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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,
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
One component of the biomedical model is a focus on illness instead of on health. This results in medical practitioner emphasizing on disease and the causes of disease rather than emphasizing on the factors that lead to health and the prevention of disease (Christensen, Martin and Smyth, 2004). Biomedical model considers the absence of disease is physical wellness. This model is a good practice but it has limitations because it is only effective when dealing with a simple illness (Study Mode, 2014).
The different models to health all use different principles. The biomedical model concentrates on the physical and biological aspect of a disease. Doctors and health professionals practice this model. This model is associated with the diagnosis, treatment and cure of the disease. This model evolves as times goes
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.
Two types of illnesses related to this are chronic illness (lasting/terminal) and acute illness (minor e.g. the flu). Criticism of the mechanistic model is that it is slightly simplistic and may not always apply because the body cannot always be repaired. The second model is the 'Naturalistic Model', which refers to the notion of equilibrium. In order for the body to remain healthy, there must be a balance. Chinese medicine relies greatly on this notion i.e.
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.
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 also requires the person to be socially and economically productive in order to be seen as healthy. According to Mildred Blaxter (1990), there are different ways of defining health. Furthermore, disease can be seen as the presence of an abnormality in part of the body or where there is a harmful physical change in the body such as broken bones. So, illness is the physical state of disease, that is to say, the symptoms that a person feels because of the disease. However, there is some limitation of these definitions which is not merely an absence of disease but a state of physical, mental, spiritual and social wellbeing.
It could be said that in modern industrial society, disability is still widely regarded as a tragic individual failing, in which its “victims” require care, sympathy and medical diagnosis. Whilst medical science has served to improve and enhance the quality of life for many, it could be argued that it has also led to further segregation and separation of many individuals. This could be caused by its insistence on labelling one as “sick”, “abnormal” or “mental”. Consequently, what this act of labelling and diagnosing has done, is enforce the societal view that a disability is an abnormality that requires treatment and that any of its “victims” should do what is required to be able to function in society as an able bodied individual. The social model of disability argues against this and instead holds the view that it is society, not the individual, that needs to change and do what is required, so that everyone can function in society.
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...
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.