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PSYC3170 - Lecture Notes - Terminal & Chronic Illness.doc

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York University
PSYC 3170
Jennifer Mills

We are at section B PSYC3140 Final exam is 2 hours long at the tennis Canada rexall centre November 16 Terminal and Chronic Illness - combined diagnosis of chronic illness, stats show that 50% of all population has some kind of chronic illness - chronic illness doesn't only occur in older children - happens to young children as well (I.e. type 1 diabetes, asthma) REACTIONS TO CHRONIC ILLNESS Shock - feelings of bewilderment as to how and why it happened to them Encounter - feelings of negative emotion (overwhelmed, helpless, hopeless) - similar to grieving process - feelings of stress, anxiety or insomnia - I.e. cancer - patient will also have to deal with other psychological disorders which is challenging for the practitioner Retreat - be in denial or try to avoid diagnosis - emotion focused - deny the diagnosis so they don't experience negative emotion reaction and negative psychological disorders - challenge for practitioner as they might not follow through or commit to treatment, skip appointments, and don't tell anyone that their diagnosed with chronic disease - overall lack of communication is dangerous for the patient as practitioners won't be able to properly prescribe a treatment and person may not be able to receive proper social support CRISIS THEORY - can identify the illness related factors that aid in predicting the reaction of the patient to diagnosis Threat - how dangerous is the diagnosis - perceived threat affects how negatively you view your diagnosis Embarrassing problems - makes you feel embarrassed about the diagnosis - makes you feel uncomfortable discussing diagnosis Visible conditions - visible to the naked eye for people to see Pain - how painful is the diagnosis Time commitment - regimen is too time consuming Lifestyle - it's hard to break old habits - makes you feel unable PERSONAL FACTORS Hardy or resilient personality - high on hardiness are better at positively coping with diagnosis - strong level of appropriate social support Gender - societal view of men vs. women - men have a harder time dealing with chronic illness because they are concerned with finances, the psychological impact of being a patient who is helped and treated (perception of weakness) - women especially mothers are threatened if they are sick cause they are disabled from fulfilling motherly roles Timing during lifespan - inhibit aspirations and fulfilling roles due to illness Personal health beliefs - amount of control you have over your health - coping is positive if the person has control over Heath ENVIRONMENTAL FACTORS (SOCIAL) Depressive environment - hospitals are depressing places, especially if they're falling apart at the seam - depressing environments aid in making the patient feel more hopeless and
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