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Psycho-social determinants of health
Psycho-social determinants of health
Psycho-social determinants of health
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A person’s environment greatly contributes to how they act which affects their mental health. The people they surround themselves around can have a positive or negative affect on them. In I Never Promised You a Rose Garden by Joanne Greenberg, Deborah Blau’s mental illness is sparked by her lonely childhood that impels her to generate an alternate reality but with the help of her doctor and her mother she overcomes her sickness. Deborah grew up as an introvert; she was very reluctant to making friends and kept her emotions to herself. Her mother, Esther, noticed that “she didn’t play with other children. She was always at home, hiding herself way” because “friendships came hard to her” (Greenberg 33). Because of her lonely childhood, Deborah …show more content…
Since Deborah could communicate with god of Yr, she became reluctant to making real friends because she neglected what the real world offered which had a negative effect on her mental health because she could not decipher between fantasy and reality: “Sometimes she even forgets the English language” (Greenberg …show more content…
Dr. Fried believed that Deborah would recovery and she gained an intimate relationship with Deborah to the extent at which she could tell her about her about her alternate reality. Even when Esther did not have hope, Dr. Fried did. “I think there is certainly a chance for her to be mentally healthy and strong” (Greenberg 181). When Dr. Fried went on vacation, another doctor was looking after Deborah named Dr. Royson,but he did not understand Deborah as well and tried to convince her that “Yri was a language formulated by herself and not sent with the gods as gift” (Greenberg
She was harassed at school by malicious and prejudiced boys, and felt isolated by her limited English language abilities. Her discomfort with puberty was exacerbated by an encounter with a perverted American exhibitionist in a car. She dealt with these issues later in life by becoming a psychologist and analyzing her family's myriad mental problem” (Spark Notes Editors, 2002).
Due to Deborah’s ignorance towards science and faith in God, she is forced to believe that the reason for all occurrences she could not explain was because of a higher power; conversely, Skloot is a biology major who is well versed in the “supernatural” and their scientific explanations. Therefore, Skloot does not believe in the religious implications of the supernatural, but Deborah is a strong believer in God, and Him doing all things “supernatural.” Throughout the novel, Skloot builds the relationship between her and Deborah as it occurred in real time; she also develops the love and camaraderie that mutually existed between the two parties. This shows that the relationship was real and that they shared unfeigned feelings and love for one another. Skloot’s choice to include their relationship in the novel shows that she is a trustworthy source; she shared the good, the bad, and the ugly in their relationship. Only a person who is willing to tell the entire story will give all the parts of the story, regardless of if they are negative or positive things. In an appeal to pathos, Skloot describes the relationship between her and Deborah up until Deborah’s death, including every amount of drama, happiness, anger, and sadness. This sends the audience through a course of many different emotions and causes
Hattie spent much of her younger years living with different relatives because both of her parents had died when she was five. As Hattie was “tossed” from one relative’s home to another throughout her childhood, she never had a sense of belonging. To make matters worse, her relatives treated her like a hassle—as though her very existence was an annoyance. Needless to say, Hattie’s relatives were neither supportive nor encouraging of her. By age 16, Hattie’s feeling of self-worth was at an all time low. The story did not describe her appearance in depth, but it did say she was very modest and dressed humbly.
In the novel, The Bell Jar, by Sylvia Plath the protagonist is named Esther Greenwood. Through the book Esther wonders if she should marry and live a conventional domestic life, or attempt to satisfy her ambition. Esther is from Massachusetts who goes to New York as a college student who is working for a month to be a guest editor for a magazine. She and the other eleven girls are pampered all the time. She has two friends who worry her, Betsey is very perky, but Doreen is very rebellious. Esther once goes on a date with a man named Marco who tries to rape her, but doesn’t succeed. This is something that can have an emotional, psychological, physical, personal, and social effect on someone and their day to day living. After having all of this happen to her with Marco and her two friends she says “Look what can happen in this country, they’d say. A girl lives in some out-of-the-way town for nineteen years, so poor she can’t afford a magazine, and the...
One of the biggest challenges Francie faces while growing up is loneliness. As a young child living in a Brooklyn slum, Francie has no friends her age. The other children either find her too quiet or shun her for being different because of her extensive vocabulary. Betty Smith describes how most of Francie's childhood days are spent: "in the warm summer days the lonesome child sat on her stoop and pretended disdain for the group of children playing on the sidewalk. Francie played with her imaginary companions and made believe they were better than real children. But all the while her heart beat in rhythm to the poignant sadness of the song the children sang while walking around in a ring with hands joined." (106). Francie is lonely, and longs to be included. As Francie matures, she begins to experience a different kind of loneliness. Betty Smith portrays her feelings as she observes her neighborhood: "spring came early that year and the sweet warm nights made her restless. She walked up and down the streets and through the park. And wherever she went, she saw a boy and a girl together, walking arm-in-arm, sitting on a park bench with their arms around each other, standing closely and in silence in a vestibule. Everyone in the world but Francie had a sweetheart or a friend she seemed to be the only lonely one in Brooklyn without a friend." (403). Loneliness is a constant challenge for Francie but it is through her loneliness that she finds a new companion in her books. Francie reads as an alternative for her lack of friends and companions. It is through her love of reading that Francie develops her extensive, sophisticated vocabulary. Her books lead her into maturity and help her learn to be independent and overcome her many hardships.
