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Chapter 16

Chapter 16-Lay Representations of Illness.docx

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Department
Psychology
Course
PS285
Professor
Eric Theriault
Semester
Winter

Description
Chapter 16­ Lay representations of Illness Cognitive Approaches Illness Perceptions • Dual processing model was to accommodate the representation of fear and of the  threat  • It suggests that when faces with a threat the person forms a cognitive and  emotional representation of that threat­ Leventhal  • Self­regulation model of illness suggested that lay peoples thoughts on illness  could be organized along four dimensions  • The five dimensions are apart of the Common Sense Model  o Identity­ signs, symptoms, and the illness label o Consequence­ perceived physical social and economic consequences of  the disease and the felt emotional consequences o Causes­ perceived causes of the disease o Timeline­ perceived time frame for the development and duration of  illness  o Cure/Control­illness and its responsiveness to the treatment  • Illness perception questionnaire measures the 5 dimensions • Cure/control enables researchers distinguish the control of illness and control of  treatment  • Three core dimensions of the model are o Illness impact­ consequences o Duration­timeline  o Control­ cure/control • Illness representations were direct predictors of both coping cognitions and  coping behaviours  Causes of Disease • Lay people explain the onset of disease comes from the attribution theory  o People attempt to provide a causal explanation for events in their world if  events are unexpected and have personal relevance  • Moss­Morris identified 4 causal dimensions o Psychological attributions  o Risk factors  o Immunity  o Accident or chance  Phenomenological Approach • Shares constructivist assumptions and a preference for qualitative methods of  investigation  • Phenomenology is concerned with exploring the participants perspective of the  world rather than confirming to the researcher that they should take a open­ended  qualitative approach to the research  Interpretative Phenomenological Analysis  • Primary control strategies weren’t single strategies but ongoing processes of  maintaining some control over the disease and reducing recurrence  • Secondary control was an ongoing attitude which related to the broader social and  religious beliefs  o Central theme with this is that the emphasis on ongoing tension involved  in having a life­threatening disease and trying to lead a normal life Illness Narratives • Narrative construction is an intrinsic part of making sense of the world  • Creating a narrative enables the person to give meaning to their constantly  changing world  • Frank came up with 3­part typology of illness narratives o Restitution Narrative o Chaos Narrative o Quest Narrative • Ezzy added an extension o Restitutive linear narratives o Chaotic linear narrative
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