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Lecture 8

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 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
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