“A Rose for Emily” and “Schizophrenia” William Faulkner, an American writer born into a family that was affected by the Civil War, was well recognized for his emphasis on social issues. In a “A Rose for Emily,” Faulkner presents the darkness and mystery of Emily Grierson’s life, and her social and political issues. In the other hand, “Schizophrenia,” poem written by Jim Stevens, presents the obscurity inside a person’s mind that suffers an incurable disease. Although “A Rose for Emily” and “Schizophrenia” have different themes and setting, they share several similarities. In both, the protagonist has an unstable behavior that causes pain and misery to themselves and people around them.
When Esther is finally through with Dr. Gordon’s shock treatments, she expresses her frustration with her mother, who brushes it aside and tells Esther that she wasn’t like “Those awful dead people at that hospital (145-146). Her mother doesn’t understand the scene Esther saw, with the stories of people and their first shock treatments. She does not realize the vitality of Esther’s conditions. When Esther considers converting to Catholicism, believing that her conversion will take away her suicide attempts, her mother laughs it off. Esther also notes that her mother did not care to mourn for her dead husband. Her mother believed that her husband would’ve lived a miserable life and would’ve wanted to die instead. Although Esther was firm in her stance against her mother, she could have acted so hostile against her mother because of what she was going through. Her mother could have wanted to help her, but her way was possibly different than that of
Deborah’s original fears sprouted from her largest secret, the secret of her personal safe haven. To Deborah, opening up about the Kingdom of Yr, sparked her fear that the haven in which she finds safety, has potential to be destroyed in the hands of another individual. During the earlier stages of the novel, Deborah’s fear for the destruction of Yr ran deep, as without the Kingdom she would no longer have an outlet to run towards during her period of hurt. The fears in which Deborah experiences, also linger towards the emotional pot brewing inside of her, as she is terrified that the anger building up will spill out like an erupting volcano, causing a great deal of damage to an individual, “The clamor of from the Collect built higher until it was an overwhelming roar and the gray vision went red” (Greenberg, Chapter 19, page 26). Once the anger which accumulated over her life finally erupts, it becomes clear that the fear of not being able to control her anger, instigated Deborah to cling onto the rage for so long, eventually forcing her to maintain control of her fear. The protagonist’s final fear is sparked by her belief that the world is a place of betrayal, and love and kindness are foreign objects in the physical world. Due to the taunts she received from bully’s as a child and the lies she was prone to from
In her search for identity, Esther often compares herself to others. One sign of depression is the feeling the need to compare yourself to others. Throughout the story, Esther questions other’s morals and characteristics and tries to apply them to herself. One example of this is at the beginning of the novel. She wonders if she is more like her friend Betsy, or her friend, Doreen. She describes Betsy as a good girl, and Doreen as more of the bad girl type. Although Betsy is a cheerful and optimistic person, Esther concludes that she can relate more to Betsy. She cannot understand why though, because she feels as if she is not a happy, nor optimistic person.
Human lives revolve around relationships and maintaining them. It takes a stable person to maintain a healthy relationship, without this they could emotionally hurt themselves or others. The idea of maintaining healthy relationships is a topic John Green explores in his book Turtles All the Way Down. Aza is a high school girl that deals with a mental illness that controls her life. She is constantly worried about getting sick and dying by her microbiome. She constantly lets people in her life down and is not there for them when they need her. When people are not in the mental state to maintain healthy relationships they should accept help from others and not push them away as seen through Aza’s therapist appointments, arguments
Deborah’s internal will and her great perceptiveness was most likely the main reason she started to succeed. Dr. Fried’s relationship with her also played a large role in Deborah’s recovery. Living in the real world at Mrs. Kings and studying to pass the GED may seem like typical thing for most, but this was a huge accomplishment for Deborah. After the last psychotic episode, She wakes up and begins to study. She tells the gods of Yr that she is giving up Yr for good. They remind her of all of the pain that exists because of the “real world”. “Full weight,” she said.
...es these primitive standards, she becomes melancholy because she does not attune into the gender roles of women, which particularly focus on marriage, maternity, and domesticity. Like other nineteen year old women, Esther has many goals and ambitions in her life. Nevertheless, Esther is disparaged by society’s blunt roles created for women. Although she experiences a tremendous psychological journey, she is able to liberate herself from society’s suffocating constraints. Esther is an excellent inspiration for women who are also currently battling with society’s degrading stereotypes. She is a persistent woman who perseveres to accomplish more than being a stay at home mother. Thus, Esther is a voice for women who are trying to abolish the airless conformism that is prevalent in 1950’s society.
On the eve of her freedom from the asylum, Esther laments, “I had hoped, at my departure, I would feel sure and knowledgeable about everything that lay ahead- after all, I had been ‘analyzed.’ Instead, all I could see were question marks” (243). The novel is left open-ended, with a slightly optimistic tone but no details to help the reader fully understand the final step of her healing process. Esther desired to be free of social conventions and double standards, but consistently imposed them upon herself and on the people around her. Her evolution in understanding never reaches a satisfying conclusion, and the reader is also left with nothing but question marks.
I Never Promised You a Rose Garden, by Joanne Greenberg, is a description of a sixteen-year-old girl's battle with schizophrenia, which lasts for three years. It is a semi-autobiographical account of the author’s experiences in a mental hospital during her own bout with the illness. This novel is written to help fight the stigmatisms and prejudices held against mental illness.
Helen’s early life was very much shaped by her loss and abandonment. The greatest loss Helen experienced was the death of her parents. As she was orphaned by the age of six, it left her with great grief, darkened childhood memories and bewilderment of where she truly belonged. She eventually found her position as a labourer in her uncle’s house. After working on her uncle’s farm for two years and being denied an opportunity for education, she faced the most significant abandonment in her life: being turned