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Differences in social and biomedical models of health
The medical vs social model of health
Problems with the social model of health
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What conflicts exist between social and medical models of health and how might a holistic model help resolve these apparent conflicts? Introduction. The Bio- medical model. There are various definitions of the medical model, Wikipedia, the internet encyclopaedia, currently defines it as ‘the predominant Western approach to illness, the body being a complex mechanism with illness understood in terms of causation and remediation, in contrast to holistic, and social models’. The disabled people’s movement believe that it is based on a false notion of ‘normality’, with people being judged on what they cannot do. They believe that it sees people with disabilities as the problem, focusing on the impairment or the health condition. It …show more content…
However these are often relegated to being of secondary importance to biological factors. The consequence of this is the majority of people being treated for mental health problems are often given pharmacological treatments before being offered any other type of approach. This continues despite the fact no commonly diagnosed mental health problems such as schizophrenia, bi-polar; anxiety disorders and major depression have been proven to be genetic or biological in origin. However there is much debate around this opinion (Kingdon 2007) has suggested that biological research has made no significant contribution to the practice of psychiatry, while (Perkins 2003) believes her mental health problems are caused by the way the chemicals in her brain... neurotransmitters- work, and that this is part of her genetic in heritance. Despite these differing perspectives, when we consider there has been many years of intensive research, during which time a huge amount of resources have been invested, it does beg the question whether there are any to be found. It also makes one speculate whether the bio-medical model approach continues to hold such dominance because of the vested interest of the pharmaceutical industry. A view held by Suman Fernando, as he discusses ‘global imposition’ of what he terms ‘western’ models of psychiatry, in …show more content…
This opposition appears to be defined solely on the basis of impairment or the power imbalance of having clinicians rule the lives of service users/survivors. The social model should not be reduced to an outcome of social barriers alone, despite their relevance and significance in people’s lives, (Tew 2005), acknowledges the social model approaches or perspectives, may not come together in the form of a commonly agreed social model of mental health, but they do offer other ways of the viewing the
(The Open University, 2015b). Looking at the language used in mental health and how this can change and shape people’s perspectives, for instance, the term ‘patient’ indicates that a person is ill. Once again this is taking on a biomedical approach, and the biomedical perspective are a result of physical or chemical malfunction in the brain (The Open University, 2015c) There are debates over the language used within mental health on how to refer to people, moving towards the terms ‘service user’ or ‘client’ which takes the focus away from an illness and more of a service being given and
The medical model of disability describes fixing and curing impairments as ways that will closer align the individual with normality (Milton, 2004). By placing individual blame on the stigma and stereotype so often associated with straying from the norm, a medical model of disability in society can continue the cycle of ableism though hegemonic normalcy. The standards of normalcy in relation to disability culture are often related to a medical intervention that brings the individuals impairment closer to a societal ideal. The label of normal is determined by a dominant privileged group. The dominant privileged group often spreads the standard of normality through representation in the medical field, media, and
The social model requires society to change the way it is structured rather then blaming the individual. In contrast, the individual model makes the costumer feel at fault hence lowers his confidence, but the social model insures the costumer that it was not his fault but rather those who built the doors without thinking about the disabled minorities (Oliver, 1990). The individual model fails to distinguish the difference between impairment and illness and it assumes all bodies with disabilities are in need of medical treatment (Oliver, 1990). Although the social model does distinguish the difference it often dismisses the individual and medical approaches and thus it can be interpreted as rejecting the medical prevention (Shakespeare,
WHO defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (Who.int, 2014). Critics of biomedical model emphasized that this model is less effective when treating patients with long-term illness such as depression and diabetes. They recommended biopsychosocial model for treating complex illness. This model takes into account the whole person which has led to extensive research in many aspects of wellness. It addresses more than just the physical well-being as many people are now ill but they have no presence of disease. Socioeconomic status, race, ethnicity and generational differences all play important roles in the model of wellness (Brannon and feist 2010). It is evidence that taking medicine is not just enough for someone suffering from a long-term to get better. For instance, a patient with cancer may be given chemotherapy by a biomedical Doctor. While a biopsychosocial Doctor may give cancer patient chemotherapy and observe how the patient and family response to the disease. He may also treat the patient’s depression and anxiety of being ill.
Based on the understanding of what it takes to be a patient. The medical model and parson are both at an agreement. According to Parson “the ‘obligation to “want to get well” …. And to seek professional help and social support: to actively seek professional help, to trust the physician and to follow medical advice. The doctor-patient relationship is set up to enable
As discussed, it is clear that when it comes to public health the lines are often quite blurred. The Biomedical Model and the Lifestyle Theory Model both have their advantages however a common theme throughout both models is that they are both too reductionist in their approach to health. They failed to consider other health models viewpoints, or incorporate external factors such as the social gradient into their reasoning behind the cause and effect of bad health. Therefore instead of trying to categorise health into definite ‘health models’, health needs to be accepted more for what it is - a forever changing and adapting concept.
Health as a Social Construction In my essay, I aim to find out why social construction affects the health of our society. Ill health may be defined as 'a bodily or mental state that is deemed undesirable'. This means that health is the condition of the body both physically and mentally. Social construction of health refers to the way health varies from one society to another.
