'You can never really understand an
individual unless you also
understand the society, historical
time period in which they live,
personal troubles, and social issues'
Mills, C., Wright (1959)
Concepts of Disease,
Illness and Sickness
Annotations:
See revision cards for full definitions.
Disease
Abnormality in the structure or function of
the body, or deviation from the norm.
Illness
the subjective experience of
'feeling' unwell
Sickness
the social role of those defined as
diseased or ill (society perspective)
What is health?
Positive definitions
Health as general physical well-being
e.g. I feel I can do
anything...nothing can stop my
tracks
Negative definitions
Health as absence of disease / not-ill
e.g. when you don't hurt anywhere
and you're not aware of any part of
your body
Functional definitions
Health as the ability to work
e.g. I am able to walk around netter,
and doing more work in the house
no clear-cut answer
WHO: A state of complete physical,
mental/spiritual and social well-being, not merely
the absence of disease or infirmity
Models of health
Biomedical model
Key features
Disease
breakdown of human body, caused by a
specific biological agent
Patient
= passive being. Body treated
separate from mind.
Technological
Significance attached to medical
methods of intervention in treating
disease.
Mechanical
The body can be repaired like a machine
Limitations
Little patient autonomy
Patient history neglected
Chronic diseases now major health threats
(multifactoral in their development) not infective
diseases.
Body isolated from person
Treats the disease, rather than the 'whole' person
Social, psychological and material causes of disease neglected
BioPsychoSocial model
Key features
Biological factors
Psychological factors
Social factors
This model has superseded the previous Biomedical model