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SOC243 Lecture 2

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University of Toronto St. George
William Magee

SOC243: Lecture 2 09/17/2012 Relationship between physical and mental health Decision maker allocated, see these numbers, no one is being treated, high mortality rate, what should be your priorities? - What can be done - Good intervention (child care, schooling) - Cost Incidence and Prevalence - Prevalence rate: # persons with disease/total number of persons in population at risk at a particular point or period of time - Incidence rate: number of new cases of disease per unit of time/total number at risk at the beginning of a specified time period Distinctions among terms Disease, Illness, Disability and Disorder - Disease: Problems of the body – internally caused physical abnormal conditions (vs conditions caused by events like accidents) that impair bodily functions - Impairment: an anomaly, defect, loss or other significant deviation from certain general accepted population standards of bodily function - Disability: inability to behaviorally, socially or psychologically function at a normatively defined level “a reduced ability to perform tasks one would normally do at a given stage in life” - Handicap – disability due to social arrangements – e.g. inability to enter a building because lack of ramp (social model of disability) Illness and Sickness - a state of being - not always direct - illness: a physical or mental state that is experienced as troubling or unpleasasnt. Oxford English Dictionary 2. Unpleasantness, disagreeableness; troublesomeness; hurtfulness, noxiousness Mental Disorder - Mental disorder: may be indicted by illness experience or by behavior which is considered abnormal (or not part of normal development) by the psychiatric profession. Mental disorder are generally defined by a combo of how a person feels (distress), acts (disability), thinks (delusions) or perceives (hallucinations) Somatization Disorders and an introduction to the concepts of medicalization and sick role - Somatization: the communication of personal and interpersonal problems only in a physical idioms of distress - Hysteria/ conversion disorder: paralyses, blindness, numbness, tics, convulsion, choking –symptoms - Briquet’s disorder (1824): localized pain, gastrointestinal problems, sexual problems (ED), conversion - Tension Myositis Syndrome (1982): pain, stiffness, weakness, tingling, numbness and other symptoms in back, joints, body parts – sometimes moves From a sociological perspective, we can ask “was Mesmerism an ea
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