1. It is evident that determinants of health and illness cannot be broken down into a single, universal entity, but rather it involves interconnecting mechanisms all contributing to the overall experience of health. These mechanisms stem from one’s culture, for culture serves the purpose in providing people with meaning and a set of beliefs/values to fall back on. One may argue that the definition of well-being is socially constructed whereby normalcy in health is based on one’s culture, what one culture may consider to be a sickness, other culture’s may view this phenomenon in a completely different light. Features such as history, politics, cultural norms, gender, etc. all contribute to a particular cultural identity and thus contribute to the way’s in which health and disease is viewed among said cultures. Through the exploration of these features, one can understand the significant influence culture then has on medical practice and disease.
This model considers other aspects of an individual 's life such as their culture and environment. Unlike the biomedical model, the social model tries to prevent the disease in the first place, so it focuses more on educating people and health promotion. The biomedical looks at an individual’s physical disease but the social model also looks at a person’s well-being. According to Stephan Sutton, Andrew Baum and Marie Johnston (2004) the SAGE Handbook of Health psychology ‘a combination of high psychological demands, such as time pressure and low decision latitude increases the risk of psychophysiological stress reactions and subsequent ill
In society today, there is an extensive range of definitions of health and wellbeing which can be seen as both positive and negative. A Holistic view can also be identified and defined. These definitions of health have changed over time and will carry on changing within the future. According to where a family lives or their social class everyone will have different meanings and views of health and wellbeing. This may be due to what one person perceives as being healthy as another person may not. Channel 4 learning (no date) describes that a positive view of health can be seen as when a person is more likely to achieve and sustain physical fitness from exercising and are mentally stable. Therefor a negative view can be described when a person is free from illness, disease, mental distress or anything which may be a symptom of not having good health. The holistic view of health sees the person as a whole instead of just directing at one area and therefore combines physical, social, intellectual and emotional factors together. Consequently, if a person has emotional difficulties such as how they interact with other people or how they may feel but are physically fit and free from illness does not mean that they are healthy overall as one factor has difficulties. It is also vital to consider the two main theoretical concepts known as the medical and social model of health. Polity books (no date) describes that the medical model views health in terms of disease, diagnosis and then treatment and very much views a body to be separate from psychological processes. Causes of ill-health within the body are seen to require expert interference from a doctor to provide treatment to prevent or kill of an illness within the body. The Social model...
In this paper I will be discussing the two most prevalent models of health. These two models of health are not, of course, total opposites. Similar to terms such as gay and straight they are two definitive labels placed upon a broad spectrum that is hardly definitive. There exists in this case as well a large clouded middle between the two limiting labels. These are collections of thoughts about how to go about continuing life. These two paradigms in modern healthcare I hope will one-day come to know one another. For now let us say that in generally speaking there are two different approaches or models of medicine and they are allopathic and holistic. Allopathic is another term for our modern western medicine, which in the United States is the dominant one and the one most familiar to the masses. The other, the holistic model, also known as alternative, is commonly associated with older ideas that originated in the East.
The World Health Organisation, WHO, (1980) defines disability in the medical model as a physical or mental impairment that restricts participation in an activity that a ‘normal’ human being would partake, due to a lack of ability to perform the task . Michigan Disability Rights Coalition (n.d.) states that the medical model emphasizes that there is a problem regarding the abilities of the individual. They argue that the condition of the disabled persons is solely ‘medical’ and as a result the focus is to cure and provide treatment to disabled people (Michigan Disability Rights Coalition, 2014). In the medical model, issues of disability are dealt with according to defined government structures and policies and are seen as a separate issue from ordinary communal concerns (Emmet, 2005: 69). According to Enabling Teachers and Trainers to Improve the Accessibility of Adult Education (2008) people with disabilities largely disa...
Sociology of Health and Illness The sociological approaches focus on identifying the two sociological theories. We critically analysed the biomedical model and doctor-patient relationship. We also evaluated how the medical professionals exercise social control and the medical professional’s contribution to ill health. The difference between society and health is studied by sociologists in relation to health and illness.
The Medical Model is one of the approaches used to understand people with disabilities, and is ‘concerned with the origin, degree, type of loss and the onset’ of a certain disability (Munoz-Baell &Ruiz, 2000; 54:40-44). This approach views a disability as something no human being wants and should be avoided at all costs if possible (Models-Deafness, 2005). The Medical Model aims to treat people with disabilities, but before treatment can take place they need to study the disabilities and conduct experiments. In some cases the tests and investigations conducted violate the subject’s (disabled person/people being studied) fundamental human rights (Chenoweth, 1995; 36). As stated in the Integrated National Disability Strategy (INDS) : Models of Disability (1997) the Medical Model is made up of establishments that cater to people with disabilities in terms of ‘providing treatment or alternatives’ to their impairment. Although they have good intentions (to assist the disabled) this models interventions result in disabled people being dependent on these institutions and the government.
People with disabilities often face societal barriers and disability evokes negative perceptions and discrimination in society. As a result of the stigma associated with disability, persons with disabilities are generally excluded from education, employment, and community life, which deprives them of opportunities essential to their social development, health and well-being (Stefan). It is such barriers and discrimination that actually set people apart from society, in many cases making them a burden to the community. The ideas and concepts of equality and full participation for persons with disabilities have been developed very far on paper, but not in reality (Wallace). The government can make numerous laws against discrimination, but this does not change the way that people with disabilities are judged in society.