre told mental illness
people dont always take their medication people try to self-medicate with alcohol or other drugs
-Today there is a strong relationship between the physical and mental experience
-The issue of illness everyone has different views on illnesses e.g. STDs, anorexia, addictions, obesity
moral attributions are made so very often, we apply certain folk wisdom to explain in moral terms why this
has happened to people bad things happen to bad people
-Its the attachment of blame that leads to stigma its about the attribution of disrepute to people based on
things we know about them health indicators are very important info for people in making these
attributions e.g. in Pakistan, no one wanted to admit they had TB because TB was found in poorer
people, shameful to family so undiagnosed and untreated cases another example is that people are
reluctuant are hesitant about getting tested for HIV even in endemic areas, so its not being controlled ..
because there is moral interpretations attached to certain illnesses.
-Stigma Ervin Goffman management of spoiled identity it is the publication or dissemination of
information about people that spoils their identity makes them unable to pursue normal relations with
other people he thinks that all of us have potentially spoiled identities we all have characteristics which
will be humiliating if revealed how do people manage it in a way that theyre not find out, and if you get to
know it, what should I do to maintain my air of authority?
-Arises out of interaction and is used in interaction to make judgements about each other and how this
information is used to shape the qualities of each other
-Some ppl are stigmatised because they are trying to hide something suppose Tepperman was found guilty
of embezzlement thats not good for maintaining a teacher-student relationship so hell try to make sure
others wont know
- “Passing i.e. people trying to pass off as something else act of disguising certain qualities to prevent
affecting interactions
-Impression management want to manipulate what other people think about us so that discrediting
info wont get revealed like we dress and talk in certain way to impress people Blindness poses
interaction problems cant make eye contact in social interactions, eye contact is important same
thing with deaf people or scarred or obese people
www.notesolution.com

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Description
Lecture 8: HEALTH INEQUALITIES AND STIGMATIZATION - Health outcomes are a significant indicator of a more serious underlying problem health problems are shaped by inequalities e.g. wealth, poverty, race, gender biases etc. - Mental illness is a paradoxical issue enormous consequences on life its extraordinarily common, but people treat it as though its uncommon and they stigmatize people with mental illness as thought its bizarre - Some people say addictions are a subtype of mental illness addictions illustrate very clearly the connection between normal and not-so-normal life the boundary between abnormal and normal is easily crossed - Doctors hold control in our society over the allocation of blame courts of law also hold some control over blame more commonly, issues of blame are addressed as issues of health for e.g. cant write test because grandma sickdiedhaving operation, etc medical notes medical profession is like king Solomon - determine whats a good excuse and whats not - In earlier civilizations, ministers and the church made decisions on guilt or innocence - The sick role Talcott Parsons sickness is a social role that permits people to disobey the socially defined rules of proper behaviour ... excuse or calls for forgiveness for the failure to fulfil normal social duties described sickness as a temporary medically sanctioned form of deviant behaviour deviant in the sense that it enables you to do or not do things that are not usual the job of the doctor is to pass on whether you are legitimately claiming sickness or whether youre violating your social responsibilities unique in having that kind of position - Associated with sickness are certain rights and responsibilities 1) temporarily exempted from normal and social roles 2) sick person has a right to be cared for others are morally responsible for taking care of you 3) these rights also imply responsibilities the doctor makes an assessment checkup part of having these rights is the responsibility to try and get well if that rule is violated then you forfeit your moral right to be sick - Likewise the sick person has a duty to seek technically competent help from a suitably qualified professional and to cooperate in the recovery process we doctors are the people who knows whats what intense relationship between doctor and patient patient has to be obedient - The goal of this is to control deviance in our society part of a process that makes sure people behave properly doctors are designated to assesspeoples health on a rational basis - Problems with this theory in modern society: 1) not everyone who is biologically sick wants to be regarded as such or relieved of their duties 2) second, model assumes an ideal patient and ideal doctor it describes how the patient-doctor relationship are similar or different inappropriate to say that in every instance, the process of entering the sick role works the same way all sorts of factors determine if a doctor will declare someone to be sick Cultural and class dynamics that influence the decision process reality is that lots of people dont get satisfactory treatment from doctors www.notesolution.com
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